Prefrailty: The Relationship Between Daily Activities and Social Participation in Older Persons

2021 ◽  
pp. 073346482199100
Author(s):  
Axelle Costenoble ◽  
Veerle Knoop ◽  
Aziz Debain ◽  
Sofie Vermeiren ◽  
Roberta Vella Azzopardi ◽  
...  
Keyword(s):  
Social Participation ◽  
Daily Living ◽  
Older Persons ◽  
Community Dwelling ◽  
Daily Activities ◽  
Older Individuals ◽  
Red Flags ◽  
Total Participation ◽  
The Relationship

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.

The mediating role of cardiovascular risk factors in the relationship between symptoms of apathy and incident cardiovascular disease in community-dwelling older individuals

2015 ◽  
Vol 28 (4) ◽  
pp. 669-679 ◽  
Author(s):  
Lisa S. M. Eurelings ◽  
James Jaccard ◽  
Eric P. Moll van Charante ◽  
Piet Eikelenboom ◽  
Suzanne A. Ligthart ◽  
...  
Keyword(s):  
Risk Factors ◽  
Physical Inactivity ◽  
Community Dwelling ◽  
Direct Effects ◽  
Older Individuals ◽  
Current Smoking ◽  
Mediating Role ◽  
Mood Symptoms ◽  
The Relationship

ABSTRACTBackground:In old age, both apathy and depression have been associated with an increased cardiovascular disease (CVD) risk. This study evaluated the mediating role of cardiovascular risk factors in the relationship of apathy and mood symptoms with incident CVD.Methods:Prospective cohort study of 1,790 community-dwelling older individuals (70–78 years) without a history of CVD or stroke. At baseline, apathy and mood symptoms were assessed with the 15-item Geriatric Depression Scale (GDS-15), of which three items represent apathy symptoms. The mediational risk factors included were diabetes mellitus (DM), body mass index (BMI), current smoking, physical inactivity, systolic blood pressure, and total cholesterol. Incident CVD was evaluated after two years of follow-up. Data were analyzed using structural equation modeling (SEM).Results:Incident CVD occurred in 59 (3.3%) participants. Apathy symptoms had a significant estimated total effect on incident CVD, with increases of 2.2% for each unit increase in apathy score. Of this total effect, 22.7% was due to the mediational effects of physical inactivity (13.6%), current smoking (4.5%), and DM (4.5%). The remaining 77.3% was due to direct effects reflecting other mediational dynamics. No significant (in)direct effects of mood symptoms on incident CVD were found.Conclusions:Physical inactivity, smoking, and DM account for nearly one-fourth of the variation reflecting the link between apathy symptoms and incident CVD. This illustrates the relevance of unfavorable health behaviors and assessment of DM in older individuals with apathy. The majority of the effect of apathy symptoms on incident CVD is caused by other, yet unknown, factors.

scholarly journals DEPENDENCY IN ACTIVITIES OF DAILY LIVING: THE ROLE OF MULTIDIMENSIONAL FRAILTY AND PROTECTIVE FACTORS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S635-S636
Author(s):  
G A Rixt Zijlstra ◽  
Anne van der Vorst ◽  
Linda P M Op het Veld ◽  
Nico De Witte ◽  
Jos M G A Schols ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Older People ◽  
Protective Factors ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Community Dwelling ◽  
Frail Older People ◽  
The Relationship

Abstract Most older adults prefer to “age in place” and maintain independent regarding activities of daily living (ADL). Dependency in ADL might be caused by frailty. This study explored the relationship between multidimensional frailty and ADL dependency, and if protective factors, derived from a systematic literature review, moderate this relationship. A longitudinal study with a 24-month follow-up was performed among 1,027 community-dwelling older adults. Multidimensional frailty was assessed with the Tilburg Frailty Indicator, and ADL dependency with the Groningen Activity Restriction Scale. Other measures included socio-demographic characteristics and seven protective factors against ADL dependency, such as physical activity and non-smoking. Logistic regression analyses showed that frail older people had a twofold risk of developing ADL dependency in comparison to non-frail older people after 24 months (OR = 2.12, 95% CI = 1.50-3.00). Analyses with interaction terms indicated that the selected protective factors against ADL dependency did not significantly moderate this relationship. Nonetheless, higher levels of physical activity and having sufficient financial resources decreased the risk of becoming ADL dependent in the overall sample (OR = 0.67, 95% CI = 0.46-0.98 and OR = 0.49, 95% CI = 0.35-0.71, respectively). In conclusion, multidimensional frail older people are at higher risk of developing ADL dependency and the studied factors against ADL dependency did not significantly moderate this relationship. To develop prevention strategies for ADL dependency and facilitate aging in place, future studies might explore the relationship between each specific frailty domain and ADL dependency, and the role of (other) moderating factors.

scholarly journals Functional Status, Meanings of Life Activities, and COVID-19 Related Disruptions among Disabled Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 948-948
Author(s):  
Meng-Hsuan Yu ◽  
Shiau-Fang Chao
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Well Being ◽  
Community Dwelling ◽  
Daily Routine ◽  
Older Individuals ◽  
Research Findings ◽  
Community Dwelling Older Adults ◽  
The Relationship

