Association of social participation (including inconsistent participation) with the progression of frailty among older adults: Community‐based cohort study in Japan
Aim This study examined the relationship between continuity of social participation and progression of frailty among community‐dwelling older adults, by baseline frailty level. Methods This study was part of a 3‐year community‐based cohort study among adults aged ≥65 years, living independently in a...
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Veröffentlicht in: | Geriatrics & gerontology international 2023-01, Vol.23 (1), p.25-31 |
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creator | Yamada, Takuya Fukuda, Yoshiharu Kanamori, Satoru Sato, Shinichiro Nakamura, Mutsumi Nemoto, Yuta Maruo, Kazushi Takeda, Noriko Kitabatake, Yoshinori Arao, Takashi |
description | Aim
This study examined the relationship between continuity of social participation and progression of frailty among community‐dwelling older adults, by baseline frailty level.
Methods
This study was part of a 3‐year community‐based cohort study among adults aged ≥65 years, living independently in a rural municipality in Japan. Mail surveys were carried out in 2016, 2018 and 2019. This study involved 2799 participants who responded to the question about social participation in every survey. Frailty was evaluated by Kihon Checklist total scores. Social participation was categorized into consistent non‐participation, interrupted recent non‐participation, interrupted recent participation and consistent participation. We assessed the relationship between social participation and change in frailty scores using general linear regression analysis, stratifying the participants into groups by their frailty level at baseline.
Results
There was a smaller frailty score increase in the robust (β −0.61, 95% CI −0.99 to −0.22) and prefrail groups (β −0.73, 95% CI −1.18 to −0.27) for consistent participation than consistent non‐participation. Interrupted recent participation showed significant suppression in the prefrail group (β −0.96, 95% CI −1.60 to −0.32). Social participation had no clear effect on progression in the frail group.
Conclusions
Consistent social participation might reduce the progression of frailty in robust and prefrail people. Inconsistent participation might also help to reduce progression in prefrail older adults. It is important for prefrail older adults to return to their social activities and continue to engage as long as possible, even if their participation was intermittent in the past. Geriatr Gerontol Int 2023; 23: 25–31. |
doi_str_mv | 10.1111/ggi.14510 |
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This study examined the relationship between continuity of social participation and progression of frailty among community‐dwelling older adults, by baseline frailty level.
Methods
This study was part of a 3‐year community‐based cohort study among adults aged ≥65 years, living independently in a rural municipality in Japan. Mail surveys were carried out in 2016, 2018 and 2019. This study involved 2799 participants who responded to the question about social participation in every survey. Frailty was evaluated by Kihon Checklist total scores. Social participation was categorized into consistent non‐participation, interrupted recent non‐participation, interrupted recent participation and consistent participation. We assessed the relationship between social participation and change in frailty scores using general linear regression analysis, stratifying the participants into groups by their frailty level at baseline.
Results
There was a smaller frailty score increase in the robust (β −0.61, 95% CI −0.99 to −0.22) and prefrail groups (β −0.73, 95% CI −1.18 to −0.27) for consistent participation than consistent non‐participation. Interrupted recent participation showed significant suppression in the prefrail group (β −0.96, 95% CI −1.60 to −0.32). Social participation had no clear effect on progression in the frail group.
