Evidence map›Paper›PMID 32545853›Full record

ArticleInternational journal of environmental research and public health2020

Social Frailty Is Independently Associated with Mood, Nutrition, Physical Performance, and Physical Activity: Insights from a Theory-Guided Approach.

Kalene Pek, Justin Chew, Jun Pei Lim, Suzanne Yew, Cai Ning Tan, Audrey Yeo, Yew Yoong Ding, Wee Shiong Lim

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 7 pooled it
6.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 7 syntheses or guidelines pooled it, 131 citations in OpenAlex.

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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Kalene PekInstitute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Justin ChewInstitute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore 308433, Singapore.ORCID 0000-0001-9891-6663
Jun Pei LimInstitute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Suzanne YewInstitute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Cai Ning TanInstitute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Audrey YeoInstitute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Yew Yoong DingInstitute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Wee Shiong LimInstitute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore 308433, Singapore.ORCID 0000-0003-3975-7230
Tan Tock Seng Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Notwithstanding the increasing body of evidence that links social determinants to health outcomes, social frailty is arguably the least explored among the various dimensions of frailty. Using available items from previous studies to derive a social frailty scale as guided by the Bunt social frailty theoretical framework, we aimed to examine the association of social frailty, independently of physical frailty, with salient outcomes of mood, nutrition, physical performance, physical activity, and life-space mobility. We studied 229 community-dwelling older adults (mean age 67.22 years; 72.6% females) who were non-frail (defined by the FRAIL criteria). Using exploratory factor analysis, the resultant 8-item Social Frailty Scale (SFS-8) yielded a three-factor structure comprising social resources, social activities and financial resource, and social need fulfilment (score range: 0-8 points). Social non-frailty (SNF), social pre-frailty (SPF), and social frailty (SF) were defined based on optimal cutoffs, with corresponding prevalence of 63.8%, 28.8%, and 7.4%, respectively. In logistic regression adjusted for significant covariates and physical frailty (Modified Fried criteria), there is an association of SPF with poor physical performance and low physical activity (odds ratio, OR range: 3.10 to 6.22), and SF with depressive symptoms, malnutrition risk, poor physical performance, and low physical activity (OR range: 3.58 to 13.97) compared to SNF. There was no significant association of SPF or SF with life-space mobility. In summary, through a theory-guided approach, our study demonstrates the independent association of social frailty with a comprehensive range of intermediary health outcomes in more robust older adults. A holistic preventative approach to frailty should include upstream interventions that target social frailty to address social gradient and inequalities.

Indexed as

ExerciseFrailtyAgedAged, 80 and overCross-Sectional StudiesFemaleFrail ElderlyGeriatric AssessmentHumansIndependent LivingMaleMiddle AgedPhysical Functional Performancenutritionphysical activityphysical frailtyphysical performancesocial frailtysocial gradient

Identifiers

PMID32545853
PMCPMC7345462
OpenAlexW3035758718

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.