@article{ref1,
title="Association between falls and social frailty in community-dwelling older Japanese adults",
journal="Journals of gerontology. Series B: psychological sciences and social sciences",
year="2024",
author="Sawa, Ryuichi and Doi, Takehiko and Tsutsumimoto, Kota and Nakakubo, Sho and Sakimoto, Fumio and Matsuda, Soichiro and Shimada, Hiroyuki",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: This study aimed to investigate the association between falls and social frailty and its components among older Japanese adults. <br><br>METHOD: This is a cross-sectional study. Participants were categorized into three groups based on the number of falls in the past year: no fall (none), a single fall (occasional), and more than one fall (recurrent). The participants who met two or more of the following criteria were defined as socially frail: living alone, going out less frequently compared with the previous year, rarely visiting friends, feeling unhelpful to friends or family, and not talking with someone daily. <br><br>RESULTS: A total of 4,495 older Japanese adults living in a community analyzed in this study (51.0% women). Of the participants in this study, 3,851 (85.7%) were categorized as none, 443 (9.9%) as occasional, and 201 (4.5%) as recurrent. The proportion of participants considered socially frail was 11.5% in this study. Recurrent falls were associated with social frailty, even after adjusting for covariates (odds ratio [OR], 1.49; 95% confidence interval [CI], 1.01-2.19). The experience of recurrent falls was associated with the following components: &quot;feeling unhelpful to friends and family&quot; (OR, 1.62; 95% CI, 1.14-2.31) and &quot;going outside less frequently compared with last year&quot; (OR, 1.57; 95% CI, 1.06-2.31). <br><br>DISCUSSION: Among older Japanese adults, recurrent falls were associated with social frailty and with two of its components in particular: social roles and social participation. Future longitudinal studies should be conducted to gain insight into any causal relationships between these variables.<p /> <p>Language: en</p>",
language="en",
issn="1079-5014",
doi="10.1093/geronb/gbae127",
url="http://dx.doi.org/10.1093/geronb/gbae127"
}