The prevalence and related factors of social frailty in older adults: A low- and middle-income country perspective

IF 1.4 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing Pub Date : 2025-01-27 DOI:10.1111/ajag.13409

Esra Cataltepe, Eda Ceker, Ayse Fadiloglu, Fatih Gungor, Nermin Karakurt, Hacer Dogan Varan

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引用次数: 0

Abstract

Objectives

There are no studies examining the prevalence of social frailty and associated factors in low- and middle-income countries. This study aimed to assess the prevalence of social frailty and identify the contributing factors among older adults in Türkiye.

Methods

This cross-sectional study included 570 participants aged 65 and older, all outpatients at a geriatric clinic. Data for demographics and co-morbidities were collected. Anthropometric measurements and comprehensive geriatric assessments were conducted. Social frailty was assessed using the 5-item Social Frailty Index (SFI), and physical frailty was evaluated with the Fried Frailty Phenotype. Sarcopenia was diagnosed based on low handgrip strength and reduced calf circumference.

Results

Participants' mean age was 75.2 ± 6.3 years. Social frailty, depression, physical frailty and sarcopenia prevalence were 24%, 25%, 14% and 26%, respectively. Social frailty was reported to be statistically higher in women and those living alone, while significantly lower in married individuals. Depression, physical frailty and sarcopenia were more commonly observed in participants with social frailty (p < .01). Furthermore, participants with heart failure and Parkinson's disease were more socially vulnerable than those with other co-morbid conditions. Multivariate logistic regression analysis revealed that age, physical frailty and depressive mood significantly increased social frailty, whereas being married decreased it even after adjusting for potential confounding factors.

Conclusions

Social frailty was more prevalent than physical frailty among Turkish older adults, reaching 24%. Advanced age, depression, physical frailty and being unmarried were strongly related factors to social frailty.

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老年人社会脆弱的患病率及相关因素：低收入和中等收入国家视角。

目的：在低收入和中等收入国家，没有研究调查社会脆弱的普遍性和相关因素。本研究旨在评估社会脆弱的患病率，并确定影响因素在老年人在 rkiye。方法：这项横断面研究包括570名年龄在65岁及以上的参与者，均为老年诊所的门诊患者。收集了人口统计学和合并症的数据。进行了人体测量和全面的老年评估。社会脆弱性采用5项社会脆弱性指数（SFI）进行评估，身体脆弱性采用弗里德脆弱性表型进行评估。肌肉减少症的诊断是基于低握力和小腿围减少。结果：参与者平均年龄75.2±6.3岁。社会脆弱、抑郁、身体虚弱和肌肉减少症患病率分别为24%、25%、14%和26%。据统计，女性和独居者的社会脆弱程度更高，而已婚人士的社会脆弱程度要低得多。抑郁、身体虚弱和肌肉减少症在社会虚弱的参与者中更为常见(p结论：在土耳其老年人中，社会虚弱比身体虚弱更为普遍，达到24%。高龄、抑郁、身体虚弱和未婚是社会脆弱的重要影响因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Journal on Ageing 医学-老年医学

CiteScore

3.10

自引率

6.20%

发文量

114

审稿时长

>12 weeks

期刊介绍： Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.