Association of Depressive Mood and Frailty With Mortality and Health Care Utilization: Korean National Cohort Study

Kim, Yesol; Kim, Jeewuan; Kim, Mihui; Song, Keun Jeong; Choi, Mona

doi:10.1016/j.jamda.2023.01.025

Cited by 4 publications

(5 citation statements)

References 49 publications

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“…(12) In South Korea the incidence of depression among older adults ranges from 13.87-18.36%, with a tendency to increase with age. (13) Older adults experiencing geriatric depression are less likely to adopt health-promoting behaviors compared with those not experiencing it. ( 14) Furthermore, the post-retirement experience of anxiety contributes to this mentally vulnerable state, hindering the utilization of health check-ups among older adults.…”

Section: Introductionmentioning

confidence: 99%

Is Engagement in Social Activities with Peers within Senior Centers Associated with Participation in Health Check-ups?

ko,

Kim,

Park

et al. 2024

Preprint

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The global older adult population is increasing. Early detection and intervention through screenings are crucial for successful aging, as they play a significant role in identifying and addressing diseases. This study explored the relationship between the utilization of senior centers and the promotion of health check-ups. It utilized data from 10,097 individuals aged 65 years and above, sourced from the 2020 Elderly Survey. The primary variable of interest was the utilization of senior centers, which was classified into two groups. Subgroups were further categorized based on the frequency of usage and the presence of family members among facility users. Logistic regression analyses were conducted to assess the association between the utilization of senior centers and participation in health screenings. Both men and women utilizing older adult facilities demonstrated a higher likelihood of participating in health screenings compared with those who did not use these facilities. Participants visiting older adult facilities in a week exhibited a progressively higher likelihood of engaging in health screenings compared with those who visited such facilities zero times a week. Senior centers can serve as effective intervention methods to enhance health check-ups among older adults. Furthermore, this can contribute to fostering successful aging among older adults.

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Section: Introductionmentioning

confidence: 99%

Is Engagement in Social Activities with Peers within Senior Centers Associated with Participation in Health Check-ups?

ko,

Kim,

Park

et al. 2024

Preprint

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show abstract

“…For instance, the prevalence of depression among older adults is notably high 18 . In South Korea the incidence of depression among older adults ranges from 13.87 to 18.36%, with a tendency to increase with age 19 . Older adults experiencing geriatric depression are less likely to adopt health-promoting behaviors compared with those not experiencing it 20 .…”

Section: Introductionmentioning

confidence: 99%

Association between the utilization of senior centers and participation in health check-ups

Ko,

Kim,

Park

et al. 2024

Sci Rep

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The global older adult population is increasing. Early detection and intervention through health check-ups are crucial for successful aging, as they play a significant role in identifying and addressing diseases. This study explored the relationship between the utilization of senior centers and the promotion of health check-ups. It utilized data from 10,097 individuals aged 65 years and above, sourced from the 2020 Elderly Survey in South Korea. The primary variable of interest was classified into two groups: those who utilized senior centers and those who did not. Subgroups were further categorized based on the frequency of usage and the presence of family members among senior centers users. Logistic regression analyses were conducted to assess the association between the utilization of senior centers and participation in health check-ups. Both men and women utilizing senior centers demonstrated a higher likelihood of participating in health check-ups compared with those who did not use senior centers. Participants visiting senior centers in a week exhibited a progressively higher likelihood of engaging in health check-ups compared with those who visited such senior centers zero times a week. Senior centers can serve as effective intervention methods to enhance health check-ups among older adults. Furthermore, this can contribute to fostering successful aging among older adults.

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“…However, while the risk of death associated with frailty appears to be stable across studies and over time [ 8 ], some studies suggest that it may also decline with age and be greater in men than women [ 7 , 9 ]. There is also evidence showing frailty to be associated with healthcare utilization over time, including hospital admissions, length of stay and long-term care services [ 10 , 11 ]. For example, physical frailty was shown to be associated with 1.3-times longer length of inpatient stay and 4.4-times higher risk of long-term care service use in Korean adults over 65 [ 10 ], and a 1.30- and 1.44-times higher risk of outpatient and inpatient admission, respectively, in Chinese adults 60 and older [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…There is also evidence showing frailty to be associated with healthcare utilization over time, including hospital admissions, length of stay and long-term care services [ 10 , 11 ]. For example, physical frailty was shown to be associated with 1.3-times longer length of inpatient stay and 4.4-times higher risk of long-term care service use in Korean adults over 65 [ 10 ], and a 1.30- and 1.44-times higher risk of outpatient and inpatient admission, respectively, in Chinese adults 60 and older [ 11 ]. However, it is unclear how this risk profile changes with age given that most studies are performed in relatively homogenous, older and often disease-specific populations.…”

Section: Introductionmentioning

confidence: 99%

Age- and sex-specific associations of frailty with mortality and healthcare utilization in community-dwelling adults from Ontario, Canada

Verschoor,

Theou,

et al. 2024

BMC Geriatr

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Background Understanding how health trajectories are related to the likelihood of adverse outcomes and healthcare utilization is key to planning effective strategies for improving health span and the delivery of care to older adults. Frailty measures are useful tools for risk stratification in community-based and primary care settings, although their effectiveness in adults younger than 60 is not well described. Methods We performed a 10-year retrospective analysis of secondary data from the Ontario Health Study, which included 161,149 adults aged ≥ 18. Outcomes including all-cause mortality and hospital admissions were obtained through linkage to ICES administrative databases with a median follow-up of 7.1-years. Frailty was characterized using a 30-item frailty index. Results Frailty increased linearly with age and was higher for women at all ages. A 0.1-increase in frailty was significantly associated with mortality (HR = 1.47), the total number of outpatient (IRR = 1.35) and inpatient (IRR = 1.60) admissions over time, and length of stay (IRR = 1.12). However, with exception to length of stay, these estimates differed depending on age and sex. The hazard of death associated with frailty was greater at younger ages, particularly in women. Associations with admissions also decreased with age, similarly between sexes for outpatient visits and more so in men for inpatient. Conclusions These findings suggest that frailty is an important health construct for both younger and older adults. Hence targeted interventions to reduce the impact of frailty before the age of 60 would likely have important economic and social implications in both the short- and long-term.

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Association of Depressive Mood and Frailty With Mortality and Health Care Utilization: Korean National Cohort Study

Cited by 4 publications

References 49 publications

Is Engagement in Social Activities with Peers within Senior Centers Associated with Participation in Health Check-ups?

Is Engagement in Social Activities with Peers within Senior Centers Associated with Participation in Health Check-ups?

Association between the utilization of senior centers and participation in health check-ups

Age- and sex-specific associations of frailty with mortality and healthcare utilization in community-dwelling adults from Ontario, Canada

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