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Prefrailty

Journal Contribution - Journal Article

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

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.

Journal: JAG
ISSN: 0733-4648
Issue: 2
Volume: 41
Pages: 430-440
Publication year:2022
Keywords:disability, frailty, functional decline, oldest old, social engagement
  • ORCID: /0000-0001-6229-0742/work/107750311
  • ORCID: /0000-0003-0054-1520/work/107749486
  • ORCID: /0000-0002-6820-9586/work/107749468
  • ORCID: /0000-0002-8308-4099/work/107749231
  • ORCID: /0000-0003-4084-6898/work/107748852
  • ORCID: /0000-0001-8042-6834/work/107748745
  • ORCID: /0000-0003-4861-7838/work/107748702
  • ORCID: /0000-0002-9692-9513/work/107748091
  • ORCID: /0000-0001-8957-6425/work/107748078
  • ORCID: /0000-0002-5752-6498/work/107747972
  • WoS Id: 000621127500001
  • Scopus Id: 85100961130
  • DOI: https://doi.org/10.1177/0733464821991007
  • Institutional Repository URL: https://cris.vub.be/ws/files/94100313/Manuscript_1.0_Costenoble_et_al..docx
BOF-keylabel:yes
IOF-keylabel:yes
BOF-publication weight:1
Authors:Regional
Authors from:Higher Education
Accessibility:Open