A comparison between physical and biopsychosocial measures of frailty: Prevalence and associated factors in Brazilian older adults

Santiago, Lívia Maria; Gobbens, Robbert; Mattos, Inês Echenique; Ferreira, Daniele Bittencourt

doi:10.1016/j.archger.2018.12.003

Cited by 14 publications

(7 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with low ADL scores have fewer independent activities and decreased muscle strength, accelerating the occurrence of weakness. The ADL score was significantly and negatively associated with the risk of frailty in older adult patients with hip fracture, which is consistent with the results of foreign studies 24 . The risk of frailty decreases as the ability to perform daily living activities increases.…”

Section: Discussionsupporting

confidence: 90%

“…The ADL score was significantly and negatively associated with the risk of frailty in older adult patients with hip fracture, which is consistent with the results of foreign studies. 24 The risk of frailty decreases as the ability to perform daily living activities increases. Thus, it is important to encourage appropriate activity in older adult patients to prevent frailty.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Investigation and analysis of frailty and nutrition status in older adult patients with hip fracture

Liu

Xie

et al. 2023

Nut in Clin Prac

View full text Add to dashboard Cite

BackgroundTo analyze the current situation of frailty and the main influencing factors of frailty of older patients with hip fracture.MethodsUsing a fixed‐point consecutive sampling method, we investigated older adult patients with hip fracture aged ≥60 years who were hospitalized in an orthopedic ward of a tertiary hospital from January 2021 to March 2022. We also assessed the prevalence of frailty and malnutrition by trial of the fatigue, resistance, aerobic capacity, illnesses, and loss of weight (FRAIL) scale and the Global Leadership Initiative on Malnutrition criteria to analyze the factors influencing frailty.ResultsA total of 216 older adult patients with hip fracture were collected, 106 (49.08%) were frail, 72 (33.33%) were prefrail, 38 (17.59%) were nonfrail, 103 (47.69%) were at overall nutrition risk, and 76 (35.19%) were malnourished. The results of bivariate correlation analysis showed that frailty score was correlated with age, the Activity of Daily Living Scale (ADL) score, body mass index (BMI), C‐reactive protein, hemoglobin (Hb), serum albumin (ALB), and serum prealbumin, and was negatively correlated with ADL score, BMI, Hb, and ALB (r = −0.399, −0.420, −0.195, −0.283, respectively; P < 0.05). The results of multiple linear regression analysis showed that age, number of underlying diseases, ADL score, BMI score, and nutrition status were important influencing factors of frailty (P < 0.05).ConclusionOlder adult patients with hip fracture are frail and prefrail, with a high prevalence of malnutrition. Advanced age, combined underlying diseases, and a low BMI score were risk factors for preoperative frailty.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Investigation and analysis of frailty and nutrition status in older adult patients with hip fracture

Liu

Xie

et al. 2023

Nut in Clin Prac

View full text Add to dashboard Cite

show abstract

“…This is further substantiated by some studies comparing the associations between unidimensional frailty (the phenotype of frailty) and multidimensional frailty (the TFI) with adverse outcomes ( Roppolo et al, 2015 ; Santiago et al, 2018a ). A Brazilian study, including 302 people aged ≥60 years, concluded that these measures identify different groups of frail older people, but both are suitable to be used by healthcare professionals ( Santiago et al, 2018a ). This conclusion is fully supported by an Italian cross-sectional study ( Roppolo et al, 2015 ); however, it was also observed that the AUC of the TFI for disability was higher in comparison with that of the phenotype of frailty (0.83 vs. 0.77).…”

Section: Discussionmentioning

confidence: 85%

Frailty Viewed From a Nursing Perspective

Gobbens

Uchmanowicz

2023

SAGE Open Nursing

View full text Add to dashboard Cite

Introduction More and more researchers are convinced that frailty should refer not only to physical limitations but also to psychological and social limitations that older people may have. Such a broad, or multidimensional, definition of frailty fits better with nursing, in which a holistic view of human beings, and thus their total functioning, is the starting point. Purpose In this article, which should be considered a Practice Update, we aim at emphasizing the importance of the inclusion of other domains of human functioning in the definition and measurement of frailty. In addition, we provide a description of how district nurses view frailty in older people. Finally, we present interventions that nurses can perform to prevent or delay frailty or its adverse outcomes. We present, in particular, results from studies in which the Tilburg Frailty Indicator, a multidimensional frailty instrument, was used. Conclusion The importance of a multidimensional assessment of frailty was demonstrated by usually satisfactory results concerning adverse outcomes of mortality, disability, an increase in healthcare utilization, and lower quality of life. Not many studies have been performed on nurses’ opinions about frailty. Starting from a multidimensional definition of frailty, encompassing physical, psychological, and social domains, nurses are able to assess and diagnose frailty and conduct a variety of interventions to prevent or reduce frailty and its adverse effects. Because nurses come into frequent contact with frail older people, we recommend future studies on opinions of nurses about frailty (e.g., screening, prevention, and addressing).

show abstract

“…In the study process of frailty, researchers have put forward many theoretical models of frailty based on their ndings and cultural background, leading to different de nitions and measurements of frailty [2]. Currently, two distinct models of frailty are considered for the de nitions of frailty [7]: the one-dimensional predominately physical frailty, such as the Cardiovascular Health Study Phenotype Model [8]; and the multi-dimensional, predominately biopsychosocial frailty, which also integrates psychological and social, besides physical function, such as the integral conceptual model of frailty (ICMF) [9]. Up to now, Chinese researchers and health workers mainly use the one-dimensional concept of frailty [10].…”

Section: Introductionmentioning

confidence: 99%

Verification of the integral conceptual model of frailty among community-dwelling older adults in China: a cross-sectional study

Fan

Xie

Zhang

et al. 2022

Preprint

View full text Add to dashboard Cite

Purpose The integral conceptual model of frailty (ICFM) integrates physical, psychological, social aspects of individuals and stresses that frailty is a dynamic state evolving over time. This study aimed to validate the ICMF among community-dwelling older adults in China. Methods The study recruited 341 older community-dwelling adults by convenient sampling method between June 1 and August 30, 2019 in Hubei province, China. The data was collected by questionnaire-based survey. Hierarchical regression analyses, Bootstrap method and the structural equation model were conducted in data analysis. Results Both linear and logistic hierarchical regression models were statistically significant. Life-course determinants, disease, and three domains of frailty together explained 35.6–50.6% of the variance of disability and all domains of quality of life. The mediation effect of frailty between disease and all adverse outcomes were significant, excluding hospitalization. The structural equation model guiding by the ICMF fits the data well. Conclusions The ICMF is valid among community-dwelling older adults in China. Therefore, the multidimensional concept of frailty should be widely used in Chinese communities.

show abstract

A comparison between physical and biopsychosocial measures of frailty: Prevalence and associated factors in Brazilian older adults

Cited by 14 publications

References 45 publications

Investigation and analysis of frailty and nutrition status in older adult patients with hip fracture

Investigation and analysis of frailty and nutrition status in older adult patients with hip fracture

Frailty Viewed From a Nursing Perspective

Verification of the integral conceptual model of frailty among community-dwelling older adults in China: a cross-sectional study

Contact Info

Product

Resources

About