Social Frailty among Community-Dwelling Older Adults during the COVID-19 Pandemic in Korea: A Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Data Collection and Participants
2.3. Measures
2.3.1. Social Frailty
2.3.2. Health Conditions
2.3.3. Behavioral and Metabolic Risk Factors
2.3.4. Intrinsic Capacity
2.3.5. Economic Status
2.3.6. Digital Literacy
2.4. Ethical Considerations
2.5. Data Analyses
3. Results
3.1. Prevalence Rate of Social Frailty
3.2. Differences in Health Conditions, Behavioral and Metabolic Risk Factors, and Intrinsic Capacity of Participants in the Robust, Social Prefrailty, and Social Frailty Groups
3.3. Differences in Economic Status and Digital Literacy of Participants in the Robust, Social Prefrailty, and Social Frailty Groups
3.4. Results of Multinomial Logistic Regression
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Category | Total (n = 9920, 100%) Mean (SD) | Robust a (n = 1218, 12.3%) Mean (SD) or n (%) | Social Prefrailty b (n = 3612, 36.4%) Mean (SD) or n (%) | Social Frailty c (n = 5090, 51.3%) Mean (SD) or n (%) | χ2/F | p | Scheffé Test |
---|---|---|---|---|---|---|---|---|
Demographic characteristics | ||||||||
Age (years) | 73.4 (6.5) | 72.1 (5.8) | 73.2 (6.2) | 73.93 (6.9) | 41.89 | <0.001 | a < b, a < c | |
Male | 3971 (40.0) | 604 (49.6) | 1467 (40.6) | 1900 (37.3) | 62.36 | <0.001 | ||
Education (years) | 8.2 (4.0) | 9.11 (3.6) | 8.38 (3.9) | 7.84 (4.1) | 55.67 | <0.001 | a > b, a > c | |
Health conditions | ||||||||
Number of diagnosed chronic diseases | 1.8 (1.5) | 1.5 (1.3) | 1.7 (1.4) | 2.01 (1.6) | 87.17 | <0.001 | a < b, a < c | |
Number of prescribed medicines | 1.8 (1.5) | 1.4 (1.2) | 1.6 (1.4) | 1.95 (1.7) | 80.67 | <0.001 | a < b, a < c | |
Depression | 3.4 (3.4) | 2.2 (2.3) | 2.7 (2.7) | 4.17 (3.8) | 317.51 | <0.001 | a < b, a < c | |
Behavioral and metabolic risk factors | ||||||||
Exercise (yes) | 692 (56.8) | 2041 (56.5) | 2454 (48.2) | 69.66 | <0.001 | |||
Exercise (weekly frequency) | 4.8 (1.8) | 5.2 (1.6) | 4.8 (1.8) | 4.6 (1.8) | 29.81 | <0.001 | a > b, a > c | |
Nutritional status | Mean score | 2.0 (3.0) | 0.9 (1.77) | 1.5 (2.3) | 2.6 (3.5) | 251.30 | <0.001 | a < b, a < c, b < c |
Good | 7058 (71.1) | 1068 (87.7) | 2807 (77.7) | 3183 (62.5) | 486.07 | <0.001 | ||
Moderate nutritional risk | 1943 (19.6) | 123 (10.1) | 625 (17.3) | 1195 (23.5) | ||||
High nutritional risk | 919 (9.3) | 27 (2.2) | 180 (5.0) | 712 (14.0) | ||||
Current smoking (yes) | 1089 (11.0) | 206 (16.9) | 375 (10.4) | 508 (10.0) | 50.40 | <0.001 | ||
Drinking frequency over the past year | 1.2 (1.8) | 1.5 (1.90) | 1.1 (1.7) | 1.1 (1.7) | 27.79 | <0.001 | a > b, a > c | |
Risk drinkers | 1943 (52.8) | 248 (45.4) | 672 (51.1) | 1023 (56.3) | 22.32 | <0.001 | ||
Alcohol consumption | 3.9 (2.3) | 3.8 (2.31) | 3.7 (2.1) | 4.0 (2.3) | 4.22 | 0.015 | b < c | |
BMI | Mean score | 23.6 (2.6) | 23.6 (2.36) | 23.7 (2.5) | 23.5 (2.7) | 4.03 | 0.018 | b > c |
Underweight | 213 (2.2) | 14 (1.2) | 67 (1.9) | 132 (2.6) | 15.71 | 0.003 | ||
Normal | 7208 (72.9) | 917 (75.6) | 2605 (72.3) | 3686 (72.6) | ||||
Obesity | 2468 (25.0) | 282 (23.2) | 929 (25.8) | 1257 (24.8) | ||||
Intrinsic capacity | ||||||||
Cognitive scale | 24.3 (5.3) | 25.8 (4.04) | 24.7 (4.9) | 23.7 (5.7) | 90.42 | <0.001 | a > b, a > c, b > c | |
Muscle power | Performed | 7285 (73.4) | 1009 (82.8) | 2754 (76.2) | 3522 (69.2) | 159.64 | <0.001 | |
Fall experiences | Yes | 633 (6.4) | 49 (4.0) | 195 (5.4) | 389 (7.6) | 30.73 | <0.001 | |
ADL | 7.2 (1.1) | 7.0 (0.3) | 7.1 (0.7) | 7.3 (1.4) | 45.58 | <0.001 | a < c, b < c | |
IADL | 10.6 (2.6) | 10.1 (0.9) | 10.3 (1.8) | 10.9 (3.2) | 78.52 | <0.001 | a < c, b < c |
