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.

Originele taal-2English
Pagina's (van-tot)430-440
Aantal pagina's11
TijdschriftJournal of Applied Gerontology
Nummer van het tijdschrift2
StatusPublished - feb 2022

Bibliografische nota

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was partly funded by an “Interdisciplinary Research Program” grant (number IRP3) from the research council of the VUB.

Publisher Copyright:
© The Author(s) 2021.

Copyright 2022 Elsevier B.V., All rights reserved.


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