高齡社區長者社會衰弱之範域文獻回顧

Scoping review of social frailty among community-dwelling older adults

10.6288/TJPH.202004_39(2).108113

方佩欣(PEI-HSIN FANG)；張睿詒(RAY-E CHANG)

老化 ； 失能 ； 衰弱評估 ； 社區介入 ； aging ； disability ； frailty assessment ； community intervention

台灣公共衛生雜誌

39卷2期（2020 / 04 / 24）

112 - 128

繁體中文

本文以範域文獻回顧討論社會衰弱評估工具、分析社會衰弱的決定因子以及其不良結果相關的實證研究，經搜尋PubMed、Web of Science、PsycINFO、華藝中文資料庫，篩選納入37篇（2008至2019年）研究。本文歸納出幾點結果：（一）37篇文獻共有10種評估社會衰弱的工具；（二）年齡較大、低教育程度、獨居等17類變數會有較高的社會衰弱風險，而性別、居住城鄉則有不一致的結果；（三）社會衰弱與失能、死亡率、認知障礙、生理衰弱顯著相關，也與生活品質、生活滿意度有負相關。未來研究可發展適合台灣本土之社會衰弱評估工具，利用縱貫性研究實證社會衰弱與健康不良結果的因果關係，作為政府應用於社區介入、預防失能政策之參考。

The study conducted a scoping review on empirical studies on social frailty's determinants and health-related outcomes. We collected studies from PubMed, Web of Science, PsycINFO, and Airiti Library (Chinese), and 37 studies from 2008-2019 met the inclusion criteria for this study. The study revealed the following findings: (1) The 37 studies included 10 assessments. (2) Seventeen variables, such as older age, lower education, and living alone, have a higher risk of social frailty; on the other hand, gender and residing in an urban/rural areas show inconsistent results. (3) Social frailty was positively correlated with disability, mortality, cognitive impairment, and physical frailty and negative correlated with quality of life and life satisfaction. Future studies can develop an indigenizing scale and provide evidence for the causal relationship between social frailty and adverse outcomes through longitudinal research designs. Governments can use these results for community intervention and disability prevention.

