Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study
BackgroundFew studies have focused on the incidence and correlation of social frailty (SF) with adverse health events in Southwest China. This study aims to explore the predictive value of SF for adverse health events.MethodsA 6-year prospective cohort study was employed, a total of 460 community-dw...
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1103651/full |
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| author | Qian-qian Sun Qian-qian Sun Ke Tan Ke Tan Hui-yu Tang Yan-yan Liu Huan Zhu Hai Qin Xin Xia Min Zhang Yan-yu Chen Shuang-shuang Nie Shuang Wang Shuang Wang |
| author_facet | Qian-qian Sun Qian-qian Sun Ke Tan Ke Tan Hui-yu Tang Yan-yan Liu Huan Zhu Hai Qin Xin Xia Min Zhang Yan-yu Chen Shuang-shuang Nie Shuang Wang Shuang Wang |
| author_sort | Qian-qian Sun |
| collection | DOAJ |
| description | BackgroundFew studies have focused on the incidence and correlation of social frailty (SF) with adverse health events in Southwest China. This study aims to explore the predictive value of SF for adverse health events.MethodsA 6-year prospective cohort study was employed, a total of 460 community-dwelling older adults aged 65 years and above were analyzed to provide a baseline in 2014. Participants completed two longitudinal follow-ups at 3 (2017, 426 participants involved) and 6 (2020, 359 participants involved) years later. A modified social frailty screening index was used in this study, and adverse health events such as physical frailty (PF) deterioration, disability, hospitalization, falls, and mortality were evaluated.ResultsAmong these participants in 2014, the median age was 71 years, 41.1% were male, and 71.1% were married or cohabiting, up to 112 (24.3%) of them were classified as SF. It was observed that aging (OR = 1.04, 95% CI = 1.00–1.07, P = 0.047) and having family members die in the past year (OR = 2.60, 95% CI = 0.93–7.25, P = 0.068) were risk factors of SF, whereas having a mate (OR = 0.40, 95% CI = 0.25–0.66, P = 0.000) and having family members to help with care (OR = 0.53, 95% CI = 0.26–1.11, P = 0.092) were protective factors of SF. The cross-sectional study demonstrated that SF was only significantly associated with disability (OR = 12.89, 95% CI = 2.67–62.13, P = 0.001) at wave 1. Baseline SF significantly explained the incidence of mortality at the 3-year (medium-term, OR = 4.89, 95% CI = 2.23–10.71, P = 0.000) and 6-year follow-ups (long-term, OR = 2.22, 95% CI = 1.15–4.28, P = 0.017).ConclusionSF prevalence was higher in the Chinese older population. Older adults with SF had a significantly increased incidence of mortality at the longitudinal follow-up. Consecutive comprehensive health management of SF (e.g., avoiding living alone and increasing social engagement) is urgently needed for the purposes of early prevention and multidimensional intervention in adverse health events, including disability and mortality. |
| first_indexed | 2024-04-10T09:23:21Z |
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| language | English |
| last_indexed | 2024-04-10T09:23:21Z |
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| spelling | doaj.art-79a8d685f09d4d0d8bc35bb1179113f82023-02-20T07:26:00ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.11036511103651Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort studyQian-qian Sun0Qian-qian Sun1Ke Tan2Ke Tan3Hui-yu Tang4Yan-yan Liu5Huan Zhu6Hai Qin7Xin Xia8Min Zhang9Yan-yu Chen10Shuang-shuang Nie11Shuang Wang12Shuang Wang13The Center of Gerontology and Geriatrics, Sichuan University West China Hospital, Chengdu, Sichuan, ChinaNational Clinical Research Center for Geriatrics, Sichuan University West China Hospital, Chengdu, Sichuan, ChinaDepartment of Epidemiology and Health Statistics, Sichuan University West China Fourth Hospital, Chengdu, Sichuan, ChinaDepartment of Clinic Development and Medical Affairs, Fosun Adgenvax Biopharmaceutical Co., Ltd., Chengdu, Sichuan, ChinaThe Center of Gerontology and Geriatrics, Sichuan University West China Hospital, Chengdu, Sichuan, ChinaThe Center of Gerontology and Geriatrics, Sichuan University West China Hospital, Chengdu, Sichuan, ChinaThe Center of Gerontology