scholarly journals The association of social frailty with intrinsic capacity in community-dwelling older adults: a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chi Hsien Huang ◽  
Kiwako Okada ◽  
Eiji Matsushita ◽  
Chiharu Uno ◽  
Shosuke Satake ◽  
...  
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Community Dwelling ◽  
Sensory Function ◽  
Domain Score ◽  
Psychological Function ◽  
The Social ◽  
Longitudinal Association ◽  
Intrinsic Capacity ◽  
Community Dwelling Older Adults

Abstract Background Social frailty is associated with poor health outcomes; however, its effects on healthy aging indicators have not been adequately investigated. This study assessed the longitudinal association between social frailty and the intrinsic capacity of community-dwelling older adults. Methods A total of 663 participants (56.7% women) aged ≥60 years from in Nagoya, Japan, were included in the study. The first measurement occurred in 2014, and annual follow-ups occurred until 2017. Social frailty was determined based on four items: financial difficulty, household status, social activity, and regular contact with others. A deficit score of 0 represented social robustness, 1 represented social prefrailty, and ≥ 2 represented social frailty. Intrinsic capacity was evaluated by the locomotion, cognition, psychological function, vitality, and sensory function domains. The longitudinal association was analyzed using generalized estimating equations. Results The prevalence of social prefrailty and social frailty at baseline was 31.2 and 6.3%, respectively. The social prefrailty group (β = − 0.132, P < 0.001) and social frailty group (β = − 0.258, P < 0.001) were associated with a greater reduction in the composite intrinsic capacity scores than the social robustness group, especially in the cognition, psychological function, and vitality domains. Men with social prefrailty/social frailty demonstrated a greater decrease in the psychological function domain score (− 0.512 vs. − 0.278) than women. Additionally, the cognition domain score only decreased in men in the social prefrailty/social frailty group (β = − 0.122, P = 0.016). Conclusions Social frailty was associated with intrinsic capacity and its subdomains longitudinally. Men with social frailty were more vulnerable than women to a decline in their psychological function and cognition domains. Therefore, the advanced management of social frailty is necessary to facilitate healthy aging.

scholarly journals Day-to-Day Mobility, Affect, and Stress Couplings in Swiss Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 469-470
Author(s):  
Eun-Kyeong Kim ◽  
Pascal Griffel ◽  
Robert Moulder ◽  
Cheng Fu ◽  
Minxia Luo ◽  
...  
Keyword(s):  
Older Adults ◽  
Functional Ability ◽  
Healthy Aging ◽  
Well Being ◽  
Community Dwelling ◽  
Physical And Mental Health ◽  
Intrinsic Capacity ◽  
Community Dwelling Older Adults ◽  
Health And Well Being ◽  
Daily Time

Abstract The Mobility, Activity, and Social Interactions Study (MOASIS) is part of a global effort to more closely examine indicators of functional ability in relation to person characteristics and life contexts as proposed by the WHO’s healthy aging definition. In MOASIS, sensor-based and self-reported mobility and activity indicators were used to capture functional ability in 153 community-dwelling older adults aged 65-91 over 30 days. The present study examines daily time out-of-home and place diversity and its within-person associations with positive and negative affect and stress. Initial between-person analyses indicate that mobility is only weakly related to indicators of physical and mental health. We propose that the health- and well-being implications of mobility more strongly play out in daily life and at the within-person level, and will examine general health, cognitive ability, and marital status as intrinsic capacity moderators accounting for some of the expected interindividual heterogeneity.

scholarly journals Intrinsic Capacity and Its Relationship With Life Space Area (INCREASE) in Community-Dwelling Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 364-364
Author(s):  
Jia Qi Lee ◽  
Yew Yoong Ding ◽  
Laura Tay ◽  
Aisyah Latib ◽  
Yee Sien Ng
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Community Dwelling ◽  
International Classification Of Functioning ◽  
Life Space ◽  
Cross Sectional ◽  
Age And Gender ◽  
Intrinsic Capacity ◽  
And Gender ◽  
Community Dwelling Older Adults

Abstract Intrinsic capacity (IC), defined as ‘the composite of all physical and mental capacities of an individual’, is of increasing interest in geriatrics as a potential multidimensional measure of health in older adults. According to the International Classification of Functioning, Disability and Health (ICF) framework, IC, through its interactions with environmental factors, determines a person’s participation in the community. However, there is lack of empirical evidence demonstrating this association. The primary aim of this study was to examine the association of IC with Life Space Area (LSA; a measure of participation) among community-dwelling older adults. The secondary aim was to determine whether age and gender modify this relationship. Cross sectional analysis was performed on data from the Individual Physical Proficiency Test for Seniors (IPPT-S) study conducted in the Northeastern region of Singapore. Standardized IC factor scores were calculated through confirmatory factor analysis using variables that represented the 5 IC domains. Association of IC with LSA and its effect modification by age and gender were examined with regression analyses. The study included 751 participants with mean age of 67.6 and mean LSA score of 88.6. IC showed a positive and significant association with LSA (B=6.33, P&lt;0.001) and the effect remained significant even after controlling for potential confounders (B=4.76, P&lt;0.001). Age and gender did not show significant modification on this relationship. Our findings support the empirical rigour of the ICF framework and provide guidance for healthcare providers who aim to enhance life space mobility and promote healthy aging in older adults.

