Weitere Artikel dieser Ausgabe durch Wischen aufrufen
Firstly, to investigate the prevalence of frailty and impact on health-related quality of life (HRQOL) in a Korean community-dwelling elderly population using the Fried frailty criteria; secondly, to investigate the associations among frailty, socioeconomic status (SES), and HRQOL of the Korean community-based population; and thirdly, to analyze the relationship between education, income, and frailty.
Nine hundred and sixty-four apparently heathy subjects from the Korean community-based population were enrolled in this prospective cross-sectional study. Using self-reported questionnaires, demographic data, SES, and HRQOL were evaluated. Frailty status was determined according to the Fried frailty criteria. After adjustment of covariates including age, sex, and BMI, multivariate linear regression analyses were conducted to assess each component of the proposed mediation models, and mediation was also verified by the bootstrapping technique.
Among the 964 participants, 530 (55.0%), 399 (41.4%), and 35 (3.6%) participants were classified into the robust, pre-frailty, and frailty group, respectively. The frail group demonstrated significantly lower HRQOL. Participants with lower income or education level had significantly higher chances of being frail. Frailty acted as a mediator in this association between low SES (education and income) and low HRQOL. Furthermore, income contributed most to the explanation of educational differences in frailty, suggesting full mediation.
Frailty has a significant negative influence on HRQOL in the community-based elderly population, and acts as a mediator between SES and HRQOL. As a mediator, income can explain educational difference related with the frailty.
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten
Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:
Tom, S. E., Adachi, J. D., Anderson, F. A., Jr., Boonen, S., Chapurlat, R. D., Compston, J. E., et al. (2013). Frailty and fracture, disability, and falls: A multiple country study from the global longitudinal study of osteoporosis in women. Journal of the American Geriatrics Society, 61(3), 327–334. doi: 10.1111/jgs.12146. CrossRefPubMedPubMedCentral
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults: evidence for a phenotype. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56(3), M146–M156. CrossRef
Chang, Y. W., Chen, W. L., Lin, F. G., Fang, W. H., Yen, M. Y., Hsieh, C. C., et al. (2012). Frailty and its impact on health-related quality of life: A cross-sectional study on elder community-dwelling preventive health service users. PLoS ONE, 7(5), e38079. doi: 10.1371/journal.pone.0038079. CrossRefPubMedPubMedCentral
Hoogendijk, E. O., van Hout, H. P., Heymans, M. W., van der Horst, H. E., Frijters, D. H., Broese van Groenou, M. I., et al. (2014). Explaining the association between educational level and frailty in older adults: Results from a 13-year longitudinal study in the Netherlands. Annals of Epidemiology, 24(7), 538–544. doi: 10.1016/j.annepidem.2014.05.002. e532. CrossRefPubMed
Mulasso, A., Roppolo, M., & Rabaglietti, E. (2014). The role of individual characteristics and physical frailty on health related quality of life (HRQOL): A cross sectional study of Italian community-dwelling older adults. Archives of Gerontology and Geriatrics, 59(3), 542–548. doi: 10.1016/j.archger.2014.08.012. CrossRefPubMed
Kim, H. J., Kim, S. C., Kang, K. T., Chang, B. S., Lee, C. K., & Yeom, J. S. (2014). Influence of educational attainment on pain intensity and disability in patients with lumbar spinal stenosis: Mediation effect of pain catastrophizing. Spine (Phila Pa 1976), 39, E637–E644. doi: 10.1097/BRS.0000000000000267. CrossRef
Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: examining the EQ-5D in the U.S. general population. Quality of Life Research, 14(10), 2187–2196. doi: 10.1007/s11136-005-8028-5. CrossRefPubMed
Bobak, M., Pikhart, H., Hertzman, C., Rose, R., & Marmot, M. (1998). Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey. Social Science & Medicine, 47(2), 269–279. CrossRef
Adler, N. E., & Newman, K. (2002). Socioeconomic disparities in health: pathways and policies. Health Affairs (Millwood), 21(2), 60–76. CrossRef
Santos-Eggimann, B., Cuenoud, P., Spagnoli, J., & Junod, J. (2009). Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 64(6), 675–681. doi: 10.1093/gerona/glp012. CrossRef
Syddall, H., Roberts, H. C., Evandrou, M., Cooper, C., Bergman, H., & Aihie Sayer, A. (2010). Prevalence and correlates of frailty among community-dwelling older men and women: findings from the Hertfordshire Cohort Study. Age and Ageing, 39(2), 197–203. doi: 10.1093/ageing/afp204. CrossRefPubMed
Jung, H. W., Kim, S. W., Ahn, S., Lim, J. Y., Han, J. W., Kim, T. H., et al. (2014). Prevalence and outcomes of frailty in Korean elderly population: comparisons of a multidimensional frailty index with two phenotype models. PLoS ONE, 9(2), e87958. doi: 10.1371/journal.pone.0087958. CrossRefPubMedPubMedCentral
- The significance of frailty in the relationship between socioeconomic status and health-related quality of life in the Korean community-dwelling elderly population: mediation analysis with bootstrapping
Young Woo Heo
Jin S. Yeom
- Springer International Publishing
Neuer Inhalt/© Stellmach, Neuer Inhalt/© BBL, Neuer Inhalt/© Maturus, Pluta Logo/© Pluta, Neuer Inhalt/© hww, digitale Transformation/© Maksym Yemelyanov | Fotolia