Transitions in Robust and Prefrail Octogenarians After 1 Year: the Influence of Activities of Daily Living, Social Participation, and Psychological Resilience on the Frailty State

Overview

Journal BMC Geriatr

Publisher Biomed Central

Specialty Geriatrics

Date 2023 Aug 10

PMID 37563561

Authors

Axelle Costenoble

Veerle Knoop

Aziz Debain

Ivan Bautmans

Sven Van Laere

Siddhartha Lieten

Gina Rossi

Dominique Verte

Ellen Gorus

Patricia De Vriendt

Affiliations

Soon will be listed here.

Abstract

Background: Knowledge opportunities lie ahead as everyday activities, social participation, and psychological resilience might be important predictors for frailty state transitioning in the oldest old. Therefore, this article aims to examine whether changes in basic-, instrumental-, advanced- activities of daily living (b-, i-, a-ADLs), social participation, and psychological resilience predict both a transition from robustness to prefrailty or frailty and vice versa among community-dwelling octogenarians over a follow-up period of one year.

Methods: To evaluate worsened and improved frailty transitions after one year in 322 octogenarians (M = 83.04 ± 2.78), the variables sex, ADLs (b-ADL-DI, i-ADL-DI, a-ADL-DI as baseline and as difference after 6 months values), the CD-RISC (Connor-Davidson Resilience Scale, as baseline and as difference after 6 months), the social participation variables (total participation score, being a member, total number of memberships, level of social participation, being a board member, volunteering, and formal participation as baseline and as difference after 6 months values), were included in a logistic regression analysis.

Results: Limitations in a-ADLs at baseline (OR: 1.048, 95% confidence interval, 1.010-1.090) and an increment of limitations in a-ADLs after 6 months (OR: 1.044, 95% confidence interval, 1.007-1.085) were predictors to shift from robust to a worsened frailty state after one year follow-up. Additionally, being a woman (OR: 3.682, 95% confidence interval, 1.379-10.139) and social participation, specifically becoming a board member in 6 months (OR: 4.343, 95% confidence interval, 1.082-16.347), were protectors of robustness and thus related to an improved frailty transition after one year.

Conclusions: Encouraging healthy lifestyle behaviors to help the maintenance of ADLs, possibly leading to more social participation, could be promising in the prevention of frailty.

Citing Articles

The effect of activities of daily living on anxiety in older adult people: the mediating role of social participation.

Zheng J, Xu J, Liu D Front Public Health. 2024; 12:1450826.

PMID: 39735764 PMC: 11671491. DOI: 10.3389/fpubh.2024.1450826.

Psychological Resilience and Frailty Progression in Older Adults.

Ye B, Li Y, Bao Z, Gao J JAMA Netw Open. 2024; 7(11):e2447605.

PMID: 39585692 PMC: 11589792. DOI: 10.1001/jamanetworkopen.2024.47605.

The bidirectional relationship between activities of daily living and frailty during short-and long-term follow-up period among the middle-aged and older population: findings from the Chinese nationwide cohort study.

Li X, Li X, Sun L, Yang L, Wang C, Yuan T Front Public Health. 2024; 12:1382384.

PMID: 38746004 PMC: 11091387. DOI: 10.3389/fpubh.2024.1382384.

Impact of lifestyle and psychological resilience on survival among the oldest-old in China: a cohort study.

Cai J, Gao Y, Hu T, Zhou L, Jiang H Front Public Health. 2024; 11:1329885.

PMID: 38169738 PMC: 10758442. DOI: 10.3389/fpubh.2023.1329885.

References

Thompson M, Theou O, Adams R, Tucker G, Visvanathan R . Frailty state transitions and associated factors in South Australian older adults. Geriatr Gerontol Int. 2018; 18(11):1549-1555. DOI: 10.1111/ggi.13522. View

Hsu H, Chang W . Trajectories of frailty and related factors of the older people in Taiwan. Exp Aging Res. 2014; 41(1):104-14. DOI: 10.1080/0361073X.2015.978219. View

Vermeiren S, Vella-Azzopardi R, Beckwee D, Habbig A, Scafoglieri A, Jansen B . Frailty and the Prediction of Negative Health Outcomes: A Meta-Analysis. J Am Med Dir Assoc. 2016; 17(12):1163.e1-1163.e17. DOI: 10.1016/j.jamda.2016.09.010. View

