Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study

Autor: Daisuke Matsumoto, Katsuhiko Takatori
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Gerontology
Emotions
Social Sciences
Cognition
Elderly
Mathematical and Statistical Techniques
0302 clinical medicine
Japan
Medicine and Health Sciences
Psychology
Medicine
Public and Occupational Health
030212 general & internal medicine
Aged
80 and over
Cognitive Impairment
Principal Component Analysis
Multidisciplinary
Frailty
Depression
Cognitive Neurology
Statistics
Social engagement
Neurology
Physical Sciences
Female
Independent Living
0305 other medical science
Research Article
Social capital
Frail Elderly
Cognitive Neuroscience
Science
Research and Analysis Methods
03 medical and health sciences
030502 gerontology
Intervention (counseling)
Humans
Adults
Statistical Methods
Social Factors
Aged
business.industry
Biology and Life Sciences
Odds ratio
Long-Term Care
Confidence interval
Health Care
Long-term care
Geriatrics
Age Groups
People and Places
Multivariate Analysis
Cognitive Science
Population Groupings
Observational study
Geriatric Care
business
Mathematics
Follow-Up Studies
Neuroscience
Zdroj: PLoS ONE, Vol 16, Iss 3, p e0247296 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: Frailty is considered to be a complex concept based mainly on physical vulnerability, but also vulnerabilities in mental/psychological and social aspects. Frailty can be reversible with appropriate intervention; however, factors that are important in recovering from frailty have not been clarified. The aim of the present study was to identify factors that help an individual reverse frailty progression and characteristics of individuals that have recovered from frailty. Community-dwelling people aged ≥75 years who responded to the Kihon Checklist (KCL) were enrolled in the study. The KCL consists of 25 yes/no questions in 7 areas: daily-life related activities, motor functions, nutritional status, oral functions, homebound, cognitive functions, and depressed mood. The number of social activities, degree of trust in the community, degree of interaction with neighbors, and subjective age were also evaluated. Frailty was assessed based on the number of checked items: 0–3 for robust, 4–7 for pre-frailty, and ≥8 for frailty. A total of 5050 participants were included for statistical analysis. At the time of the baseline survey in 2016, 18.7% (n = 942) of respondents had frailty, and the follow-up survey showed that the recovery rate from frailty within 2 years (median 24 months) was 31.8% (n = 300). Multiple logistic regression analysis showed that exercise-based social participation (odds ratio [OR] 2.0, 95% confidence interval [CI] 1.2–3.4; PP = 0.02) were related to reversing frailty progression. Principal component analysis indicated that the main factors constituting the first principal component (contribution rate, 18.3%) included items related to social capital, such as interaction with neighbors, trust in the community, and number of social participation activities. Our results demonstrate that exercise-based social participation and high self-rated health have associations with reversing frailty progression. Individuals that recovered from frailty are characterized by high individual-level social capital components (i.e., trust in community, interaction with neighbors, and social participation).
Databáze: OpenAIRE
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