Social Frailty and Functional Disability: Findings From the Singapore Longitudinal Ageing Studies

Teo, Nigel; Gao, Qi; Nyunt, Ma Shwe Zin; Wee, Shiou‐Liang; Ng, Tze‐Pin

doi:10.1016/j.jamda.2017.04.015

Cited by 112 publications

(135 citation statements)

References 19 publications

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“…living alone) . Social frailty status can have a negative impact on disability incidence . Muscle weakness and age‐related changes in body composition (e.g.…”

Section: Discussionmentioning

confidence: 77%

“…Recent studies assessed social frailty status using questionnaires including social relationships, social support, infrequent contact and living situation (e.g. living alone) . Social frailty status can have a negative impact on disability incidence .…”

Section: Discussionmentioning

confidence: 99%

“…9,14 Social frailty status can have a negative impact on disability incidence. 9,14 Muscle weakness and age-related changes in body composition (e.g. loss of muscle mass) are factors that increase the risk of disability.…”

Section: Discussionmentioning

confidence: 99%

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Associations of social frailty with loss of muscle mass and muscle weakness among community‐dwelling older adults

Makizako

Kubozono

Kiyama

et al. 2018

Geriatrics Gerontology Int

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Aim The present cross‐sectional study examined the associations of social frailty status with loss of muscle mass and weakness among community‐dwelling older adults. Methods Data from 353 older adults (74.8% women) who had participated in a community‐based health check survey (Tarumizu Study) were analyzed. Social frailty was defined using responses to five questions (going out less frequently, rarely visiting friends, feeling unhelpful to friends or family, living alone and not talking with someone every day). Participants with two or more components were considered socially frail. We assessed appendicular skeletal muscle mass using bioelectrical impedance analysis and calculated appendicular skeletal muscle index. Dominant handgrip strength was assessed. Loss of skeletal muscle mass (appendicular skeletal muscle index <7.0 kg/m2 for men, <5.7 kg/m2 for women) and muscle weakness (handgrip strength <26 kg for men, <18 kg for women) were determined based on the Asian Working Group for Sarcopenia criteria. Results The prevalence of social frailty was 14.7%. A higher prevalence of muscle weakness and loss of skeletal muscle mass in participants with social frailty was shown than in those without (muscle weakness 44.2% vs 23.6%, P ≤ 0.05; loss of skeletal muscle mass 59.6% vs 46.2%, P = 0.07). Social frailty was independently associated with muscle weakness (odds ratio 2.04, 95% confidence interval 1.06–3.95), but not with loss of skeletal muscle mass (odds ratio 1.47, 95% confidence interval 0.78–2.76) after adjusting for covariates. Conclusions Social frailty status could be associated with muscle weakness, though not a loss of skeletal muscle mass. Geriatr Gerontol Int 2019; 19: 76–80.

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“…living alone) . Social frailty status can have a negative impact on disability incidence . Muscle weakness and age‐related changes in body composition (e.g.…”

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

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Associations of social frailty with loss of muscle mass and muscle weakness among community‐dwelling older adults

Makizako

Kubozono

Kiyama

et al. 2018

Geriatrics Gerontology Int

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“…10 They also reported that socially frail individuals had a 5-11-fold increased prevalence and incidence of disabilities in incidental instrumental ADL, and a 21-25-fold increased prevalence and incidence of severe disability compared with those in the control group. In their cohort study, Teo et al found that, compared with no social frailty, low (pre) and high social frailty were associated with a 2.4-fold increased prevalence of incidental instrumental ADL disability and a 6.3-fold increase in severe disability (basic ADL disability).…”

Section: Explanationmentioning

confidence: 95%

“…9 The second was Teo et al, who defined it as the presence of at least two of the following: living alone, poor education, absence of a confidant, infrequent contact with friends and family, infrequent social activities, financial difficulty, and socioeconomic deprivation. 10 The third study was Garre-Olmo, who defined it as the presence of at least two of the following: living alone, lack of a person to help with ADL, infrequent contact with family (less than once a week), infrequent contact with friends or neighbors (less than once a week), absence of a confidant and lack of support for daily living during the past 3 months. 11 It is also worth noting a study by Gobbens and van Assen, who defined social frailty using the three social components of the Tilburg Frailty Indicator (see Table 3 in CQ2).…”

Section: Explanationmentioning

confidence: 99%

Chapter 2 Frailty concepts

Arai

Kozaki

Kuzuya

et al. 2020

Geriatrics Gerontology Int

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CQ6: How is cognitive frailty defined and diagnosed?CQ7: How prevalent is cognitive frailty? Statement • Cognitive frailty was operationally defined as: (i) presence of physical frailty and cognitive impairment (Clinical Dementia Rating of 0.5); and (ii) exclusion of concurrent Alzheimer's disease or other types of dementias. • Although there are no generally established diagnostic criteria, the literature suggests that the prevalence ranges from 1% to 5%.

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Biopsychosocial frailty and mild cognitive impairment subtypes: Findings from the Italian project on the epidemiology of Alzheimer's disease (IPREA)

Solfrizzi

Scafato

Custodero

et al. 2023

Alzheimer's & Dementia

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IntroductionFrailty is a critical intermediate status of the aging process including physical, cognitive, and psychosocial phenotypes. We operationalized a biopsychosocial frailty construct, estimating its association with mild cognitive impairment (MCI) and its subtypes.MethodsIn 1980, older individuals from the population‐based Italian PRoject on the Epidemiology of Alzheimer's disease (IPREA), we investigated cross‐sectional associations among biopsychosocial frailty, MCI, and its subtypes.ResultsParticipants with biopsychosocial frailty showed an increased odds ratio (OR) of MCI [OR: 4.36; 95% confidence interval (CI): 2.60‐7.29; Fisher's exact p < 0.01], particularly for nonamnestic MCI single domain (naMCI‐SD, OR:3.28; 95% CI: 1.35‐7.97; Fisher's exact p = 0.02) and for nonamnestic MCI multiple domain (naMCI‐MD, OR:6.92; 95% CI: 3.37‐14.21; Fisher's exact p < 0.01). No statistically significant associations between amnestic MCI single or multiple domain and biopsychosocial frailty were observed.DiscussionIn a large, older Italian cohort, a biopsychosocial frailty phenotype was associated with MCI, in particular, could be associated with some of its subtypes, that is, naMCI‐SD, and naMCI‐MD.

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Social Frailty and Functional Disability: Findings From the Singapore Longitudinal Ageing Studies

Cited by 112 publications

References 19 publications

Associations of social frailty with loss of muscle mass and muscle weakness among community‐dwelling older adults

Associations of social frailty with loss of muscle mass and muscle weakness among community‐dwelling older adults

Chapter 2 Frailty concepts

Biopsychosocial frailty and mild cognitive impairment subtypes: Findings from the Italian project on the epidemiology of Alzheimer's disease (IPREA)

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