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A bio-psycho-social approach for frailty amongst Singaporean Chinese community-dwelling older adults - evidence from the Singapore Longitudinal Aging Study.
- Source :
- BMC Geriatrics; 12/12/2019, Vol. 19 Issue 1, p1-14, 14p, 1 Diagram, 5 Charts
- Publication Year :
- 2019
-
Abstract
- <bold>Background: </bold>Few empirical studies support a bio-psycho-social conceptualization of frailty. In addition to physical frailty (PF), we explored mental (MF) and social (SF) frailty and studied the associations between multidimensional frailty and various adverse health outcomes.<bold>Methods: </bold>Cross-sectional and longitudinal analyses were conducted using data from a population-based cohort (SLAS-1) of 2387 community-dwelling Singaporean Chinese older adults. Outcomes examined were functional and severe disability, nursing home referral and mortality. PF was defined by shrinking, weakness, slowness, exhaustion and physical inactivity, 1-2 = pre-frail, 3-5 = frail; MF was defined by ≥1 of cognitive impairment, low mood and poor self-reported health; SF was defined by ≥2 of living alone, no education, no confidant, infrequent social contact or help, infrequent social activities, financial difficulty and living in low-end public housing.<bold>Results: </bold>The prevalence of any frailty dimension was 63.0%, dominated by PF (26.2%) and multidimensional frailty (24.2%); 7.0% had all three frailty dimensions. With a few exceptions, frailty dimensions share similar associations with many socio-demographic, lifestyle, health and behavioral factors. Each frailty dimension varied in showing independent associations with functional (Odds Ratios [ORs] = 1.3-1.8) and severe disability prevalence at baseline (ORs = 2.2-7.3), incident functional disability (ORs = 1.1-1.5), nursing home referral (ORs = 1.5-3.4) and mortality (Hazard Ratios = 1.3-1.5) after adjusting for age, gender, medical comorbidity and the two other frailty dimensions. The addition of MF and SF to PF incrementally increased risk estimates by more than 2 folds.<bold>Conclusions: </bold>This study highlights the relevance and utility of PF, MF and SF individually and together. Multidimensional frailty can better inform policies and promote the use of targeted multi-domain interventions tailored to older adults' frailty statuses. [ABSTRACT FROM AUTHOR]
- Subjects :
- OLDER people
LONGITUDINAL method
COGNITION disorders
PUBLIC housing
DISABILITIES
Subjects
Details
- Language :
- English
- ISSN :
- 14712318
- Volume :
- 19
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Geriatrics
- Publication Type :
- Academic Journal
- Accession number :
- 140312573
- Full Text :
- https://doi.org/10.1186/s12877-019-1367-9