Predictors of Social Frailty and Depression in Brazilian Patients With Chronic Kidney Disease: A Cross‐Sectional Study.
Background: Social frailty is linked to adverse health outcomes, including depression, especially in older and chronically ill individuals. This study aimed to assess the prevalence and associated factors of social frailty in Brazilian CKD patients undergoing hemodialysis or kidney transplantation a...
| Publicado en: | Geriatrics & Gerontology International Vol. 26; no. 1; pp. 1 - 8 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191138408&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191138408 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14441586 EVM jtl: Geriatrics & Gerontology International issn: 14441586 maglogo: Y pubinfo: dt: Jan2026 vid: 26 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 191138408 190638709 191138408 191138408 10.1111/ggi.70317 191138408 ppf: 1 ppct: 7 formats: tig: atl: Predictors of Social Frailty and Depression in Brazilian Patients With Chronic Kidney Disease: A Cross‐Sectional Study. aug: au: dos Santos, Diana Gabriela Mendes Geraigire, Luma Ferreira, Layana Giselly Silva Costa da Silva, Cleanderson de Souza Dinardi, Ana Carolina Zazzetta, Marisa Silvana de Souza Orlandi, Fabiana affil: Department of Nursing, Federal University of São Carlos, São Carlos, Brazil sug: subj: Social Isolation Epidemiology Depression Risk Factors Renal Insufficiency, Chronic Therapy Brazilians Hemodialysis Dialysis Patients Kidney Transplantation Transplant Recipients Risk Assessment Support, Social Interpersonal Relations Frailty Syndrome Risk Factors Frailty Syndrome Epidemiology Human Cross Sectional Studies Correlational Studies Comparative Studies Brazil Loneliness Poverty Educational Status Sociodemographic Factors Convenience Sample Questionnaires Descriptive Statistics Mann-Whitney U Test Chi Square Test Multiple Linear Regression Data Analysis Software Adult Middle Age Aged Male Female Support, Psychosocial Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Social frailty is linked to adverse health outcomes, including depression, especially in older and chronically ill individuals. This study aimed to assess the prevalence and associated factors of social frailty in Brazilian CKD patients undergoing hemodialysis or kidney transplantation and to examine its predictive role in the development of depressive symptoms. Methods: This cross‐sectional, correlational, and comparative study included 284 patients with CKD from São Paulo, Brazil. Data were collected using validated instruments: HALFT Social Frailty Scale, Patient Health Questionnaire‐9 (PHQ‐9), and Medical Outcomes Study Social Support Scale (MOS). Two multiple linear regression (MLR) models were used to assess predictors of social frailty and depressive symptoms, adjusting for sociodemographic and clinical variables. Results: Social frailty was significantly more prevalent among HD patients (51.2%) compared to TX patients (24%). Social support was negatively associated with social frailty (β = −0.40; p < 0.001). Other predictors of greater social frailty included lower income (β = 0.51 for ≤ 1 minimum wage), number of medications (β = 0.11), and lower education (β = −0.13). In turn, social frailty was the strongest predictor of depressive symptoms (β = 0.60; p < 0.001). TX status and male sex were associated with lower depression scores. Conclusion: Social frailty is highly prevalent in CKD patients, particularly those undergoing HD, and strongly predicts depressive symptoms. Strategies to enhance social support and reduce socioeconomic vulnerability may help mitigate mental health burdens in this population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|