Prevalence and Associated Factors of Frailty Syndrome in Older Cancer Patients in Itaguaí, Rio de Janeiro, Brazil
DOI:
https://doi.org/10.32635/2176-9745.RBC.2025v71n3.5155Keywords:
Frailty/diagnosis, Frail Elderly, Neoplasms/epidemiology, Surveys and Questionnaires, Mass ScreeningAbstract
Introduction: Frailty syndrome in older adults (FSOA) reflects vulnerability to adverse outcomes such as functional decline, falls, and hospitalizations, associated with comorbidities, cognition, and aging. Objective: To screen for FSOA in older adults diagnosed with cancer between 2017 and 2021, residing in Itaguaí, Rio de Janeiro. Method: A cross-sectional observational study using the self-reported FSOA screening tool. Sociodemographic and clinical data were collected during home visits using a specific instrument, in addition to the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS-15), handgrip strength (HGS), calf circumference (CC), weight, and height measurements. Results: A total of 279 older adults were analyzed. The age range was 60 to 95 years, with a 69.5 (± 6.2) years mean. Participants were predominantly men with prostate cancer and women with breast cancer. 79.9% of patients could not be located for interviews, primarily due to death (41.9% of cases). Among the 56 older adults included in the frailty study, reduced HGS was observed in 35.7%, depressive symptoms in 26.8%, cognitive decline in 32.1%, and reduced muscle mass in 14.3%. FSOA was observed in 39.3% of participants, associated with factors such as sedentary lifestyle, chronic pain, history of falls, low handgrip strength, and depressive symptoms. Conclusion: The high prevalence of FSOA and its associated factors highlight the need for interventions to improve the quality of life and autonomy of these individuals.
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