1. 陳慶餘, CY(2015)。台灣老年衰弱症的研究與應用。長期照護雜誌，19，137-148。
   連結：
2. Andrew, MK,Keefe, JM(2014).Social vulnerability from a social ecology perspective: a cohort study of older adults from the National Population Health Survey of Canada.BMC Geriatr,14,90.
3. Andrew, MK,Mitnitski, A,Kirkland, SA,Rockwood, K(2012).The impact of social vulnerability on the survival of the fittest older adults.Age Ageing,41,161-165.
4. Andrew, MK,Mitnitski, AB,Rockwood, K(2008).Social vulnerability, frailty and mortality in elderly people.PLoS One,3,e2232.
5. Andrew, MK,Rockwood, K(2010).Social vulnerability predicts cognitive decline in a prospective cohort of older Canadians.Alzheimers Dement,6,319-325.
6. Armstrong, JJ,Mitnitski, A,Andrew, MK,Launer, LJ,White, LR,Rockwood, K(2015).Cumulative impact of health deficits, social vulnerabilities, and protective factors on cognitive dynamics in late life: a multistate modeling approach.Alzheimers Res Ther,7,38.
7. Bae, S,Lee, S,Lee, S(2018).The role of social frailty in explaining the association between hearing problems and mild cognitive impairment in older adults.Arch Gerontol Geriatr,78,45-50.
8. Bergman, H,Ferrucci, L,Guralnik, J(2007).Frailty: an emerging research and clinical paradigm-issues and controversies.J Gerontol A Biol Sci Med Sci,62,731-737.
9. Bessa, B,Ribeiro, O,Coelho, T(2018).Assessing the social dimension of frality in old age: a systematic review.Arch Gerontol Geriatr,78,101-113.
10. Bunt, S,Steverink, N,Andrew, MK,Schans, CPV,Hobbelen, H(2017).Cross-cultural adaptation of the Social Vulnerability Index for use in the Dutch context.Int J Environ Res Public Health,14,E1387.
11. Bunt, S,Steverink, N,Olthof, J,van der Schans, CP,Hobbelen, JSM(2017).Social frailty in older adults: a scoping review.Eur J Ageing,14,323-334.
12. Coelho, T,Paul, C,Gobbens, RJ,Fernandes, L(2017).Multidimensional frailty and pain in community dwelling elderly.Pain Med,18,693-701.
13. de Jong Gierveld, J,Kamphuis, F(1985).The development of a Rasch-type loneliness-scale.Appl Psychol Meas,9,289-299.
14. Garre-Olmo, J,Calvo-Perxas, L,Lopez-Pousa, S,de Gracia-Blanco, M,Vilalta-Franch, J(2013).Prevalence of frailty phenotypes and risk of mortality in a community-dwelling elderly cohort.Age Ageing,42,46-51.
15. Gobbens, RJ(2019).Cross-sectional and longitudinal associations of environmental factors with frailty and disability in older people.Arch Gerontol Geriatr,85,103901.
16. Gobbens, RJ,Luijkx, KG,van Assen, MA(2013).Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty.Qual Life Res,22,2051-2061.
17. Gobbens, RJ,Luijkx, KG,Wijnen-Sponselee, MT,Schols, JM(2010).Towards an integral conceptual model of frailty.J Nutr Health Aging,14,175-181.
18. Gobbens, RJ,van Assen, MA(2014).The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people.Qual Life Res,23,2289-2300.
19. Gobbens, RJ,van Assen, MA(2016).Explaining frailty by lifestyle.Arch Gerontol Geriatr,66,49-53.
20. Gobbens, RJ,van Assen, MA,Luijkx, KG,Wijnen-Sponselee, MT,Schols, JM(2010).Determinants of frailty.J Am Med Dir Assoc,11,356-364.
21. Gobbens, RJ,van Assen, MA,Luijkx, KG,Wijnen-Sponselee, MT,Schols, JM(2010).The Tilburg Frailty Indicator: psychometric properties.J Am Med Dir Assoc,11,344-355.
22. Gobbens, RJ,van Assen, MALM(2017).Associations between multidimensional frailty and quality of life among Dutch older people.Arch Gerontol Geriatr,73,69-76.
23. Gutierrez-Robledo, LM,Avila-Funes, JA(2012).How to include the social factor for determining frailty.J Frailty Aging,1,13-17.
24. Hirase, T,Makizako, H,Okubo, Y,Lord, SR,Inokuchi, S,Okita, M(2019).Chronic pain is independently associated with social frailty in community-dwelling older adults.Geriatr Gerontol Int,19,1153-1156.
25. Kempen, GIJM,van Eijk, LM(1995).The psychometric properties of the SSL12-I, a short scale for measuring social support in the elderly.Soc Indicat Res,35,303-312.
26. Kuo, KM,Talley, PC,Kuzuya, M,Huang, CH(2019).Development of a clinical support system for identifying social frailty.Int J Med Informat,132,9.
27. Ma, L,Sun, F,Tang, Z(2018).Social frailty is associated with physical functioning, cognition, and depression, and predicts mortality.J Nutr Health Aging,22,989-995.
