Associations Between Intellectual and Social Activities With Frailty Among Community-Dwelling Older Adults in China: A Prospective Cohort Study

Huang, Yu‐Chen; Guo, Xiangyu; Du, Juan; Li, Yanli

doi:10.3389/fmed.2021.693818

Cited by 15 publications

(11 citation statements)

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“…By accumulating multi-dimensional age-related de cits and then dividing by the total number of them, FI is generated as a continuous indicator ranging from 0 to 1, with higher representing higher levels of frailty (Rockwood & Mitnitski 2007). Many studies have successfully drawn results using frailty measured at a single point in time (Huang et al 2021;Wang et al 2020; Wang et al 2021).…”

Section: Introductionmentioning

confidence: 99%

Childhood experiences and frailty trajectory among middle-aged and older adults in China

2022

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This study examined the associations between childhood experience and frailty trajectory among middleaged and older Chinese adults. Data were derived from The China Health and Retirement Longitudinal Study. We used data from all of the 4 waves (i.e., 2011, 2013, 2015, 2018) and the life history survey occurred in 2014. A total of 10963 respondents were included. Latent growth curve models were conducted to examine the proposed model. The results showed that adverse childhood experience, childhood socio-economic status, and the objective indicators of childhood health and healthcare were associated with both the baseline level and change rate of frailty trajectory. The perceived childhood health and healthcare conditions were associated with baseline frailty only. Our ndings highlighted the crucial role of childhood antecedents in the progression of frailty at later life. We further provided strong evidence that childhood was an essential life stage for human development. Future social policies and interventions should use childhood experience as a screening tool, as well as promote child protection, health education, and life course interventions.

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Section: Introductionmentioning

confidence: 99%

Childhood experiences and frailty trajectory among middle-aged and older adults in China

2022

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“…This study followed previous studies [17,18] and chose the Frailty Index (FI) scale to measure frailty in older people. This scale includes a total of 39 diseases or defects to construct a frailty index.…”

Section: Frailmentioning

confidence: 99%

The association between social activeness and frailty among the elderly in China - analysis based on 2018 CHARLS data

Li,

Cheng,

Cen

et al. 2023

Preprint

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Background Frailty is a common health problem in older adults and is associated with several adverse health outcomes, including reduced physical function, cognitive decline, and reduced quality of life. Social activity is thought to be a key factor in preventing or slowing the progression of frailty. This study aimed to examine the relationship between social activity and frailty in older adults in China. Methods For the analysis, we used 2018 data from the China Health and Retirement Longitudinal Study (CHARLS), which included 7,862 older adults aged ≥ 60 years. Social activeness was statistically calculated based on relevant questions in the CHARLS questionnaire, with the aim of quantifying the frequency and quality of participants' social interactions and activities. Participants' level of frailty was measured using a specific frailty index scale designed to assess physical, cognitive, and psychological frailty in older adults. To analyze the relationship between social activity and frailty, we used logistic regression models to assess associations and calculated odds ratios (OR) and 95% confidence intervals (CI). Results A total of 7862 older adults (60 years or older) were recruited for this study, of whom 827 had frailty. The median age of the participants was 68 years (interquartile range: 64–74 years), 4429 (56.3%) were female. After adjustment for the mixed factor, social activity and frailty were significantly negatively associated in the elderly (adjusted OR: 1.68; 95% CI: 1.36–2.07; P < 0.001). Compared with high social activity (3 points or more), the risk of medium and low social activity (0 to 2 points) is higher (aOR: 1.64; 95% CI: 1.38–1.95; P < 0.001; E-value = 2.17). Conclusions Social activity is a protective factor against frailty and may reduce the risk of frailty in older adults. By improving the social activeness of the elderly, the risk of frailty can be reduced.

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“…Frailty was measured with a frailty index (FI), constructed from 30 indicators, including thirteen healthrelated diagnoses from physicians, five on disabilities, and twelve on limitations with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) (see Supplemental Table 1). The indicators were selected following recommended procedures [33] and scored consistent with previous studies [7,[34][35][36][37][38][39]. The sum of the individual indicator scores was divided by 30 to create the FI (range: 0-1).…”

Section: Outcome Measuresmentioning

confidence: 99%

Frailty, cognitive impairment, and depressive symptoms in Chinese older adults: an eight-year multi-trajectory analysis

Yuan,

Peng,

Burr

et al. 2023

BMC Geriatr

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Background Frailty, cognitive impairment, and depressive symptoms are closely interrelated conditions in the aging population. However, limited research has longitudinally analyzed the concurrent trajectories of these three prominent conditions in older adults in China. This study aimed to explore the eight-year trajectories of frailty, cognitive impairment, and depressive symptoms, and to identify individual-level and structural-level factors associated with the trajectories. Methods Four waves of data from the China Health and Retirement Longitudinal Study (2011–2018) were used to identify 6,106 eligible older adults. The main measures included frailty by the frailty index constructed using 30 indicators, cognitive impairment by the summary score of immediate and delayed word recall, figure drawing, serial subtraction, and orientation, and depressive symptoms by the Center for Epidemiologic Studies Depression Scale. Multi-trajectory models identified the trajectories of frailty, cognitive impairment, and depressive symptoms over time. Multinomial logistic regression was employed to estimate the associations between individual-level capital factors and one structural factor (hukou and geographic residency) with the identified trajectories, adjusting for demographic characteristics. Results Four trajectories emerged: (1) worsening frailty, worsening cognitive impairment, depression (14.0%); (2) declining pre-frailty, declining cognition, borderline depression (20.0%); (3) pre-frailty, worsening cognitive impairment, no depression (29.3%); and (4) physically robust, declining cognition, no depression (36.7%). Using the “physically robust, declining cognition, no depression” as the reference, not working, no social activity participant, worse childhood family financial situation, and poorer adult health were most strongly associated with the “worsening frailty, worsening cognitive impairment, depression” trajectory; worse health during childhood had the highest association with the “declining pre-frailty, declining cognition, borderline depression” trajectory; less education, lower household consumption, and rural hukou had the greatest association with the increased likelihood of the “pre-frailty, worsening cognitive impairment, no depression” trajectory. Conclusions Findings could inform the understanding of the interrelationship of frailty, cognitive impairment, and depressive symptoms in older adults in China and may help practitioners detect adults at risk for adverse trajectories to implement strategies for proper care.

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Associations Between Intellectual and Social Activities With Frailty Among Community-Dwelling Older Adults in China: A Prospective Cohort Study

Cited by 15 publications

References 50 publications

Childhood experiences and frailty trajectory among middle-aged and older adults in China

Childhood experiences and frailty trajectory among middle-aged and older adults in China

The association between social activeness and frailty among the elderly in China - analysis based on 2018 CHARLS data

Frailty, cognitive impairment, and depressive symptoms in Chinese older adults: an eight-year multi-trajectory analysis

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