Can Social Resources Explain the Limitations in the Activities of Daily Living of Older Adults Classified by the Phenotype of Physical Frailty?
The objective is to investigate the mediating roles of living alone and personal network in the relationship between physical frailty and activities of daily living (ADL) limitations among older adults. 2271 individuals were classified as vulnerable (pre-frail or frail) or robust. Mediating variable...
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Veröffentlicht in: | Journal of applied gerontology 2022-05, Vol.41 (5), p.1445-1453 |
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creator | Venturini, Claudia Moreira, Bruno de Souza Ferriolli, Eduardo Liberalesso Neri, Anita Lourenço, Roberto Alves Sampaio, Rosana Ferreira |
description | The objective is to investigate the mediating roles of living alone and personal network in the relationship between physical frailty and activities of daily living (ADL) limitations among older adults. 2271 individuals were classified as vulnerable (pre-frail or frail) or robust. Mediating variables were living alone and personal network. Katz Index and Lawton-Brody scale were used to assess ADL. Mediating effects were analyzed with beta coefficients from linear regression models using the bootstrapping method. Mediation analysis showed significant mediating effects of living alone (β = .011; 95% CI = .004; .018) and personal network (β = .005; 95% CI = .001; .010) on the relationship between physical frailty and basic ADL limitations. Mediation effects of living alone and personal network on the relationship between physical frailty and instrumental ADL limitations were β = −.074 (95% CI=−.101; −.046) and β = −.044 (95% CI = −.076; −.020), respectively. Physically vulnerable older adults who lived alone or had poor personal network were more dependent on basic and instrumental ADL. |
doi_str_mv | 10.1177/07334648211064267 |
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Mediating variables were living alone and personal network. Katz Index and Lawton-Brody scale were used to assess ADL. Mediating effects were analyzed with beta coefficients from linear regression models using the bootstrapping method. Mediation analysis showed significant mediating effects of living alone (β = .011; 95% CI = .004; .018) and personal network (β = .005; 95% CI = .001; .010) on the relationship between physical frailty and basic ADL limitations. Mediation effects of living alone and personal network on the relationship between physical frailty and instrumental ADL limitations were β = −.074 (95% CI=−.101; −.046) and β = −.044 (95% CI = −.076; −.020), respectively. 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Mediating variables were living alone and personal network. Katz Index and Lawton-Brody scale were used to assess ADL. Mediating effects were analyzed with beta coefficients from linear regression models using the bootstrapping method. Mediation analysis showed significant mediating effects of living alone (β = .011; 95% CI = .004; .018) and personal network (β = .005; 95% CI = .001; .010) on the relationship between physical frailty and basic ADL limitations. Mediation effects of living alone and personal network on the relationship between physical frailty and instrumental ADL limitations were β = −.074 (95% CI=−.101; −.046) and β = −.044 (95% CI = −.076; −.020), respectively. Physically vulnerable older adults who lived alone or had poor personal network were more dependent on basic and instrumental ADL.