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Impact of physical frailty on disability in community-dwelling older adults: a prospective cohort study.

Makizako H, Shimada H, Doi T, Tsutsumimoto K, Suzuki T - BMJ Open (2015)

Bottom Line: Prospective cohort study.Participants classified as frail (HR 4.65, 95% CI 2.63 to 8.22) or prefrail (2.52, 1.56 to 4.07) at the baseline assessment had an increased risk of disability incidence compared with robust participants.Physical frailty, even being prefrail, had a strong impact on the risk of future disability.

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan.

No MeSH data available.


Related in: MedlinePlus

Incident disability rates during the 2 years after baseline assessment by frailty status and frailty components at baseline Frailty phenotype containing three or more of the following was defined as frail, one or two as prefrail, and none as robust: slowness, weakness, exhaustion, low activity and weight loss.
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BMJOPEN2015008462F2: Incident disability rates during the 2 years after baseline assessment by frailty status and frailty components at baseline Frailty phenotype containing three or more of the following was defined as frail, one or two as prefrail, and none as robust: slowness, weakness, exhaustion, low activity and weight loss.

Mentions: Of 5104 participants who completed a baseline assessment from August 2011 to February 2012, 763 had a history of Parkinson's disease (n=23), stroke (n=281), MMSE scores of <18 (n=31), missing data for frailty phenotype (n=249), were already using the LTCI system (n=124) at baseline, or had missing follow-up data (n=55), and were excluded from further analyses (figure 1). The mean (SD) age of the 4341 participants included in the study was 71.8 (5.4); 2241 (51.6%) were women. The prevalence rates of each component for determining frailty phenotype including slowness, weakness, exhaustion, low activity and weight loss were 14.8%, 16.4%, 13.2%, 28.6% and 14.8%, respectively. The prevalence of frailty and prefrailty was 6.9% and 49.6%, respectively. During the 2-year follow-up period, 168 participants (3.9%) had incident disability and were certified as needing care or support according to LTCI criteria. Figure 2 shows the incident disability rates of frailty status and components.


Impact of physical frailty on disability in community-dwelling older adults: a prospective cohort study.

Makizako H, Shimada H, Doi T, Tsutsumimoto K, Suzuki T - BMJ Open (2015)

Incident disability rates during the 2 years after baseline assessment by frailty status and frailty components at baseline Frailty phenotype containing three or more of the following was defined as frail, one or two as prefrail, and none as robust: slowness, weakness, exhaustion, low activity and weight loss.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4563225&req=5

BMJOPEN2015008462F2: Incident disability rates during the 2 years after baseline assessment by frailty status and frailty components at baseline Frailty phenotype containing three or more of the following was defined as frail, one or two as prefrail, and none as robust: slowness, weakness, exhaustion, low activity and weight loss.
Mentions: Of 5104 participants who completed a baseline assessment from August 2011 to February 2012, 763 had a history of Parkinson's disease (n=23), stroke (n=281), MMSE scores of <18 (n=31), missing data for frailty phenotype (n=249), were already using the LTCI system (n=124) at baseline, or had missing follow-up data (n=55), and were excluded from further analyses (figure 1). The mean (SD) age of the 4341 participants included in the study was 71.8 (5.4); 2241 (51.6%) were women. The prevalence rates of each component for determining frailty phenotype including slowness, weakness, exhaustion, low activity and weight loss were 14.8%, 16.4%, 13.2%, 28.6% and 14.8%, respectively. The prevalence of frailty and prefrailty was 6.9% and 49.6%, respectively. During the 2-year follow-up period, 168 participants (3.9%) had incident disability and were certified as needing care or support according to LTCI criteria. Figure 2 shows the incident disability rates of frailty status and components.

Bottom Line: Prospective cohort study.Participants classified as frail (HR 4.65, 95% CI 2.63 to 8.22) or prefrail (2.52, 1.56 to 4.07) at the baseline assessment had an increased risk of disability incidence compared with robust participants.Physical frailty, even being prefrail, had a strong impact on the risk of future disability.

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan.

No MeSH data available.


Related in: MedlinePlus