Cargando…

Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies

INTRODUCTION: Frailty is one of the greatest challenges facing our aging population, as it can lead to adverse outcomes such as institutionalization, hospitalization, and mortality. However, the factors that are associated with frailty are poorly understood. We performed a systematic review of longi...

Descripción completa

Detalles Bibliográficos
Autores principales: Feng, Zeyun, Lugtenberg, Marjolein, Franse, Carmen, Fang, Xinye, Hu, Shanlian, Jin, Chunlin, Raat, Hein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472269/
https://www.ncbi.nlm.nih.gov/pubmed/28617837
http://dx.doi.org/10.1371/journal.pone.0178383
_version_ 1783244092700884992
author Feng, Zeyun
Lugtenberg, Marjolein
Franse, Carmen
Fang, Xinye
Hu, Shanlian
Jin, Chunlin
Raat, Hein
author_facet Feng, Zeyun
Lugtenberg, Marjolein
Franse, Carmen
Fang, Xinye
Hu, Shanlian
Jin, Chunlin
Raat, Hein
author_sort Feng, Zeyun
collection PubMed
description INTRODUCTION: Frailty is one of the greatest challenges facing our aging population, as it can lead to adverse outcomes such as institutionalization, hospitalization, and mortality. However, the factors that are associated with frailty are poorly understood. We performed a systematic review of longitudinal studies in order to identify the sociodemographic, physical, biological, lifestyle-related, and psychological risk or protective factors that are associated with frailty among community-dwelling older adults. METHODS: A systematic literature search was conducted in the following databases in order to identify studies that assessed the factors associated with of frailty among community-dwelling older adults: Embase, Medline Ovid, Web of Science, Cochrane, PsychINFO Ovid, CINAHL EBSCOhost, and Google Scholar. Studies were selected if they included a longitudinal design, focused on community-dwelling older adults aged 60 years and older, and used a tool to assess frailty. The methodological quality of each study was assessed using the Quality of Reporting of Observational Longitudinal Research checklist. RESULTS: Twenty-three studies were included. Significant associations were reported between the following types of factors and frailty: sociodemographic factors (7/7 studies), physical factors (5/6 studies), biological factors (5/7 studies), lifestyle factors (11/13 studies), and psychological factors (7/8 studies). Significant sociodemographic factors included older age, ethnic background, neighborhood, and access to private insurance or Medicare; significant physical factors included obesity and activities of daily living (ADL) functional status; significant biological factors included serum uric acid; significant lifestyle factors included a higher Diet Quality Index International (DQI) score, higher fruit/vegetable consumption and higher tertile of all measures of habitual dietary resveratrol exposure; significant psychological factors included depressive symptoms. CONCLUSIONS: A broad range of sociodemographic, physical, biological, lifestyle, and psychological factors show a longitudinal association with frailty. These factors should be considered when developing interventions aimed at preventing and/or reducing the burden associated with frailty among community-dwelling older adults.
format Online
Article
Text
id pubmed-5472269
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-54722692017-07-03 Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies Feng, Zeyun Lugtenberg, Marjolein Franse, Carmen Fang, Xinye Hu, Shanlian Jin, Chunlin Raat, Hein PLoS One Research Article INTRODUCTION: Frailty is one of the greatest challenges facing our aging population, as it can lead to adverse outcomes such as institutionalization, hospitalization, and mortality. However, the factors that are associated with frailty are poorly understood. We performed a systematic review of longitudinal studies in order to identify the sociodemographic, physical, biological, lifestyle-related, and psychological risk or protective factors that are associated with frailty among community-dwelling older adults. METHODS: A systematic literature search was conducted in the following databases in order to identify studies that assessed the factors associated with of frailty among community-dwelling older adults: Embase, Medline Ovid, Web of Science, Cochrane, PsychINFO Ovid, CINAHL EBSCOhost, and Google Scholar. Studies were selected if they included a longitudinal design, focused on community-dwelling older adults aged 60 years and older, and used a tool to assess frailty. The methodological quality of each study was assessed using the Quality of Reporting of Observational Longitudinal Research checklist. RESULTS: Twenty-three studies were included. Significant associations were reported between the following types of factors and frailty: sociodemographic factors (7/7 studies), physical factors (5/6 studies), biological factors (5/7 studies), lifestyle factors (11/13 studies), and psychological factors (7/8 studies). Significant sociodemographic factors included older age, ethnic background, neighborhood, and access to private insurance or Medicare; significant physical factors included obesity and activities of daily living (ADL) functional status; significant biological factors included serum uric acid; significant lifestyle factors included a higher Diet Quality Index International (DQI) score, higher fruit/vegetable consumption and higher tertile of all measures of habitual dietary resveratrol exposure; significant psychological factors included depressive symptoms. CONCLUSIONS: A broad range of sociodemographic, physical, biological, lifestyle, and psychological factors show a longitudinal association with frailty. These factors should be considered when developing interventions aimed at preventing and/or reducing the burden associated with frailty among community-dwelling older adults. Public Library of Science 2017-06-15 /pmc/articles/PMC5472269/ /pubmed/28617837 http://dx.doi.org/10.1371/journal.pone.0178383 Text en © 2017 Feng et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Feng, Zeyun
Lugtenberg, Marjolein
Franse, Carmen
Fang, Xinye
Hu, Shanlian
Jin, Chunlin
Raat, Hein
Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies
title Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies
title_full Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies
title_fullStr Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies
title_full_unstemmed Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies
title_short Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies
title_sort risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: a systematic review of longitudinal studies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472269/
https://www.ncbi.nlm.nih.gov/pubmed/28617837
http://dx.doi.org/10.1371/journal.pone.0178383
work_keys_str_mv AT fengzeyun riskfactorsandprotectivefactorsassociatedwithincidentorincreaseoffrailtyamongcommunitydwellingolderadultsasystematicreviewoflongitudinalstudies
AT lugtenbergmarjolein riskfactorsandprotectivefactorsassociatedwithincidentorincreaseoffrailtyamongcommunitydwellingolderadultsasystematicreviewoflongitudinalstudies
AT fransecarmen riskfactorsandprotectivefactorsassociatedwithincidentorincreaseoffrailtyamongcommunitydwellingolderadultsasystematicreviewoflongitudinalstudies
AT fangxinye riskfactorsandprotectivefactorsassociatedwithincidentorincreaseoffrailtyamongcommunitydwellingolderadultsasystematicreviewoflongitudinalstudies
AT hushanlian riskfactorsandprotectivefactorsassociatedwithincidentorincreaseoffrailtyamongcommunitydwellingolderadultsasystematicreviewoflongitudinalstudies
AT jinchunlin riskfactorsandprotectivefactorsassociatedwithincidentorincreaseoffrailtyamongcommunitydwellingolderadultsasystematicreviewoflongitudinalstudies
AT raathein riskfactorsandprotectivefactorsassociatedwithincidentorincreaseoffrailtyamongcommunitydwellingolderadultsasystematicreviewoflongitudinalstudies