Conclusions
Consistent social participation might reduce the progression of frailty in robust and prefrail people. Inconsistent participation might also help to reduce progression in prefrail older adults. It is important for prefrail older adults to return to their social activities and continue to engage as long as possible, even if their participation was intermittent in the past. Geriatr Gerontol Int 2023; 23: 25–31.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.14510</identifier><identifier>PMID: 36426414</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Aged ; Cohort analysis ; Cohort Studies ; Frail Elderly ; Frailty ; Frailty - epidemiology ; functional status ; Geriatric Assessment ; Humans ; Independent Living ; Japan ; Older people ; preventive programs ; public health ; social engagement ; Social Participation</subject><ispartof>Geriatrics & gerontology international, 2023-01, Vol.23 (1), p.25-31</ispartof><rights>2022 Japan Geriatrics Society.</rights><rights>2023 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3770-d63692386dcc6cb83b73f831607b0d6b1d0074be9574d7a8883b57c0cf78c53f3</citedby><cites>FETCH-LOGICAL-c3770-d63692386dcc6cb83b73f831607b0d6b1d0074be9574d7a8883b57c0cf78c53f3</cites><orcidid>0000-0002-2331-3240</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fggi.14510$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fggi.14510$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36426414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamada, Takuya</creatorcontrib><creatorcontrib>Fukuda, Yoshiharu</creatorcontrib><creatorcontrib>Kanamori, Satoru</creatorcontrib><creatorcontrib>Sato, Shinichiro</creatorcontrib><creatorcontrib>Nakamura, Mutsumi</creatorcontrib><creatorcontrib>Nemoto, Yuta</creatorcontrib><creatorcontrib>Maruo, Kazushi</creatorcontrib><creatorcontrib>Takeda, Noriko</creatorcontrib><creatorcontrib>Kitabatake, Yoshinori</creatorcontrib><creatorcontrib>Arao, Takashi</creatorcontrib><title>Association of social participation (including inconsistent participation) with the progression of frailty among older adults: Community‐based cohort study in Japan</title><title>Geriatrics & gerontology international</title><addtitle>Geriatr Gerontol Int</addtitle><description>Aim
This study examined the relationship between continuity of social participation and progression of frailty among community‐dwelling older adults, by baseline frailty level.
Methods
This study was part of a 3‐year community‐based cohort study among adults aged ≥65 years, living independently in a rural municipality in Japan. Mail surveys were carried out in 2016, 2018 and 2019. This study involved 2799 participants who responded to the question about social participation in every survey. Frailty was evaluated by Kihon Checklist total scores. Social participation was categorized into consistent non‐participation, interrupted recent non‐participation, interrupted recent participation and consistent participation. We assessed the relationship between social participation and change in frailty scores using general linear regression analysis, stratifying the participants into groups by their frailty level at baseline.
Results
There was a smaller frailty score increase in the robust (β −0.61, 95% CI −0.99 to −0.22) and prefrail groups (β −0.73, 95% CI −1.18 to −0.27) for consistent participation than consistent non‐participation. Interrupted recent participation showed significant suppression in the prefrail group (β −0.96, 95% CI −1.60 to −0.32). Social participation had no clear effect on progression in the frail group.
Conclusions
Consistent social participation might reduce the progression of frailty in robust and prefrail people. Inconsistent participation might also help to reduce progression in prefrail older adults. It is important for prefrail older adults to return to their social activities and continue to engage as long as possible, even if their participation was intermittent in the past. Geriatr Gerontol Int 2023; 23: 25–31.</description><subject>Aged</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Frail Elderly</subject><subject>Frailty</subject><subject>Frailty - epidemiology</subject><subject>functional status</subject><subject>Geriatric Assessment</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Japan</subject><subject>Older people</subject><subject>preventive programs</subject><subject>public health</subject><subject>social engagement</subject><subject>Social Participation</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9u3CAUh1HVqvnXRS9QIXWTLJzAgMHOLho1k0SRumnWFgY8Q4TBBazIux6hp-jBcpKQ8SRSIpUNj6dP3-PpB8BXjE5xPmfrtTnFtMToA9jHlPIClTX9uK1pgcuK7YGDGO8RwrzG-DPYI4wuGMV0H_y7iNFLI5LxDvoObh8WDiIkI80w94-Nk3ZUxq1hrryLJibt0lvqBD6YtIFpo-EQ_DroGHfOLghj0wRF77PBW6UDFGq0KZ7Dpe_70Zk0Pf7524qoFZR-40OCMY1qyuPgjRiEOwKfOmGj_rK7D8Hd5Y9fy6vi9ufqenlxW0jCOSoUI6xekIopKZlsK9Jy0lUEM8RbpFiLFUKctrouOVVcVFUmSi6R7HglS9KRQ3A8e_MKv0cdU9ObKLW1wmk_xmbBKSoxrhjL6Pd36L0fg8u_yxRDCNW8LjN1MlMy-BiD7pohmF6EqcGoeQ6vyeE12_Ay-21nHNteq1fyJa0MnM3Ag7F6-r-pWa2uZ-UTbZ6nXQ</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Yamada, Takuya</creator><creator>Fukuda, Yoshiharu</creator><creator>Kanamori, Satoru</creator><creator>Sato, Shinichiro</creator><creator>Nakamura, Mutsumi</creator><creator>Nemoto, Yuta</creator><creator>Maruo, Kazushi</creator><creator>Takeda, Noriko</creator><creator>Kitabatake, Yoshinori</creator><creator>Arao, Takashi</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</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>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2331-3240</orcidid></search><sort><creationdate>202301</creationdate><title>Association