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Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans: Aging Study of PyeongChang Rural Area
- Source :
- International Journal of Environmental Research and Public Health, Vol 16, Iss 16, p 2809 (2019), International Journal of Environmental Research and Public Health, Volume 16, Issue 16
- Publication Year :
- 2019
- Publisher :
- MDPI AG, 2019.
-
Abstract
- 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<br />58% female) in the Aging Study of PyeongChang Rural Area. A five-item social frailty index was administered (range: 0&ndash<br />5)<br />(1) going out less frequently<br />(2) rarely visiting the homes of friends<br />(3) feeling unhelpful to friends and family<br />(4) being alone<br />and (5) not talking with someone every day. Social frailty was defined as &ge<br />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<br />95% confidence interval, 1.26&ndash<br />5.09) and depressed mood (odds ratio, 4.01<br />95% confidence interval, 1.30&ndash<br />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.
- Subjects :
- Gerontology
Male
Population ageing
public health practice
Activities of daily living
geriatric assessment
Health, Toxicology and Mutagenesis
media_common.quotation_subject
Frail Elderly
lcsh:Medicine
Logistic regression
Article
physical frailty
03 medical and health sciences
0302 clinical medicine
Activities of Daily Living
Republic of Korea
Prevalence
Medicine
Humans
Disabled Persons
Interpersonal Relations
030212 general & internal medicine
Social Behavior
Statistic
media_common
Aged
Aged, 80 and over
Frailty
business.industry
lcsh:R
1. No poverty
Public Health, Environmental and Occupational Health
Odds ratio
Confidence interval
Cross-Sectional Studies
Feeling
disability
Female
Independent Living
Rural area
social frailty
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 16604601
- Volume :
- 16
- Issue :
- 16
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....bc74b18ebd9dcadb4bf1d47dc2686cb7