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Background: Participation, which is involvement in life situations, is an important indicator of human health and well-being of older adults. Frailty is known to be related to difficulties in activities of daily living ADL but the association with participation restriction has not been sufficiently researched. Therefore, we aimed to 1 to assess the correlations between frailty, ADL, and participation; and 2 to identify the contribution of frailty to explaining the participation restriction of older adults.

Methods: A cross-sectional study included home visits to community-dwelling older adults aged 75 and older. Cognition, which may explain participation, was also assessed The Montreal Cognitive Assessment and demographic information was collected.

The variance of participation was significantly explained by frailty, Conclusions: Frailty is significantly associated with participation restriction. Since participation has many health benefits, understanding which factors are associated to participation is central to developing interventions for older adults. These findings may help health professionals in the future develop interventions for maintaining and promoting the participation of older adults.

Keywords: community-dwelling; daily-living; frailty syndrome; independence. Abstract Background: Participation, which is involvement in life situations, is an important indicator of human health and well-being of older adults.