of social participation (including inconsistent participation) with the progression of frailty among older adults: Community‐based cohort study in Japan</title><author>Yamada, Takuya ; Fukuda, Yoshiharu ; Kanamori, Satoru ; Sato, Shinichiro ; Nakamura, Mutsumi ; Nemoto, Yuta ; Maruo, Kazushi ; Takeda, Noriko ; Kitabatake, Yoshinori ; Arao, Takashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3770-d63692386dcc6cb83b73f831607b0d6b1d0074be9574d7a8883b57c0cf78c53f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Frail Elderly</topic><topic>Frailty</topic><topic>Frailty - epidemiology</topic><topic>functional status</topic><topic>Geriatric Assessment</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Japan</topic><topic>Older people</topic><topic>preventive programs</topic><topic>public health</topic><topic>social engagement</topic><topic>Social Participation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamada, Takuya</creatorcontrib><creatorcontrib>Fukuda, Yoshiharu</creatorcontrib><creatorcontrib>Kanamori, Satoru</creatorcontrib><creatorcontrib>Sato, Shinichiro</creatorcontrib><creatorcontrib>Nakamura, Mutsumi</creatorcontrib><creatorcontrib>Nemoto, Yuta</creatorcontrib><creatorcontrib>Maruo, Kazushi</creatorcontrib><creatorcontrib>Takeda, Noriko</creatorcontrib><creatorcontrib>Kitabatake, Yoshinori</creatorcontrib><creatorcontrib>Arao, Takashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamada, Takuya</au><au>Fukuda, Yoshiharu</au><au>Kanamori, Satoru</au><au>Sato, Shinichiro</au><au>Nakamura, Mutsumi</au><au>Nemoto, Yuta</au><au>Maruo, Kazushi</au><au>Takeda, Noriko</au><au>Kitabatake, Yoshinori</au><au>Arao, Takashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of social participation (including inconsistent participation) with the progression of frailty among older adults: Community‐based cohort study in Japan</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatr Gerontol Int</addtitle><date>2023-01</date><risdate>2023</risdate><volume>23</volume><issue>1</issue><spage>25</spage><epage>31</epage><pages>25-31</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim
This study examined the relationship between continuity of social participation and progression of frailty among community‐dwelling older adults, by baseline frailty level.
Methods
This study was part of a 3‐year community‐based cohort study among adults aged ≥65 years, living independently in a rural municipality in Japan. Mail surveys were carried out in 2016, 2018 and 2019. This study involved 2799 participants who responded to the question about social participation in every survey. Frailty was evaluated by Kihon Checklist total scores. Social participation was categorized into consistent non‐participation, interrupted recent non‐participation, interrupted recent participation and consistent participation. We assessed the relationship between social participation and change in frailty scores using general linear regression analysis, stratifying the participants into groups by their frailty level at baseline.
Results
There was a smaller frailty score increase in the robust (β −0.61, 95% CI −0.99 to −0.22) and prefrail groups (β −0.73, 95% CI −1.18 to −0.27) for consistent participation than consistent non‐participation. Interrupted recent participation showed significant suppression in the prefrail group (β −0.96, 95% CI −1.60 to −0.32). Social participation had no clear effect on progression in the frail group.
Conclusions
Consistent social participation might reduce the progression of frailty in robust and prefrail people. Inconsistent participation might also help to reduce progression in prefrail older adults. It is important for prefrail older adults to return to their social activities and continue to engage as long as possible, even if their participation was intermittent in the past. Geriatr Gerontol Int 2023; 23: 25–31.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>36426414</pmid><doi>10.1111/ggi.14510</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2331-3240</orcidid></addata></record> |
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subjects | Aged Cohort analysis Cohort Studies Frail Elderly Frailty Frailty - epidemiology functional status Geriatric Assessment Humans Independent Living Japan Older people preventive programs public health social engagement Social Participation |
title | Association of social participation (including inconsistent participation) with the progression of frailty among older adults: Community‐based cohort study in Japan |
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