Physical and Performance Measures for the Identification of Mild to Moderate Frailty

Brown, Mark G.; Sinacore, David R.; Binder, Ellen F.; Kohrt, Wendy M.

doi:10.1093/gerona/55.6.m350

Cited by 306 publications

(286 citation statements)

References 23 publications

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“…Em apenas três estudos os critérios de representatividade da amostra não foram identificados e a forma de seleção das pessoas do estudo foi por conveniência (13)(14)(15) Todos os estudos descritos na revisão abordavam a população na faixa etária igual ou acima de 65 anos, com exceção de dois estudos no qual abordavam a faixa etária de 43 a 86 anos (5) e acima de 50 anos (12), que foram incluídos na revisão por discriminar os resultados por faixa etária, sendo assim, utilizou-se apenas os resultados da amostra com 65 anos ou mais.…”

Section: Resultsunclassified

Síndrome da fragilidade biológica em idosos: revisão sistemática

Tribess¹,

Oliveira²

2011

Rev. salud pública

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RESUMOObjetivo O objetivo desse estudo foi identificar a prevalência e as estratégias de avaliação da Síndrome da Fragilidade Biológica em Idosos. Metodologia Para o desenvolvimento deste estudo foi realizada uma busca em base de dados eletrônica (Medline/Pubmed) e lista de referências dos artigos identificados, utilizando os seguintes descritores, na língua inglesa: "frailty e "frail" conjugados com os termos "elderly", "aging" e "prevalence". Estes termos/descritores foram combinados usando os operadores lógicos disponíveis nas ferramentas de buscas. A busca eletrônica inicial resultou em 1 865 manuscritos. O processo de análise dos estudos envolveu leitura de títulos, resumos e textos completos. Após todas essas fases, 35 manuscritos preencheram os critérios de inclusão da revisão. Resultados Os resultados indicaram que as mulheres, com índices que variam de 7,3 % a 21,6 %, são mais frágeis do que os homens, com percentuais que variam de 4 % a 19,2 %. Conclusão As disparidades na prevalência de índices de fragilidade e pré-fragilidade devem ser minimizadas, com estímulo a padronização metodológica para a avaliação da fragilidade humana. Palavras-chave:Idoso fragilizado, prevalência, revisão (fonte: DeCS, BIREME). ABSTRACTObjective The aim of this study was to identify the prevalence and assessment strategies of Biological Fragility Syndrome in the Elderly. Methods For the development of this study was it was done a search in electronic databases (Medline/PubMed) and the reference lists of articles identified using the following key words/terms in English: "frailty" and 'frail" in conjunction with the terms "elderly", "aging" and "prevalence". These terms/descriptors were combined using the logical operators available in search engines. The initial electronic search resulted in 1 865 manuscripts. The process of analysis of the studies involved reading titles, abstracts and full texts. After all these phases, 35 manuscripts met the inclusion criteria of the review.Rev. salud pública. 13 (5): 853-864, 2011 853Revisión/Review

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Section: Resultsunclassified

Síndrome da fragilidade biológica em idosos: revisão sistemática

Tribess¹,

Oliveira²

2011

Rev. salud pública

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“…Only 18 of 111 patients suffered a moderate to severe degree of frailty, as assessed by the PPT. (23) The wide variation in performance in this population and the relatively small number of participants per group may limit our ability to document significant differences. Results were obtained in the context of a 6-month trial, and the clinical effects of long-term WBV in this cohort remain unknown.…”

Section: Discussionmentioning

confidence: 97%

“…According to the modified PPT, 21.1% of the women were considered ''not frail'' (32-36 points), 62.4% were ''mildly frail'' (25-31 points), 15.6% were ''moderately frail'' (17-24 points), and 0.9% could no longer function independently within the community (<17 points). (23) No adverse side effects of the intervention were reported in the WBV training group, and training sessions were not experienced as a strenuous workout, resulting in a level of compliance of more than 90%. Only 5 women reported a lower compliance rate owing to personal or health problems not related to the study.…”

Section: Dropouts and Training Compliancementioning

confidence: 88%

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The effects of whole-body vibration training and vitamin D supplementation on muscle strength, muscle mass, and bone density in institutionalized elderly women: A 6-month randomized, controlled trial

Verschueren

Bogaerts

Delecluse

et al. 2010

Journal of Bone and Mineral Research

120

104

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Sarcopenia and osteoporosis represent a growing public health problem. We studied the potential benefit of whole-body vibration (WBV) training given a conventional or a high dose of daily vitamin D supplementation in improving strength, muscle mass, and bone density in postmenopausal women. In a 2 Â 2 factorial-design trial, 113 institutionalized elderly females aged over 70 years (mean age 79.6 years) were randomly assigned either to a WBV or a no-training group, receiving either a conventional dose (880 IU/day) or a high dose (1600 IU/day) of vitamin D 3 . The primary aim was to determine the effects of 6 months of WBV and/or vitamin D supplementation on isometric and dynamic strength, leg muscle mass, and hip bone mineral density (BMD). Additionally, the increase in 25-hydroxyvitamin D [25(OH)D] levels between conventional and high-dose supplementation was compared. After 6 months of treatment, dynamic muscle strength, hip BMD, and vitamin D serum levels improved significantly in all groups, whereas isometric strength and muscle mass did not change. When compared with no training, the WBV program did not result in additional improvements. When compared with 880 IU, a high dose of 1600 IU of vitamin D did result in higher serum vitamin D levels but did not result in additional improvements. In institutionalized women older than 70 years, the WBV training protocol tested is not more efficient in enhancing muscle mass, strength, and hip BMD compared with vitamin D supplementation. A higher dose of 1600 IU of vitamin D does not provide additional musculoskeletal benefit in this population compared with conventional doses. ß

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“…This tool has been shown to be extremely predictive of frailty in the nondisabled elderly population. 18 A study conducted on elderly persons by Brown et al 19 showed that the scores obtained on the PPB test were significantly associated with measures of strength, and balance, gait, sensation, and multiple range of motion values.…”

Section: Dimensions and Models Related To Frailtymentioning

confidence: 99%