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Purpose: This study aimed to examine the effects of frailty, balance, and depression on the performance of activities of daily living (ADL) in older adults. Methods: Eighty-five older adults registered at a community health center in Amasya-Türkiye volunteered to participate in this one-time data collected observational study. All participants were assessed using the Mini Mental State Test (MMST), simple FRAIL scale, Geriatric Depression Scale–Short Form, and Lawton Instrumental Activities of Daily Living (L-IADL) Scale. Results: According to FRAIL scale scores, 38.8% (n = 33) of the participants were evaluated as frail, 37.6% (n = 32) as pre-frail, and 23.5% (n = 20) as normal. There were statistically significant correlations between all parameters analyzed (p < 0.05). According to the regression analysis performed to determine which factors are associated with L-IADL, it was determined that a 1-unit increase in the Berg Balance Scale score was associated with a 0.639-unit increase in the L-IADL score. Mean L-IADL score differed significantly between the frailty groups, with frail participants having a significantly lower mean L-IADL score compared to pre-frail and normal participants (p < 0.05). Conclusions: Our results demonstrated that frailty, balance, and depression are associated with performance of activities of daily living, with balance being the strongest determinant. Frail older adults showed greater dependence in activities of daily living than those who were pre-frail or normal.
Baysal et al. (2024) studied this question.