Frailty in Older Populations of Arabic-Speaking Countries: Protocol for a Scoping Review

Authors

  • Amany Aly Dalhousie University
  • Stephanie J. Kendall 1Dalhousie University, Halifax, NS B3H 4R2, Canada 2Beatrice Hunter Cancer Research Institute, Halifax, NS B3H 4R2, Canada
  • Chris MacKnight 1Dalhousie University, Halifax, NS B3H 4R2, Canada B3H 3A7, Canada 3Nova Scotia Health Authority, Halifax, NS B3H 3A7, Canada
  • Olga Theou 1Dalhousie University, Halifax, NS B3H 4R2, Canada B3H 3A7, Canada 3Nova Scotia Health Authority, Halifax, NS B3H 3A7, Canada
  • Scott A. Grandy 1Dalhousie University, Halifax, NS B3H 4R2, Canada 2Beatrice Hunter Cancer Research Institute, Halifax, NS B3H 4R2, Canada 3Nova Scotia Health Authority, Halifax, NS B3H 3A7, Canada

DOI:

https://doi.org/10.15273/hpj.v3i2.11520

Keywords:

Frailty, older adults, Arabic-speaking countries,

Abstract

Introduction: With the globally aging population, the impact of frailty is expected to increase, and frailty has come into focus as a challenging manifestation of aging. Although frailty has been thoroughly investigated in developed countries, it has been understudied in developing countries. Like other countries worldwide, Arabic-speaking countries (ASCs) are experiencing an increase in the aging population; thus, the risk of frailty increases, and it becomes imperative to address the limitations of diagnosis, treatment, and prevention of frailty in this area of the world.Objective: This protocol describes a scoping review that will investigate what is known about frailty in older adults living in ASCs. The aim is to synthesize and map the literature addressing the concept of frailty, its association with other geriatric conditions, and measurement tools used to identify or assess frailty among this subpopulation in this part of the world.Methods: This review will employ Joanna Briggs Institute guidelines (JBI). Studies considered for this review must involve the concept of frailty among older adults living in the Arabic-speaking world. Conclusion/Discussion: This scoping review protocol outlines the specific methodologies to improve the overall quality of the finalized scoping review. The finalized scoping review will present an overview of the current literature on frailty in older adults living in ASCs and summarize the knowledge gaps in frailty assessment and interventions. 

 

Author Biographies

Amany Aly, Dalhousie University

Interdisciplinary P.h.D program, faculty of graduate study

Stephanie J. Kendall, 1Dalhousie University, Halifax, NS B3H 4R2, Canada 2Beatrice Hunter Cancer Research Institute, Halifax, NS B3H 4R2, Canada

Chris MacKnight, 1Dalhousie University, Halifax, NS B3H 4R2, Canada B3H 3A7, Canada 3Nova Scotia Health Authority, Halifax, NS B3H 3A7, Canada

Division of Geriatric Medicine, Dalhousie University

Olga Theou, 1Dalhousie University, Halifax, NS B3H 4R2, Canada B3H 3A7, Canada 3Nova Scotia Health Authority, Halifax, NS B3H 3A7, Canada

Canada Research Chair in Physical Activity, Mobility, and Healthy Aging

Assistant Professor, Physiotherapy and Geriatric Medicine, Dalhousie University

Affiliated Scientist, Geriatric Medicine, Nova Scotia Health Authority

Adjunct Senior Lecturer, School of Medicine, University of Adelaide

 

Scott A. Grandy, 1Dalhousie University, Halifax, NS B3H 4R2, Canada 2Beatrice Hunter Cancer Research Institute, Halifax, NS B3H 4R2, Canada 3Nova Scotia Health Authority, Halifax, NS B3H 3A7, Canada

Scott A. Grandy, PhD

Associate Professor

School of Health and Human Performance

Cross appointed with the Department of Pharmacology Affiliate Scientist, Divisions of Cardiology and Medical Oncology, Nova Scotia Health Senior Scientist, Beatrice Hunter Cancer Research Institute Dalhousie University PO Box 15000 Halifax, Nova Scotia, B3H 4R2

References

Brown, P. J., Roose, S. P., Fieo, R., Liu, X., Rantanen, T., Sneed, J. R., Rutherford, B. R., Devanand, D. P., & Avlund, K. (2014). Frailty and depression in older adults: A high-risk clinical population. The American Journal of Geriatric Psychiatry, 22(11), 1083–1095. https:// doi.org/10.1016/j.jagp.2013.04.010