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Frail Elderly</subject><subject>Frailty</subject><subject>Frailty - diagnosis</subject><subject>Humans</subject><subject>Limitations</subject><subject>Mediation</subject><subject>Older people</subject><subject>Phenotype</subject><subject>Vulnerability</subject><issn>0733-4648</issn><issn>1552-4523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kd1O3DAQha0KVBbaB-gNssRNbwJjO46zV9Vqy5-0Eqg_15HXGbNG3mQbO6h5ir4yDrsFCYR8YXnmO2esOYR8YXDKmFJnoITIi7zkjEGR80J9IBMmJc9yycUemYz9bAQOyGEI9wCQmuwjORASuCw4n5B_c93Qn61x2tMfGNq-Mxjo-d-N166hcYV04dYu6ujaJtBdaWaie3DRJbK19Lt2fkjYg2vuxveNr7Gjs7r3MdC51yE467Cmy-FJfLvCpo3DBkf2djUEZ9Lsiy65xOHbJ7JvtQ_4eXcfkd8X57_mV9ni5vJ6PltkRhRlzCyzOWpTGwBR2nSY0pCDsktZa6WmUOgcUAgmAc1yagChkFblspS1qa0QR-Tr1nfTtX96DLFau2DQe91g24eKFxygTHuFhJ68Qu_Tmpr0u0RJwRPIpoliW8p0bQgd2mrTubXuhopBNaZVvUkraY53zv1yjfWz4n88CTjdAkHf4cvY9x0fARSXnJ8</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Venturini, Claudia</creator><creator>Moreira, Bruno de Souza</creator><creator>Ferriolli, Eduardo</creator><creator>Liberalesso Neri, Anita</creator><creator>Lourenço, Roberto Alves</creator><creator>Sampaio, Rosana Ferreira</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4757-7440</orcidid></search><sort><creationdate>202205</creationdate><title>Can Social Resources Explain the Limitations in the Activities of Daily Living of Older Adults Classified by the Phenotype of Physical Frailty?</title><author>Venturini, Claudia ; Moreira, Bruno de Souza ; Ferriolli, Eduardo ; Liberalesso Neri, Anita ; Lourenço, Roberto Alves ; Sampaio, Rosana Ferreira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-f1f4eacdc0038f8f817a0407fb5da77906a40e33150ecb9c0e065f74585dcdf33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Frail Elderly</topic><topic>Frailty</topic><topic>Frailty - diagnosis</topic><topic>Humans</topic><topic>Limitations</topic><topic>Mediation</topic><topic>Older people</topic><topic>Phenotype</topic><topic>Vulnerability</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Venturini, Claudia</creatorcontrib><creatorcontrib>Moreira, Bruno de Souza</creatorcontrib><creatorcontrib>Ferriolli, Eduardo</creatorcontrib><creatorcontrib>Liberalesso Neri, Anita</creatorcontrib><creatorcontrib>Lourenço, Roberto Alves</creatorcontrib><creatorcontrib>Sampaio, Rosana Ferreira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied gerontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Venturini, Claudia</au><au>Moreira, Bruno de Souza</au><au>Ferriolli, Eduardo</au><au>Liberalesso Neri, Anita</au><au>Lourenço, Roberto Alves</au><au>Sampaio, Rosana Ferreira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can Social Resources Explain the Limitations in the Activities of Daily Living of Older Adults Classified by the Phenotype of Physical Frailty?</atitle><jtitle>Journal of applied gerontology</jtitle><addtitle>J Appl Gerontol</addtitle><date>2022-05</date><risdate>2022</risdate><volume>41</volume><issue>5</issue><spage>1445</spage><epage>1453</epage><pages>1445-1453</pages><issn>0733-4648</issn><eissn>1552-4523</eissn><abstract>The objective is to investigate the mediating roles of living alone and personal network in the relationship between physical frailty and activities of daily living (ADL) limitations among older adults. 2271 individuals were classified as vulnerable (pre-frail or frail) or robust. Mediating variables were living alone and personal network. Katz Index and Lawton-Brody scale were used to assess ADL. Mediating effects were analyzed with beta coefficients from linear regression models using the bootstrapping method. Mediation analysis showed significant mediating effects of living alone (β = .011; 95% CI = .004; .018) and personal network (β = .005; 95% CI = .001; .010) on the relationship between physical frailty and basic ADL limitations. Mediation effects of living alone and personal network on the relationship between physical frailty and instrumental ADL limitations were β = −.074 (95% CI=−.101; −.046) and β = −.044 (95% CI = −.076; −.020), respectively. 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subjects | Activities of Daily Living Aged Frail Elderly Frailty Frailty - diagnosis Humans Limitations Mediation Older people Phenotype Vulnerability |
title | Can Social Resources Explain the Limitations in the Activities of Daily Living of Older Adults Classified by the Phenotype of Physical Frailty? |
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