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Cultural Engagement Is a Risk-Reducing Factor for Frailty Incidence and Progression

The journals of gerontology. Series B, Psychological sciences and social sciences, 2020-02, Vol.75 (3), p.571-576 [Peer Reviewed Journal]

The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. 2019 ;The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. ;ISSN: 1079-5014 ;EISSN: 1758-5368 ;DOI: 10.1093/geronb/gbz004 ;PMID: 30624696

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  • Title:
    Cultural Engagement Is a Risk-Reducing Factor for Frailty Incidence and Progression
  • Author: Rogers, Nina Trivedy ; Fancourt, Daisy
  • Neupert, Shevaun
  • Subjects: Aged ; Aged, 80 and over ; Aging ; Disease Progression ; England - epidemiology ; Female ; Frailty - epidemiology ; Humans ; Incidence ; Leisure Activities ; Longitudinal Studies ; Male ; Middle Aged ; The Journal of Gerontology: Psychological Sciences
  • Is Part Of: The journals of gerontology. Series B, Psychological sciences and social sciences, 2020-02, Vol.75 (3), p.571-576
  • Description: Abstract Objectives Given that frailty is a multifaceted health condition of increasing importance to policy-makers and care providers, it is relevant to consider whether multimodal interventions could provide combined psychophysiological support. As studies have demonstrated the beneficial effects of cultural engagement (including visiting museums/theatre/cinema) for many of the components of frailty, this study sought to explore whether community cultural engagement is associated both with a reduced risk of becoming frail and a slower trajectory of frailty progression in older adults. Methods We used data from the English Longitudinal Study of Ageing to measure frequency of cultural engagement and both incident frailty and frailty progression over the following 10 years in 4,575 adults. Results Our analyses used competing risks regression models and multilevel growth curve models adjusting for socioeconomic, health behaviors, social confounders, and subthreshold symptoms of frailty. There was a dose–response relationship between increasing frequency of cultural engagement and both incidence and progression of frailty (attendance every few months or more: incidence subhazard ratio = 0.79, 95% confidence interval [CI] = 0.63 to 0.996; trajectory coefficient = –0.0039, 95% CI = –0.0059 to –0.0019). Discussion Older adults who engaged in cultural activities every few months or more had a reduced risk of becoming frail and a slower progression of frailty over time. Findings are in line with current calls for multimodal, multifactor, community approaches to support health in older age.
  • Publisher: US: Oxford University Press
  • Language: English
  • Identifier: ISSN: 1079-5014
    EISSN: 1758-5368
    DOI: 10.1093/geronb/gbz004
    PMID: 30624696
  • Source: MEDLINE
    Alma/SFX Local Collection
    Oxford Academic Journals (Open Access)
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