The Association between Frequency of Social Contact and Frailty in Older People: Korean Frailty and Aging Cohort Study (KFACS)

Chon, Doukyoung; Lee, Yunhwan; Kim, Jinhee; Lee, Kyung‐Eun

doi:10.3346/jkms.2018.33.e332

Cited by 42 publications

(36 citation statements)

References 23 publications

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“…The present findings of social interaction (frequency of going outdoors and frequency of direct social contact) being associated with physical frailty in older populations also support findings of a crosssectional study involving 1,200 Koreans aged 70-85 whereby the frequency of social contact was strongly associated with frailty [33]. However, this study generated the new finding that the frequency of direct social contact is associated with physical frailty in older people with heart disease.…”

Section: Discussionsupporting

confidence: 88%

The Association between heart diseases, social factors, and physical frailty in community-dwelling older populations: SONIC study

Kamide¹,

Klinpudtan²,

Kabayama³

et al. 2020

Preprint

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Objectives Physical frailty is geriatric syndrome and can increase the risk of adverse outcome in the older population. Heart diseases are associated with physical frailty but a few studies in community-dwelling old population. Therefore the aim of this study was to examine the association between heart diseases, social factors, and physical frailty in community-dwelling older populations including the oldest old people. Methods The cross-sectional study included 1882 participants in community-dwelling older and oldest-old people in three age groups: 73 (±1), 83 (±1), and 93(±1) from both urban and rural areas of Japan. Questionnaires on medical history, psycho-social factors, blood samples, physical examinations, the hand grip strength test, and gait speed were measured at the venue. Physical frailty was defined based on a slow gait speed or weak grip strength. Heart diseases were assessed by self-reported questionnaires. Social interaction was based on the frequency of going outdoors and direct social contact. Analyses were conducted mainly using multiple logistic regression with adjustments for physical frailty risk factors. Results Heart disease subjects had a higher prevalence of physical frailty than those without heart disease (slow gait speed: 69.6 vs. 56.2%, p<.001; slow gait speed or weak grip strength: 80 vs. 69.6%, p=.002). After adjusting the covariate factors, heart diseases were associated with a slow gait speed (OR=1.5; 95%CI: 1.03-2.20, p=.035). Social interaction was associated with a slow gait speed (frequency of going outdoors: OR=0.87, 95%CI 0.79-0.9, p=.008; frequency of direct social contact: OR=0.88, 95%CI 0.82-0.95, p=.001), a weak grip strength (frequency of going outdoors: OR=0.86, 95%CI 0.77-0.96, p=.005), and with physical frailty (frequency of going outdoors: OR=0.84, 95%CI 0.75-0.94, p=.002; frequency of direct social contact: OR=0.89, 95%CI 0.82-0.97, p=.007). Living alone and frequency of direct social contact were associated with physical frailty among heart disease patients. Conclusions Our findings indicate that in community-dwelling older people, heart diseases and social interaction were associated with physical frailty. Older people with heart disease, those living alone and the frequency of direct social contact were associated with physical frailty. Future research must involve a longitudinal study to clarify the causal relationship.

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Section: Discussionsupporting

confidence: 88%

The Association between heart diseases, social factors, and physical frailty in community-dwelling older populations: SONIC study

Kamide¹,

Klinpudtan²,

Kabayama³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Among the social factors, the risk of frailty increased significantly when the frequency of contact with friends decreased 34. Nutritional status (especially anorexia) was shown to increase the risk of frailty,35 the average daily intake of nutrients (adjusted for sex and age) was shown to decrease significantly with increasing severity of frailty, and frail subjects had significantly lower levels of protein, vitamin E, vitamin C and calcium intake than robust subjects and subjects in the prefrail stage 36.…”

