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Cultural engagement is a risk-reducing factor for frailty incidence and progression in non-frail adults

Rogers, NT; Fancourt, D; (2019) Cultural engagement is a risk-reducing factor for frailty incidence and progression in non-frail adults. Journals of Gerontology Series B 10.1093/geronb/gbz004. (In press). Green open access

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Abstract

Objectives: Given that frailty is a multi-faceted health condition of increasing importance to policymakers and care providers, it is relevant to consider whether multi-modal interventions could provide combined psycho-physiological 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 4575 adults. Results: Our analyses used competing risks regression models and multilevel growth curve models adjusting for socio-economic, health behaviours, social confounders and sub-threshold 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 SHR 0.79, 95% CI 0.63 to 0.996; trajectory coef -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.

Type: Article
Title: Cultural engagement is a risk-reducing factor for frailty incidence and progression in non-frail adults
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/geronb/gbz004
Publisher version: https://doi.org/10.1093/geronb/gbz004
Language: English
Additional information: Copyright © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. 1 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: frailty, cultural engagement, psychosocial, ageing
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: http://discovery.ucl.ac.uk/id/eprint/10065541
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