Effect of social participation on the association between frailty and disability

Sone, Toshimasa; Nakaya, Naoki; Sugawara, Yumi; Matsuyama, Sanae; Tsuji, Ichiro

doi:10.1016/j.archger.2023.104989

Cited by 14 publications

(15 citation statements)

References 24 publications

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“…24 Moreover, lower levels of social participation are associated with poorer frailty status, and voluntary participation is important for both physical and mental health. [24][25][26][27] Furthermore, it has been reported that high levels of social participation and engagement in hobbies can also contribute to the prevention of disability among older adults. 11,12,28 We have reaffirmed the importance of social participation in frailty prevention, as demonstrated by numerous previous studies and our own research during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Prior research has highlighted the importance of social participation, including hobbies and community activities, in preventing frailty 13 . Individuals who participate in social activities have been reported to face a lower risk of developing pre‐frailty/frailty than those who do not 24 . Moreover, lower levels of social participation are associated with poorer frailty status, and voluntary participation is important for both physical and mental health 24‐27 .…”

Section: Discussionmentioning

confidence: 99%

“…Individuals who participate in social activities have been reported to face a lower risk of developing pre‐frailty/frailty than those who do not 24 . Moreover, lower levels of social participation are associated with poorer frailty status, and voluntary participation is important for both physical and mental health 24‐27 . Furthermore, it has been reported that high levels of social participation and engagement in hobbies can also contribute to the prevention of disability among older adults 11,12,28 .…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and factors associated with changes in frailty among community‐dwelling older adults in Japan during the COVID‐19 pandemic: A prospective cohort study from 2020 to 2022

Hirose,

Sawaya,

Ishizaka

et al. 2023

Geriatrics Gerontology Int

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AimThis study aimed to ascertain the prevalence of frailty during the pandemic and to determine factors associated with changes in frailty status.MethodsIn May–June of 2020–2022, we assessed the frailty of 549 participants using the Kihon Checklist. Furthermore, we classified participant residences as urban, suburban, and rural and investigated participants’ engagement in hobbies and community activities in 2020 and 2022. Cochran's Q test was used to analyze the proportions of frailty status. Subsequently, we conducted a binomial logistic regression analysis with the improvement/deterioration of frailty status from 2020 to 2022 as the dependent variable, and engagement in hobbies and community activities as the independent variables.ResultsSignificant changes were observed among participants in urban areas, where an increase in pre‐frailty and a decrease in robust individuals from 2020 to 2021 were noted. Focusing on item no. 17 (going out), the decreasing frequency had recovered by 2022 in the group of all groups. Continued engagement in only hobbies or only community activities, and continued engagement in both were associated with remained robust/frailty‐status improvement. Moreover, not engaging in either hobbies or community activities was associated with remained frail/frailty‐status deterioration.ConclusionsDuring the early stages, the COVID‐19 pandemic impacted the frailty of older adults in densely populated areas. The results also suggest an attenuation in the decline in older adult activity in 2022. Continuous engagement in hobbies and community activities was crucial for improving and preventing deterioration in frailty status during the COVID‐19 pandemic. Geriatr Gerontol Int 2023; ••: ••–••.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence and factors associated with changes in frailty among community‐dwelling older adults in Japan during the COVID‐19 pandemic: A prospective cohort study from 2020 to 2022

Hirose,

Sawaya,

Ishizaka

et al. 2023

Geriatrics Gerontology Int

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“…[38, 39] Some studies [40,41] suggest that social support and an active social life may be associated with improved immune function, thereby reducing the risk of frailty. Socially active people may be less likely to engage in negative health behaviors, such as excessive drinking or smoking.…”

Section: Discussionmentioning

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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“… 14 Even long-term follow-up studies have validated the predictive ability of KCL scores for functional disability. 6 , 15 …”

Section: Literature Reviewmentioning

confidence: 99%

Escalation on Kihon Checklist Scores Preceding the Certification of Long-Term Care Need in the Older Population in Japan. A 9-Year Retrospective Study

Kitazawa,

Tsuchiya,

Hirao

et al. 2024

Health Services Research and Managerial Epidemiology

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Objectives The Kihon Checklist (KCL) is valuable for predicting long-term care (LTC) certification. However, the precise association between KCL scores and the temporal dynamics of LTC need certification remains unclear. This study clarified the characteristic trajectory of KCL scores in individuals certified for LTC need. Methods The KCL scores spanning from 2011 to 2019 were obtained from 5630 older individuals, including those certified for LTC need in November 2020, in Iiyama City, Nagano, Japan. We analyzed the KCL score trajectories using a linear mixed model, both before and after propensity score matching. Results Throughout the 9-year observation period, the KCL scores consistently remained higher in the certified group compared to the non-certified group. Notably, a significant score increase occurred within the 3 years preceding LTC certification. Discussion Our findings highlight the effectiveness of continuous surveillance using the KCL in identifying individuals likely to require LTC within a few years.

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Effect of social participation on the association between frailty and disability

Cited by 14 publications

References 24 publications

Prevalence and factors associated with changes in frailty among community‐dwelling older adults in Japan during the COVID‐19 pandemic: A prospective cohort study from 2020 to 2022

Prevalence and factors associated with changes in frailty among community‐dwelling older adults in Japan during the COVID‐19 pandemic: A prospective cohort study from 2020 to 2022

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

Escalation on Kihon Checklist Scores Preceding the Certification of Long-Term Care Need in the Older Population in Japan. A 9-Year Retrospective Study

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