OBJECTIVES: To analyze prefrailty's relationship with limitations in activities of daily living (ADLs) and restrictions in social participation.METHOD: Robust (Fried 0/4; n = 214; Mage = 82.3 years [SD ±2.1]) and prefrail (Fried 1-2/4; n = 191; Mage = 83.8 years [SD ±3.2]) community-dwelling older individuals were included. Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total disability index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Total participation score, being a member, total number of memberships, being a board member, level of participation, membership over time, volunteering, and formal participation represented social participation.RESULTS: Logistic regression retained age (OR = 1.224; 95% CI = [1.122, 1.335]), sex (OR = 3.818; 95% CI = [2.437, 5.982]), and a-ADL-DI (OR = 1.230; 95% CI = [1.018, 1.486]) as variables significantly related to prefrailty (68.3%; χ2 = 68.25; df = 3; p < .001).DISCUSSION: Subtle limitations in a-ADLs, higher age, and being a man were associated with prefrailty, revealing the possible role of personal and culturally related a-ADLs as red flags for (pre)frailty.
Costenoble, A, Knoop, V, Debain, A, Vermeiren, S, Vella Azzopardi, R, Rossi, G, Smeys, C, Baltazar, KD, Bautmans, I, Verte, D, Gorus, E, De Vriendt, P, Beyer, I, Petrovic, M, De Witte, N, Kardol, T, Clarys, P, Scafoglieri, A, Cattrysse, E, de Hert, P & Jansen, B 2022, 'Prefrailty: The Relationship Between Daily Activities and Social Participation in Older Persons', Journal of Applied Gerontology, vol. 41, no. 2, pp. 430-440. https://doi.org/10.1177/0733464821991007
Costenoble, A., Knoop, V., Debain, A., Vermeiren, S., Vella Azzopardi, R., Rossi, G., Smeys, C., Baltazar, K. D., Bautmans, I., Verte, D., Gorus, E., De Vriendt, P., Beyer, I., Petrovic, M., De Witte, N., Kardol, T., Clarys, P., Scafoglieri, A., Cattrysse, E., ... Jansen, B. (2022). Prefrailty: The Relationship Between Daily Activities and Social Participation in Older Persons. Journal of Applied Gerontology, 41(2), 430-440. https://doi.org/10.1177/0733464821991007
@article{c0861d54b5514e758acc8eca1336856c,
title = "Prefrailty: The Relationship Between Daily Activities and Social Participation in Older Persons",
abstract = "OBJECTIVES: To analyze prefrailty's relationship with limitations in activities of daily living (ADLs) and restrictions in social participation.METHOD: Robust (Fried 0/4; n = 214; Mage = 82.3 years [SD ±2.1]) and prefrail (Fried 1-2/4; n = 191; Mage = 83.8 years [SD ±3.2]) community-dwelling older individuals were included. Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total disability index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Total participation score, being a member, total number of memberships, being a board member, level of participation, membership over time, volunteering, and formal participation represented social participation.RESULTS: Logistic regression retained age (OR = 1.224; 95% CI = [1.122, 1.335]), sex (OR = 3.818; 95% CI = [2.437, 5.982]), and a-ADL-DI (OR = 1.230; 95% CI = [1.018, 1.486]) as variables significantly related to prefrailty (68.3%; χ2 = 68.25; df = 3; p < .001).DISCUSSION: Subtle limitations in a-ADLs, higher age, and being a man were associated with prefrailty, revealing the possible role of personal and culturally related a-ADLs as red flags for (pre)frailty.",
keywords = "disability, frailty, functional decline, oldest old, social engagement",
author = "Axelle Costenoble and Veerle Knoop and Aziz Debain and Sofie Vermeiren and {Vella Azzopardi}, Roberta and Gina Rossi and Celeste Smeys and Baltazar, {Keren Duarte} and Ivan Bautmans and Dominique Verte and Ellen Gorus and {De Vriendt}, Patricia and Ingo Beyer and Mirko Petrovic and {De Witte}, Nico and Tinie Kardol and Peter Clarys and Aldo Scafoglieri and Eric Cattrysse and {de Hert}, Paul and Bart Jansen",
note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was partly funded by an “Interdisciplinary Research Program” grant (number IRP3) from the research council of the VUB. Publisher Copyright: {\textcopyright} The Author(s) 2021. Copyright: Copyright 2022 Elsevier B.V., All rights reserved.",
year = "2022",
month = feb,
doi = "10.1177/0733464821991007",
language = "English",
volume = "41",
pages = "430--440",
journal = "Journal of Applied Gerontology",
issn = "0733-4648",
publisher = "SAGE Publications Inc.",
number = "2",
}