Associations of social engagement, and loneliness with the progression and reversal of frailty: longitudinal investigations of two prospective cohorts from the UK and the USA.
Am J Epidemiol
; 2024 Jul 25.
Article
en En
| MEDLINE
| ID: mdl-39060173
ABSTRACT
BACKGROUND:
Social connections may impact the dynamic trajectory of frailty.METHODS:
Using data from the British Regional Heart Study (BRHS) in the UK (n = 715), and the US Health, Aging and Body Composition (Health ABC) Study (n = 1256), we conducted multinominal regression analyses to examine the association of baseline and change in social engagement and loneliness with progression to pre-frailty and frailty, as well as their association with reversal to pre-frailty and robust status among older adults.RESULTS:
A higher level of social engagement at baseline (BRHS relative risk ratio (RRR) 0.69 [95%CI 0.55-0.85]; Health ABC 0.56 [0.45-0.70]), as well as increase in social engagement (BRHS 0.73, [0.59-0.90]; Health ABC 0.51 [0.41-0.63]), were associated with a lower risk of developing frailty. In BRHS, a higher level of loneliness at baseline (1.42 [1.10-1.83]) and an increase in loneliness (1.50 [1.18-1.90]), increased the risk of developing frailty. For reversal of frailty, higher social engagement at baseline (Health ABC 1.63 [1.08-2.47]) and an increase in social engagement (BRHS1.74[1.18-2.50]; Health ABC 1.79[1.17-.274]) were beneficial.CONCLUSION:
Social connections maybe potentially important and modifiable factors in both preventing and reversing progression of frailty in older adults.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Idioma:
En
Revista:
Am J Epidemiol
Año:
2024
Tipo del documento:
Article