The Contribution of Frailty to Participation of Older Adults.
community-dwelling
daily-living
frailty syndrome
independence
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
30 01 2022
30 01 2022
Historique:
received:
13
01
2022
revised:
26
01
2022
accepted:
28
01
2022
entrez:
15
2
2022
pubmed:
16
2
2022
medline:
1
3
2022
Statut:
epublish
Résumé
Participation, which is involvement in life situations, is an important indicator of human health and well-being of older adults. Frailty is known to be related to difficulties in activities of daily living (ADL) but the association with participation restriction has not been sufficiently researched. Therefore, we aimed to (1) to assess the correlations between frailty, ADL, and participation; and (2) to identify the contribution of frailty to explaining the participation restriction of older adults. A cross-sectional study included home visits to community-dwelling older adults aged 75 and older. The Reintegration to Normal Living Index (RNL-I) assessed participation, PRISMA-7 assessed frailty, and the Functional Independence Measure and IADL questionnaire assessed the basic and instrumental ADL. Cognition, which may explain participation, was also assessed (The Montreal Cognitive Assessment) and demographic information was collected. Older adults (N = 121, 60 women), aged 75 to 91 years (mean (SD)-79.6 (3.1)), were included. Older adults demonstrated full to restricted participation (RNL-I-mean (SD)-78.2 (18.0)/100). Frailty was identified in 39 (32%) older adults (mean (SD) PRISMA-7-2.9 (1.4)/7points). A negative moderate significant correlation was found between participation and frailty (r = -0.634, Frailty is significantly associated with participation restriction. Since participation has many health benefits, understanding which factors are associated to participation is central to developing interventions for older adults. These findings may help health professionals in the future develop interventions for maintaining and promoting the participation of older adults.
Sections du résumé
BACKGROUND
Participation, which is involvement in life situations, is an important indicator of human health and well-being of older adults. Frailty is known to be related to difficulties in activities of daily living (ADL) but the association with participation restriction has not been sufficiently researched. Therefore, we aimed to (1) to assess the correlations between frailty, ADL, and participation; and (2) to identify the contribution of frailty to explaining the participation restriction of older adults.
METHODS
A cross-sectional study included home visits to community-dwelling older adults aged 75 and older. The Reintegration to Normal Living Index (RNL-I) assessed participation, PRISMA-7 assessed frailty, and the Functional Independence Measure and IADL questionnaire assessed the basic and instrumental ADL. Cognition, which may explain participation, was also assessed (The Montreal Cognitive Assessment) and demographic information was collected.
RESULTS
Older adults (N = 121, 60 women), aged 75 to 91 years (mean (SD)-79.6 (3.1)), were included. Older adults demonstrated full to restricted participation (RNL-I-mean (SD)-78.2 (18.0)/100). Frailty was identified in 39 (32%) older adults (mean (SD) PRISMA-7-2.9 (1.4)/7points). A negative moderate significant correlation was found between participation and frailty (r = -0.634,
CONCLUSIONS
Frailty is significantly associated with participation restriction. Since participation has many health benefits, understanding which factors are associated to participation is central to developing interventions for older adults. These findings may help health professionals in the future develop interventions for maintaining and promoting the participation of older adults.
Identifiants
pubmed: 35162637
pii: ijerph19031616
doi: 10.3390/ijerph19031616
pmc: PMC8835014
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
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