Skip to main content
Log in

Social frailty in older adults: a scoping review

  • Review
  • Published:
European Journal of Ageing Aims and scope Submit manuscript

Abstract

Social frailty is a rather unexplored concept. In this paper, the concept of social frailty among older people is explored utilizing a scoping review. In the first stage, 42 studies related to social frailty of older people were compiled from scientific databases and analyzed. In the second stage, the findings of this literature were structured using the social needs concept of Social Production Function theory. As a result, it was concluded that social frailty can be defined as a continuum of being at risk of losing, or having lost, resources that are important for fulfilling one or more basic social needs during the life span. Moreover, the results of this scoping review indicate that not only the (threat of) absence of social resources to fulfill basic social needs should be a component of the concept of social frailty, but also the (threat of) absence of social behaviors and social activities, as well as (threat of) the absence of self-management abilities. This conception of social frailty provides opportunities for future research, and guidelines for practice and policy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Alvarado BE, Zunzunegui MV, Beland F, Bamvita JM (2008) Life course social and health conditions linked to frailty in Latin American older men and women. J Gerontol A Biol Sci Med Sci 63:1399–1406

    Article  Google Scholar 

  • Ament BH, de Vugt ME, Koomen FM, Jansen MW, Verhey FR, Kempen GI (2012) Resources as a protective factor for negative outcomes of frailty in elderly people. Gerontology 58:391–397

    Article  Google Scholar 

  • Andrew MK, Mitnitski AB (2008) Different ways to think about frailty? Am J Med 121:e21 (author reply e23)

    Article  Google Scholar 

  • Andrew MK, Rockwood K (2010) Social vulnerability predicts cognitive decline in a prospective cohort of older Canadians. Alzheimers Dement 6(319–325):e1

    Google Scholar 

  • Andrew MK, Mitnitski AB, Rockwood K (2008a) Social vulnerability, frailty and mortality in elderly people. PLoS One 3:e2232

    Article  Google Scholar 

  • Andrew MK, Mitnitski AB, Rockwood K (2008b) Social vulnerability, frailty and mortality in elderly people. PLoS One 3:e2232

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Aranda MP, Ray LA, Snih SA, Ottenbacher KJ, Markides KS (2011) The protective effect of neighborhood composition on increasing frailty among older Mexican Americans: a barrio advantage? J Aging Health 23:1189–1217

    Article  Google Scholar 

  • Armstrong JJ, Andrew MK, Mitnitski A, Launer LJ, White LR, Rockwood K (2015) Social vulnerability and survival across levels of frailty in the Honolulu-Asia Aging Study. Age Ageing 44:709–712

    Article  Google Scholar 

  • Bilotta C, Case A, Nicolini P, Mauri S, Castelli M, Vergani C (2010) Social vulnerability, mental health and correlates of frailty in older outpatients living alone in the community in Italy. Aging Ment Health 14:1024–1036

    Article  Google Scholar 

  • Broese van Groenou M (2011) Sociale kwetsbaarheid. In: Cv Campen (ed) Kwetsbare ouderen. Sociaal Cultureel Planbureau, Den Haag, p 121

    Google Scholar 

  • Casale-Martinez RI, Navarrete-Reyes AP, Avila-Funes JA (2012) Social determinants of frailty in elderly Mexican community-dwelling adults. J Am Geriatr Soc 60:800–802

    Article  Google Scholar 

  • Cramm JM, Nieboer AP (2013) Relationships between frailty, neighborhood security, social cohesion and sense of belonging among community-dwelling older people. Geriatr Gerontol Int 13:759–763

    Article  Google Scholar 

  • Cross SE, Madson L (1997) Models of the self: self-construals and gender. Psychol Bull 122:5–37

    Article  Google Scholar 

  • De Vries N, Staal J, Van Ravensberg C, Hobbelen J, Rikkert MO, Nijhuis-Van der Sanden M (2011) Outcome instruments to measure frailty: a systematic review. Ageing Res Rev 10:104–114

    Article  Google Scholar 

  • De Witte N, Gobbens R, De Donder L, Dury S, Buffel T, Schols J, Verte D (2013) The comprehensive frailty assessment instrument: development, validity and reliability. Geriatr Nurs 34:274–281

    Article  Google Scholar 

  • Diener E, Suh EM, Lucas RE, Smith HL (1999) Subjective well-being: three decades of progress. Psychol Bull 125:276–302

    Article  Google Scholar 

  • Dykstra PA, Fokkema T (2007) Social and emotional loneliness among divorced and married men and women: Comparing the deficit and cognitive perspectives. Basic Appl Soc Psychol 29:1–12

