TY  - JOUR
PY  - 2020//
TI  - Combined impact of physical frailty and social isolation on rate of falls in older adults
JO  - Journal of nutrition, health, and aging
A1  - Hayashi, T.
A1  - Umegaki, H.
A1  - Makino, T.
A1  - Huang, C. H.
A1  - Inoue, A.
A1  - Shimada, H.
A1  - Kuzuya, M.
SP  - 312
EP  - 318
VL  - 24
IS  - 3
N2  - OBJECTIVES: The aim of this study was to examine the impact of the combination of physical frailty and social isolation on falling in community-dwelling older adults. <br><br>DESIGN: A cross-sectional study of data obtained at registration in a randomized control trial. SETTING: Community-based study of participants recruited from Toyota, Japan. PARTICIPANTS: 380 community-dwelling older adults (47.9% women, mean age = 72.3 ± 4.6 years). MEASUREMENTS: Participants were categorized as non-frail or pre-frail/frail based on the Fried frailty criteria (slowness, weakness, exhaustion, low activity, and weight loss). Social isolation was examined using the Lubben Social Network Scale (LSNS-6), and scores lower than 12 points indicated social isolation. Participants were divided into four groups depending on pre-frail/frail status and social isolation, and experiences of multiple falls over the past year were compared between the groups. <br><br>RESULTS: Participants were classified into robust (n = 193), physical frailty (PF; n = 108), social isolation (SI; n = 43), and PF with SI (PF+SI; n = 36) groups. A total of 38 (10.0%) participants reported multiple falls. Logistic regression analysis showed that PF and SI groups were not independently associated with falling (PF: OR 1.64, 95% CI 0.65-4.16, SI: OR 2.25, 95% CI 0.77-6.58), while PF+SI group was significantly associated with falling compared with the robust group (OR 3.06, 95% CI 1.00-9.34, p = 0.049) after controlling for confounding factors. <br><br>CONCLUSION: Our findings support the assertion that coexistence with physical frailty and social isolation were associated with falling in the older adults.<p />  <p>Language: en</p>
LA  - en
SN  - 1279-7707
UR  - http://dx.doi.org/10.1007/s12603-020-1316-5
ID  - ref1
ER  -