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Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults

BACKGROUND: Social frailty is associated with Fear of Falling (FoF) and health-related quality of life (HrQoL). However, how social frailty simultaneously influences FoF and HrQoL remains unclear. The study aims to understand the links between social frailty, FoF, and HrQoL in older adults and the m...

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Autores principales: Wu, Kuan-Ying, Chen, Duan-Rung, Chan, Chang-Chuan, Yeh, Yen-Po, Chen, Hsiu-Hsi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334636/
https://www.ncbi.nlm.nih.gov/pubmed/37430231
http://dx.doi.org/10.1186/s12877-023-04144-1
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author Wu, Kuan-Ying
Chen, Duan-Rung
Chan, Chang-Chuan
Yeh, Yen-Po
Chen, Hsiu-Hsi
author_facet Wu, Kuan-Ying
Chen, Duan-Rung
Chan, Chang-Chuan
Yeh, Yen-Po
Chen, Hsiu-Hsi
author_sort Wu, Kuan-Ying
collection PubMed
description BACKGROUND: Social frailty is associated with Fear of Falling (FoF) and health-related quality of life (HrQoL). However, how social frailty simultaneously influences FoF and HrQoL remains unclear. The study aims to understand the links between social frailty, FoF, and HrQoL in older adults and the mediating role of FoF in the relations between social frailty and HrQoL. METHODS: In this cross-sectional survey, 1,933 community-dwelling older adults from Changhua County, Taiwan, were interviewed using a self-administrated questionnaire. In total, 1,251 participants with complete data were included for analysis. Data were analyzed using the SPSS PROCESS macro. A simple mediation was employed using social frailty as the independent variable, FoF as the mediator variable, and HrQoL as the outcome variable. RESULTS: Social frailty was associated with HrQoL and indirectly with HrQoL through FoF, and FoF was directly associated with HrQoL. Of the 5-item social frailty index, “going out less frequently” was correlated with HrQoL and indirectly with HrQoL through FoF. Individuals who felt unhelpful toward family or friends had the worst physical HrQoL and did not talk to someone daily had the most negative influence on mental HrQoL. CONCLUSIONS: Social frailty can directly and indirectly, through FoF decrease HrQoL. It also emphasizes the importance of social connectivity in reducing the risk of falls. This study points to the need for social connectivity and fall prevention programs as essential components of strategies to enhance the health and well-being of community-dwelling older adults. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-023-04144-1.
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spelling pubmed-103346362023-07-12 Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults Wu, Kuan-Ying Chen, Duan-Rung Chan, Chang-Chuan Yeh, Yen-Po Chen, Hsiu-Hsi BMC Geriatr Research BACKGROUND: Social frailty is associated with Fear of Falling (FoF) and health-related quality of life (HrQoL). However, how social frailty simultaneously influences FoF and HrQoL remains unclear. The study aims to understand the links between social frailty, FoF, and HrQoL in older adults and the mediating role of FoF in the relations between social frailty and HrQoL. METHODS: In this cross-sectional survey, 1,933 community-dwelling older adults from Changhua County, Taiwan, were interviewed using a self-administrated questionnaire. In total, 1,251 participants with complete data were included for analysis. Data were analyzed using the SPSS PROCESS macro. A simple mediation was employed using social frailty as the independent variable, FoF as the mediator variable, and HrQoL as the outcome variable. RESULTS: Social frailty was associated with HrQoL and indirectly with HrQoL through FoF, and FoF was directly associated with HrQoL. Of the 5-item social frailty index, “going out less frequently” was correlated with HrQoL and indirectly with HrQoL through FoF. Individuals who felt unhelpful toward family or friends had the worst physical HrQoL and did not talk to someone daily had the most negative influence on mental HrQoL. CONCLUSIONS: Social frailty can directly and indirectly, through FoF decrease HrQoL. It also emphasizes the importance of social connectivity in reducing the risk of falls. This study points to the need for social connectivity and fall prevention programs as essential components of strategies to enhance the health and well-being of community-dwelling older adults. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-023-04144-1. BioMed Central 2023-07-10 /pmc/articles/PMC10334636/ /pubmed/37430231 http://dx.doi.org/10.1186/s12877-023-04144-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wu, Kuan-Ying
Chen, Duan-Rung
Chan, Chang-Chuan
Yeh, Yen-Po
Chen, Hsiu-Hsi
Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults
title Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults
title_full Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults
title_fullStr Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults
title_full_unstemmed Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults
title_short Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults
title_sort fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334636/
https://www.ncbi.nlm.nih.gov/pubmed/37430231
http://dx.doi.org/10.1186/s12877-023-04144-1
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