Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans

Aging Study of PyeongChang Rural Area

Datos Bibliográficos

ID15499552
AutoresHyungchul Park (0000-0002-5328-0144, Ulsan College), Il‐Young Jang (0000-0003-3617-3301, Ulsan College), Heayon Lee (0000-0001-7389-2343, Ulsan College), Hee‐Won Jung (0000-0002-2583-3354, Seoul National University Bundang Hospital), Eun‐ju Lee (0000-0003-4612-0625, Ulsan College, autor de correspondencia), Dae Hyun Kim (0000-0002-7313-2384, Beth Israel Deaconess Medical Center)
Año2019
Volumen16
Número16
Páginas2809-2809
Fecha de publicación2019-08-07
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16162809
PMID31394719
OpenAlexW2965210914
IdiomaEN
Citas recibidas9
Referencias citadas4

Population aging is a challenge, therefore efficient frailty screening has been increasingly emphasized for mass older populations. This study aimed to evaluate the prevalence of social frailty and its association with physical frailty, geriatric syndromes and activity of daily living (ADL) disability in community-dwelling older adults. A cross-sectional study was conducted with 408 older adults (mean age, 75 years; 58% female) in the Aging Study of PyeongChang Rural Area. A five-item social frailty index was administered (range: 0-5); (1) going out less frequently; (2) rarely visiting the homes of friends; (3) feeling unhelpful to friends and family; (4) being alone; and (5) not talking with someone every day. Social frailty was defined as ≥2 positive responses. Physical frailty was assessed according to the Cardiovascular Health Study frailty phenotype criteria. We used logistic regression to examine whether social frailty can identify older adults with common geriatric syndromes including ADL disability, independently of age, gender, and physical frailty. Social frailty was present in 20.5% (14.5% in male and 25.0% in female) and 11.5% was not overlapped with physical frailty. Social frailty increased risk of ADL disability (odds ratio, 2.53; 95% confidence interval, 1.26-5.09) and depressed mood (odds ratio, 4.01; 95% confidence interval, 1.30-12.39) independently of age, gender, and physical frailty. The predictive power for disability was maximized by using both frailty indices (C statistic 0.73) compared with either frailty index alone (C statistic: 0.71 for social frailty and 0.68 for physical frailty). Social frailty screening is important as it can identify frail older adults who are not captured by demographic characteristics and physical frailty. Moreover, assessment of both social frailty and physical frailty can better detect disability and geriatric syndromes

Activities of daily living · Body mass index · Confidence interval · Environmental health · Frailty Index · Frailty syndrome · Logistic regression · Mood · Odds ratio · Physical therapy · Population · Psychiatry · Social support · Demography · Frailty in Older Adults · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nutrition and Health in Aging · Psychology · Gerontology