IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i16p2809-d255348.html
   My bibliography  Save this article

Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans: Aging Study of PyeongChang Rural Area

Author

Listed:
  • Hyungchul Park

    (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea)

  • Il-Young Jang

    (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea
    Pyeongchang Health Center & Country Hospital, Gangwon-do 25377, Korea)

  • Hea yon Lee

    (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea)

  • Hee-Won Jung

    (Division of geriatrics, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea)

  • Eunju Lee

    (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea)

  • Dae Hyun Kim

    (Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA 02131, USA
    Division of Gerontology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA)

Abstract

Population aging is a challenge, therefore efficient frailty screening has been increasingly emphasized for mass older populations. This study aimed to evaluate the prevalence of social frailty and its association with physical frailty, geriatric syndromes and activity of daily living (ADL) disability in community-dwelling older adults. A cross-sectional study was conducted with 408 older adults (mean age, 75 years; 58% female) in the Aging Study of PyeongChang Rural Area. A five-item social frailty index was administered (range: 0–5); (1) going out less frequently; (2) rarely visiting the homes of friends; (3) feeling unhelpful to friends and family; (4) being alone; and (5) not talking with someone every day. Social frailty was defined as ≥2 positive responses. Physical frailty was assessed according to the Cardiovascular Health Study frailty phenotype criteria. We used logistic regression to examine whether social frailty can identify older adults with common geriatric syndromes including ADL disability, independently of age, gender, and physical frailty. Social frailty was present in 20.5% (14.5% in male and 25.0% in female) and 11.5% was not overlapped with physical frailty. Social frailty increased risk of ADL disability (odds ratio, 2.53; 95% confidence interval, 1.26–5.09) and depressed mood (odds ratio, 4.01; 95% confidence interval, 1.30–12.39) independently of age, gender, and physical frailty. The predictive power for disability was maximized by using both frailty indices (C statistic 0.73) compared with either frailty index alone (C statistic: 0.71 for social frailty and 0.68 for physical frailty). Social frailty screening is important as it can identify frail older adults who are not captured by demographic characteristics and physical frailty. Moreover, assessment of both social frailty and physical frailty can better detect disability and geriatric syndromes.

