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social frailty

a person's risk or actual loss of social resources, behaviors, activities, & self-management abilities to fulfill basic social needs [1,4] first proposed by Gobbens & others in 2010 [4] Etiology: - association between loneliness & social frailty among elderly - hearing loss may contribute to social isolation - negative emotions may contribute to social isolation - adverse effects of medications may have a negative impact on social frailty [1] - depression, physical inactivity, & weakness may affect social frailty [1] Epidemiology: - 24% of elderly worldwide [1] - 47% in hospitals, 18% in the community [1] Clinical significance: - physical frailty, cognitive frailty,& social frailty may be associated with poor health outcomes & to interact with each other [1,3] - social frailty has a negative impact on physical & mental health - compromised ability of self-care - depression in the elderly - increased mortality [1] Special laboratory: - screening for social frailty - Makizako Social Frailty Index (most widely used) - Social Frailty Screening Index - Tilburg Frailty Indicator Management: - early screening & intervention [1] - increase socialization - correct hearing loss - treat depression - physical activity/exercise as tolerated* * extrapolated from [1]

Related

loneliness social isolation

General

frailty social disorder

References

  1. Tumolo J Social Frailty May Affect Nearly 1 in 4 Older Adults Globally. Annals of Long-Term Care. 2023. Feb 1 https://www.hmpgloballearningnetwork.com/site/altc/news/social-frailty-may-affect-nearly-1-4-older-adults-globally - Zhang XM, Cao S, Gao M, Xiao S, Xie X, Wu X. The prevalence of social frailty among older adults: a systematic review and meta-analysis. J Am Med Dir Assoc. 2023;24(1):29-37.e9. PMID: 36402197 Free article https://www.jamda.com/article/S1525-8610(22)00789-7/fulltext
  2. Pek K, Chew J, Lim JP et al. Social frailty is independently associated with mood, nutrition, physical performance, and physical activity: insights from a theory-guided approach. Int J Environ Res Public Health. 2020; 17: 4239 PMID: 32545853 Free PMC article.
  3. Sugie M, Harada K, Nara M et al Prevalence, overlap, and interrelationships of physical, cognitive, psychological, and social frailty among community-dwelling older people in Japan. Arch Gerontol Geriatr. 2022 May-Jun;100:104659. PMID: 35190333 Free article https://www.sciencedirect.com/science/article/pii/S0167494322000401
  4. Gobbens RJ, van Assen MA, Luijkx KG et al Determinants of frailty J Am Med Dir Assoc. 2010 Jun;11(5):356-64 PMID: 20511103 https://www.jamda.com/article/S1525-8610(09)00411-3/fulltext
  5. Bunt S, Steverink N, Olthof J et al Social frailty in older adults: a scoping review Eur J Ageing. 2017 Jan 31;14(3):323-334. PMID: 28936141 PMCID: PMC5587459 Free PMC article