The effect of sex and physical frailty on incident disability after 2 years among community-dwelling older adults: KFACS study
Abstract Background This study investigated the impact of physical frailty on the development of disabilities in mobility, activities of daily living (ADL), and instrumental activities of daily living (IADL) according to sex among community-dwelling Korean older adults. Methods We used data of 2,905...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03263-5 |
| _version_ | 1818474575691776000 |
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| author | Seoyoon Lee Miji Kim Yunhwan Lee Jinhee Kim Hak Chul Jang Belong Cho Kyung Mook Choi Eun Roh Sang Joon Son Jin-Hee Lee Yong Soon Park Sam-Gyu Lee Bong Jo Kim Hyeonju Kim Chang Won Won |
| author_facet | Seoyoon Lee Miji Kim Yunhwan Lee Jinhee Kim Hak Chul Jang Belong Cho Kyung Mook Choi Eun Roh Sang Joon Son Jin-Hee Lee Yong Soon Park Sam-Gyu Lee Bong Jo Kim Hyeonju Kim Chang Won Won |
| author_sort | Seoyoon Lee |
| collection | DOAJ |
| description | Abstract Background This study investigated the impact of physical frailty on the development of disabilities in mobility, activities of daily living (ADL), and instrumental activities of daily living (IADL) according to sex among community-dwelling Korean older adults. Methods We used data of 2,905 older adults aged 70-84 years from the Korean Frailty and Aging Cohort Study (KFACS) at baseline (2016-2017) and Wave 2 (2018-2019). Fried’s physical frailty phenotype was used to identify frailty. Results After adjustment, frailty showed a higher impact for women than men on developing mobility disability (odds ratio [OR]=14.00, 95% confidence interval [CI]=4.8–40.78 vs. OR=9.89, 95% CI=4.28–22.86) and IADL disability after two years (OR=7.22, 95% CI=2.67–19.56 vs. OR=3.19, 95% CI=1.17–8.70). Pre-frailty led to mobility disability for women and men (OR=2.77, 95% CI=1.93–3.98 vs. OR=2.49, 95% CI=1.66–3.72, respectively), and IADL disability only for women (OR=3.01, 95% CI=1.28–7.09). Among the IADL components, both men and women who were prefrail or frail showed increased disability in ‘using transportation’. Among men, pre-frailty was significantly associated with disability in “going out” and “shopping”. In women, frailty was significantly associated with disability in “doing laundry,” “performing household chores,” “shopping,” and “managing money”. Conclusions Physical frailty increased disability over 2 years for women more than men. Physical frailty increased disability in outdoor activity-related IADL components in men and household work-related IADL components in women. This study highlights the need for gender-specific policies and preventative programs for frailty, particularly restorative interventions that focus on women who are physically frail. |
| first_indexed | 2024-04-14T04:37:53Z |
| format | Article |
| id | doaj.art-66d231ed89cc47e6a396cddb10ba2ad9 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-14T04:37:53Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-66d231ed89cc47e6a396cddb10ba2ad92022-12-22T02:11:47ZengBMCBMC Geriatrics1471-23182022-07-0122111110.1186/s12877-022-03263-5The effect of sex and physical frailty on incident disability after 2 years among community-dwelling older adults: KFACS studySeoyoon Lee0Miji Kim1Yunhwan Lee2Jinhee Kim3Hak Chul Jang4Belong Cho5Kyung Mook Choi6Eun Roh7Sang Joon Son8Jin-Hee Lee9Yong Soon Park10Sam-Gyu Lee11Bong Jo Kim12Hyeonju Kim13Chang Won Won14Elderly Frailty Research Center, Department of Family Medicine, College of Medicine, Kyung Hee UniversityDepartment of Biomedical Science and Technology, College of Medicine, East-West Medical Research Institute, Kyung Hee UniversityDepartment of Preventive Medicine and Public Health, Ajou University School of MedicineDepartment of Preventive Medicine and Public Health, Ajou University School of MedicineDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University, College of MedicineDepartment of Family Medicine, Center for Health Promotion and Optimal Aging, Seoul National University