Frailty index and its associations with self‐neglect, social support and sociodemographic characteristics among older adults in rural China

Li, Jie; Zhao, Dongdong; Dong, Bin; Yu, Dandan; Ren, Qiongqiong; Chen, Jian; Qin, Qirong; Bi, Peng; Sun, Yehuan

doi:10.1111/ggi.13280

Cited by 18 publications

(15 citation statements)

References 27 publications

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“…Las relaciones entre dominios de la capacidad intrínseca —o, visto de otra forma, de los determinantes multidimensionales de la fragilidad estudiados aquí— han sido descritas en la literatura. En China, un estudio realizado en zonas rurales informó que un bajo autocuidado se asociaba con un escaso apoyo social, y que las mujeres tuvieron más posibilidades de mostrar fragilidad, lo que se alinea con la relación encontrada en el presente estudio entre desempeño físico y soporte social ( 28 ). Otra investigación realizada en personas mayores de Malasia mostró que ser frágil, según el fenotipo de Fried, se asoció significativamente con la edad avanzada, el ser mujer, un mayor número de enfermedades crónicas, una función cognitiva deficiente y un nivel socioeconómico bajo ( 29 ).…”

Section: Discussionunclassified

Impacto del soporte social sobre la movilidad limitada en personas mayores de comunidades altoandinas peruanas

Parodi

Runzer-Colmenares

2021

Revista Panamericana De Salud Pública

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Objetivo. Determinar si existe relación entre la movilidad física y la falta de soporte social en personas mayores que viven en comunidades altoandinas de Perú. Métodos. Estudio observacional, analítico y retrospectivo a partir de la base de datos de una investigación previa de corte trasversal con información de 449 personas de 60 años o más participantes en el proyecto ANDES-FRAIL. La variable dependiente fue la movilidad, evaluada según el instrumento Short Physical Performance Battery; la variable independiente fue el soporte social, evaluado mediante un ítem del cuestionario de fragilidad de Edmonton. Como covariables se utilizaron parámetros sociodemográficos, comorbilidades, el número de fármacos de consumo habitual y los puntajes recibidos en varios instrumentos: el índice de Barthel para determinar la funcionalidad en personas mayores, el cuestionario de Yesavage para evaluar la depresión en ancianos, entre otros. Se calcularon las frecuencias y los porcentajes de las variables categóricas. Se elaboró un modelo ajustado con las variables que resultaron estadísticamente significativas en el análisis de regresión logística bifactorial. Resultados. La frecuencia de movilidad limitada en la población estudiada fue 58,6% (n = 263) y la de inadecuado soporte social fue 58,1% (n = 261). Los participantes con inadecuado soporte social tuvieron una frecuencia de movilidad limitada del 70,7% (n = 186). Según el modelo de regresión ajustado, el soporte social inadecuado incrementaría en 2,5 veces (IC95%: 1,3-4,5) las probabilidades de tener movilidad limitada, independientemente de las covariables confusoras. Conclusiones. La falta de apoyo social está asociada con la movilidad limitada de las personas mayores que habitan en comunidades altoandinas peruanas.

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Section: Discussionunclassified

Impacto del soporte social sobre la movilidad limitada en personas mayores de comunidades altoandinas peruanas

Parodi

Runzer-Colmenares

2021

Revista Panamericana De Salud Pública

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“…One potential modifiable protective factor for cognitive frailty among older people is social support [ 8 ], which is defined as “the perceived and actual assistance that individuals can receive from family, friends, and other connections in the social environment” [ 9 ]. Many studies have shown that social support is associated with increased risk of both physical frailty and cognitive impairment among older people [ 10 , 11 ]. However, previous studies on the association between social support and cognitive frailty are predominantly cross-sectional [ 12 , 13 ], we found no prospective study specifically examined the longitudinal association between social support and subsequent cognitive frailty among older people in rural China.…”

Section: Introductionmentioning

confidence: 99%

Social support and subsequent cognitive frailty during a 1-year follow-up of older people: the mediating role of psychological distress

