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

Publisher: published on behalf of the Gerontological Society of America by Oxford University Press Country of Publication: United States NLM ID: 9508483 Publication Model: Print Cited Medium: Internet ISSN: 1758-5368 (Electronic) Linking ISSN: 10795014 NLM ISO Abbreviation: J Gerontol B Psychol Sci Soc Sci Subsets: MEDLINE

Publication: Washington, DC : published on behalf of the Gerontological Society of America by Oxford University Press
Original Publication: Washington, DC : Gerontological Society of America, c1995-

Aging* ; Art* ; Disease Progression* ; Leisure Activities*; Frailty/*epidemiology; Aged ; Aged, 80 and over ; England/epidemiology ; Female ; Humans ; Incidence ; Longitudinal Studies ; Male ; Middle Aged

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.
(© The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America.)

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205407/Z/16/Z United Kingdom WT_ Wellcome Trust; R01 AG017644 United States AG NIA NIH HHS

Keywords: Ageing; Cultural engagement; Frailty; Psychosocial

Date Created: 20190110 Date Completed: 20201112 Latest Revision: 20210109

20231215

PMC7768715

10.1093/geronb/gbz004

30624696