Social factors predicting improvement of frailty in community‐dwelling older adults: <scp>K</scp>orean <scp>F</scp>railty and <scp>A</scp>ging <scp>C</scp>ohort <scp>S</scp>tudy

Jang, Ah Ram; Won, Chang Won; Sagong, Hae; Bae, Eun Jung; Park, Hyena; Yoon, Ju Young

doi:10.1111/ggi.14160

Cited by 9 publications

(7 citation statements)

References 25 publications

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“…More research is required on social frailty as it influences health outcomes through health behaviors and lifestyles. Social frailty cannot be screened or treated simply with medications but requires comprehensive attention to the social environment; thus, it is necessary to pay attention to social frailty in older adults and actively manage consequent problems and implement relevant interventions ( 32 , 33 , 35 , 55 ).…”

Section: Discussionmentioning

confidence: 99%

Analysis of the status of social frailty in Chinese older adults with cardiovascular and cerebrovascular diseases: a national cross-sectional study

Jia

Hu³

et al. 2023

Front. Public Health

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BackgroundSocial frailty is one type of frailty. Physical frailty with cardiovascular and cerebrovascular diseases (CCVD) have been studied a lot, but less research on social frailty.ObjectivesTo study the prevalence, related risk factors and regional differences of social frailty with CCVD in Chinese older adults.MethodsSSAPUR was a national cross-sectional survey. Participants aged 60 years or older were recruited in August 2015. Demographic data and information regarding family, health and medical conditions, living environment conditions, social participation, spiritual and cultural life, and health condition were obtained. Social frailty was assessed in five areas (HALFE Social Frailty Index) including inability to help others, limited social participation, loneliness, financial difficulty, and living alone. The prevalence of CCVD with social frailty, related risk factors and regional differences in CCVD with social frailty were studied.ResultsA total of 222,179 participants were enrolled. 28.4% of them had CCVD history. The prevalence of social frailty in the CCVD group was 16.03%. In CCVD participants, compared with the group without social frailty, there were significant differences in gender, age, urban–rural distribution, ethnicity, marital status, and education levels in the social frailty group. Significant differences were also found in physical exercise participation, health status, cataract, hypertension, diabetes mellitus, hospitalization within 1 year, self-assessed health status, crutch or wheelchair usage, urinary and fecal incontinence, need for care from others, fall history, housing satisfaction, and self-assessed happiness in the social frailty group. Women with CCVD had a higher prevalence of social frailty than men. By age in CCVD with social frailty, the highest prevalence was found in participants 75–79 years old. The prevalence of CCVD was significant difference between social frailty in urban and rural group. The prevalence of social frailty with CCVD was significantly different in different regions. The highest prevalence was 20.4% in southwest area, and the lowest prevalence was 12.5% in northeast with area.ConclusionThe prevalence of social frailty among the CCVD older adults is high. Factors such as gender, age, region, urban–rural residence, and the state of the disease may be associated with social frailty.

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Section: Discussionmentioning

confidence: 99%

Analysis of the status of social frailty in Chinese older adults with cardiovascular and cerebrovascular diseases: a national cross-sectional study

Jia

Hu³

et al. 2023

Front. Public Health

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“…Another paper based on 2‐year follow‐up data of KFACS showed physical activities associated with improvement from frailty after 2 years were high level, but those associated with improvement from prefrailty after 2 years were middle level at the least. In this study, high participation in social activities and less number of chronic diseases were also important factors for improvement from frailty after 2 years, and not having depression was another important factor for improvement from prefrailty after 2 years 12 …”

Section: Some Implications Of Frailty Interventions From Kfacs Studymentioning

confidence: 54%

“…In this study, high participation in social activities and less number of chronic diseases were also important factors for improvement from frailty after 2 years, and not having depression was another important factor for improvement from prefrailty after 2 years. 12 Participation in social activities in this study was measured by the number of social activities such as alumni gatherings, religious activities, cultural activities, sports activities, political activities, civic participation, volunteer activities, and educational groups.…”

Section: Age Is An Important Factor Prevention Of Frailtymentioning

confidence: 99%

Implications of frailty interventions from Korean frailty and aging cohort study

Won

2021

Aging Medicine

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“…The outputs are the number of face‐to‐face meetings attended and smApp views. Based on prior studies, outcomes were defined as frailty and loneliness (Jang et al, 2021; Zhao & Wu, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…Social activities, roles and engagement are indicators of social frailty (Makizako et al, 2015). Of these, higher participation in social activities is significantly associated with improved cognitive function (Bae, 2020), instrumental activities of daily living (Tomioka et al, 2016), reduced loneliness (Zhao & Wu, 2022) and isolation (Ejiri et al, 2019) and overall improvement in frail older adults (Jang et al, 2021). However, there are gender differences (Saito et al, 2015), with men being less likely to participate in social activities (Nurmi et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Testing a frailty prevention program for older men during COVID‐19: A 2‐year mixed‐methods pilot study

Hirano,

Takashima,

Onishi

et al. 2023

Int J Older People Nursing

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BackgroundFrailty is a syndrome related to declining functioning attributed to aging. As a reversible, often improved condition, preventive measures for frailty can be effective.ObjectiveThis study aimed to evaluate a frailty prevention program for older men comprising face‐to‐face meetings and an original social mobile application. We also examined the effect of COVID‐19‐associated social isolation on the implementation of this program.MethodsWe conducted a mixed‐methods pilot study featuring a single group before and after comparison of 11 man participants, ≥65 years, living in Japanese cities with a spouse or relatives. Program outcome measures included frailty, loneliness, grip strength, step count and mental health status. Process evaluation considered the experience of participants through a semi‐structured interview.ResultsThe intervention period included an interval of self‐isolation owing to the spread of COVID‐19. Among the outcomes, grip strength decreased after intervention. No significant negative changes were observed in other items. Themes emerging from participant experiences with the program included ‘Cooperation with researchers and contributing to research’, ‘Greater awareness of health’, ‘Interest in and experience of “newness”’, ‘Hesitation over active engagement’, ‘Casual ties with members’ and ‘Relationships that do not breach personal boundaries’.ConclusionsAlthough the COVID‐19 pandemic overlapped with the intervention, participants maintained their mental health. The program was a novel, stimulating experience for older men and demonstrated the usefulness of information and communication technology in supporting their social activities.Implications for practiceAs a community health nursing initiative for older people, we propose activities that combine group and online support. Frailty prevention programs for older men must contain content that stimulates their interests, such as ‘health’ and ‘newness’.

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Social factors predicting improvement of frailty in community‐dwelling older adults: Korean Frailty and Aging Cohort Study

Abstract: Leaders for the Future by Brain Korea 21 (BK 21) four project,

Cited by 9 publications

References 25 publications

Analysis of the status of social frailty in Chinese older adults with cardiovascular and cerebrovascular diseases: a national cross-sectional study

Analysis of the status of social frailty in Chinese older adults with cardiovascular and cerebrovascular diseases: a national cross-sectional study

Implications of frailty interventions from Korean frailty and aging cohort study

Testing a frailty prevention program for older men during COVID‐19: A 2‐year mixed‐methods pilot study

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