    Article  Google Scholar 

  • Etman A, Burdorf A, Van der Cammen TJ, Mackenbach JP, Van Lenthe FJ (2012) Socio-demographic determinants of worsening in frailty among community-dwelling older people in 11 European countries. J Epidemiol Community Health 66:1116–1121

    Article  Google Scholar 

  • Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G (2004) Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci 59:255–263

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT, Schols JM (2010a) Toward a conceptual definition of frail community dwelling older people. Nurs Outlook 58:76–86

    Article  Google Scholar 

  • Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT, Schols JM (2010b) In search of an integral conceptual definition of frailty: opinions of experts. J Am Med Dir Assoc 11:338–343

    Article  Google Scholar 

  • Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT, Schols JM (2010c) Towards an integral conceptual model of frailty. J Nutr Health Aging 14:175–181

    Article  Google Scholar 

  • Gobbens RJ, van Assen MA, Luijkx KG, Wijnen-Sponselee MT, Schols JM (2010d) Determinants of frailty. J Am Med Dir Assoc 11:356–364

    Article  Google Scholar 

  • Gobbens RJ, van Assen MA, Luijkx KG, Schols JM (2012a) Testing an integral conceptual model of frailty. J Adv Nurs 68:2047–2060

    Article  Google Scholar 

  • Gobbens RJ, van Assen MA, Luijkx KG, Schols JM (2012b) The predictive validity of the Tilburg Frailty Indicator: disability, health care utilization, and quality of life in a population at risk. Gerontologist 52:619–631

    Article  Google Scholar 

  • Gobbens RJ, van Assen MA, Luijkx KG, Wijnen-Sponselee MT, Schols JM (2012c) Young frail elderly: assessed using the Tilburg Frailty Indicator. Tijdschr Gerontol Geriatr 43:296–307

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Gobbens RJ, Krans A, van Assen MA (2015) Validation of an integral conceptual model of frailty in older residents of assisted living facilities. Arch Gerontol Geriatr 61:400–410

    Article  Google Scholar 

  • Goedendorp MM, Steverink N (2016) Interventions based on self-management of well-being theory: pooling data to demonstrate mediation and ceiling effects, and to compare formats. Aging Ment Health 2016:1–7

    Google Scholar 

  • Harttgen K, Kowal P, Strulik H, Chatterji S, Vollmer S (2013) Patterns of frailty in older adults: comparing results from higher and lower income countries using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on Global AGEing and Adult Health (SAGE). PLoS One 8:e75847

    Article  Google Scholar 

  • Heppenstall CP, Wilkinson TJ, Hanger HC, Keeling S (2009) Frailty: dominos or deliberation? N Z Med J 122:42–53

    Google Scholar 

  • Herrera-Badilla A, Navarrete-Reyes AP, Amieva H, Avila-Funes JA (2015) Loneliness is associated with frailty in community-dwelling elderly adults. J Am Geriatr Soc 63:607–609

    Article  Google Scholar 

  • Hoogendijk EO, Suanet B, Dent E, Deeg DJ, Aartsen MJ (2016) Adverse effects of frailty on social functioning in older adults: results from the Longitudinal Aging Study Amsterdam. Maturitas 83:45–50

    Article  Google Scholar 

  • Hsu HC, Chang WC (2015) Trajectories of frailty and related factors of the older people in Taiwan. Exp Aging Res 41:104–114

    Article  Google Scholar 

  • Imuta H, Yasumura S, Abe H, Fukao A (2001) The prevalence and psychosocial characteristics of the frail elderly in Japan: a community-based study. Aging (Milano) 13:443–453

    Google Scholar 

  • Jurschik P, Nunin C, Botigue T, Escobar MA, Lavedan A, Viladrosa M (2012) Prevalence of frailty and factors associated with frailty in the elderly population of Lleida, Spain: the FRALLE survey. Arch Gerontol Geriatr 55:625–631

    Article  Google Scholar 

  • Kawano-Soto CA, Garcia-Lara JM, Avila-Funes JA (2012) A poor social network is not associated with frailty in Mexican community-dwelling elderly adults. J Am Geriatr Soc 60:2360–2362

    Article  Google Scholar 

  • Lang IA, Hubbard RE, Andrew MK, Llewellyn DJ, Melzer D, Rockwood K (2009) Neighborhood deprivation, individual socioeconomic status, and frailty in older adults. J Am Geriatr Soc 57:1776–1780

    Article  Google Scholar 

  • Lindenberg S (2013) Social rationality, self-regulation, and well-being: the regulatory significance of needs, goals, and the self. In: Wittek R, Snijders TAB, Nee V (eds) Handbook of rational choice social research. Stanford University Press, Stanford, pp 72–112