College of Medicine & HospitalDivision of Endocrinology and Metabolism, Department of Internal Medicine, Korea UniversityDivision of Endocrinology and Metabolism, Department of Internal Medicine, Hallym University Sacred Heart HospitalDepartment of Psychiatry, Ajou University School of MedicineCatholic institute of U-healthcare, The Catholic University of KoreaDepartment of Family Medicine, Hallym University Chuncheon Sacred Heart HospitalDepartment of Physical & Rehabilitation Medicine, Chonnam National University Medical SchoolDepartment of Psychiatry, College of Medicine, Gyeongsang National UniversityDepartment of Family Medicine, Jeju National University College of MedicineElderly Frailty Research Center, Department of Family Medicine, College of Medicine, Kyung Hee UniversityAbstract Background This study investigated the impact of physical frailty on the development of disabilities in mobility, activities of daily living (ADL), and instrumental activities of daily living (IADL) according to sex among community-dwelling Korean older adults. Methods We used data of 2,905 older adults aged 70-84 years from the Korean Frailty and Aging Cohort Study (KFACS) at baseline (2016-2017) and Wave 2 (2018-2019). Fried’s physical frailty phenotype was used to identify frailty. Results After adjustment, frailty showed a higher impact for women than men on developing mobility disability (odds ratio [OR]=14.00, 95% confidence interval [CI]=4.8–40.78 vs. OR=9.89, 95% CI=4.28–22.86) and IADL disability after two years (OR=7.22, 95% CI=2.67–19.56 vs. OR=3.19, 95% CI=1.17–8.70). Pre-frailty led to mobility disability for women and men (OR=2.77, 95% CI=1.93–3.98 vs. OR=2.49, 95% CI=1.66–3.72, respectively), and IADL disability only for women (OR=3.01, 95% CI=1.28–7.09). Among the IADL components, both men and women who were prefrail or frail showed increased disability in ‘using transportation’. Among men, pre-frailty was significantly associated with disability in “going out” and “shopping”. In women, frailty was significantly associated with disability in “doing laundry,” “performing household chores,” “shopping,” and “managing money”. Conclusions Physical frailty increased disability over 2 years for women more than men. Physical frailty increased disability in outdoor activity-related IADL components in men and household work-related IADL components in women. This study highlights the need for gender-specific policies and preventative programs for frailty, particularly restorative interventions that focus on women who are physically frail.https://doi.org/10.1186/s12877-022-03263-5FrailtyDisability incidenceSex differenceKorea |
| spellingShingle | Seoyoon Lee Miji Kim Yunhwan Lee Jinhee Kim Hak Chul Jang Belong Cho Kyung Mook Choi Eun Roh Sang Joon Son Jin-Hee Lee Yong Soon Park Sam-Gyu Lee Bong Jo Kim Hyeonju Kim Chang Won Won The effect of sex and physical frailty on incident disability after 2 years among community-dwelling older adults: KFACS study BMC Geriatrics Frailty Disability incidence Sex difference Korea |
| title | The effect of sex and physical frailty on incident disability after 2 years among community-dwelling older adults: KFACS study |
| title_full | The effect of sex and physical frailty on incident disability after 2 years among community-dwelling older adults: KFACS study |
| title_fullStr | The effect of sex and physical frailty on incident disability after 2 years among community-dwelling older adults: KFACS study |
| title_full_unstemmed | The effect of sex and physical frailty on incident disability after 2 years among community-dwelling older adults: KFACS study |
| title_short | The effect of sex and physical frailty on incident disability after 2 years among community-dwelling older adults: KFACS study |
| title_sort | effect of sex and physical frailty on incident disability after 2 years among community dwelling older adults kfacs study |
| topic | Frailty Disability incidence Sex difference Korea |
| url | https://doi.org/10.1186/s12877-022-03263-5 |
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