Comparison Between Korean Version of Physical Activity Scale for the Elderly and International Physical Activity Questionnaire-Short Form in Evaluation of Frailty Phenotype

Jang, Il‐Young; Lee, Changki; Lee, Young Soo; Lee, Eun‐Ju; Kim, Dae Hyun

doi:10.4235/agmr.2017.21.3.101

Cited by 13 publications

(11 citation statements)

References 28 publications

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“…The Aging Study of PyeongChang Rural Area (ASPRA) is a population-based cohort study for frailty and geriatric syndromes in older adults living in a rural area. Detailed information on study design, target population, and measurements in ASPRA were described previously [3,18]. Participants who are living in PyeongChang County, Gangwon Province, Korea, were enrolled and annually administered comprehensive geriatric assessments including medical, physical, and psychosocial status.…”

Section: Methodsmentioning

confidence: 99%

“…The Cardiovascular Health Study (CHS) scale was used to measure physical frailty [19]. This scale assigns 1 point to each of the following five components: (1) exhaustion (“moderate or most of the time during the past week” to either of the following statements, “I felt that everything I did was an effort” or “I could not get going”); (2) low activity (lowest quintile in physical activity level measured using the International Physical Activity Questionnaire Short Form [18,20]); (3) slowness (usual gait speed <0.8 m/s from the 4-m walk test); (4) weakness (dominant hand grip strength <26 kg for men and <17 kg for women); and (5) weight loss (unintentional weight loss >3 kg during the previous 6 months). Individuals were classified as robust if the score was 0, prefrail if 1–2, and frail if 3–5.…”

Section: Methodsmentioning

confidence: 99%

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Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans: Aging Study of PyeongChang Rural Area

Park

Jang

Lee

et al. 2019

IJERPH

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Population aging is a challenge, therefore efficient frailty screening has been increasingly emphasized for mass older populations. This study aimed to evaluate the prevalence of social frailty and its association with physical frailty, geriatric syndromes and activity of daily living (ADL) disability in community-dwelling older adults. A cross-sectional study was conducted with 408 older adults (mean age, 75 years; 58% female) in the Aging Study of PyeongChang Rural Area. A five-item social frailty index was administered (range: 0–5); (1) going out less frequently; (2) rarely visiting the homes of friends; (3) feeling unhelpful to friends and family; (4) being alone; and (5) not talking with someone every day. Social frailty was defined as ≥2 positive responses. Physical frailty was assessed according to the Cardiovascular Health Study frailty phenotype criteria. We used logistic regression to examine whether social frailty can identify older adults with common geriatric syndromes including ADL disability, independently of age, gender, and physical frailty. Social frailty was present in 20.5% (14.5% in male and 25.0% in female) and 11.5% was not overlapped with physical frailty. Social frailty increased risk of ADL disability (odds ratio, 2.53; 95% confidence interval, 1.26–5.09) and depressed mood (odds ratio, 4.01; 95% confidence interval, 1.30–12.39) independently of age, gender, and physical frailty. The predictive power for disability was maximized by using both frailty indices (C statistic 0.73) compared with either frailty index alone (C statistic: 0.71 for social frailty and 0.68 for physical frailty). Social frailty screening is important as it can identify frail older adults who are not captured by demographic characteristics and physical frailty. Moreover, assessment of both social frailty and physical frailty can better detect disability and geriatric syndromes.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans: Aging Study of PyeongChang Rural Area

Park

Jang

Lee

et al. 2019

IJERPH

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“…The population of this study was analyzed from the Aging Study of Pyeongchang Rural Area (ASPRA), a population-based, prospective cohort study of frailty and geriatric syndromes that has covered 1,650 community-dwelling, older adults since December 2014 [ 16 ]. The detailed design and method of ASPRA have been described elsewhere [ 16 , 17 ]. Briefly, older adults residing in Pyeongchang County, Gangwon Province, Korea, located 180 km east of Seoul, were enrolled through public healthcare networks.…”

Section: Methodsmentioning

confidence: 99%

Sarcopenia is associated with severe erectile dysfunction in older adults: a population-based cohort study

