ArticleHealthcare (Basel, Switzerland)2024
The Impact of Social Participation on Frailty among Older Adults: The Mediating Role of Loneliness and Sleep Quality.
Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Loneliness and Sleep Quality Among Older Adults Living in Nursing Homes.Nursing reports (Pavia, Italy) · 2026Article
- Associations Between Life Satisfaction and Sleep Quality Among Older Adults in China: Mediating Roles of Psychological Resilience and Anxiety and a Moderating Role of Chronic Disease.Healthcare (Basel, Switzerland) · 2026Article
- Social frailty, functional ability and social capital: a study among urban slum older adults in Tamil Nadu, India-convergent parallel mixed method study.BMC geriatrics · 2026Article
- When minds and networks matter: how mental health and social capital shape social frailty in older adults.Frontiers in medicine · 2026Article
- Longitudinal associations between changes in higher-level competence and sleep status among community-dwelling older adults in Japan.Frontiers in public health · 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
- The relationship between self-care ability and frailty in rural Chinese older adults: the mediating role of depressive symptoms.Frontiers in public health · 2025Article
- The impact of social participation on activities of daily living in older adults with knee osteoarthritis: the chain mediating effects of sleep quality and multidimensional frailty.Frontiers in psychology · 2025Article
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3 authors.
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Abstract
backgroundFrailty has become a common health issue among older adults, imposing a burden on both society and individuals. The relationship between social participation and frailty has received widespread attention, but the mechanism remains to be explored. The aim of this study is to explore the impact of social participation on frailty among older adults and to analyze the mediating role of loneliness and sleep quality, providing suggestions to alleviate frailty.
methodsData related to social participation, loneliness, sleep quality, and frailty from 7779 older adults were collected from the Chinese Longitudinal Healthy Longevity Survey (CLHLS 2018). The chain mediation model was conducted to explore the relationship between variables, and the Bootstrap method was used to examine the path coefficients.
resultsSocial participation negatively affected frailty (β = -0.00391049, 95% CI = [-0.042296, -0.035465]); the indirect effect of social participation on frailty mediated by loneliness was -0.0019505 (95% CI = [-0.002551, -0.001371]); the indirect effect of social participation on frailty mediated by sleep quality was -0.0011104 (95%CI = [-0.001692, -0.000557]); the effect mediated by both loneliness and sleep quality was -0.0004263 (95% CI = [-0.000593, -0.000304]).
conclusionsSocial participation negatively affected frailty. Loneliness and sleep quality not only mediated independently, but also played a chain mediating role. This suggested that encouraging older adults to engage in more social participation, reducing loneliness, and improving sleep quality are feasible measures to improve frailty.
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