Pan Chaoping, Cao Na
School of Public Health and Management, Wenzhou Medical University, Wenzhou City, Zhejiang Province, China.
School of Public Health and Management, Wenzhou Medical University, Wenzhou City, Zhejiang Province, China; School of Public Health, Wuhan University, Wuhan City, Hubei Province, China.
Arch Gerontol Geriatr. 2023 Oct 10;116:105229. doi: 10.1016/j.archger.2023.105229.
This study aimed to investigate the bidirectional and dynamic relationships between Social Isolation (SI) and frailty among older adults in China.
Using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study utilized a Generalized Cross-Lagged Model (GCLM) to examine the temporal interrelationships between SI and frailty among individuals aged 65 years and older.
The findings revealed significant bidirectional associations between SI and frailty among older adults in China. The GCLM identified strong temporal dynamics in the relationships between SI and frailty, with both effects increasing and showing a "cumulative disadvantage" effect as older adults aged.
This study underscores the significance of tailored interventions aimed at mitigating both SI and frailty among older adults in China, thus addressing the bidirectional impact. The findings emphasize the necessity for early intervention strategies to counteract the cumulative disadvantages associated with SI and frailty in later-life outcomes.
本研究旨在调查中国老年人社交隔离（SI）与衰弱之间的双向动态关系。
利用中国健康与养老追踪调查（CLHLS）的数据，本研究采用广义交叉滞后模型（GCLM）来检验65岁及以上个体中SI与衰弱之间的时间相互关系。
研究结果揭示了中国老年人中SI与衰弱之间存在显著的双向关联。GCLM确定了SI与衰弱之间关系中的强烈时间动态，随着老年人年龄增长，两种效应均增加并呈现出“累积劣势”效应。
本研究强调了针对减轻中国老年人SI和衰弱的量身定制干预措施的重要性，从而应对双向影响。研究结果强调了早期干预策略的必要性，以抵消与SI和衰弱相关的晚年结果中的累积劣势。