Park

Jang

Han

et al. 2020

Korean J Intern Med

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Background/Aims: Sarcopenia and erectile dysfunction (ED) are associat ed with poor health and quality of life in older men. We investigate the association between sarcopenia and severe ED in community-dwelling older men. Methods: We prospectively assessed sarcopenia and ED in 519, community-dwelling, older men (mean age, 74.0) in Pyeongchang, Korea, in 2016 to 2017. Sarcopenia was based on muscle mass, grip strength, and gait speed according to the Asian Working Group consensus algorithm. Severe ED was defined as 5-item International Index of Erectile Function questionnaire score under 8. Lo gistic regressions were used to study associations between incident severe ED and sarcopenia, after adjusting age, cardiovascular risk factors, depression, and poly pharmacy. Results: The prevalence of severe ED was 52.4% and that of sarcopenia was 31.6%. At baseline, the prevalence of severe ED was higher in men with sarcopenia than in those without (73.2% vs. 42.8%; adjusted odds ratio [aOR], 1.89; 95% confidence interval [CI], 1.18 to 3.03; p = 0.008). Slow gait speed (aOR, 2.80; 95% CI, 1.18 to 6.62; p = 0.019) and decreased muscle mass (aOR, 2.54; 95% CI, 1.11 to 5.81; p = 0.027) were associated with the incidence of severe ED, while decreased grip strength (aOR, 0.76; 95% CI, 0.30 to 1.91; p = 0.564) was not. Conclusions: Sarcopenia was associated with severe ED. Slow gait speed, and decreased muscle mass was independently associated with incident severe ED at 1 year. Further research is warranted to examine whether an intervention targeting these components can prevent severe ED.

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“…A Korean study found moderate to high agreement between the CHS frailty phenotype definitions based on the K-PASE or International Physical Activity Questionnaire short form. 27) In this context, subjects with three or more components were considered to have physical frailty.…”

Section: Assessment Of Fried's Physical Frailty Phenotypesmentioning

confidence: 99%

Development of Korean Frailty Index for Primary Care (KFI-PC) and Its Criterion Validity

Won¹,

Lee²,

Lee³

et al. 2020

Ann Geriatr Med Res

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Background: The objective of this study was to develop and validate the Korean Frailty Index for Primary Care (KFI-PC) based on a comprehensive geriatric assessment. Methods: We developed a 54-item KFI-PC comprising 10 standard domains: cognitive status including delirium or dementia; mood; communication including vision, hearing, and speech; mobility; balance; bowel function; bladder function; ability to carry out activities of daily living; nutrition; and social resources. To test its validity, we applied KFI-PC to participants of the Korean Frailty Aging and Cohort Study (KFACS). We analyzed 1,242 participants (mean age, 77.9±3.9 years; 47.2% men) from the KFACS who visited 10 study centers in 2018, after excluding 32 participants with missing data required to assess Fried's physical frailty phenotype. Results: The mean KFI-PC score was 0.17±0.08, ranging from 0.02 to 0.52. The median KFI-PC score was higher in women than in men, and there was a trend toward higher values in older age groups. The prevalence of frailty when applying a generally used frailty index cutoff point of >0.25 was 17.5% in the whole study sample. As a construct validation of KFI-PC, the area under the receiver operating characteristic curve for Fried's physical frailty was 0.921, and the optimal cutoff value to predict frailty phenotype was 0.23. The KFI-PC score also correlated well with physical, cognitive, and psychological functions; nutritional status; disability in activities of daily living; and instrumental activities of daily living. The Cronbach's alpha coefficient of the 54 total items was 0.737. Conclusion: We developed KFI-PC with 53 deficits, including comprehensive geriatric assessment components, and demonstrated the acceptable construct validity and internal consistency of KFI-PC.

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Comparison Between Korean Version of Physical Activity Scale for the Elderly and International Physical Activity Questionnaire-Short Form in Evaluation of Frailty Phenotype

Cited by 13 publications

References 28 publications

Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans: Aging Study of PyeongChang Rural Area

Screening Value of Social Frailty and Its Association with Physical Frailty and Disability in Community-Dwelling Older Koreans: Aging Study of PyeongChang Rural Area

Sarcopenia is associated with severe erectile dysfunction in older adults: a population-based cohort study

Development of Korean Frailty Index for Primary Care (KFI-PC) and Its Criterion Validity

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