Key result
Frailty was significantly associated with worse self-care behaviors in both men (β = -7.698, p<0.001) and women (β = -5.476, p=0.003) with atrial fibrillation.
Why the study?
Frailty and cognitive impairment can contribute to poor self-care behaviors, but few studies have explored these relationships in older adults with AF.
Cross-Sectional (n=298)
Effect estimate: β = -7.698 (frailty in men); β = -5.476 (frailty in women)
p-value: p=<0.001 (frailty in men); 0.003 (frailty in women)
Frailty is associated with worse self-care behaviors in both men and women with atrial fibrillation, while cognitive impairment is additionally associated with worse self-care in women.
Hypothesis-generating for frailty assessment in AF self-care; prospective studies needed before clinical adoption.
Atrial fibrillation (AF), common in older adults, increases the risk of heart failure, stroke, and all-cause mortality. Self-care behaviors help avoid adverse events in older patients with AF. However, while frailty and cognitive impairment can contribute to poor self-care behaviors, few studies have explored these relationships in older adults with AF. This cross-sectional study aims to determine associations between frailty, cognitive impairment, and self-care behaviors among older adults with AF by gender. A total of 298 patients with AF aged 60 and over were assessed with a self-reported questionnaire consisting of the Korean version of the FRAIL scale, modified mini-mental state examination, and self-care scale for AF. Prevalence of frailty and prefrailty in men and women was around 11% and 48.4% and 28% and 47.4%, respectively. According to the hierarchical linear regression analysis, in men, prefrailty (β = −2.874, p = 0.013) and frailty (β = −7.698, p < 0.001) were associated with self-care behaviors; in women, frailty (β = −5.476, p = 0.003), and cognitive impairment (β = −3.350, p = 0.044) were associated with self-care behaviors. Developing individualized care plans will require periodic screening of older patients with AF to determine their frailty status and cognitive function.
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Son et al. (2019) conducted a cross-sectional in Atrial Fibrillation (n=298). Frailty and cognitive impairment vs. Absence of frailty or cognitive impairment was evaluated on Self-care behaviors (β = -7.698 (frailty in men); β = -5.476 (frailty in women), p=<0.001 (frailty in men); 0.003 (frailty in women)). Frailty was significantly associated with worse self-care behaviors in both men (β = -7.698, p<0.001) and women (β = -5.476, p=0.003) with atrial fibrillation.
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