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Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study

Frailty is considered to be a complex concept based mainly on physical vulnerability, but also vulnerabilities in mental/psychological and social aspects. Frailty can be reversible with appropriate intervention; however, factors that are important in recovering from frailty have not been clarified....

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Autores principales: Takatori, Katsuhiko, Matsumoto, Daisuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928521/
https://www.ncbi.nlm.nih.gov/pubmed/33657160
http://dx.doi.org/10.1371/journal.pone.0247296
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author Takatori, Katsuhiko
Matsumoto, Daisuke
author_facet Takatori, Katsuhiko
Matsumoto, Daisuke
author_sort Takatori, Katsuhiko
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description Frailty is considered to be a complex concept based mainly on physical vulnerability, but also vulnerabilities in mental/psychological and social aspects. Frailty can be reversible with appropriate intervention; however, factors that are important in recovering from frailty have not been clarified. The aim of the present study was to identify factors that help an individual reverse frailty progression and characteristics of individuals that have recovered from frailty. Community-dwelling people aged ≥75 years who responded to the Kihon Checklist (KCL) were enrolled in the study. The KCL consists of 25 yes/no questions in 7 areas: daily-life related activities, motor functions, nutritional status, oral functions, homebound, cognitive functions, and depressed mood. The number of social activities, degree of trust in the community, degree of interaction with neighbors, and subjective age were also evaluated. Frailty was assessed based on the number of checked items: 0–3 for robust, 4–7 for pre-frailty, and ≥8 for frailty. A total of 5050 participants were included for statistical analysis. At the time of the baseline survey in 2016, 18.7% (n = 942) of respondents had frailty, and the follow-up survey showed that the recovery rate from frailty within 2 years (median 24 months) was 31.8% (n = 300). Multiple logistic regression analysis showed that exercise-based social participation (odds ratio [OR] 2.0, 95% confidence interval [CI] 1.2–3.4; P<0.01) and self-rated health (OR 1.2, CI 1.0–1.5; P = 0.02) were related to reversing frailty progression. Principal component analysis indicated that the main factors constituting the first principal component (contribution rate, 18.3%) included items related to social capital, such as interaction with neighbors, trust in the community, and number of social participation activities. Our results demonstrate that exercise-based social participation and high self-rated health have associations with reversing frailty progression. Individuals that recovered from frailty are characterized by high individual-level social capital components (i.e., trust in community, interaction with neighbors, and social participation).
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spelling pubmed-79285212021-03-10 Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study Takatori, Katsuhiko Matsumoto, Daisuke PLoS One Research Article Frailty is considered to be a complex concept based mainly on physical vulnerability, but also vulnerabilities in mental/psychological and social aspects. Frailty can be reversible with appropriate intervention; however, factors that are important in recovering from frailty have not been clarified. The aim of the present study was to identify factors that help an individual reverse frailty progression and characteristics of individuals that have recovered from frailty. Community-dwelling people aged ≥75 years who responded to the Kihon Checklist (KCL) were enrolled in the study. The KCL consists of 25 yes/no questions in 7 areas: daily-life related activities, motor functions, nutritional status, oral functions, homebound, cognitive functions, and depressed mood. The number of social activities, degree of trust in the community, degree of interaction with neighbors, and subjective age were also evaluated. Frailty was assessed based on the number of checked items: 0–3 for robust, 4–7 for pre-frailty, and ≥8 for frailty. A total of 5050 participants were included for statistical analysis. At the time of the baseline survey in 2016, 18.7% (n = 942) of respondents had frailty, and the follow-up survey showed that the recovery rate from frailty within 2 years (median 24 months) was 31.8% (n = 300). Multiple logistic regression analysis showed that exercise-based social participation (odds ratio [OR] 2.0, 95% confidence interval [CI] 1.2–3.4; P<0.01) and self-rated health (OR 1.2, CI 1.0–1.5; P = 0.02) were related to reversing frailty progression. Principal component analysis indicated that the main factors constituting the first principal component (contribution rate, 18.3%) included items related to social capital, such as interaction with neighbors, trust in the community, and number of social participation activities. Our results demonstrate that exercise-based social participation and high self-rated health have associations with reversing frailty progression. Individuals that recovered from frailty are characterized by high individual-level social capital components (i.e., trust in community, interaction with neighbors, and social participation). Public Library of Science 2021-03-03 /pmc/articles/PMC7928521/ /pubmed/33657160 http://dx.doi.org/10.1371/journal.pone.0247296 Text en © 2021 Takatori, Matsumoto 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
Takatori, Katsuhiko
Matsumoto, Daisuke
Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study
title Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study
title_full Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study
title_fullStr Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study
title_full_unstemmed Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study
title_short Social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: An observational study
title_sort social factors associated with reversing frailty progression in community-dwelling late-stage elderly people: an observational study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928521/
https://www.ncbi.nlm.nih.gov/pubmed/33657160
http://dx.doi.org/10.1371/journal.pone.0247296
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