28. Makizako, H,Kubozono, T,Kiyama, R(2019).Associations of social frailty with loss of muscle mass and muscle weakness among community-dwelling older adults.Geriatr Gerontol Int,19,76-80.
29. Makizako, H,Shimada, H,Doi, T(2018).Social frailty leads to the development of physical frailty among physically non-frail adults: a four-year follow-up longitudinal cohort study.Int J Environ Res Public Health,15,E490.
30. Makizako, H,Shimada, H,Tsutsumimoto, K(2015).Social frailty in community-dwelling older adults as a risk factor for disability.J Am Med Dir Assoc,16,1003.e7-1003.e11.
31. Nakakubo, S,Doi, T,Makizako, H(2019).Association of sleep condition and social frailty in community-dwelling older people.Geriatr Gerontol Int,19,885-889.
32. Park, H,Jang, IY,Lee, HY,Jung, HW,Lee, E,Kim, DH(2019).Screening value of social frailty and its association with physical frailty and disability in communitydwelling older Koreans: aging study of PyeongChang ruralarea.Int J Environ Res Public Health,16,E2809.
33. Renne, I,Gobbens, RJ(2018).Effects of frailty and chronic diseases on quality of life in Dutch community-dwelling older adults: a cross-sectional study.Clin Interv Aging,13,325-334.
34. Rietman, ML,van der AD,van Oostrom, SH(2018).The association between BMI and different frailty domains: a U-shaped curve?.J Nutr Health Aging,22,8-15.
35. Shega, JW,Andrew, M,Hemmerich, J(2012).The relationship of pain and cognitive impairment with social vulnerability: an analysis of the Canadian Study of Health and Aging.Pain Med,13,190-197.
36. Teo, N,Gao, Q,Nyunt, MSZ,Wee, SL,Ng, TP(2017).Social frailty and functional disability: findings from the Singapore longitudinal ageing studies.J Am Med Dir Assoc,18,637e13-637e19.
37. Tsutsumimoto, K,Doi, T,Makizako, H(2017).Association of social frailty with both cognitive and physical deficits among older people.J Am Med Dir Assoc,18,603-607.
38. Tsutsumimoto, K,Doi, T,Makizako, H(2018).Social frailty has a stronger impact on the onset of depressive symptoms than physical frailty or cognitive impairment: a 4-year follow-up longitudinal cohort study.J Am Med Dir Assoc,19,504-510.
39. Tsutsumimoto, K,Doi, T,Nakakubo, S(2019).Impact of social frailty on Alzheimer’s disease onset: a 53-month longitudinal cohort study.J Alzheimers Dis,70,587-595.
40. van Assen, M,Pallast, E,Fakiri, FE,Gobbens, RJ(2016).Measuring frailty in Dutch community-dwelling older people: reference values of the Tilburg Frailty Indicator (TFI).Arch Gerontol Geriatr,67,120-129.
41. van Oostrom, SH,van der AD,Rietman, ML(2017).A four-domain approach of frailty explored in the Doetinchem Cohort Study.BMC Geriatr,17,196.
42. Verver, D,Merten, H,de Blok, C,Wagner, C(2019).A cross sectional study on the different domains of frailty for independent living older adults.BMC Geriatr,19,61.
43. Wallace, LM,Theou, O,Pena, F,Rockwood, K,Andrew, MK(2015).Social vulnerability as a predictor of mortality and disability: cross-country differences in the survey of health, aging, and retirement in Europe (SHARE).Aging Clin Exp Res,27,365-372.
44. Yamada, M,Arai, H(2018).Social frailty predicts incident disability and mortality among community-dwelling Japanese older adults.J Am Med Dir Assoc,19,1099-1103.
45. Yang, F,Gu, D,Mitnitski, A(2016).Frailty and life satisfaction in Shanghai older adults: the roles of age and social vulnerability.Arch Gerontol Geriatr,67,68-73.
46. Yoo, M,Kim, S,Kim, BS(2019).Moderate hearing loss is related with social frailty in a community-dwelling older adults: the Korean Frailty and Aging Cohort Study (KFACS).Arch Gerontol Geriatr,83,126-130.
47. Zhang, X,Tan, SS,Franse, CB(2019).Association between physical, psychological and social frailty and health-related quality of life among older people.Eur J Public Health,29,936-942.
48. Zhao, JK,Zhang, XX,Li, ZM(2019).The relationship between cognitive impairment and social vulnerability among the elderly: evidence from an unconditional quantile regression analysis in China.Int J Environ Res Public Health,16,E3684.
49. 吳雅汝, YJ,周怡君, YC,詹鼎正, DC(2014)。文獻回顧—肌少症與衰弱症。內科學誌，25，131-136。
50. 衛生福利部, R.O.C. (Taiwan)(2009).2020國民健康白皮書.台北=Taipei:衛生福利部=Ministry of Health and Welfare, R.O.C. (Taiwan).

1. 劉禮慧,張睿詒(2022)。生理、認知、社會衰弱、及多面向衰弱之文獻回顧。台灣公共衛生雜誌，41(4)，374-382。
2. 鐘子婷,葉彥伯,陳鵬宇,陳端容,陳雅美,陳殷正,陳秀熙,張睿詒(2020)。社區長者身、心、社會衰弱量表之切點初探：以台北兩行政區為例。台灣公共衛生雜誌，39(6)，671-685。