{"id":"https://openalex.org/W3202573802","doi":"https://doi.org/10.1007/s00391-021-01969-6","title":"Home environment and frailty in very old adults","display_name":"Home environment and frailty in very old adults","publication_year":2021,"publication_date":"2021-09-27","ids":{"openalex":"https://openalex.org/W3202573802","doi":"https://doi.org/10.1007/s00391-021-01969-6","mag":"3202573802","pmid":"https://pubmed.ncbi.nlm.nih.gov/34570266","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8551134"},"language":"en","primary_location":{"id":"doi:10.1007/s00391-021-01969-6","doi":"https://doi.org/10.1007/s00391-021-01969-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00391-021-01969-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00391-021-01969-6.pdf","source":{"id":"https://openalex.org/S202177710","display_name":"Zeitschrift f\u00fcr Gerontologie und Geriatrie","issn_l":"0948-6704","issn":["0948-6704","1435-1269"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Gerontologie und Geriatrie","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s00391-021-01969-6.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102267382","display_name":"Jaroslava Zimmermann","orcid":"https://orcid.org/0000-0003-1202-2103","observed_orcids":["https://orcid.org/0000-0003-1202-2103"]},"institutions":[{"id":"https://openalex.org/I180923762","display_name":"University of Cologne","ror":"https://ror.org/00rcxh774","country_code":"DE","type":"education","lineage":["https://openalex.org/I180923762"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Jaroslava Zimmermann","raw_affiliation_strings":["ceres\u00a0- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany. jaroslava.zimmermann@uni-koeln.de","ceres\u00a0\u2013 Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ceres\u00a0- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany. jaroslava.zimmermann@uni-koeln.de","institution_ids":["https://openalex.org/I180923762"]},{"raw_affiliation_string":"ceres\u00a0\u2013 Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany","institution_ids":["https://openalex.org/I180923762"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052336563","display_name":"Sylvia Hansen","orcid":"https://orcid.org/0000-0003-2304-9248","observed_orcids":["https://orcid.org/0000-0003-2304-9248"]},"institutions":[{"id":"https://openalex.org/I180923762","display_name":"University of Cologne","ror":"https://ror.org/00rcxh774","country_code":"DE","type":"education","lineage":["https://openalex.org/I180923762"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sylvia Hansen","raw_affiliation_strings":["ceres\u00a0- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ceres\u00a0- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany","institution_ids":["https://openalex.org/I180923762"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053521723","display_name":"Michael A. Wagner","orcid":"https://orcid.org/0000-0002-0214-2403","observed_orcids":["https://orcid.org/0000-0002-0214-2403"]},"institutions":[{"id":"https://openalex.org/I180923762","display_name":"University of Cologne","ror":"https://ror.org/00rcxh774","country_code":"DE","type":"education","lineage":["https://openalex.org/I180923762"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Michael Wagner","raw_affiliation_strings":["Institute of Sociology and Social Psychology, University of Cologne, Cologne, Germany","ceres\u00a0- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Sociology and Social Psychology, University of Cologne, Cologne, Germany","institution_ids":["https://openalex.org/I180923762"]},{"raw_affiliation_string":"ceres\u00a0- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany","institution_ids":["https://openalex.org/I180923762"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5102267382"],"corresponding_institution_ids":["https://openalex.org/I180923762"],"apc_list":{"value":2890,"currency":"USD","value_usd":2890},"apc_paid":{"value":2890,"currency":"USD","value_usd":2890},"fwci":1.0777,"has_fulltext":true,"cited_by_count":16,"citation_normalized_percentile":{"value":0.73329951,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"54","issue":"S2","first_page":"114","last_page":"119"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11011","display_name":"Frailty in Older Adults","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11011","display_name":"Frailty in Older Adults","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10397","display_name":"Nutrition and Health in Aging","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.9670000076293945},{"id":"https://openalex.org/keywords/oldest-old","display_name":"oldest