Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational study

This cross-sectional observational study aimed to identify factors associated with frailty status in community-dwelling older adults. A total of 188 older adults (mean age: 75.9 ± 6.7 years) attending municipal exercise facilities between 2019 and 2022 were included. Data were collected on participa...

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Main Authors: Yuko Sawada, Akihiro Kakuda, Emiko Tanaka, Etsuko Tomisaki, Taeko Watanabe, Munenori Matsumoto, Rika Okumura, Hiroshi Kinoshita, Tokie Anme
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Archives of Gerontology and Geriatrics Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S295030782500061X
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author Yuko Sawada
Akihiro Kakuda
Emiko Tanaka
Etsuko Tomisaki
Taeko Watanabe
Munenori Matsumoto
Rika Okumura
Hiroshi Kinoshita
Tokie Anme
author_facet Yuko Sawada
Akihiro Kakuda
Emiko Tanaka
Etsuko Tomisaki
Taeko Watanabe
Munenori Matsumoto
Rika Okumura
Hiroshi Kinoshita
Tokie Anme
author_sort Yuko Sawada
collection DOAJ
description This cross-sectional observational study aimed to identify factors associated with frailty status in community-dwelling older adults. A total of 188 older adults (mean age: 75.9 ± 6.7 years) attending municipal exercise facilities between 2019 and 2022 were included. Data were collected on participants' basic characteristics, physical fitness, and scores from the Kihon Checklist (KCL). Frailty status was classified into robust (KCL score ≤3), pre-frail (4–7), and frail (≥8) groups based on established criteria. Group differences were analyzed using the Kruskal–Wallis test with Bonferroni correction for multiple comparisons. Significant differences among the robust, pre-frail, and frail groups were observed in most physical fitness and frailty-related items, particularly grip strength, walking ability, and lifestyle-related functions, except for cognition and depression. These findings indicate that specific domains of physical function are significantly associated with frailty status. Interventions targeting a broad range of physical fitness factors are essential to mitigate frailty in older adults.
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series Archives of Gerontology and Geriatrics Plus
spelling doaj-art-7fd5dd7e62d548e38ee34384443baebd2025-08-20T03:30:31ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782025-09-012310017910.1016/j.aggp.2025.100179Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational studyYuko Sawada0Akihiro Kakuda1Emiko Tanaka2Etsuko Tomisaki3Taeko Watanabe4Munenori Matsumoto5Rika Okumura6Hiroshi Kinoshita7Tokie Anme8Department of Physical Therapy, Morinomiya University of Medical Sciences, 1‑26‑16, Nanko‑kita, Suminoe‑ku, Osaka 559‑8611, Japan; Graduate school of Health Science, Morinomiya University of Medical Sciences, 1‑26‑16, Nanko‑kita, Suminoe‑ku, Osaka 559‑8611, Japan; Corresponding author.Department of Physical Therapy, Morinomiya University of Medical Sciences, 1‑26‑16, Nanko‑kita, Suminoe‑ku, Osaka 559‑8611, Japan; Graduate school of Health Science, Morinomiya University of Medical Sciences, 1‑26‑16, Nanko‑kita, Suminoe‑ku, Osaka 559‑8611, JapanMusashino University, 135-0063,3-3-3 Ariake, Koto-ku, Tokyo, JapanFaculty of Nursing and Medical Care, Keio University, 35 Shinanomachi Shinjuku-ku 160-8582, Tokyo JapanCollege of Nursing and Nutrition, Shukutoku University, Nitona‑cho 260‑8703, Chiba, JapanUniversity of Reiwa Health Sciences, Fukuoka, JapanDepartment of Public Welfare, Tobishima 490‑1434, JapanDepartment of Public Welfare, Tobishima 490‑1434, JapanFaculty of Medicine, University of Tsukuba 1‑1‑1 Tennodai, Tsukuba 305‑8575, JapanThis cross-sectional observational study aimed to identify factors associated with frailty status in community-dwelling older adults. A total of 188 older adults (mean age: 75.9 ± 6.7 years) attending municipal exercise facilities between 2019 and 2022 were included. Data were collected on participants' basic characteristics, physical fitness, and scores from the Kihon Checklist (KCL). Frailty status was classified into robust (KCL score ≤3), pre-frail (4–7), and frail (≥8) groups based on established criteria. Group differences were analyzed using the Kruskal–Wallis test with Bonferroni correction for multiple comparisons. Significant differences among the robust, pre-frail, and frail groups were observed in most physical fitness and frailty-related items, particularly grip strength, walking ability, and lifestyle-related functions, except for cognition and depression. These findings indicate that specific domains of physical function are significantly associated with frailty status. Interventions targeting a broad range of physical fitness factors are essential to mitigate frailty in older adults.http://www.sciencedirect.com/science/article/pii/S295030782500061XFrailtyOlder adultsCommunityJapan
spellingShingle Yuko Sawada
Akihiro Kakuda
Emiko Tanaka
Etsuko Tomisaki
Taeko Watanabe
Munenori Matsumoto
Rika Okumura
Hiroshi Kinoshita
Tokie Anme
Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational study
Archives of Gerontology and Geriatrics Plus
Frailty
Older adults
Community
Japan
title Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational study
title_full Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational study
title_fullStr Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational study
title_full_unstemmed Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational study
title_short Factors associated with frailty progression in community-dwelling older adults: A cross-sectional observational study
title_sort factors associated with frailty progression in community dwelling older adults a cross sectional observational study
topic Frailty
Older adults
Community
Japan
url http://www.sciencedirect.com/science/article/pii/S295030782500061X
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