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Combined Social Frailty and Life-Space Activities Associated with Risk of Disability: A Prospective Cohort Study

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Abstract

Objectives

To examine the association between social frailty and life-space activities, and determine whether a combined status of life-space activities and social frailty is associated with risk of disability among older adults.

Design

A prospective cohort study.

Setting and Participants

The participants were 8,301 older adults (mean age 72.9 ± 5.6 years, women [53.3%]) from a community setting.

Methods

Life-space activities were evaluated using the Active Mobility Index (AMI) to assess activities in each life-space (distance from the respondent’s home: up to 1 km, 1–10 km, or greater than 10 km) during the past 1 month. Activities were also assessed according to physical or social activity. Social frailty and characteristics were measured at the baseline. Incident disability was assessed according to long term care insurance.

Results

The lowest scoring group was based on the quartile in each of the AMI scores (Q1), with reference to the highest scoring group, which had a higher odds ratios for social frailty (AMI total score Q1: OR 4.32, 95% CI 3.43–5.45, AMI physical score Q1: 2.19, 95% CI 1.79–2.69, AMI social score Q1: 5.04, 95% CI 3.94–6.44). During the follow-up (mean 23.5 months), 330 participants had incident disability. Incident disability was associated with social frailty. Combined status of social frailty and low AMI increased the risk of disability (HR 2.15, 95% CI 1.52–3.03), with reference to non-frailty and higher AMI scores.

Conclusions and Implications

Social frailty or reduced activity in life-space assessment were identified as risk factors for incident disability. To decrease the risk of disability, the development of an intervention program to enhance activities and cope with social frailty is required.

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Funding

Funding: This work was supported by the Research Project on Health and Welfare Promotion for the Elderly from the Japan Agency for Medical Research and Development (grant numbers: 15dk0107003h0003, 15dk0207004h0203, 18dk0110021h0003), JSPS KAKENHI Grant Number 22H03462 and by Research Funding for Longevity Sciences (grant numbers 26–33) from the National Center for Geriatrics.

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Authors and Affiliations

  1. Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu, Aichi, 474-8511, Japan

    Takehiko Doi, K. Tsutsumimoto, K. Makino, S. Nakakubo, F. Sakimoto, S. Matsuda & H. Shimada

Authors
  1. Takehiko Doi
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  2. K. Tsutsumimoto
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  3. K. Makino
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  4. S. Nakakubo
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  5. F. Sakimoto
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  6. S. Matsuda
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  7. H. Shimada
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Corresponding author

Correspondence to Takehiko Doi.

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Conflict of Interest: None.

Ethical standards: The ethics committee of the National Center for Geriatrics and Gerontology approved the study.

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Doi, T., Tsutsumimoto, K., Makino, K. et al. Combined Social Frailty and Life-Space Activities Associated with Risk of Disability: A Prospective Cohort Study. J Frailty Aging 13, 184–188 (2024). https://doi.org/10.14283/jfa.2024.17

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  • DOI: https://doi.org/10.14283/jfa.2024.17

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