old","score":0.8399999737739563},{"id":"https://openalex.org/keywords/family-environment","display_name":"family environment","score":0.9869999885559082},{"id":"https://openalex.org/keywords/pre-frailty","display_name":"pre-frailty","score":0.871999979019165},{"id":"https://openalex.org/keywords/frailty-prevalence","display_name":"frailty prevalence","score":0.7419999837875366},{"id":"https://openalex.org/keywords/community-dwelling-elderly","display_name":"community-dwelling older adults","score":0.800000011920929},{"id":"https://openalex.org/keywords/nursing-home-residents","display_name":"nursing home residents","score":0.9959999918937683},{"id":"https://openalex.org/keywords/home-attachment","display_name":"attachment to home","score":0.6010000109672546},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":0.6100000143051147},{"id":"https://openalex.org/keywords/unintentional-weight-loss","display_name":"unintentional weight loss","score":0.843999981880188},{"id":"https://openalex.org/keywords/exhaustion","display_name":"exhaustion","score":0.7649999856948853},{"id":"https://openalex.org/keywords/weakness","display_name":"weakness","score":0.3709999918937683},{"id":"https://openalex.org/keywords/north-rhine-westphalia","display_name":"North Rhine-Westphalia","score":0.7940000295639038}],"concepts":[{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.5723210573196411},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4227026700973511},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.28382986783981323}],"mesh":[{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015577","descriptor_name":"Geriatric Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016330","descriptor_name":"Frail Elderly","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057187","descriptor_name":"Independent Living","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1007/s00391-021-01969-6","doi":"https://doi.org/10.1007/s00391-021-01969-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00391-021-01969-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00391-021-01969-6.pdf","source":{"id":"https://openalex.org/S202177710","display_name":"Zeitschrift f\u00fcr Gerontologie und Geriatrie","issn_l":"0948-6704","issn":["0948-6704","1435-1269"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Gerontologie und Geriatrie","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:7469161","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC8551134","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:8551134","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8551134","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Z Gerontol Geriatr","raw_type":"Text"},{"id":"pmid:34570266","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34570266","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift fur Gerontologie und Geriatrie","raw_type":"Journal Article"},{"id":"pmh:oai:USBKOELN.ub.uni-koeln.de:56481","doi":null,"is_oa":false,"landing_page_url":"https://kups.ub.uni-koeln.de/56481/","pdf_url":null,"source":{"id":"https://openalex.org/S4306400371","display_name":"K\u00f6lner Universit\u00e4ts PublikationsServer (Universit\u00e4t zu K\u00f6ln)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210115942","host_organization_name":"Rhenish Institute for Environmental Research","host_organization_lineage":["https://openalex.org/I4210115942"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"doc-type:article"},{"id":"pmh:oai:frl.publisso.de:frl:6447602","doi":null,"is_oa":true,"landing_page_url":"https://repository.publisso.de/resource/frl:6447602","pdf_url":null,"source":{"id":"https://openalex.org/S4306402606","display_name":"Informationszentrum Lebenswissenschaften (ZB MED)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210112663","host_organization_name":"ZB MED - Information Centre for Life Sciences","host_organization_lineage":["https://openalex.org/I4210112663"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Zeitschrift f\u00fcr Gerontologie und Geriatrie, 54(Suppl 2):114-119","raw_type":"Zeitschriftenartikel"}],"best_oa_location":{"id":"doi:10.1007/s00391-021-01969-6","doi":"https://doi.org/10.1007/s00391-021-01969-6","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00391-021-01969-6","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00391-021-01969-6.pdf","source":{"id":"https://openalex.org/S202177710","display_name":"Zeitschrift f\u00fcr Gerontologie und Geriatrie","issn_l":"0948-6704","issn":["0948-6704","1435-1269"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Gerontologie und Geriatrie","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320324811","display_name":"Universit\u00e4t zu K\u00f6ln","ror":"https://ror.org/00rcxh774"},{"id":"https://openalex.org/F4320327730","display_name":"Universit\u00e4tsklinikum K\u00f6ln","ror":"https://ror.org/05mxhda18"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3202573802.pdf","grobid_xml":"https://content.openalex.org/works/W3202573802.