Social isolation and loneliness as related to progression and reversion of frailty in the Survey of Health Aging Retirement in Europe (SHARE)
Social isolation and loneliness as related to progression and reversion of frailty in the Survey of Health Aging Retirement in Europe (SHARE)
复制标题
DOI：
10.1093/ageing/afaa168
复制
发表时间：
2021-01-01
期刊：
影响因子：
6.7
通讯作者：
D'avanzo, Barbara
中科院分区：
文献类型：
--
作者：
Jarach, Carlotta Micaela;Tettamanti, Mauro;D'avanzo, Barbara
背景：虚弱被证明与社会心理风险因素有关，但很少有纵向数据。方法：我们使用欧洲健康老龄化退休调查（SHARE）第5和第6波的数据，在27,468名年龄在bb0 = 60岁的个体中研究孤独感和社会隔离对根据Fried标准定义的向虚弱过渡的贡献。结果：在基线时，有13069人（47.6%）健全人，11430人（41.6%）体弱，2969人（10.8%）体弱。2年后，在基线健壮的受试者中，8,706人（61.8%）仍然健壮，4,033人（30.8%）体弱，330人（2.6%）体弱。在虚弱前期的人中，1504人（13.2%）进展为虚弱，3557人（31.1%）变得健壮。在身体虚弱的人群中，182人（6.1%）恢复健康，1271人（42.8%）恢复虚弱。平均和高水平的孤独和社会孤立与身体强壮的人变得虚弱和体弱前期（除了高度孤独的强壮者变得虚弱）以及体弱前期的人变得虚弱（除了平均孤独）的风险显著相关。回归到稳健性与高水平的孤独感呈负相关。结论：平均水平的孤独和社会隔离不应被认为是可接受的，即使在没有任何健康状况的情况下，也应通过现有的循证干预措施积极解决。
Background: Frailty was shown to be associated with psychosocial risk factors, but there are few longitudinal data.Methods: We used data from waves 5 and 6 of the Survey of Health Aging Retirement in Europe (SHARE) to study the contribution of loneliness and social isolation to transitions towards frailty defined according to Fried criteria in a sample of 27,468 individuals aged >= 60.Results: At baseline, there were 13,069 (47.6%) robust individuals, 11,430 (41.6%) pre-frail and 2,969 (10.8%) frail. After 2 years, among robust subjects at baseline, 8,706 (61.8%) were still robust, 4,033 (30.8%) were pre-frail and 330 (2.6%) were frail. Among those who were pre-frail, 1,504 (13.2%) progressed to frail and 3,557 (31.1%) became robust. Among frail people, 182 (6.1%) reversed to robust and 1,271 (42.8%) to pre-frail. Average and high levels of loneliness and social isolation were significantly associated with the risk of robust people becoming frail and pre-frail (except robust with high loneliness to become frail), and of pre-frail people to become frail (except with average loneliness). Reversion to robustness was inversely associated with high levels of loneliness.Conclusion: Average levels of loneliness and social isolation should not be considered acceptable and should be actively addressed even in the absence of any health conditions through an available evidence-based intervention.