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Comparison of Frailty and Autonomy Levels in Older Adults According to Place of Residence

2026Artigo científico Acesso aberto
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorMachado, Andrea
dc.contributor.authorForte, Pedro
dc.contributor.authorRodrigues, Filipe
dc.date.accessioned2026-05-28T11:15:05Z
dc.date.available2026-05-28T11:15:05Z
dc.date.issued2026
dc.description.abstractThe present study aimed to compare levels of frailty and functional independence in older adults according to their place of residence and to analyze the associations between age, frailty, and autonomy, considering sex. Methods: A cross-sectional analytical study was conducted with a sample of 77 older adults (80.16 ± 8.68 years), divided into community-dwelling (n = 38) and institutionalized (n = 39) participants. Data collection included sociodemographic characterization and the assessment of frailty and autonomy. Results: Older adults in the community showed significantly higher levels of autonomy (94.21 ± 10.81) compared to those who were institutionalized (75.53 ± 23.21; p < 0.001). No significant differences were found in frailty levels between the groups (p = 0.674). Correlation analysis revealed a strong negative association between frailty and autonomy, which was more pronounced in institutionalized older adults (r = −0.64) and in males (r = −0.72). Age was only correlated with the loss of autonomy in men (r = −0.43). Conclusions: Place of residence is a critical determinant of functional autonomy but not of perceived frailty. The results highlight a health-survival paradox, where men exhibit a more abrupt functional decline associated with frailty. The implementation of gerontomotricity programs in residential care facilities is suggested to mitigate learned dependency.eng
dc.description.sponsorshipThis work was supported by National Funds by FCT—Foundation for Science and Technology, under the project UID/04045/2025 (https://doi.org/10.54499/UID/04045/2025).
dc.identifier.citationMachado, Andrea; Forte, Pedro; Rodrigues, Filipe (2026). Comparison of Frailty and Autonomy Levels in Older Adults According to Place of Residence. Healthcare. ISSN 2227-9032. 14:6, p. 1-11
dc.identifier.doi10.3390/healthcare14060721
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/10198/36792
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relationCentro de Investigação em Desporto, Saúde e Desenvolvimento Humano - UID/04045/2025
dc.relation.ispartofHealthcare
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/
dc.subjectAgeing
dc.subjectAutonomy
dc.subjectFrailty
dc.subjectOlder adults
dc.subjectPlace of residence
dc.titleComparison of Frailty and Autonomy Levels in Older Adults According to Place of Residenceeng
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberUID/04045/2025
oaire.awardTitleCentro de Investigação em Desporto, Saúde e Desenvolvimento Humano - UID/04045/2025
oaire.awardURIhttps://doi.org/10.54499/UID/04045/2025
oaire.citation.endPage11
oaire.citation.issue6
oaire.citation.startPage1
oaire.citation.titleHealthcare
oaire.citation.volume14
oaire.fundingStreamAvaliação UID 2023/2024
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameForte
person.givenNamePedro
person.identifier.ciencia-id351B-B16B-79C7
person.identifier.orcid0000-0003-0184-6780
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isAuthorOfPublication3ecc6d1b-07a4-40d7-81f4-df6fd7b3d5b0
relation.isAuthorOfPublication.latestForDiscovery3ecc6d1b-07a4-40d7-81f4-df6fd7b3d5b0
relation.isProjectOfPublicationc0174cae-979b-4aa3-a465-0fdc0080d543
relation.isProjectOfPublication.latestForDiscoveryc0174cae-979b-4aa3-a465-0fdc0080d543

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