IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i22p8656-d448853.html
   My bibliography  Save this article

Determinants of Multidimensional and Physical Frailty and Their Individual Components: Interactions between Frailty Deficits

Author

Listed:
  • Magdalena Sacha

    (Department of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznan, Poland)

  • Jerzy Sacha

    (Faculty of Physical Education and Physiotherapy, Opole University of Technology, 45-758 Opole, Poland
    Department of Cardiology, University Hospital, University of Opole, 45-401 Opole, Poland)

  • Katarzyna Wieczorowska-Tobis

    (Department of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznan, Poland)

Abstract

Purpose: To identify the interrelations among determinants of multidimensional frailty, physical frailty, and their individual components. Methods: A group of 1024 community-dwelling people older than 65 years completed questionnaires regarding: multidimensional frailty (Tilburg Frailty Indicator, TFI) and physical frailty (FRAIL scale), and common frailty risk factors. Results: Multidimensional frailty was recognized in 559 subjects (54.6%) and determined by 13 factors (R 2 = 0.21 in logistic regression). After incorporating TFI components to the models, the majority of previous risk factors became non-essential, and the frailty deficits mainly determined each other with R 2 ranging between 0.07–0.67. Physical frailty and non-robust status (i.e., either physical frailty or pre-frailty) were recognized in 64 (6.3%) and 542 (52.9%) participants, and were determined by 5 factors (R 2 = 0.33) and 11 factors (R 2 = 0.34), respectively. Associations between the frailty deficits were detected within and between different dimensions (i.e., physical, psychological and social); the physical domain was mainly related to the psychological one which in turn was additionally associated with the social one. Conclusion: Frailty is the accumulation of deficits and is determined by factors other than the determinants of the individual deficits. The associations between deficits coming from various dimensions of human functioning presumably amplify their effects and accelerate frailty development.

Suggested Citation

  • Magdalena Sacha & Jerzy Sacha & Katarzyna Wieczorowska-Tobis, 2020. "Determinants of Multidimensional and Physical Frailty and Their Individual Components: Interactions between Frailty Deficits," IJERPH, MDPI, vol. 17(22), pages 1-21, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8656-:d:448853
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/22/8656/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/22/8656/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Cutchin, Malcolm P., 2003. "The process of mediated aging-in-place: a theoretically and empirically based model," Social Science & Medicine, Elsevier, vol. 57(6), pages 1077-1090, September.
    Full references (including those not matched with items on IDEAS)

    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. Sixsmith, J. & Sixsmith, A. & Fänge, A. Malmgren & Naumann, D. & Kucsera, C. & Tomsone, S. & Haak, M. & Dahlin-Ivanoff, S. & Woolrych, R., 2014. "Healthy ageing and home: The perspectives of very old people in five European countries," Social Science & Medicine, Elsevier, vol. 106(C), pages 1-9.
    2. Rishworth, Andrea & Elliott, Susan J., 2019. "Global environmental change in an aging world: The role of space, place and scale," Social Science & Medicine, Elsevier, vol. 227(C), pages 128-136.
    3. Sara Chimento-Díaz & Pablo Sánchez-García & Cristina Franco-Antonio & Esperanza Santano-Mogena & Isabel Espino-Tato & Sergio Cordovilla-Guardia, 2022. "Factors Associated with the Acceptance of New Technologies for Ageing in Place by People over 64 Years of Age," IJERPH, MDPI, vol. 19(5), pages 1-18, March.
    4. Myong Sun Cho & Mi Young Kwon, 2023. "Factors Associated with Aging in Place among Community-Dwelling Older Adults in Korea: Findings from a National Survey," IJERPH, MDPI, vol. 20(3), pages 1-14, February.
    5. Gonzalo Correa & Miquel Domènech, 2013. "Care Networking: A Study of Technical Mediations in a Home Telecare Service," IJERPH, MDPI, vol. 10(7), pages 1-17, July.
    6. Vikki McCall & Friederike Ziegler & Jane Robertson & Melanie Lovatt & Judith Phillips & Jeremy Porteus & Zhan McIntyre & Alasdair Rutherford & Judith Sixsmith & Ryan Woolrych & Jim Eadie & Jim Wallman, 2020. "Housing and Ageing: Let’s Get Serious—“How Do You Plan for the Future while Addressing Immediate Chaos?”," Social Inclusion, Cogitatio Press, vol. 8(3), pages 28-42.
    7. Carolina Del-Valle-Soto & Juan Arturo Nolazco-Flores & Jose Alberto Del Puerto-Flores & Ramiro Velázquez & Leonardo J. Valdivia & Julio Rosas-Caro & Paolo Visconti, 2022. "Statistical Study of User Perception of Smart Homes during Vital Signal Monitoring with an Energy-Saving Algorithm," IJERPH, MDPI, vol. 19(16), pages 1-29, August.
    8. Wusi Zhou & Adekunle Sabitu Oyegoke & Ming Sun & Hailong Zhu, 2020. "Older Clients’ Pathway through the Adaptation System for Independent Living in the UK," IJERPH, MDPI, vol. 17(10), pages 1-16, May.
    9. Andrews, Gavin J. & Cutchin, Malcolm & McCracken, Kevin & Phillips, David R. & Wiles, Janine, 2007. "Geographical Gerontology: The constitution of a discipline," Social Science & Medicine, Elsevier, vol. 65(1), pages 151-168, July.
    10. Singh, Namrita S. & Bass, Judith & Sumbadze, Nana & Rebok, George & Perrin, Paul & Paichadze, Nino & Robinson, W. Courtland, 2018. "Identifying mental health problems and Idioms of distress among older adult internally displaced persons in Georgia," Social Science & Medicine, Elsevier, vol. 211(C), pages 39-47.
    11. Maria Haak & Agneta Malmgren Fänge & Susanne Iwarsson & Synneve Dahlin-Ivanoff, 2011. "The importance of successful place integration for perceived health in very old age: a qualitative meta-synthesis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(6), pages 589-595, December.
    12. Wiles, Janine L. & Rolleston, Anna & Pillai, Avinesh & Broad, Joanna & Teh, Ruth & Gott, Merryn & Kerse, Ngaire, 2017. "Attachment to place in advanced age: A study of the LiLACS NZ cohort," Social Science & Medicine, Elsevier, vol. 185(C), pages 27-37.
    13. Christine Milligan, 2005. "From Home to ‘Home’: Situating Emotions within the Caregiving Experience," Environment and Planning A, , vol. 37(12), pages 2105-2120, December.
    14. Dan Zhu & Haichao Xu & Yuan Yao, 2022. "The Wellbeing of Chinese Migrating Grandparents Supporting Adult Children: Negotiating in Home-Making Practices," IJERPH, MDPI, vol. 19(16), pages 1-16, August.
    15. Nguyen Tan Loi & Nguyen Tien Dung & Ho Nhut Quang, 2021. "The cost effectiveness of aging in place: A literature review," HO CHI MINH CITY OPEN UNIVERSITY JOURNAL OF SCIENCE - SOCIAL SCIENCES, HO CHI MINH CITY OPEN UNIVERSITY JOURNAL OF SCIENCE, HO CHI MINH CITY OPEN UNIVERSITY, vol. 11(1), pages 40-54.
    16. H. Shellae Versey & Serene Murad & Paul Willems & Mubarak Sanni, 2019. "Beyond Housing: Perceptions of Indirect Displacement, Displacement Risk, and Aging Precarity as Challenges to Aging in Place in Gentrifying Cities," IJERPH, MDPI, vol. 16(23), pages 1-21, 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:17:y:2020:i:22:p:8656-:d:448853. 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.