Social isolation and loneliness as related to progression and reversion of frailty in the Survey of Health Aging Retirement in Europe (SHARE)

Age and Ageing - Tập 50 Số 1 - Trang 258-262 - 2021
Carlotta Micaela Jarach1,2, Mauro Tettamanti3, Alessandro Nobili2, Barbara D’Avanzo2
1Department of Health Systems Management, Ben-Gurion University of the Negev, Israel
2Laboratory of Quality Assessment of Geriatric Therapies and Services, Istituto Services di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
3Laboratory of Geriatric Neuropsychiatry, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy

Tóm tắt

Abstract Background Frailty was shown to be associated with psychosocial risk factors, but there are few longitudinal data. Methods We used data from waves 5 and 6 of the Survey of Health Aging Retirement in Europe (SHARE) to study the contribution of loneliness and social isolation to transitions towards frailty defined according to Fried criteria in a sample of 27,468 individuals aged ≥60. Results At baseline, there were 13,069 (47.6%) robust individuals, 11,430 (41.6%) pre-frail and 2,969 (10.8%) frail. After 2 years, among robust subjects at baseline, 8,706 (61.8%) were still robust, 4,033 (30.8%) were pre-frail and 330 (2.6%) were frail. Among those who were pre-frail, 1,504 (13.2%) progressed to frail and 3,557 (31.1%) became robust. Among frail people, 182 (6.1%) reversed to robust and 1,271 (42.8%) to pre-frail. Average and high levels of loneliness and social isolation were significantly associated with the risk of robust people becoming frail and pre-frail (except robust with high loneliness to become frail), and of pre-frail people to become frail (except with average loneliness). Reversion to robustness was inversely associated with high levels of loneliness. Conclusion Average levels of loneliness and social isolation should not be considered acceptable and should be actively addressed even in the absence of any health conditions through an available evidence-based intervention.

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Age and Ageing

Tập 50 Số 1

258-262

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