Characteristic | Total (n = 9920, 100%) Mean (SD) or n (%) | Robust a (n = 1218, 12.3%) Mean (SD) or n (%) | Social Prefrailty b (n = 3612, 36.4%) Mean (SD) or n (%) | Social Frailty c (n = 5090, 51.3%) Mean (SD) or n (%) | χ2/F | p | Scheffé Test | |
---|---|---|---|---|---|---|---|---|
Economic status | ||||||||
Job | Yes | 516 (42.4) | 1320 (36.5) | 1778 (34.9) | 23.48 | <0.001 | ||
Annual income (10,000 Won) | 2700.6 (3976.7) | 3256.5 (2777.8) | 2698.8 (2500.4) | 2568.8 (4944.8) | 14.74 | <0.001 | a > b, a > c | |
Digital literacy | ||||||||
Use of smartphones or tablet PCs | Yes | 5083 (51.2) | 766 (62.9) | 1939 (53.7) | 2378 (46.7) | 116.43 | <0.001 | |
Use of computers | Yes | 543 (5.5) | 97 (8.0) | 239 (6.6) | 207 (4.1) | 43.19 | <0.001 | |
Utilization of electronic devices (information retrieval) | 3955 (45.6) | 599 (52.8) | 1509 (47.0) | 1847 (42.8) | 39.96 | <0.001 |
Robust versus Social Frailty | Social Prefrailty versus Social Frailty | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
B | p | Exp (B) | 95% CI | B | p | Exp (B) | 95% CI | |||
Lower | Upper | Lower | Upper | |||||||
(Constant) | −2.913 | 0.001 | −1.364 | 0.005 | ||||||
Age | 0.004 | 0.548 | 1.004 | 0.991 | 1.017 | 0.006 | 0.148 | 1.006 | 0.998 | 1.015 |
Gender (male) | 0.116 | 0.135 | 1.123 | 0.965 | 1.307 | 0.019 | 0.721 | 1.019 | 0.919 | 1.130 |
Number of diagnosed chronic diseases | −0.036 | 0.209 | 0.965 | 0.912 | 1.020 | −0.015 | 0.413 | 0.985 | 0.951 | 1.021 |
Depression | −0.128 | 0.000 | 0.880 | 0.856 | 0.903 | −0.098 | 0.000 | 0.906 | 0.892 | 0.921 |
Exercise (yes) | 0.165 | 0.016 | 1.179 | 1.032 | 1.348 | 0.236 | 0.000 | 1.266 | 1.156 | 1.386 |
Nutritional status (Good) | 1.432 | 0.000 | 4.185 | 2.783 | 6.293 | 0.780 | 0.000 | 2.181 | 1.809 | 2.630 |
Nutritional status (Moderate) | 0.611 | 0.006 | 1.842 | 1.193 | 2.846 | 0.483 | 0.000 | 1.620 | 1.332 | 1.971 |
Current smoking (yes) | 0.385 | 0.000 | 1.470 | 1.198 | 1.804 | 0.039 | 0.633 | 1.040 | 0.887 | 1.219 |
Drinking frequency during the last one year | 0.053 | 0.011 | 1.054 | 1.012 | 1.098 | −0.003 | 0.866 | 0.997 | 0.968 | 1.027 |
BMI | 0.008 | 0.561 | 1.008 | 0.981 | 1.036 | 0.017 | 0.060 | 1.017 | 0.999 | 1.035 |
Cognitive scale | 0.040 | 0.000 | 1.041 | 1.025 | 1.057 | 0.011 | 0.020 | 1.011 | 1.002 | 1.020 |
Fall experiences during the last one year (yes) | −0.166 | 0.310 | 0.847 | 0.615 | 1.167 | −0.042 | 0.665 | 0.959 | 0.794 | 1.159 |
ADL | −0.158 | 0.041 | 0.854 | 0.734 | 0.994 | −0.073 | 0.008 | 0.930 | 0.881 | 0.982 |
Annual income | 0.000 | 0.570 | 1.000 | 1.000 | 1.000 | 0.000 | 0.046 | 1.000 | 1.000 | 1.000 |
Use of smartphones or tablet PCs (yes) | 0.212 | 0.008 | 1.236 | 1.056 | 1.448 | 0.085 | 0.111 | 1.089 | 0.981 | 1.210 |
Likelihood ratio test chi2 | 1017.889 | |||||||||
p | <0.001 | |||||||||
Pseudo R2 (Nagelkerke) | 0.115 |
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Choi, S.; Ko, H. Social Frailty among Community-Dwelling Older Adults during the COVID-19 Pandemic in Korea: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2022, 19, 11963. https://doi.org/10.3390/ijerph191911963
Choi S, Ko H. Social Frailty among Community-Dwelling Older Adults during the COVID-19 Pandemic in Korea: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2022; 19(19):11963. https://doi.org/10.3390/ijerph191911963
Chicago/Turabian StyleChoi, Seunghye, and Hana Ko. 2022. "Social Frailty among Community-Dwelling Older Adults during the COVID-19 Pandemic in Korea: A Cross-Sectional Study" International Journal of Environmental Research and Public Health 19, no. 19: 11963. https://doi.org/10.3390/ijerph191911963