Social Frailty Leads to the Development of Physical Frailty among Physically Non-Frail Adults: A Four-Year Follow-Up Longitudinal Cohort Study.
Social Frailty Leads to the Development of Physical Frailty among Physically Non-Frail Adults: A Four-Year Follow-Up Longitudinal Cohort Study.
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DOI：
10.3390/ijerph15030490
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发表时间：
2018-03-10
影响因子：
--
通讯作者：
Lee S
中科院分区：
文献类型：
--
作者：
Makizako H;Shimada H;Doi T;Tsutsumimoto K;Hotta R;Nakakubo S;Makino K;Lee S
社会脆弱领域可能在预防身体衰退和残疾方面发挥重要作用。本研究的目的是探讨社会脆弱性的影响，作为一个危险因素，为未来发展的身体虚弱的社区居住的老年人谁是身体还不虚弱。共有1226名身体非虚弱的老年人进行了分析，以提供基线。参与者在48个月后完成了对他们身体虚弱的纵向评估。他们的基线社交脆弱性是根据他们对五个问题的回答确定的，这些问题确定了参与者不经常外出，很少拜访朋友，不太想帮助朋友或家人，独自生活，每天不与另一个人交谈。没有这些特征的参与者被认为不是社会脆弱;那些有一个特征的人被认为是社会脆弱的;那些有两个或更多特征的人被认为是社会脆弱的。在四年的随访评估中，24名参与者（2.0%）出现了身体虚弱，440名（35.9%）出现了身体虚弱前期。在社会非脆弱组中，身体脆弱和脆弱前期的发生率分别为1.6%和34.2%;在社会脆弱前期组中，分别为2.4%和38.8%;在社会脆弱组中，分别为6.8%和54.5%。基线时被归类为社会脆弱的参与者与不属于社会脆弱的参与者相比，发生身体脆弱的风险增加（OR = 3.93，95%CI = 1.02-15.15）。在基线时社会脆弱的参与者也有发生身体虚弱前期的风险增加（OR = 2.50，95%CI = 1.30-4.80）。在身体不虚弱的独立社区居住老年人中，那些社会脆弱的人在不久的将来可能面临更大的身体虚弱风险。社会脆弱可能先于（并导致）身体脆弱的发展。
Social frailty domains may play an important role in preventing physical decline and disability. The aim of this study is to examine the impact of social frailty as a risk factor for the future development of physical frailty among community-dwelling older adults who are not yet physically frail. A total of 1226 physically non-frail older adults were analyzed to provide a baseline. Participants completed a longitudinal assessment of their physical frailty 48 months later. Their baseline social frailty was determined based on their responses to five questions, which identified participants who went out less frequently, rarely visited friends, felt less like helping friends or family, lived alone and did not talk to another person every day. Participants with none of these characteristics were considered not to be socially frail; those with one characteristic were considered socially pre-frail; and those with two or more characteristics were considered socially frail. At the four-year follow-up assessment, 24 participants (2.0%) had developed physical frailty and 440 (35.9%) had developed physical pre-frailty. The rates of developing physical frailty and pre-frailty were 1.6% and 34.2%, respectively, in the socially non-frail group; 2.4% and 38.8%, respectively, in the socially pre-frail group; and 6.8% and 54.5%, respectively, in the socially frail group. Participants classified as socially frail at the baseline had an increased risk of developing physical frailty, compared with participants who were not socially frail (OR = 3.93, 95% CI = 1.02–15.15). Participants who were socially frail at the baseline also had an increased risk of developing physical pre-frailty (OR = 2.50, 95% CI = 1.30–4.80). Among independent community-dwelling older adults who are not physically frail, those who are socially frail may be at greater risk of developing physical frailty in the near future. Social frailty may precede (and lead to the development of) physical frailty.
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影响因子：
4
作者：
Kuiper, Jisca S.;Voshaar, Richard C. Oude;Smidt, Nynke
通讯作者：
Smidt, Nynke
DOI：
10.1016/j.jamda.2009.11.008
发表时间：
2010-06-01
影响因子：
7.6
作者：
Gobbens, Robbert J. J.;van Assen, Marcel A. L. M.;Schols, Jos M. G. A.
通讯作者：
Schols, Jos M. G. A.
影响因子：
4
作者：
Fujiwara, Y;Shinkai, S;Shibata, H
通讯作者：
Shibata, H
影响因子：
--
作者：
Buchman, Aron S.;Boyle, Patricia A.;Wilson, Robert S.;Fleischman, Debra A.;Leurgans, Sue;Bennett, David A.
通讯作者：
Bennett, David A.
影响因子：
4.1
作者：
Buchman AS;Boyle PA;Wilson RS;James BD;Leurgans SE;Arnold SE;Bennett DA
通讯作者：
Bennett DA