Ye B, Chen H, Huang L, Ruan Y, Qi S, Guo Y . Changes in frailty among community-dwelling Chinese older adults and its predictors: evidence from a two-year longitudinal study. BMC Geriatr. 2020; 20(1):130. PMC: 7146912. DOI: 10.1186/s12877-020-01530-x. View

Ottenbacher K, Graham J, Al Snih S, Raji M, Samper-Ternent R, Ostir G . Mexican Americans and frailty: findings from the Hispanic established populations epidemiologic studies of the elderly. Am J Public Health. 2009; 99(4):673-9. PMC: 2661466. DOI: 10.2105/AJPH.2008.143958. View

De Vriendt P, Mets T, Petrovic M, Gorus E . Discriminative power of the advanced activities of daily living (a-ADL) tool in the diagnosis of mild cognitive impairment in an older population. Int Psychogeriatr. 2015; 27(9):1419-27. DOI: 10.1017/S1041610215000563. View

Reuben D, Laliberte L, Hiris J, Mor V . A hierarchical exercise scale to measure function at the Advanced Activities of Daily Living (AADL) level. J Am Geriatr Soc. 1990; 38(8):855-61. DOI: 10.1111/j.1532-5415.1990.tb05699.x. View

Wong R, Mohamad Y, Srisengfa Y, Kent D, Seetharaman S, Shah R . Psychological contributors to the frail phenotype: The association between resilience and frailty in patients with cirrhosis. Am J Transplant. 2020; 21(1):241-246. PMC: 7725888. DOI: 10.1111/ajt.16131. View

Costenoble A, Knoop V, Debain A, Vermeiren S, Vella Azzopardi R, Rossi G . Prefrailty: The Relationship Between Daily Activities and Social Participation in Older Persons. J Appl Gerontol. 2021; 41(2):430-440. DOI: 10.1177/0733464821991007. View

10.

Zamudio-Rodriguez A, Letenneur L, Feart C, Avila-Funes J, Amieva H, Peres K . The disability process: is there a place for frailty?. Age Ageing. 2020; 49(5):764-770. DOI: 10.1093/ageing/afaa031. View

11.

Cornelis E, Gorus E, Beyer I, Bautmans I, De Vriendt P . Early diagnosis of mild cognitive impairment and mild dementia through basic and instrumental activities of daily living: Development of a new evaluation tool. PLoS Med. 2017; 14(3):e1002250. PMC: 5349421. DOI: 10.1371/journal.pmed.1002250. View

12.

Connor K, Davidson J . Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003; 18(2):76-82. DOI: 10.1002/da.10113. View

13.

Kojima G, Taniguchi Y, Iliffe S, Jivraj S, Walters K . Transitions between frailty states among community-dwelling older people: A systematic review and meta-analysis. Ageing Res Rev. 2019; 50:81-88. DOI: 10.1016/j.arr.2019.01.010. View

14.

Ho L, Cheung D, Kwan R, Wong A, Lai C . Factors associated with frailty transition at different follow-up intervals: A scoping review. Geriatr Nurs. 2020; 42(2):555-565. DOI: 10.1016/j.gerinurse.2020.10.005. View

15.

Pegorari M, Tavares D . Frailty-associated factors among Brazilian community-dwelling elderly people: longitudinal study. Sao Paulo Med J. 2020; 137(5):463-470. PMC: 9745825. DOI: 10.1590/1516-3180.2019.0179160919. View

16.

Van der Elst M, Schoenmakers B, Op Het Veld L, De Roeck E, van der Vorst A, Kempen G . Concordances and differences between a unidimensional and multidimensional assessment of frailty: a cross-sectional study. BMC Geriatr. 2019; 19(1):346. PMC: 6902576. DOI: 10.1186/s12877-019-1369-7. View

17.

Windle G, Bennett K, Noyes J . A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011; 9:8. PMC: 3042897. DOI: 10.1186/1477-7525-9-8. View

18.

Katz S, Ford A, Moskowitz R, Jackson B, JAFFE M . STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. JAMA. 1963; 185:914-9. DOI: 10.1001/jama.1963.03060120024016. View

19.

Devi J . The scales of functional assessment of Activities of Daily Living in geriatrics. Age Ageing. 2018; 47(4):500-502. DOI: 10.1093/ageing/afy050. View

20.

Campbell A, Buchner D . Unstable disability and the fluctuations of frailty. Age Ageing. 1997; 26(4):315-8. DOI: 10.1093/ageing/26.4.315. View