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Open Access 01-12-2022 | Research

Association of socioeconomic status measures with physical activity and subsequent frailty in older adults

Authors: Mark Kheifets, Abigail Goshen, Uri Goldbourt, Guy Witberg, Alon Eisen, Ran Kornowski, Yariv Gerber

Published in: BMC Geriatrics | Issue 1/2022

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Abstract

Background

Despite increased recognition, frailty remains a significant public health challenge.

Objective

we aimed to assess the role of education and income, as well as neighborhood socioeconomic status, on physical activity and subsequent frailty in older adults.

Methods

Using a population-based cohort of older adults, this study examined the relationship between socioeconomic status (SES) factors, physical activity and frailty. The study included 1,799 participants (mean [SD], 74.6 (6.2), 53.3% female) from the "National Health and Nutrition Survey of Older Adults Aged 65 and Over in Israel", conducted in 2005–2006. A follow-up interview was performed 12–14 years later in a subgroup of 601 subjects (mean [SD], age 84[4]; 56% women). Self-reported leisure-time physical activity (LTPA) was measured at both baseline and follow-up. SES measures were assessed at baseline. Frailty was measured at follow-up, using the Fried's Phenotype Model.

Results

All SES measures were strongly and positively associated with LTPA (all p < 0.001). Eighty-two participants (14%) were classified as frail at follow-up. After age and sex adjustment and accounting for attrition bias using inverse probability weighting, baseline LTPA (OR = 2.77, 95% CI: 1.57–4.90, for inactivity; OR = 1.41, 95% CI: 0.75–2.68, for insufficient activity, compared with sufficient activity, Ptrend < 0.001) was inversely associated with incident frailty. The association persisted after further adjustment for SES and comorbidity.

Conclusion

Among older individuals, multiple SES measures were positively associated with LTPA, which was a strong predictor of lower subsequent frailty risk.
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Metadata
Title
Association of socioeconomic status measures with physical activity and subsequent frailty in older adults
Authors
Mark Kheifets
Abigail Goshen
Uri Goldbourt
Guy Witberg
Alon Eisen
Ran Kornowski
Yariv Gerber
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-022-03108-1

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