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Axelle Costenoble, Veerle Knoop, Aziz Debain, Sofie Vermeiren, Roberta Vella Azzopardi, Rossi, Gina, Celeste Smeys, Keren Duarte Baltazar, Bautmans, Ivan, Verté, Dominique, Verte, Dominique, Gorus, Ellen, Patricia De Vriendt, Beyer, Ingo, Mirko Petrovic, De Witte, Nico, Tinie Kardol, Clarys, Peter, Scafoglieri, Aldo, Eric Cattrysse, De Hert, Paul, Bart Jansen
 

Journal of Applied Gerontology

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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% ?2 = 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.

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