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BMC Public Health
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Research

Longitudinal assessment of the relationship between frailty and social relationships among Japanese older adults: a random intercept cross-lagged panel model

Authors: Mingyu Cui, Dandan Jiao, Yang Liu, Yantong Zhu, Xiang Li, Zhu Zhu, Jinrui Zhang, Afsari Banu Alpona, Yanlin Wang, Meiling Qian, Yuko Sawada, Kumi Watanabe Miura, Taeko Watanabe, Emiko Tanaka, Tokie Anme

Published in: BMC Public Health | Issue 1/2024

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Abstract

Objectives

This study aimed to explore the bidirectional association between frailty and social relationships in older adults while distinguishing between interpersonal and intrapersonal effects.

Methods

A prospective cohort study of community-dwelling older adults was conducted in Japan in three waves spanning six years with follow-ups in every three years. Random intercept cross-lagged panel model was used to explore temporal associations between frailty and social relationships.

Results

Data for 520 participants (mean age 73.02 [SD 6.38] years, 56.7% women) were analyzed. Across individuals, frailty was associated with social relationships (β = -0.514, p < 0.001). At the interpersonal level, frailty was cross-sectionally associated with social relationships separately at T1(β = -0.389, p < 0.01), T2 (β = -0.343, p < 0.001) and T3 (β = -0.273, p < 0.05). Moreover, social relationships were associated with subsequent increases in symptoms of frailty in all measurement waves (β = -0.332, p < 0.001; β = -0.169, p < 0.01) and vice versa (β = -0.149, p < 0.05; β = -0.292, p < 0.001).

Conclusions

The results suggest that frailty was associated with lower levels of social relationships. Frailty improvement programs can be combined with interventions to enhance social relationships, which will be beneficial in preventing frailty. The results emphasize the importance of combining clinical treatments of frailty with interventions to improve social relationships.
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Metadata
Title
Longitudinal assessment of the relationship between frailty and social relationships among Japanese older adults: a random intercept cross-lagged panel model
Authors
Mingyu Cui
Dandan Jiao
Yang Liu
Yantong Zhu
Xiang Li
Zhu Zhu
Jinrui Zhang
Afsari Banu Alpona
Yanlin Wang
Meiling Qian
Yuko Sawada
Kumi Watanabe Miura
Taeko Watanabe
Emiko Tanaka
Tokie Anme
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18234-1

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