Mobility, balance and frailty in community‐dwelling older adults: What is the best 1‐year predictor of falls?

Mulasso, Anna; Roppolo, Mattia; Gobbens, Robbert; Rabaglietti, Emanuela

doi:10.1111/ggi.12893

Cited by 25 publications

(32 citation statements)

References 30 publications

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“…17 In a sample of 963 Brazilian people, aged 60 years and older, the TFI predicted both hospitalization and falls. 35 Mulasso et al showed that the physical and psychological domains of the TFI were significant predictors of falls among 192 communitydwelling older people; 36 the TFI was a stronger predictor of falls when compared with the One Leg Standing (OLS) test 37 and the Timed Up and Go (TUG) test. 38 The predictive validity of total frailty and physical frailty for disability, healthcare utilization, and falls was also confirmed by the AUCs.…”

Section: Discussionmentioning

confidence: 99%

The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity

Gobbens¹,

Boersma²,

Uchmanowicz³

et al. 2020

CIA

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Objective: The Tilburg Frailty Indicator (TFI) is a self-report user-friendly questionnaire for assessing multidimensional frailty among community-dwelling older people. The main aim of this study is to re-evaluate the validity of the TFI, both cross-sectionally and longitudinally, focusing on the predictive value of the total TFI and its physical, psychological, and social domains for adverse outcomes disability, indicators of healthcare utilization, and falls. Methods: The validity of the TFI was determined in a sample of 180 Dutch communitydwelling older people aged 70 years and older. The participants completed questionnaires including the TFI, the Groningen Activity Restriction Scale (GARS) for assessing disability, and questions with regard to health care utilization and falls in 2016 and again one year later. Results: The physical and psychological domains of the TFI were significantly correlated as expected with adverse outcomes disability, many indicators of healthcare utilization, and falls. Regression analyses showed that physical frailty was mostly responsible for the effect of frailty on the adverse outcomes. The cross-sectional and longitudinal predictive validity of total frailty with respect to disability and receiving personal care was excellent, evidenced by Areas Under the Curves (AUCs) >0.8. In most cases, using the cutoff point 5 for total frailty ensured the best values for sensitivity and specificity. Conclusion: The present study provided new, additional evidence for the validity of the TFI for assessing frailty in Dutch community-dwelling older people aiming to prevent or delay adverse outcomes, including disability.

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Section: Discussionmentioning

confidence: 99%

The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity

Gobbens¹,

Boersma²,

Uchmanowicz³

et al. 2020

CIA

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“…Falls are a major public health concern for the older adult population . Several epidemiological studies have identified medical risk factors for falling among older adults, such as age, depression, polypharmacy, sleeping medications, and hypotension .…”

Section: Introductionmentioning

confidence: 99%

“…F alls are a major public health concern for the older adult population. [1][2][3] Several epidemiological studies have identified medical risk factors for falling among older adults, such as age, depression, polypharmacy, sleeping medications, and hypotension. 4,5 However, the prevention of falls among the elderly is complex, 5 and potential dietary determinants are only poorly identified.…”

Section: Introductionmentioning

confidence: 99%

Protein Intake and Risk of Falls: A Prospective Analysis in Older Adults

Sandoval-Insausti

Pérez-Tasigchana

López-Garcı́a

et al. 2018

J American Geriatrics Society

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BACKGROUND The prospective association between protein intake and falls has been little studied. We assessed this association in a Spanish community‐dwelling cohort. METHODS We performed a prospective cohort study of 2464 men and women 60 years or older who were recruited in 2008‐2010 and followed up through 2012. At baseline, the habitual protein intake was determined with a validated dietary history. At the end of follow‐up, participants reported the number of falls experienced in the preceding year. Participants were stratified by an unintentional weight loss of 4.5 kg or more. Logistic regression was used after adjustment for the main confounders. RESULTS A total of 522 participants (21.2%) experienced at least one fall. The odds ratios (ORs) and 95% confidence intervals (CIs) of falling for the three increasing tertiles of total protein intake were 1.00, 0.86 (0.66‐1.11), and 0.93 (0.70‐1.24) (p for trend = 0.14). However, a statistically significant interaction with unintentional weight loss was observed for the association between protein intake and fall risk (p for interaction = 0.004). Among 163 participants (6.6%) who experienced unintentional weight loss, the ORs (95% CI) of falling for the three increasing tertiles of total protein intake were 1.00, 0.68 (0.21‐2.23), and 0.23 (0.05‐1.08) (p for trend = 0.01). CONCLUSION No protective association between protein intake and fall risk in older adults was found. However, high total protein intake tended to confer substantial benefits to participants who experienced an unintentional weight loss of 4.5 kg or more in the preceding year. J Am Geriatr Soc 67:329–335, 2019.

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“…17 Recent data indicate that performing multidimensional assessment using the TFI gives predictive information about falls in the next year. 18 Similarly, several recent studies indicated that several indices of frailty were closely related with 12-month all-cause mortality after transcatheter aortic valve implantation. 19,20 However, a multidimensional tool such as the TFI was not used in these studies.…”

Section: Discussionmentioning

confidence: 91%

Turkish version of the Tilburg Frailty Indicator

Topçu¹,

Tufan²,

Kılıç³

2019

CIA

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Background: Recently frailty has drawn significant interest as an important predictor of several clinically relevant outcomes. There is no widely accepted instrument for the assessment of frailty and most of the current ones evaluate only physical features. The Tilburg Frailty Indicator (TFI) is a valid and reliable instrument which enables multidimensional assessment of frailty. We aimed to adapt and evaluate the Turkish version of the TFI. Methods: We translated and culturally adapted the English version of the TFI into Turkish using standard guidelines. We enrolled consecutive patients who were 70 years old or older and were admitted to our outpatient geriatrics clinic. We used Cronbach's alpha values to evaluate the internal consistency and also assessed inter-observer and test-retest variability using intraclass correlation coefficient (ICC). Results: The Cronbach's alpha reliability coefficients of the instrument ranged from 0.65 to 0.72 and item-total correlation ranged between-0.05 and 0.57. There was a good agreement between two assessments (ICC=0.99) and between two observers (ICC=0.99). Conclusion: We have shown the reliability of the Turkish version of the TFI as a tool to evaluate frailty in a multidimensional manner among the Turkish outpatient population.

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Mobility, balance and frailty in community‐dwelling older adults: What is the best 1‐year predictor of falls?

Abstract: The findings showed that the TFI might be an effective tool for predicting falls at 12 months in aged populations, probably because it is able to capture the multifactorial facets that can lead to falls. Geriatr Gerontol Int 2017; 17: 1463-1469.

Cited by 25 publications

References 30 publications

<p>The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity</p>

<p>The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity</p>

Protein Intake and Risk of Falls: A Prospective Analysis in Older Adults

<p>Turkish version of the Tilburg Frailty Indicator</p>

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