ArticleFrontiers in public health2025
The trajectory of functional status among older adults with chronic diseases and the association with social relationships.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evolving aspects of oral care in older adults: a systematic review and Meta-synthesis.BMC oral health · 2026Pooled it
- Social interaction and functional status among community-dwelling older adults in Japan: a longitudinal study during the coronavirus disease 2019 pandemic.Frontiers in public health · 2025Article
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12 authors.
Funding
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Abstract
Background: Functional status crucially affects healthy aging. Identifying trajectory of functional status and related determinants is important. We aimed to identify the trajectory of functional status over 6 years among older adults with chronic diseases and its association with social relationships. Methods: A latent class growth model analysis was conducted to explore the trajectory of functional status using three time points over 6 years. After identifying the trajectories, a multi-nominal logistic regression analysis was performed to examine the association between social relationships and the trajectories. Results: We included data from 458 participants aged ≥65 years with chronic diseases in Japan. Three distinct trajectories were identified, with 73.3% of participants being functionally stable, 16.6% moderate functional decline, and 10.1% rapid functional decline. Good social relationships were associated with a lower probability of having moderate or rapid functional decline trajectories (odds ratio [OR] 0.75, 95% confidence interval [CI] 0.65-0.87 and OR 0.63, 95% CI 0.51-0.78, respectively). Conclusion: Differences were found in the functional trajectories of older adults with chronic disease over time. Older adults with more extensive social relationships appeared less likely to have a poorer functional trajectory. The findings suggest that fostering extensive social relationships could be an effective management strategy for functional decline deterioration.
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