Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review

Background: Frailty is a significant healthcare challenge worldwide, increasing interest in developing more assessment tools covering for frailty. Recently, there has been a growing awareness of a correlation between social variables and frailty in older people. However, there is a lack of understan...

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Main Authors: Hamid, Tengku Aizan, Salih, Sarah Abdulkareem, Abdullah, Siti Farra Zillah, Ibrahim, Rahimah, Mahmud, Aidalina
Format: Article
Language:English
Published: PeerJ 2024
Online Access:http://psasir.upm.edu.my/id/eprint/113419/1/113419.pdf
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author Hamid, Tengku Aizan
Salih, Sarah Abdulkareem
Abdullah, Siti Farra Zillah
Ibrahim, Rahimah
Mahmud, Aidalina
author_facet Hamid, Tengku Aizan
Salih, Sarah Abdulkareem
Abdullah, Siti Farra Zillah
Ibrahim, Rahimah
Mahmud, Aidalina
author_sort Hamid, Tengku Aizan
collection UPM
description Background: Frailty is a significant healthcare challenge worldwide, increasing interest in developing more assessment tools covering for frailty. Recently, there has been a growing awareness of a correlation between social variables and frailty in older people. However, there is a lack of understanding of the social domains of frailty and the related adverse outcomes, particularly in the Asia-Pacific settings. This study aimed to characterize the social frailty domains and their health outcomes by overviewing the frailty screening tools in older people living in the Asia-Pacific region. Methodology: A systematic review, using the PRISMA guideline, was conducted on articles published between 2002 and 2023 from three electronic databases: PubMed, Scopus, and ScienceDirect. A manual search was conducted for the references of the included articles using Google Scholar. Included articles must be in English and were based on empirical evidence published in peer-reviewed journals and focus on the assessment of domains of social frailty in older people aged 60 or over in the Asia-Pacific (East Asia, Southeast Asia, and Oceania). Result: A total of 31 studies were included in the thematic analysis, from which 16 screening tools measuring six social domains were reviewed. The six domains were: social networks, followed by social activities, social support, financial difficulties, social roles, and socioeconomic, arranged in four categories: social resources, social needs, social behaviors (or social activities), and general resources. The six social domains predicted mortality, physical difficulties, and disability incidence. Other adverse health outcomes were also associated with these social domains, including cognitive disorders, mental illness, and nutritional disorders (n = 5 domains each), dementia (n = 4 domains), and oral frailty, hearing loss, obesity, and chronic pain (n = 3 domains each). Conclusion: Overall, social frailty is a complex construct with multiple dimensions, including the frailty of social and general resources, social behaviors, and social needs, leading to several health disorders. The findings contribute to understanding the conceptual framework of social frailty in older people and its related health outcomes. Therefore, it could facilitate professionals and researchers to monitor and reduce the risks of adverse health outcomes related to each domain of social frailty, contributing to a better aging process.
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spelling upm.eprints-1134192024-11-25T01:55:51Z http://psasir.upm.edu.my/id/eprint/113419/ Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review Hamid, Tengku Aizan Salih, Sarah Abdulkareem Abdullah, Siti Farra Zillah Ibrahim, Rahimah Mahmud, Aidalina Background: Frailty is a significant healthcare challenge worldwide, increasing interest in developing more assessment tools covering for frailty. Recently, there has been a growing awareness of a correlation between social variables and frailty in older people. However, there is a lack of understanding of the social domains of frailty and the related adverse outcomes, particularly in the Asia-Pacific settings. This study aimed to characterize the social frailty domains and their health outcomes by overviewing the frailty screening tools in older people living in the Asia-Pacific region. Methodology: A systematic review, using the PRISMA guideline, was conducted on articles published between 2002 and 2023 from three electronic databases: PubMed, Scopus, and ScienceDirect. A manual search was conducted for the references of the included articles using Google Scholar. Included articles must be in English and were based on empirical evidence published in peer-reviewed journals and focus on the assessment of domains of social frailty in older people aged 60 or over in the Asia-Pacific (East Asia, Southeast Asia, and Oceania). Result: A total of 31 studies were included in the thematic analysis, from which 16 screening tools measuring six social domains were reviewed. The six domains were: social networks, followed by social activities, social support, financial difficulties, social roles, and socioeconomic, arranged in four categories: social resources, social needs, social behaviors (or social activities), and general resources. The six social domains predicted mortality, physical difficulties, and disability incidence. Other adverse health outcomes were also associated with these social domains, including cognitive disorders, mental illness, and nutritional disorders (n = 5 domains each), dementia (n = 4 domains), and oral frailty, hearing loss, obesity, and chronic pain (n = 3 domains each). Conclusion: Overall, social frailty is a complex construct with multiple dimensions, including the frailty of social and general resources, social behaviors, and social needs, leading to several health disorders. The findings contribute to understanding the conceptual framework of social frailty in older people and its related health outcomes. Therefore, it could facilitate professionals and researchers to monitor and reduce the risks of adverse health outcomes related to each domain of social frailty, contributing to a better aging process. PeerJ 2024 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/113419/1/113419.pdf Hamid, Tengku Aizan and Salih, Sarah Abdulkareem and Abdullah, Siti Farra Zillah and Ibrahim, Rahimah and Mahmud, Aidalina (2024) Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review. PeerJ, 12. art. no. e17058. pp. 1-26. ISSN 2167-8359; eISSN: 2167-8359 https://peerj.com/articles/17058/ 10.7717/PEERJ.17058
spellingShingle Hamid, Tengku Aizan
Salih, Sarah Abdulkareem
Abdullah, Siti Farra Zillah
Ibrahim, Rahimah
Mahmud, Aidalina
Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review
title Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review
title_full Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review
title_fullStr Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review
title_full_unstemmed Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review
title_short Characterization of social frailty domains and related adverse health outcomes in the Asia-Pacific: a systematic literature review
title_sort characterization of social frailty domains and related adverse health outcomes in the asia pacific a systematic literature review
url http://psasir.upm.edu.my/id/eprint/113419/1/113419.pdf
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