Grauzonen von Gesundheit und Handlungsfähigkeit

Anders, Jennifer; Pröfener, Franz; Dapp, Ulrike; Golgert, Stefan; Daubmann, Anne; Wegscheider, Karl; Renteln-Kruse, Wolfgang von; Minder, Christoph E.

doi:10.1007/s00391-012-0312-8

Cited by 8 publications

(4 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Second, the three questions on changes in activity performance might cause problems, as change may have occurred too long ago to be reported. However, an extended clinical assessment in a 10% random sample of the LUCAS cohort confirmed the functional grading by the FA index [ 30 ]. Finally, LUCAS as other cohort studies had refusals and lost participants.…”

Section: Discussionmentioning

confidence: 99%

“…Age per se is of little value to discriminate between robust, prefrail, frail and disabled community-dwelling senior citizens [ 30 – 32 ]. The aim of this article from the Longitudinal Urban Cohort Ageing Study (LUCAS) was to present a suitable self-administered Functional Ability (FA) index and to examine its predictive power for changes in functional status, early development of frailty, need of nursing care, and mortality over 93 months.…”

Section: Discussionmentioning

confidence: 99%

“…In order to assure statistical stability in analyses of transitions, we took the two classes postRobust and preFrail together as one single class termed Transient. The FA index was pilot tested in an additional cohort (n = 391) recruited in 2007/2008 [ 24 ] and clinically validated by comprehensive assessment [ 30 ].…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Long-term prediction of changes in health status, frailty, nursing care and mortality in community-dwelling senior citizens - results from the longitudinal urban cohort ageing study (LUCAS)

et al. 2014

View full text Add to dashboard Cite

BackgroundThe detection of incipient functional decline in elderly persons is not an easy task. Here, we propose the self-reporting Functional Ability Index (FA index) suitable to screen functional competence in senior citizens in the community setting. Its prognostic validity was investigated in the Longitudinal Urban Cohort Ageing Study (LUCAS).MethodsThis index is based equally on both, resources and risks/functional restrictions which precede ADL limitations. Since 2001, the FA index was tested in the LUCAS cohort without any ADL restrictions at baseline (n = 1,679), and followed up by repeated questionnaires in Hamburg, Germany.ResultsApplying the index, 1,022 LUCAS participants were initially classified as Robust (60.9%), 220 as postRobust (13.1%), 172 as preFrail (10.2%) and 265 as Frail (15.8%). This classification correlated with self-reported health, chronic pain and depressive mood (rank correlations 0.42, 0.26, 0.21; all p < .0001). Survival analyses showed significant differences between these classes as determined by the FA index: the initially Robust survived longest, the Frail shortest (p < .0001). Analyses of the time to need of nursing care revealed similar results. Significant differences persisted after adjustment for age, sex and self-reported health.ConclusionsDisability free lifetime and its development over time are important topics in public health. In this context, the FA index presented here provides answers to two questions. First, how to screen the heterogeneous population of community-dwelling senior citizens, i.e. for their functional ability/competence, and second, how far away they are from disability/dependency. Furthermore, the index provides a tool to address the urgent question whether incipient functional decline/incipient frailty can be recognized early to be influenced positively.The FA index predicted change in functional status, future need of nursing care, and mortality in an unselected population of community-dwelling seniors. It implies an operational specification of the classification into Robust, postRobust, preFrail and Frail. Based on a self-administered questionnaire, the FA index allows easy screening of elderly persons for declining functional competence. Thereby, incipient functional decline is recognized, e.g. in GPs’ practices and senior community health centers, to initiate early appropriate preventive action.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2318-14-141) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term prediction of changes in health status, frailty, nursing care and mortality in community-dwelling senior citizens - results from the longitudinal urban cohort ageing study (LUCAS)

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Relying on the frailty phenotype and on a familiar measure of BADL dependency is the strength of our study. The FAI has been validated by geriatric/gerontological assessments in cohort subgroups, 25 and the FAI was predictive of adverse health outcomes. 19 LUCAS data were shown to be representative of the older population of Hamburg at LUCAS wave 1 (2001) wave 2 (2007), wave 3 (2009) and wave 4 (2011) with respect to demography and basic health parameters collected from representative health surveys and from the Hamburg Central Registry.…”

Section: Limitations and Strengthsmentioning

confidence: 99%

The inter-relationship between depressed mood, functional decline and disability over a 10-year observational period within the Longitudinal Urban Cohort Ageing Study (LUCAS)

Dapp

Minder

Golgert

et al. 2020

J Epidemiol Community Health

View full text Add to dashboard Cite

BackgroundThe WHO defines ‘healthy ageing’ as ‘the process of developing and maintaining the functional ability’. Late-life depression and frailty compromise well-being and independence of older people. To date, there exists little research on the interaction of the dynamic processes of frailty and depression and only a few studies were longitudinal. Conclusions about the direction of effects remained uncertain.MethodsData were obtained from each of the last six biyearly waves (2007–2017) of the Longitudinal Urban Cohort Ageing Study (LUCAS) in Hamburg, Germany, a prospective observational cohort study of manifold aspects of ageing. Screening of predictor and event variables: depressed mood: one question from the 5-item Mental Health Inventory Screening Test; frailty: LUCAS Functional Ability Index, status ‘frail’; disability: one question on need for human help with basic activities of daily living. Kaplan-Meier curves and Cox’s proportional hazards regression were used for time-to-event analyses with shifting baseline.ResultsSample size in 2007 was 2012, average age 76.2 years; ±6.5. Main results were as follows: (1) depression significantly increased the hazard of subsequent frailty (HR=1.581; 95% CI 1.257 to 1.988; p<0.001); (2) frailty significantly increased the hazard of subsequent depression (HR=2.324; 95% CI 1.703 to 3.172; p<0.001); (3) depression significantly increased the hazard of subsequent disability (HR=2.589; 95% CI 1.885 to 3.557; p<0.001) and (4) disability did not significantly increase the hazard of subsequent depression (HR=1.540; 95% CI 0.917 to 2.579; p=0.102).ConclusionOur results suggest an interdependence of the processes of depression and frailty/disability rather than unidirectional dependencies. These observable processes may be representative of underlying unobservable profound life changes. Obviously, there is a need for early screening to initiate appropriate interventions.

show abstract

Prävention und Gesundheitsförderung in der Geriatrie

Anders,

Dapp

2023

DGIM Innere Medizin

View full text Add to dashboard Cite

Grauzonen von Gesundheit und Handlungsfähigkeit

Abstract: Competence is essential regarding health in old age. Identification of resources and risks by comprehensive assessment is useful before planning interventions to prevent frailty or its progression.

Cited by 8 publications

References 27 publications

Long-term prediction of changes in health status, frailty, nursing care and mortality in community-dwelling senior citizens - results from the longitudinal urban cohort ageing study (LUCAS)

Long-term prediction of changes in health status, frailty, nursing care and mortality in community-dwelling senior citizens - results from the longitudinal urban cohort ageing study (LUCAS)

The inter-relationship between depressed mood, functional decline and disability over a 10-year observational period within the Longitudinal Urban Cohort Ageing Study (LUCAS)

Prävention und Gesundheitsförderung in der Geriatrie

Contact Info

Product

Resources

About