PMID- 32765358 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220416 IS - 1664-1078 (Print) IS - 1664-1078 (Electronic) IS - 1664-1078 (Linking) VI - 11 DP - 2020 TI - Emotional Well-Being and Cognitive Function Have Robust Relationship With Physical Frailty in Institutionalized Older Women. PG - 1568 LID - 10.3389/fpsyg.2020.01568 [doi] LID - 1568 AB - INTRODUCTION: Frailty associated to core dimensions of psychological well-being (PwB) has appeared as a possible new frailty phenotype named psychological frailty, implying a parallel to physical frailty (PF). Very little is known about the associations between mental well-being, especially emotional, mood, and self-perception dimensions, and the frailty syndrome in institutionalized older populations. The present study aims to examine the interlink between the PF phenotype and the core dimensions of PwB in Portuguese institution-dwelling older women. METHODS: Cross-sectional data were collected. A total of 358 older women, aged 75 years or more, were recruited from four nursing homes within the city of Coimbra and asked to complete a sociodemographic and a general health assessment survey. The main PwB dimensions were assessed in all participants: (i) global cognitive status was assessed using The Montreal Cognitive Assessment (MoCA) Neuropsychology Test, (ii) self-perception was screened using the General Self-Efficacy Scale (GSES) and Global Self-Esteem Scale, (iii) CES-D of depression and Perceived Stress Scale (PSS) were used to screen mood states, and (iv) subjective happiness, satisfaction with life, and attitudes to aging psychometric rating scales were used to screen for emotional well-being. The syndrome of PF was assessed using Fried's PF phenotype that includes weight loss, weakness, slowness, exhaustion, and low physical activity (PA) level assessments. RESULTS: Frail older women had a poor score in all PwB outcomes, except for global self-esteem and satisfaction with life. A hierarchical regression model analysis showed that global cognitive status and emotional well-being of subjective happiness and attitude to aging showed a significant negative relationship with PF in both unadjusted and adjusted models (explaining 34 and 40% of variance, respectively). CONCLUSION: Emotional well-being and global cognitive performance are strongly associated with PF. Implementing active lifestyle interventions to improve positive psychological outcomes using geriatric assessments could assist in the older institutionalized patients' physical and mental health care. CI - Copyright (c) 2020 Furtado, Caldo, Vieira-Pedrosa, Letieri, Hogervorst, Teixeira and Ferreira. FAU - Furtado, Guilherme Eustaquio AU - Furtado GE AD - University of Coimbra - Research Unit for Sport and Physical Activity (CIDAF, UID/PTD/04213/2019), Faculty of Sport Science and Physical Education (FCDEF-UC), Coimbra, Portugal. FAU - Caldo, Adriana AU - Caldo A AD - University of Coimbra - Research Unit for Sport and Physical Activity (CIDAF, UID/PTD/04213/2019), Faculty of Sport Science and Physical Education (FCDEF-UC), Coimbra, Portugal. FAU - Vieira-Pedrosa, Ana AU - Vieira-Pedrosa A AD - University of Coimbra - Research Unit for Sport and Physical Activity (CIDAF, UID/PTD/04213/2019), Faculty of Sport Science and Physical Education (FCDEF-UC), Coimbra, Portugal. FAU - Letieri, Rubens Vinicius AU - Letieri RV AD - Multidisciplinary Research Nucleus in Physical Education (NIMEF), Physical Education Department, Federal University of Tocantins (UFT), Tocantinopolis, Brazil. FAU - Hogervorst, Eef AU - Hogervorst E AD - Applied Cognitive Research NCSEM, Loughborough University, Loughborough, United Kingdom. FAU - Teixeira, Ana Maria AU - Teixeira AM AD - University of Coimbra - Research Unit for Sport and Physical Activity (CIDAF, UID/PTD/04213/2019), Faculty of Sport Science and Physical Education (FCDEF-UC), Coimbra, Portugal. FAU - Ferreira, Jose Pedro AU - Ferreira JP AD - University of Coimbra - Research Unit for Sport and Physical Activity (CIDAF, UID/PTD/04213/2019), Faculty of Sport Science and Physical Education (FCDEF-UC), Coimbra, Portugal. LA - eng PT - Journal Article DEP - 20200716 PL - Switzerland TA - Front Psychol JT - Frontiers in psychology JID - 101550902 PMC - PMC7378677 OTO - NOTNLM OT - depression OT - frail older adults OT - happiness OT - mental health OT - mild cognitive impairment OT - psychological frailty OT - subjective well-being EDAT- 2020/08/09 06:00 MHDA- 2020/08/09 06:01 PMCR- 2020/07/16 CRDT- 2020/08/09 06:00 PHST- 2020/04/05 00:00 [received] PHST- 2020/06/11 00:00 [accepted] PHST- 2020/08/09 06:00 [entrez] PHST- 2020/08/09 06:00 [pubmed] PHST- 2020/08/09 06:01 [medline] PHST- 2020/07/16 00:00 [pmc-release] AID - 10.3389/fpsyg.2020.01568 [doi] PST - epublish SO - Front Psychol. 2020 Jul 16;11:1568. doi: 10.3389/fpsyg.2020.01568. eCollection 2020.