Association Between Sense of Coherence and Frailty: A Cross-Sectional Study in China

Frontiers in Psychiatry

Bo Ye¹  Hua Fu²  Yi Wang²  Yingwei Chen²  Huihui Yan²  Jixiang Xu²  Xin Nie²  Hao Chen²  Junling Gao² 

[1] Department of Geriatric Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai, China;Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China;

关键词: frailty;    sense of coherence;    healthy ageing;    older adults;    community;   

DOI  :  10.3389/fpsyt.2022.844439

来源: DOAJ

【 摘 要 】

PurposeFrailty is an emerging global public health burden. Most existing studies have focused on risk factors for frailty, focusing less on protective factors against frailty. This study aims to examine the association between the sense of coherence (SOC), the most common construct of salutogenesis and frailty status among community-dwelling old adults.MethodA cross-sectional study was conducted among 7,970 old adults aged ≥65 years in three cities in China from June 2019 to October 2020. Frailty was operationalised as the sum of self-reported fatigue, resistance, ambulation, illness, and loss of weight (FRAIL scale). The χ2 test was used to analyse the distribution difference of frailty in demographic, behavioural, and SOC levels. Confounder-adjusted multinomial logistic regression was used to examine the association between SOC and frailty.ResultsThe prevalence of pre-frailty and frailty was 43.1 and 8.0%, respectively. The results of the confounder-adjusted regression showed that older adults with moderate-level SOC (odds ratio, OR: 0.61, 95% CI: 0.54–0.69) and strong-level SOC (OR: 0.55, 0.48–0.64) had lower odds of being pre-frail compared to those with weak SOC. It also showed that older adults with moderate-level SOC (OR: 0.32, 95% CI: 0.27–0.40) and strong-level SOC (OR: 0.22, 95% CI: 0.16–0.29) had lower odds of being frail compared to those with weak SOC.ConclusionSOC may be a protective factor against frailty. Improving SOC may be a strategy to prevent frailty among Chinese community-dwelling older adults.

【 授权许可】

Unknown