Makizako Hyuma, Tsutsumimoto Kota, Shimada Hiroyuki, Arai Hidenori
Department of Physical Therapy, School of Health Sciences, Kagoshima University, Kagoshima, Japan.
Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan.
Ann Geriatr Med Res. 2018 Mar;22(1):3-8. doi: 10.4235/agmr.2018.22.1.3. Epub 2018 Mar 31.
Even though social factors that determine frailty in older people contribute to adverse health outcomes, there is little consensus in terms of the definition of social frailty. Therefore, in this article we reviewed literature on social frailty and attempted to define the term. Although we found that living alone, social participation, economic hardship, and other such factors are associated with a decline in activities of daily living and increased risk of disability, we have not reached an agreement on either the most effective methods of assessing social frailty or the most effective interventional approaches to address social frailty. Further investigations are needed to define social frailty and identify effective interventions to promote active aging by focusing on the social aspects in older adults with social frailty. It would be reasonable to think that this approach will also improve physical and cognitive frailty.
尽管决定老年人虚弱的社会因素会导致不良健康后果,但在社会虚弱的定义方面几乎没有共识。因此,在本文中,我们回顾了关于社会虚弱的文献,并试图对该术语进行定义。尽管我们发现独居、社会参与、经济困难等因素与日常生活活动能力下降和残疾风险增加有关,但我们在评估社会虚弱的最有效方法或解决社会虚弱的最有效干预方法上均未达成一致。需要进一步的研究来定义社会虚弱,并通过关注社会虚弱老年人的社会方面来确定促进积极老龄化的有效干预措施。可以合理地认为,这种方法也将改善身体和认知虚弱状况。