ArticleFrontiers in psychology2025
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.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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9 authors.
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Abstract
Introduction: This study aimed to investigate the associations among social participation, sleep quality, multidimensional frailty, and activities of daily living (ADL) in older adults with knee osteoarthritis (KOA), and to further evaluate whether sleep quality and frailty jointly mediate these relationships. Methods: A cross-sectional study was conducted among 288 older adults with KOA recruited via convenience sampling. Validated scales were used to assess social participation, sleep quality, multidimensional frailty, and ADL. Statistical analyses were performed using SPSS 26.0 and the PROCESS 4.1 macro, including descriptive statistics, correlation analyses, and mediation modeling. Results: Social participation was significantly associated with sleep quality, multidimensional frailty, and ADL (all Discussion: Social participation was significantly associated with ADL in older adults with KOA, both directly and indirectly through sleep quality and multidimensional frailty. These findings suggest that enhancing social engagement and addressing sleep and frailty issues may be important for maintaining functional independence in this population. Future longitudinal and interventional studies are needed to validate these findings and inform targeted strategies for improving daily functioning among older adults with KOA.
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