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Published on: July 24, 2013
Association between Perceived Health-Related Quality of Life and Depression with Frailty in the FRASNET Study
Giulia B Delli Zotti1, Lorena Citterio2, Sara Farinone1
1Clinical and Health Psychology Unit, IRCCS San Raffaele Scientific Institute, School of Psychology, Vita-Salute San Raffaele University, 20132 Milan, Italy.
Frailty in older adults is influenced by psychological factors like quality of life and depression. Assessing these aspects can help identify at-risk individuals for better health outcomes.
Area of Science:
- Gerontology
- Psychiatry
- Genetics
Background:
- Frailty is a significant challenge in aging populations, with its phenotype not yet fully defined.
- Understanding factors contributing to frailty is crucial for identifying at-risk older adults.
Purpose of the Study:
- To investigate the relationship between psychological factors, quality of life, and frailty in a geriatric population.
- To identify key indicators for predicting frailty and adverse outcomes in aging individuals.
Main Methods:
- Observational cohort study (FRASNET) of 1204 Italian geriatric subjects (frail, pre-frail, robust).
- Conditional inference tree analysis to determine variables influencing frailty.
- Correlation analysis between quality of life scores, depression scales, and biomarkers (CXCL10).
- Genetic association study of the rs7567647 variant in the FN1 gene with frailty.
Main Results:
- Psychological variables significantly influence frailty.
- Physical component of quality of life (SF-36-PCS) and presence of a caregiver were predominant predictors of frailty.
- Frailty is associated with lower mental quality of life (SF-36-MCS), depression (GDS-15), leisure activities, and education level.
- SF-36-PCS correlated with CXCL10 levels, indicating a link between inflammation, senescence, and physical frailty.
- The rs7567647 variant in the FN1 gene was significantly associated with frailty.
Conclusions:
- Perception of health-related quality of life and subclinical depression are key contributors to frailty.
- Assessment of QoL and depression can improve the identification of older patients at higher risk of adverse outcomes.
- Psychological and genetic factors play a role in the complex phenotype of frailty.
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