Prefrailty: The Relationship Between Daily Activities and Social Participation in Older Persons
 
Prefrailty: The Relationship Between Daily Activities and Social Participation in Older Persons ■
 
Axelle Costenoble, Axelle Costenoble, Veerle Knoop, Veerle Knoop, Aziz Debain, Aziz Debain, Sofie Vermeiren, Sofie Vermeiren, Roberta Vella Azzopardi, Roberta Vella Azzopardi, Gina Rossi, Gina Rossi, Celeste Smeys, Celeste Smeys, Keren Duarte Baltazar, Keren Duarte Baltazar, Ivan Bautmans, Ivan Bautmans, Dominique Verte, Dominique Verte, Ellen Gorus, Ellen Gorus, Patricia De Vriendt, Patricia De Vriendt, Gerontopole Brussels Study group, Gerontopole Brussels Study group, Ingo Beyer, Ingo Beyer, Mirko Petrovic, Mirko Petrovic, Nico De Witte, Nico De Witte, Tinie Kardol, Tinie Kardol, Peter Clarys, Peter Clarys, Aldo Scafoglieri, Aldo Scafoglieri, Eric Cattrysse, Eric Cattrysse, Paul de Hert, Paul de Hert, Bart Jansen, Bart Jansen
 
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.