The Predictive Value of Social Frailty on Adverse Outcomes in Older Adults Living in the Community

Lee, Yunhwan; Chon, Doukyoung; Kim, Jinhee; Ki, Seungkook; Yun, Jihye

doi:10.1016/j.jamda.2020.03.010

Cited by 24 publications

(35 citation statements)

References 21 publications

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“…Previous studies have reported a prevalence of social frailty of approximately 8% to 18% in community-dwelling older adults according to each social frailty index ( Garre-Olmo, Calvó-Perxas, López-Pousa, de Gracia Blanco, & Vilalta-Franch, 2013 ; Lee, Chon, Kim, Ki, & Yun, 2020 ; Teo, Gao, Nyunt, Wee, & Ng, 2017 ). Using the same index, Yamada et al.…”

Section: Discussionmentioning

confidence: 99%

Social frailty and depressive symptoms during the COVID-19 pandemic among older adults in Japan: Role of home exercise habits

Hayashi

Noguchi

Kubo

et al. 2022

Archives of Gerontology and Geriatrics

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Objectives : We examined the association between social frailty and depressive symptoms among community-dwelling older adults during the coronavirus disease 2019 pandemic. Additionally, we investigated whether home exercise habits moderated the impact of social frailty on depressive symptoms. Methods : This cross-sectional study included 1,103 community-dwelling older adults (54.0% female, mean age [standard deviation] = 81.1 [5.0] years) from a semi-urban area of Japan who completed a mailed questionnaire survey in October 2020. Social frailty status was categorized as non-social frailty, pre-social frailty, and social frailty, which was assessed by financial difficulties, living alone, lack of social activity, and contact with neighbors. Depressive symptoms were defined as a Kessler 6 score ≥5. We performed a multivariable logistic regression analysis to examine the association between social frailty and depressive symptoms, and also conducted stratified analysis of home exercise habits during the pandemic. Results : A total of 309 (28.0%) participants had depressive symptoms. Compared with non-social frailty, social frailty was associated with depressive symptoms (odds ratio [OR] = 1.80, 95% confidence interval [95%CI] = 1.16–2.79, p = 0.009). A similar relationship was observed in those who did not exercise at home (OR = 2.10, 95%CI = 1.14–3.84, p =0.017). However, no such relationship was observed in those who did exercise at home (OR = 1.50, 95%CI = 0.79–2.85, p =0.213). Conclusions : Social frailty was associated with a risk of depressive symptoms during the pandemic. In addition, our findings suggested that home exercise may buffer the association between social frailty and depressive symptoms.

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Section: Discussionmentioning

confidence: 99%

Social frailty and depressive symptoms during the COVID-19 pandemic among older adults in Japan: Role of home exercise habits

Hayashi

Noguchi

Kubo

et al. 2022

Archives of Gerontology and Geriatrics

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“…The prevalence of frailty in Korean older adults ranged from 2.5% to 55.7%, as defined by the Cardiovascular Health Study (CHS) frailty phenotype, frailty index, and other operational measures (Table 4). [17][18][19][20][21][22][23][24][25][26][27][28][29][30] Recent Korean studies have shown that either frailty index, phenotype model, or physical performance measures could similarly identify older individuals at risk for geriatric adverse outcomes. 18) In addition, gait speed was inversely related to the frailty index and predicted adverse health outcomes (mortality or institutionalization).…”

Section: Frailty Statusmentioning

confidence: 99%

Geriatrics Fact Sheet in Korea 2021

Baek

Lee

Jang

2021

Ann Geriatr Med Res

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While the global population is aging, South Korea is one of the most rapidly aging societies worldwide. It took 17 years for Korea to transition to an aged society from an aging society, defined as proportions of the population aged 65 years or older of ≥ 14.0% and 7.0%, respectively, while Japan took 24 years for the same transition. 1) More strikingly, Korea is expected to become a super-aged society, defined as a proportion of the population aged 65 years or older of ≥ 20.0%, in 2025. This prominent trend of population aging in Korea has been, to some degree, attributed to rapid economic development that accompanies the fast-growing life expectancy at birth with the establishment of modern healthcare systems after

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“…Thus, it can adversely affect health outcomes. In particular, social domain can independently predict the onset of physical frailty, dysfunction and all‐cause mortality in older adults, 4,5 and it may be observed before dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Association between social frailty as well as early physical dysfunction and exercise intolerance among older patients receiving hemodialysis

Usui

Yokoyama²,

Nakata

et al. 2021

Geriatrics Gerontology Int

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Background Recently, social frailty has been increasingly recognized as a factor associated with adverse health outcomes, including physical disability and mortality. However, there are no studies about the importance of this factor among hemodialysis patients. Therefore, we investigated the relationship between social frailty and early physical dysfunction in this group of patients. Methods This was a two‐center cross‐sectional study. Older patients receiving hemodialysis were prospectively enrolled. Moreover, participants were evaluated for social frailty based on the definition of previous study and for physical function, peak oxygen uptake (peak VO2), ventilatory equivalent for carbon dioxide (VE/VCO2) slope and heart rate reserve. Then, they were divided into two groups based on the presence of physical frailty. Results Data collected from 158 individuals were statistically analyzed. The prevalence rate of social frailty was 59.5%. In the non‐physical frailty group, social frailty was found to be independently associated with reduced gait speed (P = 0.007), leg strength (P = 0.040) and peak VO2 (P = 0.023), but not with hand grip strength (P = 0.36). In the physical frailty group, there was no association between social frailty and physical function. Moreover, in patients without physical and social frailty, physical function was maintained at above accepted threshold levels, whereas peak VO2 (14.1 ± 3.3 mL/kg/min), VE/VCO2 slope (32.3 ± 5.5) and heart rate reserve (50.8% ± 21.7%) were substantially impaired. Conclusions Patients receiving hemodialysis can present with social frailty and exercise intolerance with cardiac dysfunction in the early phase, which may contribute to subsequent dysfunction. Geriatr Gerontol Int 2021; 21: 664–669.

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The Predictive Value of Social Frailty on Adverse Outcomes in Older Adults Living in the Community

Cited by 24 publications

References 21 publications

Social frailty and depressive symptoms during the COVID-19 pandemic among older adults in Japan: Role of home exercise habits

Social frailty and depressive symptoms during the COVID-19 pandemic among older adults in Japan: Role of home exercise habits

Geriatrics Fact Sheet in Korea 2021

Association between social frailty as well as early physical dysfunction and exercise intolerance among older patients receiving hemodialysis

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