Section: Introductionmentioning

confidence: 99%

Korean frailty and aging cohort study (KFACS): cohort profile

et al. 2020

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PurposeThe purpose of the Korean Frailty and Aging Cohort Study (KFACS) is to initiate a nationwide, population-based prospective cohort study of older adults living in the community to assess their frailty status and explore transitions between frailty states over time in Korea.ParticipantsThe KFACS is a multicentre longitudinal study with the baseline survey conducted from May 2016 to November 2017. Each centre recruited participants using quota sampling stratified by age and sex. The number of participants recruited through 2 years of baseline study from 10 centres was 3014, with each site accounting for approximately 300 participants. The inclusion criteria were: having an age of 70–84 years, currently living in the community, having no plans to move out in the next 2 years, having no problems with communication and no prior dementia diagnosis.Findings to dateTo define physical frailty, the KFACS used a modified version of the Fried Frailty Phenotype (FFP) consisting of five components of frailty: unintended weight loss, weakness, self-reported exhaustion, slowness and low physical activity. In the baseline study of 2016–2017, 2907 of 3014 individuals fulfilled all five components of FFP. The results indicated that 7.8% of the participants (n=228) were frail, 47.0% (n=1366) were prefrail and 45.2% (n=1313) were robust. The prevalence of frailty increased with age in both sexes; in the group aged 70–74 years, 1.8% of men and 3.7% of women were frail, whereas in the 80–84 years age group, 14.9% of men and 16.7% of women were frail. Women tended to exhibit a higher prevalence of frailty than men in all age groups.Future plansThe KFACS plans to identify outcomes and risk factors associated with frailty by conducting a 10-year cohort study, with a follow-up every 2 years, using 3014 baseline participants.

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“…These results also support the results of a cross-sectional study of older Koreans, whose frequency of social contact was strongly associated with frailty. 22 The highlight of this study was a new finding that among subjects with heart disease, the results show that living alone and direct interactions with relatives or friends were independently associated with physical frailty, particularly slow gait speed. This may indicate that gait speed may be a surrogate marker of physical frailty for the assessment of older populations with heart disease to provide intervention and prevent a negative physical frailty outcome.…”

Section: Discussionmentioning

confidence: 82%

Association between heart diseases, social factors and physical frailty in community‐dwelling older populations: The septuagenarians, octogenarians, nonagenarians investigation with centenarians study

Klinpudtan

Kabayama

Gondo

et al. 2020

Geriatrics Gerontology Int

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Heart diseases and social factors are associated with physical frailty, but there are few studies of older people living in the community. Consequently, the aim of this study was to examine the association between heart diseases, social factors and physical frailty in community-dwelling older populations including the oldest-old people. Methods: The cross-sectional study included 1882 participants of community-dwelling older and oldest-old people. The survey site assessed questionnaires on medical history, social factors, blood samples and physical examination. Physical frailty was based on slow gait speed or weak grip strength. Associations were analyzed using multiple logistic regression with adjustments for covariate factors. Results: Subjects with heart disease had a higher prevalence of physical frailty than those without heart disease. After adjusting the covariate factors, heart diseases were associated with a slow gait speed (odds ratio [OR] = 1.62; 95% confidence interval [CI]: 1.13-2.32, P = 0.009). Frequency of going outdoors and direct interaction with relatives or friends were associated with a slow gait speed (OR = 0.83, 95% CI 0.75-0.91, P ≤ 0.001 and OR = 0.87, 95% CI 0.81-0.94, P < 0.001), and associated with physical frailty (OR = 0.80, 95% CI 0.72-0.89, P ≤ 0.001 and OR = 0.88, 95% CI 0.82-0.95, P = 0.002). Living alone and frequency of direct interaction with relatives or friends were associated with physical frailty in subjects with heart disease. Conclusions: Our findings indicate that in community-dwelling older people, heart diseases and social factors were associated with physical frailty. Older people with heart disease, those living alone and the frequency of direct interaction with relatives or friends were associated with physical frailty.

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The Association between Frequency of Social Contact and Frailty in Older People: Korean Frailty and Aging Cohort Study (KFACS)

Cited by 42 publications

References 23 publications

The Association between heart diseases, social factors, and physical frailty in community-dwelling older populations: SONIC study

The Association between heart diseases, social factors, and physical frailty in community-dwelling older populations: SONIC study

Korean frailty and aging cohort study (KFACS): cohort profile

Association between heart diseases, social factors and physical frailty in community‐dwelling older populations: The septuagenarians, octogenarians, nonagenarians investigation with centenarians study

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