ArticleBMC geriatrics2025
Association of healthy lifestyle patterns with changes in physical frailty and subjective cognitive function among community-dwelling older adults: a 3-year longitudinal study.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- 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
- Combined association between dietary inflammatory index-related dietary patterns and physical activity with frailty in Chinese older adults: findings from a cross-sectional.Frontiers in public health · 2025Article
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11 authors.
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Abstract
backgroundOlder adults have different lifestyle habits, and some of these habits are intertwined. However, research on lifestyle patterns and their impact on physical frailty and subjective cognitive function is still limited. In this study, we aimed to assess the effect of healthy lifestyle patterns on changes in physical frailty and subjective cognitive function over time in community-dwelling older adults.
methodsWe used data from longitudinal surveys (2014-2017) involving independently mobile older adults aged ≥ 65 years in suburban Japan. Healthy lifestyle factors included smoking status, alcohol consumption status, exercise, social participation, and dietary diversity. Physical frailty and cognitive function were assessed using the Kihon Checklist. Latent class analysis was used to identify lifestyle patterns and generalized estimating equations were used to evaluate the associations with 3-year changes in outcomes.
resultsAmong 757 participants (mean age 73.27 ± 6.59 years, 53.8% female), three lifestyle patterns were identified: "Low Exercise, Socially Inactive" (20.3%), "High Smoking and Alcohol Consumption" (6.6%), and "Healthy Lifestyle" (73.1%). Over 3 years, compared to the Healthy Lifestyle group, the Low Exercise, Socially Inactive group had higher physical frailty scores (β = 0.408, 95% confidence interval [CI: 0.197, 0.619]) and subjective cognitive function scores (β = 0.259, 95% CI [0.122, 0.397]). The High Smoking and Alcohol Consumption group also showed increased subjective cognitive function scores (β = 0.196, 95% CI [0.017, 0.376]).
conclusionsDifferent lifestyles were associated with different health risks in older adults. These lifestyle patterns, such as low physical activity and social participation, were associated with increased physical frailty and subjective cognitive decline. These findings suggest that latent class analysis may be useful for identifying lifestyle patterns that could inform the development of targeted interventions to promote healthy aging.
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