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Metrics details. This study investigated the impact of physical frailty on the development of disabilities in mobility, activities of daily living ADL , and instrumental activities of daily living IADL according to sex among community-dwelling Korean older adults. Physical frailty increased disability over 2 years for women more than men. This study highlights the need for gender-specific policies and preventative programs for frailty, particularly restorative interventions that focus on women who are physically frail.
Peer Review reports. With the aging population, more attention has been paid to studies, policies, and programs to ensure the quality of life of older adults. Old-age dependency and the cost of supporting a dependent aging population have increased recently in Korea [ 2 ]. The percentage of long-term care costs in national health insurance has risen to Moreover, older adults find it increasingly difficult to manage their daily lives alone, and the frequency with which they rely on others for help increases over time.
Numerous studies have found that a decline in daily living activities is strongly linked to a low quality of life in old age [ 5 , 6 , 7 ]. To minimize dependency on others, it is important to prevent various physical and psychological problems associated with age, one of which is physical frailty. The main clinical symptoms of frailty are reduced physical activity, decreased muscle mass, decreased energy, and decline in gait speed.
Deterioration of these factors is associated with a cycle of frailty that progresses and worsens. Frailty is described as a dynamic transition from normal aging to pre-frailty to frailty and its complications [ 9 , 10 ]. Therefore, it is of great importance to prevent this vicious cycle by actively changing behavior before the state of frailty is reached and minimizing risk factors in the pre-frail stage.
