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

datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
dc.contributor.authorMachado, Andrea
dc.contributor.authorForte, Pedro
dc.contributor.authorRodrigues, Filipe
dc.date.accessioned2026-08-25T12:30:19Z
dc.date.available2026-08-25T12:30:19Z
dc.date.issued2026-03-10
dc.description.abstractBackground/Objectives: The 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.identifier.citationMachado, A., Forte, P., & Rodrigues, F. (2026). Comparison of Frailty and Autonomy Levels in Older Adults According to Place of Residence. Healthcare, 14(6), 721. https://doi.org/10.3390/healthcare14060721
dc.identifier.doi10.3390/healthcare14060721
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/10400.8/16712
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relationResearch Center in Sports Sciences, Health Sciences and Human Development
dc.relation.hasversionhttps://www.mdpi.com/2227-9032/14/6/721
dc.rights.urihttp://creativecommons.org/licenses/by/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.typeresearch article
dspace.entity.typePublication
oaire.awardNumberUID/DTP/04045/2019
oaire.awardTitleResearch Center in Sports Sciences, Health Sciences and Human Development
oaire.awardURIhttp://hdl.handle.net/10400.8/14238
oaire.citation.issue6
oaire.citation.startPage721
oaire.citation.titleHealthcare
oaire.fundingStreamFinanciamento do Plano Estratégico de Unidades de I&D - 2019
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameRodrigues
person.givenNameFilipe
person.identifier613329
person.identifier.ciencia-id9B18-7FE1-74AF
person.identifier.orcid0000-0003-1327-8872
person.identifier.ridA-8152-2019
person.identifier.scopus-author-id57206270107
relation.isAuthorOfPublication661e2126-79f7-445a-bda0-eb4c9d0bb0e2
relation.isAuthorOfPublication.latestForDiscovery661e2126-79f7-445a-bda0-eb4c9d0bb0e2
relation.isProjectOfPublication0d7d01bd-1227-427b-a242-17cfca8677be
relation.isProjectOfPublication.latestForDiscovery0d7d01bd-1227-427b-a242-17cfca8677be

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