Associations between Disability in Activities of Daily Living and Social Capital aspects among older adults: a scoping review

Zidrou, Christiana; Kleisiaris, Christos; Αδαμακίδου, Θεοδούλα

doi:10.22540/jfsf-06-119

Cited by 10 publications

(10 citation statements)

References 54 publications

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“…One of the most interesting findings in the present study is that having someone to confide in was linked to greater ADL independence. This is in line with previous findings that social and emotional support are important for older adults to maintain their independence in ADL and supports the notion that meaningful contacts and relationships are important for ageing well ( 11 , 19 , 31 , 32 , 43–45 ). Nevertheless, a number of these impacts remain unclear.…”

Section: Discussionsupporting

confidence: 92%

“…However, there are several areas where our knowledge is incomplete. Firstly, cultural and societal contexts surrounding older adults vary across geographical locations, and there is a shortage of large-scale investigations on this topic conducted in Europe, with none having taken place in Norway ( 19 , 31 , 32 ). Secondly, Norway takes pride in possessing one of the world’s most advanced government-funded healthcare systems.…”

Section: Introductionmentioning

confidence: 99%

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Aging at home: factors associated with independence in activities of daily living among older adults in Norway—a HUNT study

Redzovic,

Vereijken,

Bonsaksen

2023

Front. Public Health

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BackgroundMaintaining independence in activities of daily living (ADL) is essential for the well-being of older adults. This study examined the relationship between demographic and living situation factors and ADL independence among community-dwelling older adults in Norway.MethodsData was collected in Norway between 2017 and 2019 as part of the fourth wave of the ongoing Trøndelag Health Study (HUNT) survey, sent to all citizens in Trøndelag county over 20 years of age, which is considered representative of the Norwegian population. Included in the current cross-sectional study were 22,504 community-living individuals aged 70 years or older who completed the survey and responded to all items constituting the ADL outcome measure. Group differences in ADL independence were examined with Chi Square tests, while crude and adjusted associations with ADL independence were examined with logistic regression analyses. Statistical significance was set at p < 0.05.ResultsThe participants reported a high degree of independence in primary ADL and slightly lower in instrumental ADL. In the fully adjusted analyses, ADL independence was associated with lower age, female gender, higher levels of education and income, higher subjective well-being, having no chronic or disabling disease, and having someone to talk to in confidence. Surprisingly, women who were married had higher likelihood of ADL independence than unmarried women, whereas married men had lower likelihood of ADL independence than unmarried men.ConclusionIn addition to known demographic and disease-related factors, the social context affects independence in ADL even in a society that offers advanced health and homecare services to all older adults equally. Furthermore, the same social setting can have differential effects on men and women. Despite the healthcare system in Norway being well-developed, it does not completely address this issue. Further improvements are necessary to address potential challenges that older adults encounter regarding their social connections and feelings of inclusion. Individuals with limited education and income are especially susceptible to ADL dependency as they age, necessitating healthcare services to specifically cater to this disadvantaged demographic.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Aging at home: factors associated with independence in activities of daily living among older adults in Norway—a HUNT study

Redzovic,

Vereijken,

Bonsaksen

2023

Front. Public Health

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“…Secondly, social cohesion reduces the development of functional disability through social networking and group activities which result in positive health behaviour such as physical activity and healthy diets [ 37 , 38 ]. Lastly, increased social cohesion is linked to improved mental and physical wellbeing which lessen the functional disability [ 16 , 39 ]. Our results thus suggest that older people with higher socially cohesive neighbourhoods tend to demonstrate better functional and psychological health.…”

Section: Discussionmentioning

confidence: 99%

“…Second, healthcare providers rendering care to older people need to gain a better understanding of the relevance of socially cohesive neighborhoods in improving functional ability in old age. Third, to improve functional ability of older people, diverse indicators for measuring socially cohesive neighborhood (such as social capital) should be considered [ 39 ]. This is because several factors such as trust and community-level participation as a dimension of socially cohesive neighbourhoods have proven to reduce the risk of functional disability in old age.…”

