Relationships Between Social, Physical, and Psychological Factors in Older Persons: Frailty as an Outcome in Network Analysis

Leme, Daniel Eduardo da Cunha; Alves, Erika Valeska da Costa; Fattori, André

doi:10.1016/j.jamda.2020.02.005

Cited by 17 publications

(8 citation statements)

References 38 publications

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“…Conversely, women with anxiety are sensitive and tend to seek emotional support and social connections from interaction with others. Strong evidence exists that frailty can be prevented by an increase in social contacts (2, 19), which is more likely to occur with outdoor activity spaces, as they can facilitate social interaction. In addition, although we did not collect any information regarding the usage of outdoor activity spaces, our supplementary analysis revealed that women had a higher level of physical activity and were more likely than men to have spent their leisure time outdoors (data not shown); therefore, women could benefit more from outdoor activity spaces than men.…”

Section: Discussionmentioning

confidence: 99%

Interaction effects of anxiety and outdoor activity spaces on frailty among nursing home residents in Jinan, China: Is there a gender difference?

Zhao

Qu²,

Li³

et al. 2023

Front. Public Health

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BackgroundAnxiety and the physical environment are critical factors influencing frailty among older adults; however, the interaction effect of anxiety and the physical environment, such as outdoor activity spaces, on frailty has not been examined. This study aimed to investigate the interaction effect of anxiety and outdoor activity spaces on frailty and to identify differences by gender.MethodsA total of 353 nursing home residents (197 women; 156 men; age ≥ 60 years) from 27 Chinese nursing homes were included in the analysis. Anxiety and frailty were analyzed using the Generalized Anxiety Disorder Scale and the FRAIL-NH Scale, respectively. Outdoor activity spaces were assessed through on-site observations using self-designed items. Demographic and socioeconomic information and health-related covariates were also collected. Interaction effect analyses were conducted using multilevel mixed-effects linear models.ResultsAnxiety and outdoor activity spaces had an interaction effect on frailty among nursing home residents (β = −1.32, 95% CI: −2.44, −0.20). However, further analysis demonstrated that this interaction effect was only significant in older women (β = −1.60, 95% CI: −2.93, −0.27) but not in older men (β = −0.23, 95% CI: −2.29, 1.82).ConclusionsThis study highlighted that gender differences should be considered when preventing frailty in older adults with anxiety. Furthermore, it may be beneficial for nursing homes to provide outdoor activity spaces and create a supportive living environment to help delay or reverse frailty among female nursing home residents.

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Section: Discussionmentioning

confidence: 99%

Interaction effects of anxiety and outdoor activity spaces on frailty among nursing home residents in Jinan, China: Is there a gender difference?

Zhao

Qu²,

Li³

et al. 2023

Front. Public Health

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“…The result is consistent with previous studies. [15][16][17] However, a pilot study had reported that the incidence of frailty in elderly in patients with diabetes in China was 52.8%. [10] The reason for this difference may be that the participants in present study were over 65 years old, while those were over 60 years old in the mentioned research and previous studies had shown that increasing age itself increases the risk of frailty.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, characteristics, and impact on health outcomes of frailty in elderly outpatients with diabetes: A cross-sectional study

Wang,

Dai

2023

Medicine

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The aims of this study were to determine the prevalence of frailty and its relationship with health outcomes in elderly outpatients attending a Diabetes Specialist Clinic. This study was a cross-sectional study. A total of 168 elderly patients (aged 65 years and above) attending the Diabetes Specialist Clinic of a Three-A hospital of Sichuan province were recruited from January 2021 to February 2021, and follow-up was conducted 1 year after day of screening. Baseline characteristics of patients were collected and frail status were assessed at recruitment. The longitudinal outcomes included hospitalization, fall, mortality, emergency visit, and clinic visit. The presence of frailty was determined by the 5-item FRAIL scale, which ranges from 0 to 5 and are categorized as frail (3–5), prefrail (1–2), and robust (0). A phone questionnaire was carried out to obtain health outcomes. Logistic regression analyses was used to evaluate adverse health outcomes at 1 year follow-up. Of the 168 outpatients, 28.0% was robust, 49.4% was prefrail, and 22.6% was frail. Frailty (both prefrail and frail status) was more prevalent in those patients, which were 75 years old and above (57.0%; P < .001), insulin dependent (45.6%; P = .008), and those had diabetic complications (43.8%; P = .005), previous admission (68.6%; P = .016), and co-morbidities (36.4%; P = .001). In the following year after recruitment, 19.1% of robust patients were hospitalized, while the proportion was 45.8% for prefrail patients and 65.8% for frail patients. Prefrail (OR [odds ratio] = 2.35, 95% confidence interval (CI) 1.63–2.88; P = .028) and frail (OR = 4.63, 95% CI 2.52–5.81; P = .005) patients were more likely to be hospitalized. Frail (OR = 3.37, 95% CI 2.68–4.04; P < .001) patients were more inclined to fall while prefrail patients (OR = 1.03, 95% CI 0.82–1.56; P = .371) were not. Moreover, prefrail (OR = 3.37, 95% CI 2.31–5.72; P = .017) and frail (OR = 4.29, 95% CI 3.16–5.54; P = .006) patients were more likely to return to the clinic. There is a high incidence of frailty among elderly patients attending a Diabetes Specialist Clinic. Frailty is a predictor of hospitalization, fall, and clinic visits within 1 year.

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“…Esto favorece la inclusión de variables de diversa naturaleza para la evaluación de múltiples aspectos de salud y su condición comórbida, así como la (4,5) interacción entre sus múltiples factores etiológicos y moduladores . Por ejemplo, un estudio de red en muestra brasileña incluyó diversas condiciones clínicas como diabetes, osteoporosis, incontinencia urinaria, además de medidas antropométricas, fisiológicas y neuropsiquiátricas como la depresión y (6) fragilidad .…”

Section: Señor Editorunclassified

“…. Así también, otra investigación recientemente evaluó el sistema de red de sintomatología depresiva en pacientes (6) con hipertensión arterial en el contexto peruano . Sin embargo, urge una mayor divulgación y capacitación sobre este enfoque para su uso general en la investigación clínica sudamericana.…”

Section: Señor Editorunclassified

Network analysis of statistical relationships in health sciences research

Ramos-Vera

2021

Rev. virtual Soc. Parag. Med. Int

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Relationships Between Social, Physical, and Psychological Factors in Older Persons: Frailty as an Outcome in Network Analysis

Cited by 17 publications

References 38 publications

Interaction effects of anxiety and outdoor activity spaces on frailty among nursing home residents in Jinan, China: Is there a gender difference?

Interaction effects of anxiety and outdoor activity spaces on frailty among nursing home residents in Jinan, China: Is there a gender difference?

Prevalence, characteristics, and impact on health outcomes of frailty in elderly outpatients with diabetes: A cross-sectional study

Network analysis of statistical relationships in health sciences research

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