Personal mastery attenuates the adverse effect of frailty on declines in physical function of older people: A 6-year population-based cohort study

Personal mastery is an important determinant in shaping physical health across middle and late life. The modified effect of mastery on relation between frailty and adverse health outcome remains unclear. The main purpose of this study was to evaluate the prognostic role of mastery on frailty among o...

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Published inMedicine (Baltimore) Vol. 95; no. 34; p. e4661
Main Authors Lee, Wei-Ju, Chen, Liang-Kung, Peng, Li-Ning, Chiou, Shu-Ti, Chou, Pesus
Format Journal Article
LanguageEnglish
Published United States The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved 01.08.2016
Wolters Kluwer Health
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ISSN0025-7974
1536-5964
DOI10.1097/MD.0000000000004661

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Abstract Personal mastery is an important determinant in shaping physical health across middle and late life. The modified effect of mastery on relation between frailty and adverse health outcome remains unclear. The main purpose of this study was to evaluate the prognostic role of mastery on frailty among older people by using a nationwide representative population-based cohort. In total, 715 community-dwelling participants aged 54 years and over recruited in 2000 and received second visit 6 years later. Personal mastery was represented by the Pearlin mastery score, and frailty was defined by modified Fried criteria. Multivariate generalized linear mixed analysis was used to examine the association interaction between frailty and Pearlin mastery scores for activities of daily living decline. Overall, prevalence of frailty and prefrail were 9.7% and 48.8%. In a 6-year period, 94 participants (13.1%) experienced functional decline. Compared with function nondecliners, function decliners had greater proportion of frailty (26.6% vs 7.1%; P < 0.001) and lesser mastery score (17.2 vs 18.7; P < 0.001). After adjusting with basic demography, healthy behavior, cognitive function, and multimorbidity, frailty status and mastery were significantly interacted (coefficient estimate: -0.80, standard error: 0.23, P = 0.001). The negative coefficient estimate indicated that self-control, that is, self-mastery, may attenuate the adverse effects of frailty on functional outcomes. Similar results were shown when subjects with baseline functional deficits were excluded for analysis. In conclusion, high self-mastery attenuates adverse effects of frailty on functional decline.
AbstractList Personal mastery is an important determinant in shaping physical health across middle and late life. The modified effect of mastery on relation between frailty and adverse health outcome remains unclear. The main purpose of this study was to evaluate the prognostic role of mastery on frailty among older people by using a nationwide representative population-based cohort. In total, 715 community-dwelling participants aged 54 years and over recruited in 2000 and received second visit 6 years later. Personal mastery was represented by the Pearlin mastery score, and frailty was defined by modified Fried criteria. Multivariate generalized linear mixed analysis was used to examine the association interaction between frailty and Pearlin mastery scores for activities of daily living decline. Overall, prevalence of frailty and prefrail were 9.7% and 48.8%. In a 6-year period, 94 participants (13.1%) experienced functional decline. Compared with function nondecliners, function decliners had greater proportion of frailty (26.6% vs 7.1%; P < 0.001) and lesser mastery score (17.2 vs 18.7; P < 0.001). After adjusting with basic demography, healthy behavior, cognitive function, and multimorbidity, frailty status and mastery were significantly interacted (coefficient estimate: -0.80, standard error: 0.23, P = 0.001). The negative coefficient estimate indicated that self-control, that is, self-mastery, may attenuate the adverse effects of frailty on functional outcomes. Similar results were shown when subjects with baseline functional deficits were excluded for analysis. In conclusion, high self-mastery attenuates adverse effects of frailty on functional decline.
Personal mastery is an important determinant in shaping physical health across middle and late life. The modified effect of mastery on relation between frailty and adverse health outcome remains unclear. The main purpose of this study was to evaluate the prognostic role of mastery on frailty among older people by using a nationwide representative population-based cohort. In total, 715 community-dwelling participants aged 54 years and over recruited in 2000 and received second visit 6 years later. Personal mastery was represented by the Pearlin mastery score, and frailty was defined by modified Fried criteria. Multivariate generalized linear mixed analysis was used to examine the association interaction between frailty and Pearlin mastery scores for activities of daily living decline. Overall, prevalence of frailty and prefrail were 9.7% and 48.8%. In a 6-year period, 94 participants (13.1%) experienced functional decline. Compared with function nondecliners, function decliners had greater proportion of frailty (26.6% vs 7.1%; P  < 0.001) and lesser mastery score (17.2 vs 18.7; P  < 0.001). After adjusting with basic demography, healthy behavior, cognitive function, and multimorbidity, frailty status and mastery were significantly interacted (coefficient estimate: −0.80, standard error: 0.23, P  = 0.001). The negative coefficient estimate indicated that self-control, that is, self-mastery, may attenuate the adverse effects of frailty on functional outcomes. Similar results were shown when subjects with baseline functional deficits were excluded for analysis. In conclusion, high self-mastery attenuates adverse effects of frailty on functional decline.
Author Chen, Liang-Kung
Lee, Wei-Ju
Peng, Li-Ning
Chiou, Shu-Ti
Chou, Pesus
AuthorAffiliation Aging and Health Research Center Institute of Public Health, National Yang Ming University Department of Family Medicine, Taipei Veterans General Hospital Yuanshan Branch Center for Geriatrics and Gerontology, Taipei Veterans General Hospital Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan
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Snippet Personal mastery is an important determinant in shaping physical health across middle and late life. The modified effect of mastery on relation between frailty...
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SubjectTerms Activities of Daily Living
Aged
Aged, 80 and over
Cohort Studies
Female
Frail Elderly
Geriatric Assessment
Health Services for the Aged
Humans
Longitudinal Studies
Male
Middle Aged
Observational Study
Personal Autonomy
Prognosis
Taiwan
Title Personal mastery attenuates the adverse effect of frailty on declines in physical function of older people: A 6-year population-based cohort study
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https://www.ncbi.nlm.nih.gov/pubmed/27559969
https://www.proquest.com/docview/1814684029
https://pubmed.ncbi.nlm.nih.gov/PMC5400336
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