Evidence map›Paper›PMID 35135759›Full record

ArticleBMJ open2022

Assessing the psychosocial dimensions of frailty among older adults in Singapore: a community-based cross-sectional study.

Elliot Yeung Chong, Angela Hui-Shan Lim, Freda Cheng Yee Mah, Lyn Hui Wen Yeo, Shu Tian Ng, Huso Yi

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PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

6 authors.

Elliot Yeung Chong *Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Angela Hui-Shan Lim *Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Freda Cheng Yee Mah *Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Lyn Hui Wen YeoYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Shu Tian NgSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Huso YiSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore ephyh@nus.edu.sg.ORCID 0000-0003-4724-5235

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine how multiple dimensions of mental and social health, in addition to physical health, were associated with frailty among older adults.

designA door-to-door sampling household community-based survey.

settingThirty-two public housing blocks within a residential town in Singapore's central region.

participants497 residents aged 60 years or older from the public housing town. OUTCOME MEASURES: Physical frailty was assessed using the FRAIL Scale, which stands for fatigue, resistance, ambulation, illnesses and loss of weight. Physical health was assessed by multimorbidity, physical activity and functional ability; mental illness was assessed by the General Health Questionnaire (GHQ); and social domains were assessed by the Lubben Social Network Scale, Community Integration Measure and UCLA (University of California, Los Angeles) Loneliness Scale.

resultsCompared with robust (59.5%) and prefrail (32.6%) older adults, frail adults (7.9%) reported higher morbidity, lower functional ability and physical activity, higher scores on GHQ, and lower scores on all three social health scales. In multiple regression models, frailty was significantly associated with age 81-90 years (adjusted OR=2.22, 95% CI 1.23 to 3.99), having 2-3 (adjusted OR=1.56, 95% CI 1.02 to 2.38) or >3 (adjusted OR=1.83, 95% CI 1.05 to 3.18) chronic diseases, reduced ability to perform daily tasks without assistance (adjusted OR=0.41, 95% CI 0.23 to 0.73), having fallen in the past 6 months (adjusted OR=2.18, 95% CI 1.18 to 4.06), social dysfunction in GHQ (adjusted OR=1.24, 95% CI 1.08 to 1.43) and loneliness (adjusted OR=1.26, 95% CI 1.06 to 1.50). Physical activity did not remain significantly associated with frailty when mental and social health-related factors were entered in the regression.

conclusionCommunity intervention for frailty prevention and management needs to include mental health promotion and social engagement to increase its impact on older adults.

Indexed as

FrailtyAgedAged, 80 and overCross-Sectional StudiesFrail ElderlyGeriatric AssessmentHumansIndependent LivingLonelinessMiddle AgedSingaporeepidemiologygeriatric medicinepublic health

Identifiers

PMID35135759
PMCPMC8830253

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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.