FRAGILITY, COGNITIVE STATE AND FUNCTIONAL CAPACITY IN INSTITUTIONALIZED BRAZILIAN OLDER ADULTS
older adults, institutionalized, frailty, cognitive status, functional capacity.
Introduction: Frailty is a condition that has been gaining prominence in the world literature on aging and is associated with high risk of adverse health outcomes, such as decline in functional and cognitive capacity. Objective: to evaluate the association between frailty, cognitive status, and functional capacity, and to identify the prevalence of frailty in institutionalized older adults. Method: cross-sectional study, carried out in older adults residing in Long-Term Care Institutions, of both sexes in two Brazilian cities. To define frailty we used the Fried et al. (2001) phenotype that evaluates 5 criteria: unintentional weight loss; self-reported fatigue; decreased strength; reduced walking speed; and low level of physical activity. Cognitive status was assessed using the MiniMental State Examination (MMSE) and functional capacity using the Katz index. Health, sociodemographic, anthropometric, and physical activity variables were also collected to characterize the sample. Results: As a product of this research, we have the article entitled "Physical fragility, cognitive performance and functional capacity in institutionalized elderly from two Brazilian regions". 73 older people participated with a mean age of 78.6 ±10.44 years. 63% were female, 47.9% were the very old (> 80 years) and 32.1% were underweight. The prevalence of frailty was 57.5%, and in the Poisson regression model adjusted for age and time of institutionalization, it showed a positive association with cognitive status (PR=1.90; CI: 1.17 - 3.06) and functional capacity (PR=2.97; CI: 1.18 - 3.11). Conclusion: The results showed high prevalence of frailty and its association with functional disability and cognitive decline in institutionalized older adults.