Abstract Participating in meaningful activities has been proven beneficial to the well-being of disabled older adults. However, social distancing policies and restrictions on public activities have been implemented since the outbreak of COVID-19 at the beginning of 2020 in Taiwan. These restrictions not only prevent older individuals from performing meaningful activities but also have actual impacts on their daily life. This study aims to elucidate the intervening role of meanings of life activities on the relationship between functional status and COVID-19 disruptions. Data were collected from a sample of 526 community-dwelling older adults with disabilities in Taiwan between April and July, 2020. Utilizing Multiple Regression Analysis, the research findings were as follows. First, participants with better functional status experienced more COVID-19 related disruptions to their daily routine. In the meantime, they also valued their life activities as more meaningful than those with worse functional status. Second, higher levels of meanings in performing life activities also positively related to COVID-19 disruptions. Third, meanings of life activities fully mediated the relationship between functional status and COVID-19 disruptions. That is, disabled older individuals with better functional status may experience more COVID-19 related disruptions because their accessibility to meaningful activities was limited. Since preventive approaches to control the spread are necessary during COVID-19 epidemic, efforts should be made to sustain meaningful life activities participation among disabled older adults. Based on the findings of this study, this would be especially critical to the well-being of more capable older individuals with disabilities during the pandemic.

scholarly journals Patterns of multimorbidity and risk of disability in community-dwelling older persons

2021 ◽  
Author(s):  
Alessandra Marengoni ◽  
Roselyne Akugizibwe ◽  
Davide L. Vetrano ◽  
Albert Roso-Llorach ◽  
Graziano Onder ◽  
...  
Keyword(s):  
Daily Living ◽  
Older Persons ◽  
Healthcare Resource ◽  
Resource Planning ◽  
Total Sample ◽  
Community Dwelling ◽  
National Study ◽  
Sensory Impairment ◽  
Multinomial Models

AbstractThe aim was to analyze the association between specific patterns of multimorbidity and risk of disability in older persons. Data were gathered from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K); 2066 60 + year-old participants living in the community and free from disability at baseline were grouped according to their multimorbidity patterns and followed-up for six years. The association between multimorbidity patterns and disability in basic (ADL) and instrumental (IADL) activities of daily living was examined through multinomial models. Throughout the follow-up, 434 (21.0%) participants developed at least one ADL and 310 (15.0%) at least one IADL. Compared to the unspecific pattern, which included diseases not exceeding their expected prevalence in the total sample, belonging to the cardiovascular/anemia/dementia, the sensory impairment/cancer and the musculoskeletal/respiratory/gastrointestinal patterns was associated with a higher risk of developing both ADL and IADL, whereas subjects in the metabolic/sleep disorders pattern showed a higher risk of developing only IADL. Multimorbidity patterns are differentially associated with incident disability, which is important for the design of future prevention strategies aimed at delaying functional impairment in old age, and for a better healthcare resource planning.

Health Benefits of Social Participation Interventions among Community-Dwelling Older Persons: A Review Article

2021 ◽  
pp. 1-27
Author(s):  
Amirah Fatin Ibrahim ◽  
Maw Pin Tan ◽  
Gaik Kin Teoh ◽  
Siti Mariam Muda ◽  
Mei Chan Chong
Keyword(s):  
Social Participation ◽  
Older Persons ◽  
Health Benefits ◽  
Review Article ◽  
Community Dwelling

scholarly journals Cardiovascular Health Is Associated With Disability Among Older Community Dwelling Men and Women

2018 ◽  
Vol 31 (8) ◽  
pp. 1339-1352
Author(s):  
Yichen Jin ◽  
Toshiko Tanaka ◽  
Yan Ma ◽  
Stefania Bandinelli ◽  
Luigi Ferrucci ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Cardiovascular Health ◽  
Smoking Status ◽  
Plasma Cholesterol ◽  
Fasting Blood Glucose ◽  
Community Dwelling ◽  
Older Individuals ◽  
Cox Models ◽  
Point Increase

Objective: The aim of this study was to investigate whether an index of overall cardiovascular health (CVH) is associated with disability in older individuals. Method: Data on 925 participants of the InCHIANTI study (Invecchiare in Chianti, aging in the Chianti area, ≥65 years, 55% women) with median follow-up of 9 years were used. CVH score was assessed by smoking status, physical activity, body mass index, diet quality, blood pressure, plasma cholesterol, and fasting blood glucose. Disability was examined using instrumental activities of daily living (IADL disabilities >0 vs. 0) and activities of daily living (ADL disabilities >0 vs. 0). Generalized estimating equations and Cox models assessed relationships between baseline CVH with disability and worsening over 9 years. Results: A 1-point increase in the CVH score was associated with 23% and 17% of lower odds of ADL ( p < .001) and IADL ( p < .001) disability and was protective of worsening of disability over 9 years. Cox models demonstrated that a 1-point increase in CVH score was associated with lower hazards of both ADL (hazard ratio [HR] = 0.86, p = .005) and IADL (HR = 0.91, p = .007) disability. Discussion: Among older individuals, better CVH was associated with lower risk of disability and worsening over 9 years.

Close social relationships and loneliness: the role of subjective age

2019 ◽  
pp. 1-5 ◽  
Author(s):  
Naama Spitzer ◽  
Dikla Segel-Karpas ◽  
Yuval Palgi
Keyword(s):  
Older Adults ◽  
Social Relationships ◽  
Negative Relationship ◽  
Community Dwelling ◽  
Subjective Age ◽  
Perceptions Of Aging ◽  
The Relationship ◽  
Moderating Role

Abstract Loneliness is considered a major issue, often negatively influencing the quality of life of individuals of all ages, and of older adults, in particular. The aims of this study are: (1) to assess the association between close social relationships and loneliness; and (2) to examine the moderating role of subjective age in this association. Married or cohabiting community-dwelling Israelis in the second half of life (N = 360) were interviewed and reported on their close social relationships, their level of loneliness, and their subjective age. The number of close social relationships was found to have a negative relationship with loneliness. Moreover, subjective age was found to moderate the relationship between close social relationships and loneliness, such that the association was weaker for those with older subjective age. Those with older subjective age are often not able to benefit from close social relationships to alleviate loneliness as much as their younger-subjective-age counterparts. Efforts to address older adults’ loneliness should consider focusing on older adults’ perceptions of aging.

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