Frailty And QOL In Centenarians And Their Relationship In Parts Of Hainan Province

ObjectiveTo explore the prevalence and the related factors of frailty among centenarians in parts of Hainan to provide evidence for strategies to prevent and control frailty.To identify the quality of life and the related factors among centenarians in parts of Hainan province,and to find out the intervention factors to improve the quality of life of centenarians.MethodsDoctors and nurses come from Chinese PLA general hospital Hainan branch conducted a cross-sectional survey in centenarians live in the eight districts of Hainan province between May 2016 and December 2016 using questionnaires including Frail Scale and EQ-5D.Results1.The prevalence of frailty and pre-frailty were 20.6%.65.0%.2.A statistically significant difference was found between the two groups with respect to the parameters of BM1,listening problems,sleeping problems,pain,incontinence,ADL and nutrition status.(P<0.05).3.EQ-5D index of 446 centenarians ranged from 0.003 to 1.000,the median and interquartile were 0.675(0.595,0.768).EQ-VAS points ranged from 20 to 100.the median and interquartile were 65(50,76).171(38.3%)centenarians had high quality of life(EQ-VAS points≥70),275(61.7%)centenarians had low quality of life(EQ-VAS points<70).4.Abnormality of nutrition,moderate or severe disorder of ADL,urinary incontinence,pain,and sleeping problems were found in the equation of Binary Logistic Regression 4(P<0.05).The model of Logistic regression was Ln[P/(1-P)]=-5.956+3.930X8(2)+2.581X8(1)+1.946X7+1.796X4+0.73X2+0.667X3.5.Frailty level was found significantly related with EQ-5D index(r=-0.544,P<0.001)and high QOL(EQ-VAS poihlt≥70,r=-0.444.P<0.001)in Spearman analysis.6.A statistically significant difference was found in EQ-5D index with respect to the parameters of sex,education level and frailty status(P<0.05).A statistically significant difference was found in EQ-VAS with respect to the parameters of sex,education level,family economic level and frailty status(P<0.05).7.Sex(P=0.033)and frailty status(P<0.001)were found in the equation of Multiple Linear Regression(P<0.05).The equation was Y= 1.003-0.158X3 +0.042X1.Frailty status was the only one factor found in the equation of Binary Logistic regression(the OR of prefrailty was 0.140,P<0.001,the OR of robust was 0.660.P<0.001).The equation was Ln[P/(1-P)]=3.138-4.249X8(1)-2.723X8(2)。Conclusions1.Compared with the oldest old lived in community internationally,frailty among centenarians in parts of Hainan was lower.2.Abnormality of nutrition,moderate or severe disorder of ADL,urinary incontinence,pain,and sleeping problems maybe the factors of frailty among centenarians in parts of Hainan.Furthermore,malnutrition may be the most important factor.3.Compared with the oldest old lived in community at home,the five dimensions of EQ-5D among centenarians in parts of Hainan were impaired more seriously,while their self-perception was better.4.Frailty was independently and negatively related with the quality of life among centenarians in parts of Hainan,and that is the only one factor of self-consicous quality of life.