52 Advances in Medical, Dental and Health Sciences Vol. 2 ● Issue 4 ● Oct-Dec 2019 ● www.amdhs.org
RESEARCH ARTICLE
AMDHS
ADVANCES IN MEDICAL, DENTAL
AND HEALTH SCIENCES
OPEN ACCESS
e-ISSN: 2581-8538
Received: 12 October 2019;
Accepted: 16 December 2019
*Correspondence to:
Dr. Aadil Ameer Ali
PPDPT Scholar, Isra Institute of Rehabilitation
Sciences, Karachi, Sindh-75300, PAKISTAN.
Email: aadilamirali@hotmail.com
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Aadil Ameer Ali
1,
*, Noman Haq
2
, Kainat Chang
1
, Sana Naqi
3
, Muhammad Rafque
4
, Muhammad Ismail
4
,
Rabbia Naseer
1
, Aqeel Nasim
5
, Muhammad Kumail
3
1
Department of Physical Therapy and Rehabilitation Sciences, Isra University, Karachi, PAKISTAN.
2
Faculty of Pharmacy and Health Sciences, University of Balochistan, Quetta, PAKISTAN.
3
Institute of Physiotherapy and Rehabilitation Sciences, Liaquat University of Medical and Health Sciences,
Jamshoro, PAKISTAN.
4
Department of Statistics, University of Sindh, Jamshoro, PAKISTAN.
5
Pharmacist, Balochistan Institute of Nephro-Urology, Quetta, PAKISTAN.
Abstract
Many frail older adults are slim, weak and under nourished; this part of frailty remains a critical concern
in the old age. However, there is also strong conformation that excessive obesity contributes to frailty,
therefore, present study was conducted to assess the Relationship between Obesity and Frailty in Older
Population of Karachi, Pakistan. A cross sectional survey was conducted in different hospitals of Karachi,
Pakistan from January to March 2018. BMI was measured by standard procedure in already diagnosed
377 patients of Fraility (mild and sever) and SPSS version 23 was used to analyze the data. The majority
were (n=215, 57%) male and having age between 61 to 63 years (n=75, 19.9%), overweight (n=151, 40%)
and Obese were (n=37, 9.8%) no significant correlation was found between obesity and frailty. This Study
concluded that there is no significance of obesity on Fraility, because mostly the government facilities are
being attended by the poor patients and the rich patients who may have the obesity along with Fraility
may go to the private institutes.
Key words: Obesity, Fraility, Older Population, Karachi, Pakistan.
Impact of Obesity on Frailty in Older Population of Karachi, Pakistan
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DOI :
10.5530/amdhs.2019.4.15
INTRODUCTION
Many frail older adults are slim, weak and under nourished; this part of
frailty remains a critical concern in the old age. However, there is also strong
conformation that excessive obesity contributes to frailty by decreasing the
ability of older adults to perform activities of daily living/life along with
decreased metabolic stability.
[1]
As the Characterstics of frailty, proposed by Fried et al. which includes
five components: decreased level of physical activity along with decreased
muscle strength, self-reported fatigue, decreased walking speed, unintended
weight loss and overtiredness. Moreover, the presence of one or two
measures characterizes the pre-frailty condition, while more than three
criteria characterize frailty.
[2]
Frailty is considered a forecast of adverse
results, such as: its negative impact on health-related quality of life, the
utilization of healthcare services and health conditions comorbidities, falls,
institutionalization, disability, mortality along with its prevalence which is
especially relevant with the domain of public health.
[3,4]
Early identification of subgroups of the population could be beneficial for
planning for the capability of health and social systems to care for increasing
numbers of frail older people over time.
[5]
Previous studies consistently
demonstrated that frailty increased markedly with advancing age
[6]
Exploring factors that are associated with frailty is a basic research concern.
Identification of correlates of frailty status facilitates the development of
early preventive interventions of the occurrence of frailty. Studies exploring
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