Tallutondok Eva Berthy, Hsieh Chia-Jung, Li Pei-Shan
School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Faculty of Nursing, Universitas Pelita Harapan, Tangerang, Banten 15811, Indonesia.
Curr Gerontol Geriatr Res. 2022 Dec 12;2022:7979006. doi: 10.1155/2022/7979006. eCollection 2022.
Frailty refers to a decline in an elderly person's physical, psychological, and social functioning, making them sensitive to stressors. Because frailty is caused by a variety of factors, including certain demographic characteristics, understanding the mediating factors that affect frailty in the elderly is critical.
To provide evidence about the relationship between depression, well-being, social activity, physical performance, and frailty among older adults.
The study used secondary data from Taiwan's Long-term Study of Aging ( = 7,622), excluding people with severe dementia. The chi-square test and Spearmen's coefficient correlation were used to assess the relationship between the demographic variables and frailty. Nonparametric bootstrapping analysis was used to test whether depression, well-being, and social activity are parallel mediators of the relationship between physical performance and frailty. This study was approved by Fu Jen Catholic University (FJU-IRB No. C110040).
The overall frailty prevalence was 13.9%. We calculated a mean score and standard deviation for each measurement in this study. The correlation found low-to-moderate positive and negative statistically significant correlations between the variables. A significant, moderately negative relationship was found between physical performance and frailty that correlated with three potential mediating factors. The path indicated that lower physical performance scores and higher depression scores are more likely to be associated with frailty.
Older adults who are depressed are more likely to become frail. Adults who are more socially active and report greater well-being are less likely to become frail. Therefore, further research should design and test a comprehensive intervention for older adults in community settings that addresses all three factors, aimed at increasing well-being and social activity while also treating depression.
衰弱是指老年人身体、心理和社会功能的下降，使他们对压力源敏感。由于衰弱是由多种因素引起的，包括某些人口统计学特征，了解影响老年人衰弱的中介因素至关重要。
提供有关老年人抑郁、幸福感、社交活动、身体机能与衰弱之间关系的证据。
该研究使用了台湾老年长期研究（n = 7622）的二手数据，排除了患有严重痴呆症的人。卡方检验和斯皮尔曼系数相关性用于评估人口统计学变量与衰弱之间的关系。非参数自抽样分析用于检验抑郁、幸福感和社交活动是否是身体机能与衰弱之间关系的平行中介变量。本研究经辅仁大学批准（FJU-IRB No. C110040）。
总体衰弱患病率为13.9%。我们计算了本研究中每项测量的平均得分和标准差。研究发现变量之间存在低到中度的正相关和负相关，且具有统计学意义。身体机能与衰弱之间存在显著的、中度负相关，且与三个潜在中介因素相关。路径分析表明，较低的身体机能得分和较高的抑郁得分更有可能与衰弱相关。
抑郁的老年人更有可能变得衰弱。社交活动较多且幸福感较高的成年人不太可能变得衰弱。因此，进一步的研究应设计并测试一种针对社区老年人的综合干预措施，该措施应解决所有这三个因素，旨在提高幸福感和社交活动，同时治疗抑郁症。
