Association between Frailty and Mobility Limitations in the Ageing Population of Latvia

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Abstract

Objectives*
Frailty is defined by a decline in physiological reserves and increased vulnerability to adverse health outcomes,
often associated with activity limitations, mobility challenges, and reduced functional independence, which
substantially elevate healthcare needs. This study aimed to investigate the association between frailty and mobility limitations in the ageing population of Latvia.
Materials and Methods
Data from Wave 9 (collected 2022) of the Survey of Health, Ageing and Retirement (SHARE), including respondents aged 50+ in Latvia, were analysed. Frailty was assessed using the SHARE-Frailty Instrument (FI). The
Global Activity Limitation Indicator (GALI) characterized activity limitations; activities of daily living (ADL)
assessed mobility-related self-care tasks; and instrumental activities of daily living (IADL) evaluated tasks necessary for independent living. Logistic regression identified associated factors and tested for collinearity, with
significance set at p<0.05.
Financed by the project RSU internal and RSU with LSPA external consolidation No.5.2.1.1.i.0/2/24/I/CFLA/005,
Postdoctoral Grant Associated factors of frailty and fall-related mortality in the older population in Latvia
No.RSU-PG-2024/1-0005.
Results
The study sample comprised 1,438 older adults from Latvia (60.4% female) with a mean age of 67.9 years (SD ±
9.5). According to SHARE-FI, 7.2% were classified as frail. Limitations were reported by 56.0% of respondents
based on GALI, 4.9% based on ADL, and 17.7% based on IADL. After adjusting for age, gender, and chronic
disease, all three measures of limitations - GALI (OR = 52.1, 95% CI: 7.1–378.8), ADL (OR = 7.6, 95% CI: 4.3–13.5),
and IADL (OR = 8.3, 95% CI: 5.1–13.6) - were associated with higher odds of frailty. Multicollinearity was observed
between ADL and IADL.
Conclusions
The study identifies a correlation between frailty, activity limitations, mobility challenges, and reduced functional independence, emphasizing the need for preventive strategies focused on early frailty detection and tailored interventions to enhance mobility and maintain independence in the aging population of Latvia.
Original languageEnglish
Pages71
Publication statusPublished - Mar 2025
Event10th International Multidisciplinary Research Conference: Society. Health. Welfare - Riga, Latvia
Duration: 26 Mar 202528 Mar 2025
Conference number: 10
https://rw2025.rsu.lv/society-health-welfare
https://dspace.rsu.lv/jspui/handle/123456789/17191

Conference

Conference10th International Multidisciplinary Research Conference: Society. Health. Welfare
Abbreviated titleRSU RW2025 SHW
Country/TerritoryLatvia
CityRiga
Period26/03/2528/03/25
Internet address

Field of Science*

  • 3.3 Health sciences

Publication Type*

  • 3.4. Other publications in conference proceedings (including local)

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