Chan, D.-C. D., Tsou, H.-H., Yang, R.-S., Tsauo, J.-Y., Chen, C.-Y., Hsiung, C. A., & Kuo, K. N. (2012). A pilot randomized controlled trial to improve geriatric frailty. BMC Geriatrics, 25(12), Article 58. https:// doi.org/10.1186/1471-2318-12-58

Cheng, M.-H., & Chang, S.-F. (2017). Frailty as a risk factor for falls among community dwelling people: Evidence from a meta”analysis. Journal of Nursing Scholarship, 49(5), 529–536. https://doi.org/10.1111/jnu.12322

Fishman, J. A. (2017). National languages and languages of wider communication in the developing nations 1. In Wilfred Whiteley (Ed.), Language use and social change: Problems of multiculturalism with special reference to Eastern Africa (pp. 27–56). Routledge. https:// doi.org/10.4324/9781315104409

Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., Seeman, T., Tracy, R., Kop, W. J., Burke, G., & McBurnie, M. A. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology: Series A, 56(3), M146–M157. https://doi.org/10.1093 /gerona/56.3.m146

Fried, T. R., & Mor, V. (1997). Frailty and hospitalization of long”term stay nursing home residents. Journal of the American Geriatrics Society, 45(3), 265–269. https://doi.org/10.1111/j.1532-5415.1997.tb00938.x

Gale, C. R., Westbury, L., & Cooper, C. (2018). Social isolation and loneliness as risk factors for the progression of frailty: The English Longitudinal Study of Ageing. Age and Ageing, 47(3), 392–397. https://doi.org/10.1093/ageing/afx188

Gray, S. L., Anderson, M. L., Hubbard, R. A., LaCroix, A., Crane, P. K., McCormick, W., Bowen, J. D., McCurry, S. M., & Larson, E. B. (2013). Frailty and incident dementia. Journals of Gerontology: Series A, 68(9), 1083–1090. https://doi.org/ 10.1093/gerona/glt013

Hajek, A., Bock, J.-O., Saum, K.-U., Matschinger, H., Brenner, H., Holleczek, B., Haefeli, W. E., Heider, D., & König, H.-H. (2018). Frailty and healthcare costs—Longitudinal results of a prospective cohort study. Age and Ageing, 47(2), 233–241. https://doi.org/10.1093 /ageing/afx157

Han, L., Clegg, A., Doran, T., & Fraser, L. (2019). The impact of frailty on healthcare resource use: A longitudinal analysis using the Clinical Practice Research Datalink in England. Age and Ageing, 48(5), 665–671. https://doi.org/10.1093/ageing/afz088

Hoogendijk, E. O., Afilalo, J., Ensrud, K. E., Kowal, P., Onder, G., & Fried, L. P. (2019). Frailty: Implications for clinical practice and public health. The Lancet, 394 (10206), 1365–1375. https://doi.org/ 10.1016/S0140-6736(19)31786-6

Howlett, S. E., Rutenberg, A. D., & Rockwood, K. (2021). The degree of frailty as a translational measure of health in aging. Nature Aging, 1(8), 651–665. https://doi.org/10.1038/s43587-021-00099-3

Hussein, S., & Ismail, M. (2017). Ageing and elderly care in the Arab region: Policy challenges and opportunities. Ageing International, 42(3), 274–289. https:// doi.org/10.1007/s12126-016-9244-8

Kabasakal, H., & Bodur, M. (2002). Arabic cluster: A bridge between East and West. Journal of World Business, 37(1), 40–54. https://doi.org/10.1016/S1090-9516(01)00073-6

Kim, C.-O., & Lee, K.-R. (2013). Preventive effect of protein-energy supplementation on the functional decline of frail older adults with low socioeconomic status: A community-based randomized controlled study. Journals of Gerontology: Series A, 68(3), 309–316. https://doi.org/10.1093/gerona/gls167

Kojima, G. (2019). Increased healthcare costs associated with frailty among community-dwelling older people: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 84, Article 103898. https:// doi.org/10.1016/j.archger.2019.06.003

Makizako, H., Shimada, H., Doi, T., Tsutsumimoto, K., & Suzuki, T. (2015). Impact of physical frailty on disability in community-dwelling older adults: A prospective cohort study. BMJ Open, 5(9), Article e008462. https://doi.org/10.1136/bmjopen-2015-008462

McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., Foerster, V., & Lefebvre, C. (2016). PRESS Peer Review of Electronic Search Strategies: 2015 guideline statement. Journal of Clinical Epidemiology, 75, 40–46. https:// doi.org/10.1016/j.jclinepi.2016.01.021

Mitnitski, A., Song, X., Skoog, I., Broe, G. A., Cox, J. L., Grunfeld, E., & Rockwood, K. (2005). Relative fitness and frailty of elderly men and women in developed countries and their relationship with mortality. Journal of the American Geriatrics Society, 53(12), 2184–2189. https://doi.org/10.1111/j.1532-5415.2005.00506.x

National Institute on Aging. (n.d.). Geroscience: The intersection of basic aging biology, chronic disease, and health. https://www.nia.nih.gov/research/dab/geroscience-intersection-basic-aging-biology-chronic-disease-and-health

Nguyen, T. N., Cumming, R. G., & Hilmer, S. N. (2015). A review of frailty in developing countries. The Journal of Nutrition, Health & Aging, 19(9), 941–946. https://doi.org/10.1007/s12603-015-0503-2

Obermeyer, C. M. (1992). Islam, women, and politics: The demography of Arab countries. Population and Development Review, 18(1), 33–60. https://doi.org/10.2307/1971858

Omri, A., Daly, S., Rault, C., & Chaibi, A. (2015). Financial development, environmental quality, trade and economic growth: What causes what in MENA countries. Energy Economics, 48, 242–252. https://doi.org/10.1016 /j.eneco.2015.01.008

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., ”¦ Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Peters, M. D. J., Godfrey, C. M., McInerney, P., Baldini Soares, C., Khalil, H., & Parker, D. (2015). The Joanna Briggs Institute reviewers‘ manual 2015: Methodology for JBI scoping reviews. Joanna Briggs Institute.

Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2021). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Implementation, 19(1), 3–10. https://doi.org/10.1097/xeb.0000000000000277

Rizzoli, R., Reginster, J.-Y., Arnal, J.-F., Bautmans, I., Beaudart, C., Bischoff-Ferrari, H., Biver, E., Boonen, S., Brandi, M.-L., Chines, A., Cooper, C., Epstein, S., Fielding, R. A., Goodpaster, B., Kanis, J. A., Kaufman, J.-M., Laslop, A., Malafarina, V., Mañas, L. R., ... Bruyère, O. (2013). Quality of life in sarcopenia and frailty. Calcified Tissue International, 93 (2), 101–120. https://doi.org/10.1007 /s00223-013-9758-y

Rockwood, K., & Mitnitski, A. (2007). Frailty in relation to the accumulation of deficits. Journals of Gerontology: Series A, 62(7), 722–727. https://doi.org/10.1093 /gerona/62.7.722

Siriwardhana, D. D., Hardoon, S., Rait, G., Weerasinghe, M. C., & Walters, K. R. (2018). Prevalence of frailty and prefrailty among community-dwelling older adults in low-income and middle-income countries: A systematic review and meta-analysis. BMJ Open, 8(3), Article e018195. https://doi.org/ 10.1136/bmjopen-2017-018195

Sibai, A. M., & Yamout, R. (2012). Family-based old-age care in Arab countries: Between tradition and modernity. In H. Groth & A. Sousa-Poza (Eds.), Population dynamics in Muslim countries: Assembling the jigsaw (pp. 63–76). Springer. https://doi.org/10.1007/978-3-642-27881-5_5

Sweed, H., & Maemon, M. (2014). Egypt—Ageing population. The Egyptian Journal of Geriatrics and Gerontology, 1(1), 1–9. https://doi.org/10.21608/ejgg.2014.5330

Takano, E., Teranishi, T., Watanabe, T., Ohno, K., Kitaji, S., Sawa, S., Kanada, Y., Toba, K., & Kondo, I. (2017). Differences in the effect of exercise interventions between prefrail older adults and older adults without frailty: A pilot study. Geriatrics & Gerontology International, 17(9), 1265–1269. https://doi.org/10.1111/ggi.12853

Tricco, A. C., Lillie, E., Zarin, W., O‘Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., ”¦ Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850

Yount, K. M., & Sibai, A. M. (2009). Demography of aging in Arab countries. In P. Uhlenberg, (Ed.), International handbook of population aging (pp. 277–315). Springer. https://doi.org/10.1007 /978-1-4020-8356-3_13

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2023-05-26

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