ArticleEuropean journal of public health2019
Association between physical, psychological and social frailty and health-related quality of life among older people.
Article in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and potential influencing factors for social frailty among community-dwelling older adults: a systematic review and meta-analysis.BMC geriatrics · 2024Pooled it
- Low serum klotho concentration is associated with worse cognition, psychological components of frailty, dependence, and falls in nursing home residents.Scientific reports · 2021Trial
- Identifying sex-specific predictors of frailty in Korean community-dwelling older adults using interpretable machine learning.BMC geriatrics · 2026Article
- Development of the social frailty scale for older adults under pandemic-related social restrictions.Frontiers in aging · 2026Article
- Perceived social support and psychological resilience as mediators between social frailty and the frailty of older patients with heart failure: a cross-sectional study.BioPsychoSocial medicine · 2025Article
- 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
- Uncovering the multivariate genetic architecture of frailty with genomic structural equation modeling.Nature genetics · 2025Article
- Impact of exposure to ambient air pollution on health related quality of life of rural elderly in western China.Scientific reports · 2025Article
- Predicting the Subjective Health Experience of Older Adults: A Modelling Approach.Journal of aging research · 2025Article
- Trends in the Assessment of Social Frailty in Community-Dwelling Older Adults: A Scoping Review.Cureus · 2024Article
- Factors associated with health-related quality of life among community-dwelling older adults: the APPCARE study.Scientific reports · 2024Article
- Mediating the Role of Perceived Social Support Between Frailty and Self-Perceived Burden in Elderly Patients with Diabetes.Patient preference and adherence · 2024Article
- Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults.BMC geriatrics · 2023Article
- To validate the integral conceptual model of frailty among community-dwelling older adults in China: a cross-sectional study.BMC geriatrics · 2023Article
- Associations between frailty, sociodemographic characteristics and quality-of-life among community-dwelling older adults: A cross-sectional study.Nursing open · 2023Article
- Study on anxiety and depression in elderly patients with malignant liver tumor undergoing hepatectomy.European journal of medical research · 2023Article
- Factors associated with levels of health-related quality of life in elderly women: secondary data analysis of the Korea National Health and Nutrition Examination Survey 2019.Korean journal of women health nursing · 2022Article
- Anxiety and depression in older adult patients undergoing elective liver surgery in allopatry medical treatment.iLIVER · 2022Article
- Frailty among Older People during the First Wave of the COVID-19 Pandemic in The Netherlands.International journal of environmental research and public health · 2022Article
- Observational
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies on the association between frailty and health-related quality of life (HRQoL) are scarce and show contradictory results. This study aimed to evaluate the association between physical, psychological and social frailty and HRQoL among community-dwelling older people.
methodsA cross-sectional study was performed with baseline data collected in 2015 from the Urban Health Centers Europe (UHCE) project in five European countries, the United Kingdom, Greece, Croatia, The Netherlands and Spain. A total of 2325 participants were included in the baseline measurements of the Urban Health Centers Europe project; 2167 participants (mean age = 79.7; SD=5.6) were included in the analyses after excluding participants with missing data. The Tilburg Frailty Indicator measured overall frailty as well as physical, psychological and social frailty. The 12-Item Short-Form Health Survey was used to measured physical and mental HRQoL.
resultsRegarding physical HRQoL, a large difference (d=1.29) between physically and not physically frail participants was observed. Regarding mental HRQoL, a large difference (d=1.20) between psychologically and not psychologically frail participants was observed. In the full model with all three domains of frailty and the covariates to explain physical HRQoL, physical (P <0.001) and social frailty (P <0.001) remained significant. In the full model to explain mental HRQoL, all three domains of frailty remained significant (P <0.001).
conclusionPhysical frailty had the strongest association with physical HRQoL, and psychological frailty had the strongest association with mental HRQoL. The associations between social frailty and both physical and mental HRQoL remain significant when controlling for physical and psychological frailty.
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