TY - JOUR
T1 - Prefrailty
T2 - The Relationship Between Daily Activities and Social Participation in Older Persons
AU - Costenoble, Axelle
AU - Knoop, Veerle
AU - Debain, Aziz
AU - Vermeiren, Sofie
AU - Vella Azzopardi, Roberta
AU - Rossi, Gina
AU - Smeys, Celeste
AU - Baltazar, Kéren Duarte
AU - Bautmans, Ivan
AU - Verté, Dominique
AU - Gorus, Ellen
AU - De Vriendt, Patricia
PY - 2021/2/8
Y1 - 2021/2/8
N2 - OBJECTIVES: To analyze prefrailty's relationship with limitations in activities of daily living (ADLs) and restrictions in social participation.METHOD: Robust (Fried 0/4; n = 214; Mage = 82.3 years [SD ±2.1]) and prefrail (Fried 1-2/4; n = 191; Mage = 83.8 years [SD ±3.2]) community-dwelling older individuals were included. Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total disability index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Total participation score, being a member, total number of memberships, being a board member, level of participation, membership over time, volunteering, and formal participation represented social participation.RESULTS: Logistic regression retained age (OR = 1.224; 95% CI = [1.122, 1.335]), sex (OR = 3.818; 95% CI = [2.437, 5.982]), and a-ADL-DI (OR = 1.230; 95% CI = [1.018, 1.486]) as variables significantly related to prefrailty (68.3%; χ2 = 68.25; df = 3; p < .001).DISCUSSION: Subtle limitations in a-ADLs, higher age, and being a man were associated with prefrailty, revealing the possible role of personal and culturally related a-ADLs as red flags for (pre)frailty.
AB - OBJECTIVES: To analyze prefrailty's relationship with limitations in activities of daily living (ADLs) and restrictions in social participation.METHOD: Robust (Fried 0/4; n = 214; Mage = 82.3 years [SD ±2.1]) and prefrail (Fried 1-2/4; n = 191; Mage = 83.8 years [SD ±3.2]) community-dwelling older individuals were included. Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total disability index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Total participation score, being a member, total number of memberships, being a board member, level of participation, membership over time, volunteering, and formal participation represented social participation.RESULTS: Logistic regression retained age (OR = 1.224; 95% CI = [1.122, 1.335]), sex (OR = 3.818; 95% CI = [2.437, 5.982]), and a-ADL-DI (OR = 1.230; 95% CI = [1.018, 1.486]) as variables significantly related to prefrailty (68.3%; χ2 = 68.25; df = 3; p < .001).DISCUSSION: Subtle limitations in a-ADLs, higher age, and being a man were associated with prefrailty, revealing the possible role of personal and culturally related a-ADLs as red flags for (pre)frailty.
KW - disability
KW - frailty
KW - functional decline
KW - oldest old
KW - social engagement
UR - http://www.scopus.com/inward/record.url?scp=85100961130&partnerID=8YFLogxK
U2 - 10.1177/0733464821991007
DO - 10.1177/0733464821991007
M3 - Article
C2 - 33554735
SP - 733464821991007
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
SN - 0733-4648
ER -