scholarly journals Digital Health Interventions for Healthy Aging: A Qualitative User Evaluation and Ethical Assessment

2020 ◽  
Author(s):  
Marcello Ienca ◽  
Christophe Schneble ◽  
Reto Kressig ◽  
Tenzin Wangmo
Keyword(s):  
Older Adults ◽  
Older People ◽  
Healthy Aging ◽  
Ethical Issues ◽  
Digital Health ◽  
Functional Independence ◽  
Community Dwelling ◽  
Healthy Ageing ◽  
Health Technologies ◽  
Community Dwelling Older Adults

Abstract BackgroundDigital health technologies are being increasingly developed with the aim of allowing older adults to maintain functional independence throughout the old age, a process known as healthy ageing. Such digital health technologies for healthy ageing are expected to mitigate the socio-economic effects of population ageing and improve the quality of life of older people. However, little is known regarding the views and needs of older people regarding these technologies. AimThe aim of this study is to explore the views, needs and perceptions of community-dwelling older adults regarding the use of digital health technologies for healthy ageing. MethodFace-to-face, in-depth qualitative interviews were conducted with community-dwelling older adults (median age 79.6 years). The interview process involved both abstract reflections and practical demonstrations. The interviews were transcribed verbatim and analyzed according to inductive content analysis. ResultsThree main themes and twelve sub-themes emerged. The three main themes revolved around the following thematic areas: favorable views and perceptions on technology-assisted living, usability evaluations and ethical considerations. ConclusionsOur study reveals a generally positive attitude towards digital health technologies as participants believed digital tools could positively contribute to improving their overall wellbeing, especially if designed in a patient-centered manner. Safety concerns and ethical issues related to privacy, empowerment and lack of human contact also emerged as key considerations.

scholarly journals Longitudinal Association Between Physical Activity and Frailty Among Community‐Dwelling Older Adults

2020 ◽  
Vol 68 (7) ◽  
pp. 1484-1493 ◽  
Author(s):  
Xuxi Zhang ◽  
Siok Swan Tan ◽  
Carmen Betsy Franse ◽  
Lovorka Bilajac ◽  
Tamara Alhambra‐Borrás ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Community Dwelling ◽  
Longitudinal Association ◽  
Community Dwelling Older Adults

scholarly journals Longitudinal Association of Depression Symptoms With Cognition and Cortical Amyloid Among Community-Dwelling Older Adults

2019 ◽  
Vol 2 (8) ◽  
pp. e198964 ◽  
Author(s):  
Jennifer R. Gatchel ◽  
Jennifer S. Rabin ◽  
Rachel F. Buckley ◽  
Joseph J. Locascio ◽  
Yakeel T. Quiroz ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Depression Symptoms ◽  
Longitudinal Association ◽  
Community Dwelling Older Adults

scholarly journals The Effect Of Insomnia On Functional Status Of Community-Dwelling Older Adults

2021 ◽  
Author(s):  
Penney H. Deratnay
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Secondary Data ◽  
Community Dwelling ◽  
Psychological Function ◽  
Moderate Severity ◽  
Mediating Role ◽  
Community Dwelling Older Adults ◽  
The Relationship

This secondary data analysis examined the extent to which fatigue mediates the relationship between insomnia and the physical, social, and psychological domains of functional status in community-dwelling older adults. Data were obtained from 209 older adults with insomnia. Regression analysis was used to test the proposed mediating role of fatigue. Findings identified insomnia of moderate severity in community-dwelling older adults. Insomnia was directly associated with social function and indirectly associated with physical and psychological function. Fatigue mediated the relationship between insomnia and all three domains of functional status. The findings highlight the importance of successfully managing insomnia and fatigue to promote functioning in older adults.

scholarly journals Life is Experienced Until We Die: Effects of Service-Learning on Gerontology Competencies and Attitudes Toward Aging

10.18060/672 ◽  
2011 ◽  
Vol 12 (1) ◽  
pp. 94-112 ◽  
Author(s):  
Sally Hill Jones
Keyword(s):  
Older Adults ◽  
Social Work ◽  
Service Learning ◽  
Healthy Aging ◽  
Care Service ◽  
Community Dwelling ◽  
Career Plans ◽  
Attitudes Toward Aging ◽  
Community Dwelling Older Adults ◽  
Student Journals

This mixed methods study examined the effects of service learning in an undergraduate gerontology course on student learning outcomes. Eleven of thirteen students chose to provide companionship and practical help to community-dwelling older adults and link course assignments to this experience. Participating students were mostly female and social work majors or minors, of various races and ethnicities, and of traditional and nontraditional ages. Self-ratings using the Geriatric Social Work Competency Scale showed significant skill improvements for students from pretest to posttest. Analysis of student journals indicated improvement in interaction skills, knowledge of aging processes, dismantling of stereotypes, awareness of issues affecting healthy aging, valuing older adults, and cultural competence. Career plans were positively affected for most students. Letters offering advice to their 70-year old selves appeared to impact students’ plans for self-care. Service-learning is recommended to increase students’ gerontology competencies and attitudes toward aging in others and themselves.

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