Jane Murray Cramm|Jos W. R. Twisk|Anna P. Nieboer
Self-management abilities and frailty are important for healthy aging among community-dwelling older people; a cross-sectional study
Erasmus University Rotterdam|Vrije Universiteit Amsterdam|Erasmus University Rotterdam
study aimed identify relationships selfmanagement abilities frailty perceived poor health among communitydwelling older people netherlands controlling important individual characteristics education age marital status genderthe crosssectional study sample consisted 8692212 39 response rate independently living older adults aged 70 years 92 neighborhoods rotterdam questionnaires assessed selfrated health frailty using tilburg frailty indicator tfi selfmanagement abilities short version selfmanagement ability scale smass first used descriptive analysis identify poor good health differences groups established using chisquared ttests relationships individual characteristics frailty selfmanagement abilities poor health investigated correlation analyses multilevel logistic regression analyses performed investigate relationships selfmanagement abilities frailty health controlling age gender education marital status results multilevel regression analyses reported odd ratiosrespondents poor health older good health 788 vs 772 p 001 significantly larger proportion older people poor health poorly educated 384 vs 190 p 001 fewer married 336 vs 463 p 001 furthermore older people poor health reported significantly lower selfmanagement abilities 35 vs 41 p 001 higher levels frailty 69 vs 33 p 001 correlation analyses showed significant relationships frailty selfmanagement abilities poor health multilevel analyses showed controlling background characteristics selfmanagement abilities negatively associated poor health p 05 positive relationship found frailty poor health p 05 among older people communityselfmanagement abilities frailty important healthy aging among communitydwelling older people netherlands particularly vulnerable lower educated older adults interventions improve selfmanagement abilities may help older people age healthfully prevent losses age