Suggested Citation

  • Hyungchul Park & Il-Young Jang & Hea yon Lee & Hee-Won Jung & Eunju Lee & Dae Hyun Kim, 2019. "Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans: Aging Study of PyeongChang Rural Area," IJERPH, MDPI, vol. 16(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2809-:d:255348
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/16/2809/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/16/2809/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Hyuma Makizako & Hiroyuki Shimada & Takehiko Doi & Kota Tsutsumimoto & Ryo Hotta & Sho Nakakubo & Keitaro Makino & Sangyoon Lee, 2018. "Social Frailty Leads to the Development of Physical Frailty among Physically Non-Frail Adults: A Four-Year Follow-Up Longitudinal Cohort Study," IJERPH, MDPI, vol. 15(3), pages 1-9, March.
    2. S. Bunt & N. Steverink & J. Olthof & C. P. Schans & J. S. M. Hobbelen, 2017. "Social frailty in older adults: a scoping review," European Journal of Ageing, Springer, vol. 14(3), pages 323-334, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Xiaojing Qi & Jie Li, 2022. "The Relationship between Social Frailty and Depressive Symptoms in the Elderly: A Scoping Review," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    2. Hana Ko & SuJung Jung, 2021. "Association of Social Frailty with Physical Health, Cognitive Function, Psychological Health, and Life Satisfaction in Community-Dwelling Older Koreans," IJERPH, MDPI, vol. 18(2), pages 1-9, January.
    3. Yoshihiko Akasaki & Takayuki Tabira & Michio Maruta & Hyuma Makizako & Masaaki Miyata & Gwanghee Han & Yuriko Ikeda & Atsushi Nakamura & Suguru Shimokihara & Yuma Hidaka & Taishiro Kamasaki & Takuro K, 2022. "Social Frailty and Meaningful Activities among Community-Dwelling Older Adults with Heart Disease," IJERPH, MDPI, vol. 19(22), pages 1-11, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hana Ko & SuJung Jung, 2021. "Association of Social Frailty with Physical Health, Cognitive Function, Psychological Health, and Life Satisfaction in Community-Dwelling Older Koreans," IJERPH, MDPI, vol. 18(2), pages 1-9, January.
    2. Young Ko & Kyounga Lee, 2022. "Social Frailty and Health-Related Quality of Life in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 19(9), pages 1-11, May.
    3. André Hajek & Benedikt Kretzler & Hans-Helmut König, 2020. "Multimorbidity, Loneliness, and Social Isolation. A Systematic Review," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    4. Masafumi Itokazu & Masahiro Ishizaka & Yoshikazu Uchikawa & Yoshiaki Takahashi & Takahiro Niida & Tamaki Hirose & Akihiro Ito & Akihiro Yakabi & Yoshiaki Endo & Yohei Sawaya & Tatsuya Igawa & Kaoru Ko, 2022. "Relationship between Eye Frailty and Physical, Social, and Psychological/Cognitive Weaknesses among Community-Dwelling Older Adults in Japan," IJERPH, MDPI, vol. 19(20), pages 1-10, October.
    5. Thomas Hansen & Morten Blekesaune, 2022. "The age and well-being “paradox”: a longitudinal and multidimensional reconsideration," European Journal of Ageing, Springer, vol. 19(4), pages 1277-1286, December.
    6. Ayuto Kodama & Yu Kume & Sangyoon Lee & Hyuma Makizako & Hiroyuki Shimada & Tomoko Takahashi & Tsuyoshi Ono & Hidetaka Ota, 2022. "Impact of COVID-19 Pandemic Exacerbation of Depressive Symptoms for Social Frailty from the ORANGE Registry," IJERPH, MDPI, vol. 19(2), pages 1-11, January.
    7. Hana Ko, 2021. "Daily Time Use by Activity of Community-Dwelling Older Koreans: Focus on Health Management," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    8. Motoaki Takamura & Toshimasa Sone & Takayuki Kawamura & Reiko Suzuki & Nobuaki Moriyama & Seiji Yasumura, 2021. "A Cross-Sectional Study on the Characteristics of Physical Activity in Pre-Frail Older Adults," IJERPH, MDPI, vol. 18(23), pages 1-11, November.
    9. Ana da Conceição Alves Faria & Maria Manuela F. P. S. Martins & Olga Maria Pimenta Lopes Ribeiro & João Miguel Almeida Ventura-Silva & Esmeralda Faria Fonseca & Luciano José Moreira Ferreira & Paulo J, 2022. "Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    10. Takumi Abe & Akihiko Kitamura & Satoshi Seino & Yuri Yokoyama & Hidenori Amano & Yu Taniguchi & Mariko Nishi & Miki Narita & Tomoko Ikeuchi & Yui Tomine & Yoshinori Fujiwara & Shoji Shinkai, 2019. "Differences in the Prevalence of and Factors Associated with Frailty in Five Japanese Residential Areas," IJERPH, MDPI, vol. 16(20), pages 1-9, October.
    11. Anna Torné & Emma Puigoriol & Edurne Zabaleta-del-Olmo & Juan-José Zamora-Sánchez & Sebastià Santaeugènia & Jordi Amblàs-Novellas, 2021. "Reliability, Validity, and Feasibility of the Frail-VIG Index," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
    12. Iria Dobarrio-Sanz & Crístofer Ruiz-González & Cayetano Fernández-Sola & Pablo Roman & José Granero-Molina & Jose Manuel Hernández-Padilla, 2021. "Healthcare Professionals’ Perceptions of Loneliness amongst Older Adults: A Qualitative Study," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    13. Seunghye Choi & Hana Ko, 2022. "Social Frailty among Community-Dwelling Older Adults during the COVID-19 Pandemic in Korea: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-10, September.
    14. Ryo Komatsu & Koutatsu Nagai & Yoko Hasegawa & Kazuki Okuda & Yuto Okinaka & Yosuke Wada & Shotaro Tsuji & Kayoko Tamaki & Hiroshi Kusunoki & Hiromitsu Kishimoto & Ken Shinmura, 2021. "Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 18(6), pages 1-9, March.
    15. Martine J. Sealy & Fons van der Lucht & Barbara C. van Munster & Wim P. Krijnen & Hans Hobbelen & Hans A. Barf & Evelyn J. Finnema & Harriët Jager-Wittenaar, 2022. "Frailty among Older People during the First Wave of the COVID-19 Pandemic in The Netherlands," IJERPH, MDPI, vol. 19(6), pages 1-15, March.
    16. Yeun-Soon Choi & Mi-Ji Kim & Gyeong-Ye Lee & Young-Mi Seo & Ae-Rim Seo & Bokyoung Kim & Jun-Il Yoo & Ki Soo Park, 2019. "The Association between Frailty and Disability among the Elderly in Rural Areas of Korea," IJERPH, MDPI, vol. 16(14), pages 1-10, July.
    17. Maria Gabriella Melchiorre & Sabrina Quattrini & Giovanni Lamura & Marco Socci, 2021. "A Mixed-Methods Analysis of Care Arrangements of Older People with Limited Physical Abilities Living Alone in Italy," IJERPH, MDPI, vol. 18(24), pages 1-35, December.
    18. Akira Teramura & Yumi Kimura & Kosuke Hamada & Yasuko Ishimoto & Masato Kawamori, 2021. "COVID-19-Related Lifestyle Changes among Community-Dwelling Older Adult Day-Care Users: A Qualitative Study," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    19. Ewa Kupcewicz & Anna Szypulska & Anna Doboszyńska, 2019. "Positive Orientation as a Predictor of Health Behavior during Chronic Diseases," IJERPH, MDPI, vol. 16(18), pages 1-14, September.
    20. André Hajek & Benedikt Kretzler & Hans-Helmut König, 2021. "Informal Caregiving, Loneliness and Social Isolation: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-12, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2809-:d:255348. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.