Defending community living for frail older people during the <scp>COVID</scp>‐19 pandemic

Okamura, Tsuyoshi; Ura, Chiaki; Sugiyama, M.; Kugimiya, Yukiko; Okamura, Mutsuko; Ogawa, Madoka; Miyamae, Fumiko; Edahiro, Ayako; Awata, Shuichi

doi:10.1111/psyg.12598

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Given the elderly multiple comorbidities, perceived risk was more than twice than that of the young. That is why the restrictive measures are more relevant when elderly subjects are involved 65,66 . Seniors facing great deprivation of family contact and social life in general will be able to cope with this new reality by adhering to COVID‐19 safety measures 56 …”

Section: Discussionmentioning

confidence: 99%

COVID‐19 lockdown consequences on body mass index and perceived fragility related to physical activity: A worldwide cohort study

Urzeala

Duclos

Ugbolue

et al. 2021

Health Expectations

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Background This paper is a follow‐up study continuing the COVISTRESS network previous research regarding health‐related determinants. Objective The aim was to identify the main consequences of COVID‐19 lockdown on Body Mass Index and Perceived Fragility , related to Physical Activity (PA), for different categories of populations, worldwide. Design The study design included an online survey, during the first wave of COVID‐19 lockdown, across different world regions. Setting and participants The research was carried out on 10 121 participants from 67 countries. The recruitment of participants was achieved using snowball sampling techniques via social networks, with no exclusion criteria other than social media access. Main outcome measures Body Mass Index , Physical Activity , Perceived Fragility and risk of getting infected items were analysed. SPSS software, v20, was used. Significance was set at P < .05. Results Body Mass Index significantly increased during lockdown. For youth and young adults (18‐35 years), PA decreased by 31.25%, for adults (36‐65 years) by 26.05% and for the elderly (over 65 years) by 30.27%. There was a high level of Perceived Fragility and risk of getting infected for female participants and the elderly. Correlations between BMI , Perceived Fragility and PA were identified. Discussion and Conclusions The research results extend and confirm evidence that the elderly are more likely to be at risk, by experiencing weight gain, physical inactivity and enhanced Perceived Fragility. As a consequence, populations need to counteract the constraints imposed by the lockdown by being physically active.

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Section: Discussionmentioning

confidence: 99%

COVID‐19 lockdown consequences on body mass index and perceived fragility related to physical activity: A worldwide cohort study

Urzeala

Duclos

Ugbolue

et al. 2021

Health Expectations

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“…As many older people are unfamiliar with modern communication tools like social network services or email, the use of more traditional devices like telephones may be preferable. For example, we have started a telephone outreach service for frail older people in a large housing complex in another area of Tokyo, which has proved effective 35 …”

Section: Discussionmentioning

confidence: 99%

Depressed mood and frailty among older people in Tokyo during the COVID‐19 pandemic

et al. 2021

Self Cite

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Background The study aim was to identify depressed mood and frailty and its related factors in older people during the coronavirus disease 19 pandemic. Methods Since 2010, we have conducted questionnaire surveys on all older residents, who are not certified in the long‐term care insurance, living in one district of Tokyo municipality. These residents are divided into two groups by birth month, that is those born between April and September and those born between October and March, and each group completes the survey every 2 years (in April and May). Study participants were older residents who were born between April and September and who completed the survey in spring 2018 and in spring 2020, the pandemic period. Depressed mood and frailty were assessed using the Kihon Checklist, which is widely used by local governments in Japan. We had no control group in this study. Results A total of 1736 residents responded to both surveys. From 2018 to 2020, the depressed mood rate increased from 29% to 38%, and frailty increased from 10% to 16%. The incidence of depressed mood and frailty was 25% and 11%, respectively. Incidence of depressed mood was related to subjective memory impairment and difficulty in device usage, and incidence of frailty was related to being older, subjective memory impairment, lack of emotional social support, poor subjective health, and social participation difficulties. Conclusions Older people with subjective memory impairment may be a high‐risk group during the coronavirus pandemic. Telephone outreach for frail older people could be an effective solution. We recommend extending the scope of the ‘reasonable accommodation’ concept beyond disability and including older people to build an age‐friendly and crisis‐resistant community.

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“…Although social distancing and stay-at-home orders are crucial for frail older adults during pandemics, maintaining social connections with others can reduce social isolation and exclusion (83). The health benefits of socialization and interaction with others have been highlighted for older adults.…”

Section: Discussionmentioning

confidence: 99%

An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

Hamedanchi,

Khankeh,

Abolfathi Momtaz

et al. 2023

HDQ

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Background: The COVID-19 pandemic has inflicted tremendous pressure on people, including older adults. Frail older adults are more susceptible to the adverse consequences of the pandemic. Although many studies have investigated the susceptibility and poor medical outcomes of COVID-19 in frail people, a few studies have explored the psychosocial effects of the pandemic on this group of vulnerable people. This study overviews the psychosocial consequences of the pandemic and necessary public interventions for frail older adults. Materials and Methods: An integrative review method was utilized to gather, analyze, and structure the study data. PubMed, Web of Science, and Scopus databases were searched to extract the published English papers based on a designed strategy. The keywords and used Boolean operators in their titles or abstracts were ([“COVID-19” OR “CORONA” OR “SARS-CoV-2”] AND [“frail” OR “frailty”]). A total of 50 articles (47 quantitative, 2 qualitative, and 1 mixed method) were selected for the final analysis. Results: Anxiety and depression were reported as the most significant psychological consequences in the related studies. The results also indicated the social relations of older frail people and their access to health services noticeably reduced during the pandemic. On the other hand, physical exercise programs, telemedicine, and reading activities were the most preventive measures to mitigate the impacts of public restrictions during the pandemic. Conclusion: The results of this review can assist policymakers in reflecting appropriate psychosocial support for frail seniors during the pandemic. As most studies on the psychosocial aspects of the COVID-19 pandemic among frail older adults are quantitative and have been performed in developed countries, it is suggested to conduct further qualitative studies. These studies should explore frail older adults’ experiences and perceptions and their challenges during the pandemic, particularly in developing countries.

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Defending community living for frail older people during the COVID‐19 pandemic

Cited by 3 publications

References 4 publications

COVID‐19 lockdown consequences on body mass index and perceived fragility related to physical activity: A worldwide cohort study

COVID‐19 lockdown consequences on body mass index and perceived fragility related to physical activity: A worldwide cohort study

Depressed mood and frailty among older people in Tokyo during the COVID‐19 pandemic

An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

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