Wang

et al. 2022

BMC Geriatr

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Background Frailty and cognitive impairment are two common geriatric symptoms linking adverse health-related outcomes. However, cognitive frailty, a new definition defined by an international consensus group, has been shown to be a better predictor of increased disability, mortality, and other adverse health outcomes among older people than just frailty or cognitive impairment. This study estimated the prospective association between social support and subsequent cognitive frailty over 1 year follow-up, and whether psychological distress mediated the association. Methods The data was drawn from a prospective repeated-measures cohort study on a sample of participants aged 60 and over. A total of 2785 older people who participated in both of the baseline and 1-year follow-up survey were included for the analysis. Cognitive frailty was measured by the coexistence of physical frailty and cognitive impairment without dementia. Control variables included sex, age, education, marital status, economic status, smoking status, alcohol drinking status, chronic conditions, and functional disability. Path analyses with logistic function were performed to examine the direct effects of social support (predictors) on subsequent cognitive frailty (outcome) at 1-year follow-up and the mediating role of psychological distress (mediator) in this link. Results After adjusting for covariates and prior cognitive frailty status, social support was negatively associated with psychological distress (β = − 0.098, 95% CI = − 0.137 to − 0.066, P < 0.001) and was negatively associated with the log-odds of cognitive frailty (β = − 0.040, 95% CI = − 0.064 to − 0.016, P < 0.001). The magnitude of mediation effects from social support to cognitive frailty via psychological distress was a*b = − 0.009, and the ratio of a*b/(a*b + c’) was 24.32%. Conclusions Lower social support is associated with increased rates of subsequent cognitive frailty over 1-year follow-up, and this link is partially mediated through psychological distress, suggesting that assessing and intervening psychological distress and social support may have important implications for preventing cognitive frailty among older people.

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“…As a consequence, delaying treatment provokes disease progression and life deterioration ( Yurdakul et al, 2015 ). In addition to critically impacting patients’ lives, delaying treatment may cause enormous economic and mental pressure on family members, as well as a tremendous waste of healthcare resources, which negatively affects the aging population ( Pita Fernández et al, 2010 ; Li et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Delays in Seeking Medical Services in Elderly Patients With Senile Cataract

et al. 2022

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Delay in seeking medical services is common in elderly populations, which leads to disease progression and life difficulty. This study aims to assess the prevalence of delay in medical visits and treatment and define associated effects and factors in patients with senile cataract, which may help obtain a better understanding of late-life psychopathology and provide the basis for interventions. Patients aged more than 60 years were prospectively recruited in Zhongshan Ophthalmic Center (ZOC). All participants were diagnosed with binocular senile cataract and decided to have primary surgery in ZOC. The distributions of the popularity of delaying outpatient visits and treatment, the degrees of visual impairment, the influences on quality of life, and the reasons for delaying treatment among participants were accessed by the descriptive statistics. Factors associated with the perceptions of cataract treatment were accessed using a binary logistic regression model. A total of 400 senile patients aged from 60 to 94 years were enrolled. At diagnosis, 82 (20.5%) participants had a low vision with monocular acuity of both eyes below 0.05. All participants have felt that their normal lives were affected, and 64 (16%) participants felt that their lives were affected severely. Only 17 (4.25%) participants have sought for medical services immediately after feeling vision loss, and 294 (73.50%) participants have felt vision loss since a year ago before seeking medical help. A total of 298 (74.50%) participants have delayed the surgery time, and 229 (57.25%) patients delayed it for more than 12 months. There were 147 (36.75%) participants delaying surgery on account of no knowledge about it and 114 (28.50%) participants delaying surgery because of fear. There are a high proportion of elderly patients with senile cataract delaying their outpatient visits and surgery treatment, whose normal lives were severely affected. Increasing medical service propaganda about cataract and other common diseases in elderly populations would probably be helpful for improving perceptions of diseases and decreasing medical delays. Public needs to draw more attention to the healthy and medical status of the elderly ocular patients.

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Frailty index and its associations with self‐neglect, social support and sociodemographic characteristics among older adults in rural China

Abstract: Age differences were shown in the associations between self-neglect, social support, sociodemographic characteristics and frailty index, which suggests different measures should be used accordingly for frailty prevention and management. Geriatr Gerontol Int 2018; 18: 987-996.

Cited by 18 publications

References 27 publications

Impacto del soporte social sobre la movilidad limitada en personas mayores de comunidades altoandinas peruanas

Impacto del soporte social sobre la movilidad limitada en personas mayores de comunidades altoandinas peruanas

Social support and subsequent cognitive frailty during a 1-year follow-up of older people: the mediating role of psychological distress

Delays in Seeking Medical Services in Elderly Patients With Senile Cataract

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