ArticleHealth and quality of life outcomes2010
Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy.
Article in Health and quality of life outcomes, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
62 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Quality of life is substantially worse for community-dwelling older people living with frailty: systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Pooled it
- Effects of health care interventions on quality of life among frail elderly: a systematized review.Clinical interventions in aging · 2019Pooled it
- A systematic review of instruments for measuring outcomes in economic evaluation within aged care.Health and quality of life outcomes · 2015Pooled it
- Implementation of knowledge-based palliative care in nursing homes and pre-post post evaluation by cross-over design: a study protocol.BMC palliative care · 2018Trial
- For whom is a health-promoting intervention effective? Predictive factors for performing activities of daily living independently.BMC geriatrics · 2016Trial
- Multidimensional associations of physical performance, balance, wellness and daily activities with frailty in older adults with coexisting frailty and diabetes.Journal of clinical nursing · 2026Article
- Predictive value of the clinical frailty scale for intensive care unit mortality in elderly and very elderly patients: a prospective cohort study.BMC anesthesiology · 2026Article
- Impact of physical, psychological, and social frailty on quality of life by sex in adults aged 65 and older: a secondary analysis of the Korean Longitudinal Study of Aging (2018~2022).Journal of Korean biological nursing science · 2025Article
- The Prediction of Quality of Life by Frailty and Disability among Dutch Community-Dwelling People Aged 75 Years or Older.Healthcare (Basel, Switzerland) · 2024Article
- Diet, Food Intake, and Exercise Mixed Interventions (DEMI) in the Enhancement of Wellbeing among Community-Dwelling Older Adults in Japan: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Geriatrics (Basel, Switzerland) · 2024Review
- Frailty and Quality of Life among Older Adults in Communities: The Mediation Effects of Daily Physical Activity and Healthy Life Self-Efficacy.Geriatrics (Basel, Switzerland) · 2022Article
- Classifying and characterizing the development of self-reported overall quality of life among the Chinese elderly: a twelve-year longitudinal study.BMC public health · 2022Article
- Preoperative quality of life as prediction for severe postoperative complications in gynecological cancer surgery: results of a prospective study.Archives of gynecology and obstetrics · 2021Article
- Association between in-hospital frailty and health-related quality of life after stroke: the Nor-COAST study.BMC neurology · 2021Observational
- Frailty Status Typologies in Spanish Older Population: Associations with Successful Aging.International journal of environmental research and public health · 2020Article
- Frailty Hinders Recovery From Influenza and Acute Respiratory Illness in Older Adults.The Journal of infectious diseases · 2020Article
- Assessing quality of life in older adults: psychometric properties of the OPQoL-brief questionnaire in a nursing home population.Health and quality of life outcomes · 2020Article
- Mental Health Attribution for Mexican-Origin Latinx and Non-Latinx Older Adults: A Latent Class Analysis.Innovation in aging · 2020Article
- Elevated Red Cell Distribution Width Is Independently Associated With a Higher Frailty Risk Among 2,932 Community-Dwelling Older Adults.Frontiers in medicine · 2020Article
- Frailty Prevalence and Association with Health-Related Quality of Life Impairment among Rural Community-Dwelling Older Adults in Vietnam.International journal of environmental research and public health · 2019Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a lack of knowledge concerning the relationship between two closely-linked multidimensional variables: frailty and quality of life (QOL). The aim of this study was to investigate dimensions and correlates of QOL associated with frailty status among community-dwelling older outpatients.
methodsWe conducted a cross-sectional survey of 239 community-dwelling outpatients aged 65+ (mean age 81.5 years) consecutively referred to a geriatric medicine clinic in Italy between June and November 2009. Participants underwent a comprehensive geriatric assessment, including assessment of their frailty status according to the Study of Osteoporotic Fractures (SOF) criteria, and QOL, which was evaluated by using the Older People's QOL (OPQOL) questionnaire. One-way ANOVA and chi-squared tests were used to find correlates of frailty, including QOL dimensions, after stratification of participants in the "robust" (n = 72), "pre-frail" (n = 89) and "frail" (n = 78) groups. Multiple linear regression analyses were performed to find correlates of QOL in the overall sample and among "frail" and "robust" participants.
resultsA negative trend of QOL with frailty status was found for almost all dimensions of QOL (health, independence, home and neighbourhood, psychological and emotional well-being, and leisure, activities and religion) except for social relationships and participation and financial circumstances. Independent correlates of a poor QOL in the total sample were "reduced energy level" (SOF criterion for frailty), depressive status, dependence in transferring and bathing abilities and money management (adjusted R squared 0.39); among "frail" participants the associations were with depressive status and younger age, and among "robust" participants the association was with lower body mass index.
conclusionsFive out of seven dimensions of QOL were negatively affected by frailty, but only one SOF criterion for frailty was independently related to QOL, after correction for age, functional status and depression. A more advanced age as well as a better affective status were correlates of a better QOL among frail elders. Interventions targeting the QOL in frail community-dwelling older outpatients should consider as outcomes, not only health-related QOL, but also other domains of the QOL.
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