Effect of social participation on the association between frailty and disability
•Frailty and low social participation are well-known risk factors for disability.•Effect of social participation on the association between frailty and disability is unclear.•Disability risk for those participating social activities was low regardless of frailty.•Disability prevention strategies nee...
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| Veröffentlicht in: | Archives of gerontology and geriatrics 2023-07, Vol.110, p.104989-104989, Article 104989 |
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| container_title | Archives of gerontology and geriatrics |
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| creator | Sone, Toshimasa Nakaya, Naoki Sugawara, Yumi Matsuyama, Sanae Tsuji, Ichiro |
| description | •Frailty and low social participation are well-known risk factors for disability.•Effect of social participation on the association between frailty and disability is unclear.•Disability risk for those participating social activities was low regardless of frailty.•Disability prevention strategies need to focus on social participation in frail adults.
To examine whether social participation affects the association between frailty and disability.
A baseline survey conducted from December 1 to 15, 2006, included 11,992 participants who were classified based on the Kihon Checklist into three categories and based on the number of activities in which they socially participated into four categories. The study outcome, incident functional disability, was defined as in Long-Term Care Insurance certification. A Cox proportional hazards model was used to calculate hazard ratios (HRs) for incident functional disability according to frailty and social participation categories. Combination analysis was performed between the nine groups using the above-mentioned Cox proportional hazards model.
During the 13-year follow-up (107,170 person-years), 5,732 incident cases of functional disability were certified. Compared with the robust group, the other groups had significantly higher incident functional disability. However, the HRs for those participating in social activities were lower than that for those not participating in any activity [1.52 (pre-frail + none group); 1.31 (pre-frail + one activity group); 1.42 (pre-frail + two activities group); 1.37 (pre-frail + three activities group); 2.35 (frail + none group); 1.87 (frail + one activity group); 1.85 (frail + two activities group); and 1.71 (frail + three activities group)].
The risk of functional disability for those participating in social activities was lower than that for those not participating in any activity, irrespective of being pre-frail or frail. Comprehensive social systems for disability prevention need to focus on social participation in frail older adults. |
| doi_str_mv | 10.1016/j.archger.2023.104989 |
| format | Article |
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To examine whether social participation affects the association between frailty and disability.
A baseline survey conducted from December 1 to 15, 2006, included 11,992 participants who were classified based on the Kihon Checklist into three categories and based on the number of activities in which they socially participated into four categories. The study outcome, incident functional disability, was defined as in Long-Term Care Insurance certification. A Cox proportional hazards model was used to calculate hazard ratios (HRs) for incident functional disability according to frailty and social participation categories. Combination analysis was performed between the nine groups using the above-mentioned Cox proportional hazards model.
During the 13-year follow-up (107,170 person-years), 5,732 incident cases of functional disability were certified. Compared with the robust group, the other groups had significantly higher incident functional disability. However, the HRs for those participating in social activities were lower than that for those not participating in any activity [1.52 (pre-frail + none group); 1.31 (pre-frail + one activity group); 1.42 (pre-frail + two activities group); 1.37 (pre-frail + three activities group); 2.35 (frail + none group); 1.87 (frail + one activity group); 1.85 (frail + two activities group); and 1.71 (frail + three activities group)].
The risk of functional disability for those participating in social activities was lower than that for those not participating in any activity, irrespective of being pre-frail or frail. Comprehensive social systems for disability prevention need to focus on social participation in frail older adults.</description><identifier>ISSN: 0167-4943</identifier><identifier>EISSN: 1872-6976</identifier><identifier>DOI: 10.1016/j.archger.2023.104989</identifier><identifier>PMID: 36905805</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Disability ; Frail Elderly ; Frailty ; Frailty - epidemiology ; Humans ; Independent Living ; Social Participation ; Surveys and Questionnaires</subject><ispartof>Archives of gerontology and geriatrics, 2023-07, Vol.110, p.104989-104989, Article 104989</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-c8238023f625e4a2697ba840ceb57b45b66f842bc13df1f626321d7d0b5f4b893</citedby><cites>FETCH-LOGICAL-c478t-c8238023f625e4a2697ba840ceb57b45b66f842bc13df1f626321d7d0b5f4b893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.archger.2023.104989$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36905805$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sone, Toshimasa</creatorcontrib><creatorcontrib>Nakaya, Naoki</creatorcontrib><creatorcontrib>Sugawara, Yumi</creatorcontrib><creatorcontrib>Matsuyama, Sanae</creatorcontrib><creatorcontrib>Tsuji, Ichiro</creatorcontrib><title>Effect of social participation on the association between frailty and disability</title><title>Archives of gerontology and geriatrics</title><addtitle>Arch Gerontol Geriatr</addtitle><description>•Frailty and low social participation are well-known risk factors for disability.•Effect of social participation on the association between frailty and disability is unclear.•Disability risk for those participating social activities was low regardless of frailty.•Disability prevention strategies need to focus on social participation in frail adults.
To examine whether social participation affects the association between frailty and disability.
A baseline survey conducted from December 1 to 15, 2006, included 11,992 participants who were classified based on the Kihon Checklist into three categories and based on the number of activities in which they socially participated into four categories. The study outcome, incident functional disability, was defined as in Long-Term Care Insurance certification. A Cox proportional hazards model was used to calculate hazard ratios (HRs) for incident functional disability according to frailty and social participation categories. Combination analysis was performed between the nine groups using the above-mentioned Cox proportional hazards model.