and Geriatrics, Sichuan University West China Hospital, Chengdu, Sichuan, ChinaInternal Medicine Department, Pingyi Community Health Service Center, Dujiangyan, Sichuan, ChinaNational Clinical Research Center for Geriatrics, Sichuan University West China Hospital, Chengdu, Sichuan, ChinaDepartment of Geriatrics, Sichuan Provincial People's Hospital, Sichuan Academy of Medical Science, Chengdu, Sichuan, ChinaDepartment of Rheumatology and Immunology, Chongqing Emergency Medical Center, Chongqing, ChinaDepartment of General Medicine, The Affiliated Qingdao Central Hospital of Qingdao University, Qingdao, Shandong, ChinaThe Center of Gerontology and Geriatrics, Sichuan University West China Hospital, Chengdu, Sichuan, ChinaNational Clinical Research Center for Geriatrics, Sichuan University West China Hospital, Chengdu, Sichuan, ChinaBackgroundFew studies have focused on the incidence and correlation of social frailty (SF) with adverse health events in Southwest China. This study aims to explore the predictive value of SF for adverse health events.MethodsA 6-year prospective cohort study was employed, a total of 460 community-dwelling older adults aged 65 years and above were analyzed to provide a baseline in 2014. Participants completed two longitudinal follow-ups at 3 (2017, 426 participants involved) and 6 (2020, 359 participants involved) years later. A modified social frailty screening index was used in this study, and adverse health events such as physical frailty (PF) deterioration, disability, hospitalization, falls, and mortality were evaluated.ResultsAmong these participants in 2014, the median age was 71 years, 41.1% were male, and 71.1% were married or cohabiting, up to 112 (24.3%) of them were classified as SF. It was observed that aging (OR = 1.04, 95% CI = 1.00–1.07, P = 0.047) and having family members die in the past year (OR = 2.60, 95% CI = 0.93–7.25, P = 0.068) were risk factors of SF, whereas having a mate (OR = 0.40, 95% CI = 0.25–0.66, P = 0.000) and having family members to help with care (OR = 0.53, 95% CI = 0.26–1.11, P = 0.092) were protective factors of SF. The cross-sectional study demonstrated that SF was only significantly associated with disability (OR = 12.89, 95% CI = 2.67–62.13, P = 0.001) at wave 1. Baseline SF significantly explained the incidence of mortality at the 3-year (medium-term, OR = 4.89, 95% CI = 2.23–10.71, P = 0.000) and 6-year follow-ups (long-term, OR = 2.22, 95% CI = 1.15–4.28, P = 0.017).ConclusionSF prevalence was higher in the Chinese older population. Older adults with SF had a significantly increased incidence of mortality at the longitudinal follow-up. Consecutive comprehensive health management of SF (e.g., avoiding living alone and increasing social engagement) is urgently needed for the purposes of early prevention and multidimensional intervention in adverse health events, including disability and mortality.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1103651/fullsocial frailty (SF)community-dwelling older adultsadverse health eventsmortalityprospective cohort study |
| spellingShingle | Qian-qian Sun Qian-qian Sun Ke Tan Ke Tan Hui-yu Tang Yan-yan Liu Huan Zhu Hai Qin Xin Xia Min Zhang Yan-yu Chen Shuang-shuang Nie Shuang Wang Shuang Wang Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study Frontiers in Public Health social frailty (SF) community-dwelling older adults adverse health events mortality prospective cohort study |
| title | Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study |
| title_full | Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study |
| title_fullStr | Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study |
| title_full_unstemmed | Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study |
| title_short | Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study |
| title_sort | incidence and predictive value of social frailty among community dwelling older adults in southwest china a prospective cohort study |
| topic | social frailty (SF) community-dwelling older adults adverse health events mortality prospective cohort study |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1103651/full |
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