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RESEARCH PRODUCT

Association between physical, psychological and social frailty and health-related quality of life among older people

Lovorka BilajacAntonius J.j. VoorhamCarmen B. FranseEstrella Durá-ferrandisAthina MarkakiTamara Alhambra-borrásArpana VermaHein RaatXuxi ZhangFrancesco U.s. Mattace-rasoSiok Swan Tan

subject

GerontologyMaleCroatiaFrail ElderlyHealth StatusMEDLINEEmotional Adjustmentadults ; reliability ; indicator ; care03 medical and health sciencesSocial support0302 clinical medicineQuality of lifeBIOMEDICINA I ZDRAVSTVO. Javno zdravstvo i zdravstvena zaštita.Full modeladultsMedicineHumans030212 general & internal medicinecareAssociation (psychology)AgedNetherlandsHealth related quality of lifeAged 80 and overreliabilityGreecebusiness.industryindicatorPublic Health Environmental and Occupational HealthBIOMEDICINE AND HEALTHCARE. Public Health and Health Care.Social SupportBaseline dataHealth SurveysUnited KingdomhumanitiesSpainQuality of LifeFemaleOlder peoplebusiness030217 neurology & neurosurgery

description

Abstract Background Studies on the association between frailty and health-related quality of life (HRQoL) are scarce and show contradictory results. This study aimed to evaluate the association between physical, psychological and social frailty and HRQoL among community-dwelling older people. Methods A cross-sectional study was performed with baseline data collected in 2015 from the Urban Health Centers Europe (UHCE) project in five European countries, the United Kingdom, Greece, Croatia, The Netherlands and Spain. A total of 2325 participants were included in the baseline measurements of the Urban Health Centers Europe project; 2167 participants (mean age = 79.7; SD=5.6) were included in the analyses after excluding participants with missing data. The Tilburg Frailty Indicator measured overall frailty as well as physical, psychological and social frailty. The 12-Item Short-Form Health Survey was used to measured physical and mental HRQoL. Results Regarding physical HRQoL, a large difference (d=1.29) between physically and not physically frail participants was observed. Regarding mental HRQoL, a large difference (d=1.20) between psychologically and not psychologically frail participants was observed. In the full model with all three domains of frailty and the covariates to explain physical HRQoL, physical (P <0.001) and social frailty (P <0.001) remained significant. In the full model to explain mental HRQoL, all three domains of frailty remained significant (P <0.001). Conclusion Physical frailty had the strongest association with physical HRQoL, and psychological frailty had the strongest association with mental HRQoL. The associations between social frailty and both physical and mental HRQoL remain significant when controlling for physical and psychological frailty.

yearjournalcountryeditionlanguage
2019-01-01European Journal of Public Health
10.1093/eurpub/ckz099https://doi.org/10.1093/eurpub/ckz099