During the 13-year follow-up (107,170 person-years), 5,732 incident cases of functional disability were certified. Compared with the robust group, the other groups had significantly higher incident functional disability. However, the HRs for those participating in social activities were lower than that for those not participating in any activity [1.52 (pre-frail + none group); 1.31 (pre-frail + one activity group); 1.42 (pre-frail + two activities group); 1.37 (pre-frail + three activities group); 2.35 (frail + none group); 1.87 (frail + one activity group); 1.85 (frail + two activities group); and 1.71 (frail + three activities group)].
The risk of functional disability for those participating in social activities was lower than that for those not participating in any activity, irrespective of being pre-frail or frail. Comprehensive social systems for disability prevention need to focus on social participation in frail older adults.</description><subject>Aged</subject><subject>Disability</subject><subject>Frail Elderly</subject><subject>Frailty</subject><subject>Frailty - epidemiology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Social Participation</subject><subject>Surveys and Questionnaires</subject><issn>0167-4943</issn><issn>1872-6976</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1PAyEQhonR2Fr9CZo9etkKLMuyJ2Oa-pGY6EHPBNjB0mx3K1BN_720W72akJDMPC8zPAhdEjwlmPCb5VR5s_gAP6WYFqnGalEfoTERFc15XfFjNE5clbOaFSN0FsISY8ww5adoVPAalwKXY_Q6txZMzHqbhd441WZr5aMzbq2i67ssnbiATIV9d1_SEL8Busx65dq4zVTXZI0LSrvWxe05OrGqDXBxuCfo_X7-NnvMn18enmZ3z7lhlYi5EbQQaXHLaQlM0bSxVoJhA7qsNCs151Ywqg0pGksSxQtKmqrBurRMi7qYoOvh3bXvPzcQoly5YKBtVQf9JkhaCY7rmlQ8oeWAGt-H4MHKtXcr5beSYLmTKZfyIFPuZMpBZspdHUZs9Aqav9SvvQTcDgCkj365FA_GQWegcT5JlU3v_hnxAz_niEU</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Sone, Toshimasa</creator><creator>Nakaya, Naoki</creator><creator>Sugawara, Yumi</creator><creator>Matsuyama, Sanae</creator><creator>Tsuji, Ichiro</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><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>7X8</scope></search><sort><creationdate>202307</creationdate><title>Effect of social participation on the association between frailty and disability</title><author>Sone, Toshimasa ; Nakaya, Naoki ; Sugawara, Yumi ; Matsuyama, Sanae ; Tsuji, Ichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-c8238023f625e4a2697ba840ceb57b45b66f842bc13df1f626321d7d0b5f4b893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Disability</topic><topic>Frail Elderly</topic><topic>Frailty</topic><topic>Frailty - epidemiology</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Social Participation</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sone, Toshimasa</creatorcontrib><creatorcontrib>Nakaya, Naoki</creatorcontrib><creatorcontrib>Sugawara, Yumi</creatorcontrib><creatorcontrib>Matsuyama, Sanae</creatorcontrib><creatorcontrib>Tsuji, Ichiro</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sone, Toshimasa</au><au>Nakaya, Naoki</au><au>Sugawara, Yumi</au><au>Matsuyama, Sanae</au><au>Tsuji, Ichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of social participation on the association between frailty and disability</atitle><jtitle>Archives of gerontology and geriatrics</jtitle><addtitle>Arch Gerontol Geriatr</addtitle><date>2023-07</date><risdate>2023</risdate><volume>110</volume><spage>104989</spage><epage>104989</epage><pages>104989-104989</pages><artnum>104989</artnum><issn>0167-4943</issn><eissn>1872-6976</eissn><abstract>•Frailty and low social participation are well-known risk factors for disability.•Effect of social participation on the association between frailty and disability is unclear.•Disability risk for those participating social activities was low regardless of frailty.•Disability prevention strategies need to focus on social participation in frail adults.
To examine whether social participation affects the association between frailty and disability.
A baseline survey conducted from December 1 to 15, 2006, included 11,992 participants who were classified based on the Kihon Checklist into three categories and based on the number of activities in which they socially participated into four categories. The study outcome, incident functional disability, was defined as in Long-Term Care Insurance certification. A Cox proportional hazards model was used to calculate hazard ratios (HRs) for incident functional disability according to frailty and social participation categories. Combination analysis was performed between the nine groups using the above-mentioned Cox proportional hazards model.
During the 13-year follow-up (107,170 person-years), 5,732 incident cases of functional disability were certified. Compared with the robust group, the other groups had significantly higher incident functional disability. However, the HRs for those participating in social activities were lower than that for those not participating in any activity [1.52 (pre-frail + none group); 1.31 (pre-frail + one activity group); 1.42 (pre-frail + two activities group); 1.37 (pre-frail + three activities group); 2.35 (frail + none group); 1.87 (frail + one activity group); 1.85 (frail + two activities group); and 1.71 (frail + three activities group)].
The risk of functional disability for those participating in social activities was lower than that for those not participating in any activity, irrespective of being pre-frail or frail. Comprehensive social systems for disability prevention need to focus on social participation in frail older adults.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>36905805</pmid><doi>10.1016/j.archger.2023.104989</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Disability Frail Elderly Frailty Frailty - epidemiology Humans Independent Living Social Participation Surveys and Questionnaires |
| title | Effect of social participation on the association between frailty and disability |
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