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Abstrak :
Latar Belakang: Seiring dengan meningkatnya populasi lanjut usia lansia di Indonesia, khususnya perempuan, maka akan semakin meningkat pula populasi perempuan lansia frail ditemukan di masyarakat. Ada perbedaan faktor yang berhubungan dengan sindrom frailty berdasarkan jenis kelamin, status sosial ekonomi, serta komunitas lansia tersebut berada perkotaan atau perdesaan . Sampai saat ini, belum ada penelitian di Indonesia yang secara khusus menilai faktor-faktor yang berhubungan dengan sindrom frailty pada perempuan lansia di komunitas perkotaan. Tujuan: Mengetahui proporsi perempuan lansia fit/ robust, pre-frail dan frail serta faktor-faktor yang berhubungan dengan sindrom frailty pada perempuan lansia di komunitas perkotaan. Metode: Penelitian potong lintang pada perempuan berusia ge; 60 tahun di Rukun Warga RW 01 ndash;09, Kelurahan Kalianyar Jakarta Barat dan Pusat Santunan dalam Keluarga PUSAKA Wilayah Jakarta Pusat selama bulan Juli sampai September 2017. Variabel independen terdiri dari usia, tingkat pendidikan, tingkat penghasilan, status fungsional Barthel-Activity of Daily Living/ B-ADL dan Lawton-Instrumental Activity of Daily Living/ L-IADL , status kognitif Abbreviated Mental Test/ AMT , status nutrisi Mini Nutritional Assessment/ MNA , gejala depresi Geriatric Depression Scale/ GDS , komorbiditas Cumulative Illness Rating Scale for Geriatrics/ CIRS-G , polifarmasi jumlah obat >4 , indeks kualitas hidup terkait kesehatan EuroQol-5 Dimension dan kadar C-Reactive Protein CRP kuantitatif serum. Sistem skor frailty berdasarkan Cardiovascular Health Study CHS untuk menentukan fit, pre-frail dan frail. Analisis bivariat Uji Chi-Square dan multivariat regresi logistik dengan Statistical Package for the Social Sciences SPSS versi 20.0. Hasil: Terdapat 325 subjek dengan median usia 67 tahun, 95,7 dengan penghasilan di bawah UMP 70 tahun [OR 5,27 IK 95 2,92 ndash;9,52 ], penurunan skor B-ADL [OR 2,85 IK 95 1,37 ndash;5,94 ], gejala depresi [OR 6,79 IK 95 1,98 ndash;23,25 ], indeks EQ-5D [OR 1,96 IK 95 1,09 ndash;3,52 ], dan indeks EQ-5D VAS [OR 1,93 IK 95 1,06 ndash;3,53 ]. Simpulan: Proporsi kelompok perempuan lansia dengan status sosial ekonomi rendah di komunitas perkotaan, yang tergolong fit 12,6 , pre-frail 63,4 dan frail 24 . Faktor-faktor yang berhubungan dengan sindrom frailty adalah usia di atas 70 tahun, adanya gejala depresi, penurunan status fungsional dan indeks kualitas hidup terkait kesehatan.

Abstrak :
ABSTRACT
Background: there are differences in factors associated with frailty syndrome in elderly population. The aim of this research was to determine frailty status (fit, pre-frail and frail) and to identify factors associated with physical frailty in urban community-dwelling elderly women. Methods: a cross-sectional study of community-dwelling women aged 60 years and older was conducted in West and Central Jakarta regions, Indonesia, from July until September 2017. The Cardiovascular Health Study (CHS) score was used to determine frailty status (fit/pre-frail/frail). Chi-Square Test and logistic regression analysis were used to determine association between independent variables and physical frailty. Results: there were 325 female subjects with a median age of 67 (60-94) years; 95,7% had income below the Provincial Minimum Income of DKI Jakarta in 2017 (<3,3 million IDR=238 USD/month), and 92.6% had a level of education ≤9 years. Subjects were classified into this following groups: fit (12,6%), pre-frail (63,4%) and frail (24%). Factors associated with physical frailty were age above 70 years old with OR 5,27, lower Barthel Index for Activities of Daily Living (B-ADL) with OR 2,85, depressive symptoms with OR 6,79, and Euro Quality of Life-5 Dimensions (EQ-5D) index with OR 1,96. Conclusion: elderly women in the urban community with low socioeconomic status were classified as fit (12,6%), pre-frail (63,4%) and frail (24%). Factors associated with physical frailty were age above 70 years old, depressive symptoms, lower functional status and health-related quality of life index.