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Ono R1, Murata S1,2, Omata J3, Endo T4, Otani K5
1Kobe University, Graduate School of Health Sciences, Kobe, Japan, 2Japan Society for the Promotion of Science, Tokyo, Japan, 3Fukushima Medical University, Preparing Section for New Faculty of Medical Science, Fukushima, Japan, 4Fukushima Medical University, Aizu Medical Center, Aizu, Japan, 5Fukushima Medical University, School of Medicine, Fukushima, Japan
Background: Frailty is a common geriatric syndrome and it increases with age. Frailty is multi-domain encompassing physical, cognitive, and social frailty (SF). As SF leads to various health problems in late life, it is important to identify frail person and modifiable risk factors for social frailty in the community-dwelling elderly. Locomotive disorders (LD), defined as a decline in motor function and activities of daily living, are one of the major disorders resulting in adverse health conditions. Although both SF and LD are common in elderly and increase with age, their causes and impacts remain unclear.
Purpose: The aim of this study was to determine the impact of LD on SF in community-dwelling elderly.
Methods: This study was a 1-year prospective cohort study. We examined 1450 elderly (≥65 years; mean age: 73.9 ± 5.9 years; females: 769, 53.0%) who were registered at Japanese rural area and attended special health checkups in 2016 and 2017. SF was examined using following five yes or no questions:
1) going out less frequently compared with last year;
2) visiting friends sometimes;
3) feeling helpful to friends or family;
4) living alone; and
5) talking with someone every day.
A patient was defined as at risk for SF if they answered yes to at least two of these questions (Makizako H, 2015.). LD were defined as disability in mobility and/or activities of daily living as self-reported in the questionnaire (Geriatric Locomotive Function Scale-25), which consisted of 25 items and response choices graded on a 5-point scale. The cut-off score for identifying LD was set at a total score of >16 (Seichi A, 2012.). In 1154 elderly without SF at baseline, we performed statistical analyses using logistic regression, with SF incidence as the outcome variable, LD in 2016 as the explanatory variable, and age, sex, alcohol consumption, smoking status, sedentary time, and depressive symptoms as confounding variables.
Results: In this study, 170 elderly (14.7%) were identified as having LD in 2016, of which 104 (9.0%) developed SF. In an unadjusted logistic regression, the presence of LD in 2016 was associated with the incidence of SF [Odds ratio (OR): 2.5; 95% Confidence Interval (CI): 1.6-4.0]. These relationships were statistically significant after adjusting for confounding factors (OR: 1.7; 95% CI: 1.0-2.9).
Conclusion(s): The data suggests that LD are one of the risk factors in the incidence of SF.
Implications: Interventions to prevent LD, such as resistance and/or balance exercise in community-dwelling elderly may be effective in preventing SF.
Keywords: Social frailty, Locomotive disorders, Elderly
Funding acknowledgements: The present study was supported by The Japanese Otrhopaedic Association.
Purpose: The aim of this study was to determine the impact of LD on SF in community-dwelling elderly.
Methods: This study was a 1-year prospective cohort study. We examined 1450 elderly (≥65 years; mean age: 73.9 ± 5.9 years; females: 769, 53.0%) who were registered at Japanese rural area and attended special health checkups in 2016 and 2017. SF was examined using following five yes or no questions:
1) going out less frequently compared with last year;
2) visiting friends sometimes;
3) feeling helpful to friends or family;
4) living alone; and
5) talking with someone every day.
A patient was defined as at risk for SF if they answered yes to at least two of these questions (Makizako H, 2015.). LD were defined as disability in mobility and/or activities of daily living as self-reported in the questionnaire (Geriatric Locomotive Function Scale-25), which consisted of 25 items and response choices graded on a 5-point scale. The cut-off score for identifying LD was set at a total score of >16 (Seichi A, 2012.). In 1154 elderly without SF at baseline, we performed statistical analyses using logistic regression, with SF incidence as the outcome variable, LD in 2016 as the explanatory variable, and age, sex, alcohol consumption, smoking status, sedentary time, and depressive symptoms as confounding variables.
Results: In this study, 170 elderly (14.7%) were identified as having LD in 2016, of which 104 (9.0%) developed SF. In an unadjusted logistic regression, the presence of LD in 2016 was associated with the incidence of SF [Odds ratio (OR): 2.5; 95% Confidence Interval (CI): 1.6-4.0]. These relationships were statistically significant after adjusting for confounding factors (OR: 1.7; 95% CI: 1.0-2.9).
Conclusion(s): The data suggests that LD are one of the risk factors in the incidence of SF.
Implications: Interventions to prevent LD, such as resistance and/or balance exercise in community-dwelling elderly may be effective in preventing SF.
Keywords: Social frailty, Locomotive disorders, Elderly
Funding acknowledgements: The present study was supported by The Japanese Otrhopaedic Association.
Topic: Older people; Health promotion & wellbeing/healthy ageing; Musculoskeletal
Ethics approval required: Yes
Institution: Fukushima Medical University
Ethics committee: The Ethics Committee of Fukushima Medical University
Ethics number: 2907
All authors, affiliations and abstracts have been published as submitted.