    Google Scholar 

  • Makizako H, Shimada H, Tsutsumimoto K, Lee S, Doi T, Nakakubo S, Hotta R, Suzuki T (2015) Social frailty in community-dwelling older adults as a risk factor for disability. J Am Med Dir Assoc 16:1003.e7–1003.e11

    Article  Google Scholar 

  • Mulasso A, Roppolo M, Giannotta F, Rabaglietti E (2016) Associations of frailty and psychosocial factors with autonomy in daily activities: a cross-sectional study in Italian community-dwelling older adults. Clin Interv Aging 11:37–45

    Google Scholar 

  • Ormel J, Lindenberg S, Steverink N, Verbrugge LM (1999) Subjective well-being and social production functions. Soc Indicators Res 46:61–90

    Article  Google Scholar 

  • Peek MK, Howrey BT, Ternent RS, Ray LA, Ottenbacher KJ (2012) Social support, stressors, and frailty among older Mexican American adults. J Gerontol B Psychol Sci Soc Sci 67:755–764

    Article  Google Scholar 

  • Pham MT, Rajić A, Greig JD, Sargeant JM, Papadopoulos A, McEwen SA (2014) A scoping review of scoping reviews: advancing the approach and enhancing the consistency 5:371–385

    Google Scholar 

  • Rockwood K (2005) What would make a definition of frailty successful? Age Ageing 34:432–434

    Article  Google Scholar 

  • Ryan RM, Deci EL (2000) Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol 55:68–78

    Article  Google Scholar 

  • Sánchez-García S, Sánchez-Arenas R, García-Peña C, Rosas-Carrasco O, Ávila-Funes JA, Ruiz-Arregui L, Juárez-Cedillo T (2014) Frailty among community-dwelling elderly Mexican people: Prevalence and association with sociodemographic characteristics, health state and the use of health services. Geriatr Gerontol Int 14:395–402

    Article  Google Scholar 

  • Santos-Eggimann B, Cuenoud P, Spagnoli J, Junod J (2009) Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries. J Gerontol A Biol Sci Med Sci 64:675–681

    Article  Google Scholar 

  • Shega JW, Andrew M, Hemmerich J, Cagney KA, Ersek M, Weiner DK, Dale W (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

    Article  Google Scholar 

  • St John PD, Montgomery PR, Tyas SL (2013) Social position and frailty. Can J Aging 32:250–259

    Article  Google Scholar 

  • Steverink N (2014) Successful development and ageing:84

  • Steverink N, Lindenberg S (2006) Which social needs are important for subjective well-being? What happens to them with aging? Psychol Aging 21:281–290

    Article  Google Scholar 

  • Steverink N, Lindenberg S (2008) Do good self-managers have less physical and social resource deficits and more well-being in later life? Eur J Ageing 5:181–190

    Article  Google Scholar 

  • Steverink N, Lindenberg S, Ormel J (1998) Towards understanding successful ageing: patterned change in resources and goals. Ageing Soc 18:441–467

    Google Scholar 

  • Steverink N, Lindenberg S, Slaets JJ (2005) How to understand and improve older people’s self-management of wellbeing. Eur J Ageing 2:235–244

    Article  Google Scholar 

  • Szanton SL, Seplaki CL, Thorpe RJ Jr, Allen JK, Fried LP (2010) Socioeconomic status is associated with frailty: the Women’s Health and Aging Studies. J Epidemiol Community Health 64:63–67

    Article  Google Scholar 

  • Theou O, Brothers TD, Rockwood MR, Haardt D, Mitnitski A, Rockwood K (2013) Exploring the relationship between national economic indicators and relative fitness and frailty in middle-aged and older Europeans. Age Ageing 42:614–619

    Article  Google Scholar 

  • van Campen C (eds) (2011) Frail older persons in the Netherlands. The Netherlands Institute for Social Research, The Hague

  • 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

    Article  Google Scholar 

  • Woo J, Goggins W, Sham A, Ho SC (2005) Social determinants of frailty. Gerontology 51:402–408

    Article  Google Scholar 

  • Woo J, Chan R, Leung J, Wong M (2010) Relative contributions of geographic, socioeconomic, and lifestyle factors to quality of life, frailty, and mortality in elderly. PLoS One 5:e8775

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Bunt.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Responsible editor: H. Litwin

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bunt, S., Steverink, N., Olthof, J. et al. Social frailty in older adults: a scoping review. Eur J Ageing 14, 323–334 (2017). https://doi.org/10.1007/s10433-017-0414-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10433-017-0414-7

Keywords

Navigation