Section: Discussionmentioning

confidence: 99%

Perceived neighborhood social cohesion and functional disability among older adults: The moderating roles of sex, physical activity, and multi-morbidity

Awuviry-Newton,

Amoah,

Doh

et al. 2024

PLoS ONE

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Though the Ghanaian social structure is largely communal in several of its social life and social spaces, the extent to which cohesive neighbourhood affects functional ability of older persons and the moderating factors of the relationship, are unknown in Ghana. This study examines the moderating roles of sex, multimorbidity, and physical activity on the association between neighbourhood social cohesion and functional disability among older people in Ghana. A cross-sectional study of 4,446 people—50 years and older—from WHO’s Study on global AGEing and adult health Ghana Wave 2 was employed. Functional disability—WHO Disability Assessment Schedule 2.0—and neighbourhood social cohesion measured with community-level participation, perceived trust and safety were studied. Generalised Logistic regressions with interactional tests were used to examine the associations. A more socially cohesive neighbourhood was significantly associated with a lower functional disability among older people (OR = 0.94, 95%CI: 0.93, 0.94; P<0.001). A similar relationship was found for community-level participation (aOR = 0.94, 95%CI: 0.94, 0.95; P<0.001) and perceived trust (aOR = 1.00, 95%CI: 0.99, 1.00; P<0.001). Community-level participation is associated with a lower functional disability among older people who were physically active (aOR = 0.98, 95%CI: 0.96, 0.99; P<0.001). Among the three individual-level measures of neighbourhood social cohesion, only physical activity (OR = 0.98, 95%CI: 0.98, 0.99; P<0.01) moderated the association between community-level participation and functional disability. Community-level participation, along with physical activity, may be relevant in improving functional ability among older people. The results highlight the usefulness of policy to ensure a more socially cohesive neighbourhood for older people in Ghana to improve their quality of life.

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“…Seven studies were collected from references in the searched studies and consultation with experts. As a result, we identified 17 studies [ 8 - 24 ] for the present study.…”

Section: Reviewmentioning

confidence: 99%

Application of a Social-Ecological Model to Study the Factors Associated With Sarcopenia

Shimamoto¹,

Watanabe²,

Kotani³

2022

Cureus

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The social-ecological model (SEM) provides a framework for developing multidimensional preventive strategies at the intrapersonal, interpersonal, organizational, community, and policy levels. While sarcopenia forms due to multiple factors, the SEM has not yet been applied to the prevention of sarcopenia. We aimed to categorize the factors associated with sarcopenia in each level of the SEM. The electronic databases were searched between 2010 and 2021 to collect factors associated with sarcopenia. Information from guidelines, reference lists, and expert consultation was further hand-searched. The factors mentioned in the reviewed studies were classified into the SEM. In 17 studies, 42 factors associated with sarcopenia were identified; thereafter, 33 biological and individual factors were categorized at the intrapersonal level, isolation was categorized at the interpersonal level, a sedentary lifestyle was at the organizational level, community involvement and social capital were at the community level, as well as knowledge about the disease, disability, income, education, and residential area were categorized at the policy level. The categorization of factors associated with sarcopenia, based on the SEM level, may be useful in the development of preventive strategies; however, further research is required.

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Associations between Disability in Activities of Daily Living and Social Capital aspects among older adults: a scoping review

Cited by 10 publications

References 54 publications

Aging at home: factors associated with independence in activities of daily living among older adults in Norway—a HUNT study

Aging at home: factors associated with independence in activities of daily living among older adults in Norway—a HUNT study

Perceived neighborhood social cohesion and functional disability among older adults: The moderating roles of sex, physical activity, and multi-morbidity

Application of a Social-Ecological Model to Study the Factors Associated With Sarcopenia

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