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W1963828374","https://openalex.org/W1965010751","https://openalex.org/W1975412844","https://openalex.org/W2002619817","https://openalex.org/W2116041825","https://openalex.org/W2138856810","https://openalex.org/W2144852094","https://openalex.org/W2155448185","https://openalex.org/W2157699529","https://openalex.org/W2159618902","https://openalex.org/W2164059021","https://openalex.org/W2166063608","https://openalex.org/W2340909985","https://openalex.org/W2570781645","https://openalex.org/W2571860420","https://openalex.org/W2602752141","https://openalex.org/W2761837571","https://openalex.org/W2802248574","https://openalex.org/W2898403588","https://openalex.org/W2904194746","https://openalex.org/W2946275734","https://openalex.org/W2948749527","https://openalex.org/W2955884843","https://openalex.org/W2960351900","https://openalex.org/W2968272580","https://openalex.org/W2974335733","https://openalex.org/W2980222410","https://openalex.org/W3032019079","https://openalex.org/W3032469278","https://openalex.org/W3046605930","https://openalex.org/W3203809446"],"related_works":["https://openalex.org/W3157098133","https://openalex.org/W4394953820","https://openalex.org/W7162000406","https://openalex.org/W4225627284","https://openalex.org/W2806229287","https://openalex.org/W7204451396","https://openalex.org/W7131395329","https://openalex.org/W2549097388","https://openalex.org/W1596572550","https://openalex.org/W7203457357"],"abstract_inverted_index":{"BACKGROUND:":[0],"Since":[1],"older":[2],"adults":[3],"spend":[4],"much":[5],"time":[6],"in":[7,36,173,179,203,209,214],"their":[8],"home":[9,76],"environment":[10],"(HE),":[11],"frailty":[12,35,54,119,219],"may":[13],"occur":[14],"as":[15],"a":[16,19,62,171],"consequence":[17],"of":[18,26,34,41,56,157,164,175,192,218,230,239],"maladaptation":[20],"to":[21,30,45,93,111,148,200,235],"the":[22,32,37,47,50,53,113,116,123,149,165,190,204,210,231,237],"HE.":[23],"The":[24],"aim":[25],"this":[27],"study":[28,65],"was":[29,90,109,151,168],"describe":[31],"prevalence":[33,197],"very":[38,124,205],"old":[39,125,206],"population":[40,207],"North":[42],"Rhine-Westphalia,":[43],"and":[44,52,74,83,101,118,133,141,160,185,220,227],"examine":[46],"association":[48],"between":[49,115],"HE":[51,85,117,150,232],"levels":[55],"these":[57],"individuals.":[58],"METHODS:":[59],"Data":[60],"from":[61],"cross-sectional":[63],"representative":[64],"were":[66,87,128,131,135],"used,":[67],"including":[68],"data":[69],"on":[70,224],"1577":[71],"community-dwelling":[72],"individuals":[73],"nursing":[75],"residents":[77],"aged":[78],"\u2265":[79],"80":[80],"years.":[81],"Objective":[82],"subjective":[84,228],"aspects":[86],"included.":[88],"Frailty":[89,196],"defined":[91],"according":[92],"four":[94],"criteria:":[95],"exhaustion,":[96],"unintentional":[97],"weight":[98],"loss,":[99],"weakness,":[100],"low":[102],"physical":[103],"activity.":[104],"Adjusted":[105],"multinomial":[106],"regression":[107],"modelling":[108],"used":[110],"analyze":[112],"link":[114],"levels.":[120],"RESULTS:":[121],"Of":[122],"individuals,":[126],"24.3%":[127],"robust,":[129],"57.0%":[130],"prefrail,":[132],"18.7%":[134],"frail.":[136,161,177,194],"Adjusting":[137],"for":[138],"relevant":[139],"sociodemographic":[140],"health":[142],"characteristics,":[143],"being":[144,158,176,193],"not":[145],"closely":[146],"attached":[147],"linked":[152],"with":[153,170,181,186],"an":[154],"increased":[155],"probability":[156],"prefrail":[159],"An":[162],"improvement":[163],"residential":[166],"area":[167],"associated":[169],"decrease":[172],"odds":[174,191],"Living":[178],"communities":[180],"less":[182],"than":[183,208],"50,000":[184],"100,000-499,999":[187],"inhabitants":[188],"decreased":[189],"DISCUSSION:":[195],"is":[198],"shown":[199],"be":[201],"higher":[202],"younger":[211],"age":[212],"groups":[213],"Germany.":[215],"Early":[216],"identification":[217],"tailored":[221],"interventions":[222],"focused":[223],"improving":[225],"objective":[226],"attributes":[229],"are":[233],"needed":[234],"reduce":[236],"risk":[238],"frailty.":[240]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2021-10-11T00:00:00"}