Interventions that have potential to help older adults living with social frailty: a systematic scoping review

BMC Geriatrics, Journal Year: 2024, Volume and Issue: 24(1)

Published: June 15, 2024

Abstract Background The impact of social frailty on older adults is profound including mortality risk, functional decline, falls, and disability. However, effective strategies that respond to the needs socially frail are lacking few studies have unpacked how determinants operate or interventions can be adapted during periods requiring distancing isolation such as COVID-19 pandemic. To address these gaps, we conducted a scoping review using JBI methodology identify best potential help (age ≥65 years). Methods We searched MEDLINE, CINAHL (EPSCO), EMBASE databases grey literature. Eligibility criteria were developed PICOS framework. Our results summarized descriptively according study, patient, intervention outcome characteristics. Data synthesis involved charting categorizing identified Results Of 263 included studies, 495 involving ~124,498 who mostly female. largest proportion (40.5%) had mean age range 70-79 years. spread across four domains: resource (40%), self-management (32%), behavioural activity (28%), general (0.4%). these, 189 for improving loneliness, health wellbeing outcomes psychological self-management, education, leisure activity, physical Information Communication Technology assistive robot interventions. Sixty-three feasible infectious disease outbreaks (e.g., COVID-19, flu) adults. Conclusions promising with living frailty.

Language: Английский

---

How social frailty is operationalized matters: Relationships with health and wellbeing in late adulthood

International Psychogeriatrics, Journal Year: 2025, Volume and Issue: unknown, P. 100032 - 100032

Published: Jan. 1, 2025

There are currently major inconsistencies in the methodological approaches used to index social frailty. The present study aimed better understand which of these may be most valuable predicting older adult's physical health and psychological wellbeing. One hundred thirty-three participants aged 60-90 years completed five measures commonly frailty, along with health, Social frailty was not only assessed at scale level but also considered terms both objectivity (versus subjectivity) each item, concept (whether item captured lifestyle, living alone, loneliness, activities, network, role, support, or sociodemographic characteristics). As predicted, subjective accounted for largest share explained variance wellbeing adults, relative objective indicators key demographics. However, contrary hypotheses, failed uniquely predict health. Further analyses revealed that predictive value driven primarily by feelings loneliness. provides novel insights into how operationalizations vary their relationship important real-life function. findings have direct implications development targeted interventions focused on reducing late adulthood.

Language: Английский

---

Building Research Infrastructure to Address Psychosocial Frailty and Reach Underserved Aging Populations

Journal of Psychosocial Nursing and Mental Health Services, Journal Year: 2025, Volume and Issue: 63(2), P. 7 - 10

Published: Feb. 1, 2025

Frailty is prevalent in adults aged ≥50 years, particularly among under-served minorities. a multidimensional concept including physical, psychological, and social frailty, any definition of frailty should meet the criterion practicality that could be measurable, preventable, or modified by interventions clinically reasonable. Early detection tailored can delay progression prevent adverse health outcomes. However, there limited recruitment underserved minorities lack research on early embedded adaptive systems adequately needs aging populations. Nursing scientists, public professionals, policymakers aware each dimension while addressing creating substantial infrastructure development to reaches populations rural, suburban, urban areas benefits larger community. [ Journal Psychosocial Mental Services, 63 (2), 7–10.]

Language: Английский

---

Predictive Modeling of Social Frailty in Older Adults through Digital Biomarkers: Insights from Fitbit-Derived Data on Circadian Rhythm and Heart Rate Changes (Preprint)

Published: Feb. 8, 2025

Social frailty poses a potential risk even for relatively healthy older adults, necessitating development of early detection and prevention strategies. Recently, consumer-grade wearable devices have gained attention their ability to provide accurate sensor data, digital biomarkers social screening could be calculated from these data. The objective this study was explore associated with using data recorded by Fitbit evaluate relationship health outcomes in adults. This cross-sectional conducted 102 community-dwelling Participants attending programs wore the Inspire series on non-dominant wrist at least seven consecutive days, during which step count heart rate were collected. Standardized questionnaires used assess physical functions, cognitive frailty, based scores, participants categorized into three groups: robust, pre-frailty, frailty. analyzed calculate nonparametric extended cosinor rhythm metrics, along rate-related metrics. final sample included 86 who as robust (n = 28), pre-frailty 39), 19). mean age 77.14 years (SD 5.70), 90.6% women 78). Multinomial logistic regression analysis revealed that step-based metric, Intradaily Coefficient Variation (ICV.st), significantly pre-frailty. including delta resting (dRHR) UpMesor.hr, showed significant associations both Furthermore, standard deviation (HR.sd) alpha.hr predictors Specifically, dRHR, defined difference between overall average (RHR), exhibited negative (odds ratio [OR] 0.82, 95% confidence interval [CI] 0.68-0.97, p 0.024) (OR 0.74, CI 0.58-0.94, 0.015). linear model association ICV.st Word List Memory (WM) score, measure decline (β -0.04, 0.024). identified novel metrics These findings suggest devices, are low-cost accessible, hold promise tools evaluating its factors through enabling calculation biomarkers. Future research should include larger sizes focus clinical applications findings. UMIN-CTR

Language: Английский

---

Association Between Frailty and Quality of Life in Middle-Aged and Older Adults

Journal of the American Medical Directors Association, Journal Year: 2025, Volume and Issue: 26(4), P. 105493 - 105493

Published: Feb. 22, 2025

Language: Английский

---

Prehabilitation: stepping beyond exercise in patients with frailty and cancer

Best Practice & Research Clinical Anaesthesiology, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

---

Intrinsic Capacity and Its Dimensions in Relation to Functional Ability in Older Adults: A Systematic Review and Meta-Analysis

Archives of Gerontology and Geriatrics, Journal Year: 2025, Volume and Issue: 135, P. 105860 - 105860

Published: April 18, 2025

Language: Английский

---

Frailty indices based on routinely collected data: a scoping review

The Journal of Frailty & Aging, Journal Year: 2025, Volume and Issue: 14(3), P. 100047 - 100047

Published: May 3, 2025

Language: Английский

---

Cognitive activity levels associated with dementia risk in older adults with social frailty: A longitudinal study

Maturitas, Journal Year: 2025, Volume and Issue: 198, P. 108597 - 108597

Published: May 10, 2025

Language: Английский

---

Frailty in modern geriatrics and neurology

Russian neurological Journal, Journal Year: 2025, Volume and Issue: 30(1), P. 4 - 15

Published: May 10, 2025

Aging is accompanied by a significant increase in the number of age-associated diseases, which has serious impact on individual and society. Against background steady elderly people, concept frailty now actively used medicine. It implies increased vulnerability to various health problems associated with decrease physiological reserves against aging, including accelerated aging neurodegeneration. Psychosocial, environmental age-related biological factors contribute decline physical cognitive abilities. Their culmination leads condition known as frailty, addition lot researchers are emphasizing phenomenon manifestation impairment increasing weakness. The review presents an up-to-date analysis literature multidimensional dynamic process, focusing role reserve aging. Evidence from cross-sectional longitudinal studies reviewed, showing that risk disability, impaired quality life, hospitalizations, mortality, neurocognitive disorders. This emphasizes importance introducing this into clinical practice geriatricians neurologists. article reviews data epidemiology, diagnostic approaches used, perspectives.

Language: Английский

---