ArticleBMC geriatrics2022
Associations between lifestyle factors and multidimensional frailty: a cross-sectional study among community-dwelling older people.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 37 citations in OpenAlex.
- Mapping longitudinal evidence on multidimensional frailty among community-dwelling older adults: protocol for a scoping review.BMJ open · 2026Article
- Nutrition literacy, dietary diversity, and frailty among older adults in China.BMC geriatrics · 2026Article
- The Association Between Healthy Lifestyle Score Trajectory and Frailty in Middle-Aged and Older Adults in Korea: Findings from the Korean Longitudinal Study of Aging (2006-2024).Medicina (Kaunas, Lithuania) · 2026Article
- Latent profiles of emotional perceptions of ageing and health promotion lifestyle in older adults with diabetes: the mediating role of frailty.Journal of diabetes and metabolic disorders · 2025Article
- Determinants and risk prediction models for frailty among community-living older adults in eastern China.Frontiers in public health · 2025Article
- Sex differences in the association between social frailty and diet quality among older adults in Spain.The journal of nutrition, health & aging · 2024Article
- Development and Validation of a Game for Older Adults on Lifestyles and Frailty.Nursing reports (Pavia, Italy) · 2024Article
- Training healthcare professionals in assessment of health needs in older adults living at home: a scoping review.BMC medical education · 2024Article
- Frailty prevalence in 42 European countries by age and gender: development of the SHARE Frailty Atlas for Europe.GeroScience · 2024Article
- Plant-Based Diet Indices and Their Association with Frailty in Older Adults: A CLHLS-Based Cohort Study.Nutrients · 2023Article
- Protectin DX as a therapeutic strategy against frailty in mice.GeroScience · 2023Article
- Article
- Prognostic significance of frailty status in patients with primary lung cancer.BMC geriatrics · 2023Article
- Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal.International journal of environmental research and public health · 2023Article
- Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults.International journal of environmental research and public health · 2022Article
- Long-term tea consumption reduces the risk of frailty in older Chinese people: Result from a 6-year longitudinal study.Frontiers in nutrition · 2022Article
- Association between resilience and frailty among Chinese older adults.Frontiers in psychiatry · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultidimensional frailty, including physical, psychological, and social components, is associated to disability, lower quality of life, increased healthcare utilization, and mortality. In order to prevent or delay frailty, more knowledge of its determinants is necessary; one of these determinants is lifestyle. The aim of this study is to determine the association between lifestyle factors smoking, alcohol use, nutrition, physical activity, and multidimensional frailty.
methodsThis cross-sectional study was conducted in two samples comprising in total 45,336 Dutch community-dwelling individuals aged 65 years or older. These samples completed a questionnaire including questions about smoking, alcohol use, physical activity, sociodemographic factors (both samples), and nutrition (one sample). Multidimensional frailty was assessed with the Tilburg Frailty Indicator (TFI).
resultsHigher alcohol consumption, physical activity, healthy nutrition, and less smoking were associated with less total, physical, psychological and social frailty after controlling for effects of other lifestyle factors and sociodemographic characteristics of the participants (age, gender, marital status, education, income). Effects of physical activity on total and physical frailty were up to considerable, whereas the effects of other lifestyle factors on frailty were small.
conclusionsThe four lifestyle factors were not only associated with physical frailty but also with psychological and social frailty. The different associations of frailty domains with lifestyle factors emphasize the importance of assessing frailty broadly and thus to pay attention to the multidimensional nature of this concept. The findings offer healthcare professionals starting points for interventions with the purpose to prevent or delay the onset of frailty, so community-dwelling older people have the possibility to aging in place accompanied by a good quality of life.
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