Psychometric properties of multicomponent tools designed to assess frailty in older adults: A systematic review

Sutton, Jennifer L.; Gould, Rebecca L.; Daley, Stephanie; Coulson, Mark; Ward, Emma V.; Butler, Aine; Nunn, Stephen; Howard, Robert

doi:10.1186/s12877-016-0225-2

Cited by 161 publications

(187 citation statements)

References 96 publications

(461 reference statements)

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“…Nevertheless, we had to impute data about fatigue for centenarians living in Sweden where the questions about fatigue were not included in the questionnaire. The choice of the frailty phenotype itself could be discussed in the absence of information about the psychometric properties or predictive accuracy of the frailty phenotype among centenarians [33]. This study enabled us to explore demographic, health, and functional factors associated with frailty.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Frailty and Associated Factors among Centenarians in the 5-COOP Countries

et al. 2018

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Background: The global number of centenarians is still strongly growing and information about the health and healthcare needs of this segment of the population is needed. This study aimed to estimate the prevalence of frailty among centenarians included in a multinational study and to investigate associated factors. Methods: The 5-COOP study is a cross-sectional survey including 1,253 centenarians in 5 countries (Japan, France, Switzerland, Denmark, and Sweden). Data were collected using a standardized questionnaire during a face-to-face interview (73.3%), telephone interview (14.5%), or by postal questionnaire (12.2%). The 5 dimensions of the frailty phenotype (weight loss, fatigue, weakness, slow walking speed, and low level of physical activity) were assessed by using self-reported data. Factors associated with frailty criteria were investigated by using multivariate regression models. Results: Almost 95% of the participants had at least 1 frailty criterion. The overall prevalence of frailty (3 criteria or more) was 64.7% (from 51.5% in Sweden to 77.6% in Switzerland), and 32.2% of the participants had 4 or 5 criteria. The most frequent criteria were weakness (84.2%), slow walking speed (77.6%), and low level of physical activity (72.5%), followed by fatigue (43.8%) and weight loss (23.8%). Factors associated with frailty included data collection modes, country of residence, gender, living in institution, depression, dementia, disability, falls, and sensory impairments. Conclusions: This study shows that reaching 100 years of age rarely goes without frailty and sheds light on factors associated with frailty at a very old age.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Frailty and Associated Factors among Centenarians in the 5-COOP Countries

et al. 2018

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“…There is no universally accepted definition [4,5], but experts agree that it is a clinical syndrome characterised by increased vulnerability and diminished resistance to stressors that can cause functional impairment and increase risks [6,7]; a minor stress or event such as an accidental fall or infection can worsen a person's health condition and increase dependency and/or mortality. Box 2.1 captures the main concepts in definitions of frailty.…”

Section: Frailtymentioning

confidence: 99%

Frailty, Sarcopenia and Falls

Marques

Queirós

2018

Perspectives in Nursing Management and Care for Older Adults

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Research confirms that frailty, sarcopenia and falls are strongly correlated [1] and both are predictors of negative health outcomes such as falls, disability, hospitalisation and death [2]. Interventions are necessary to reverse frailty and treat sarcopenia [3] as it has been estimated that, by the year 2025, around 20% of the population in industrial countries will be aged 65 years and over. As the number of older people increases, their needs will become an increasingly important health issue. Reduction in physical function can lead to loss of independence, need for hospital and longterm nursing home care and premature death. The importance of physical, functional, psychological and social factors in realising a healthy old age is recognised by older people, health-care professionals, policy advisors and decision-makers. This chapter will review the concepts of frailty, sarcopenia and falls as well as the interventions for older people, carried out by nurses and other health-care professionals, that have the potential to positively affect health and functional status and may promote independent functioning of older people with frailty and sarcopenia. Learning OutcomesAt the end of the chapter, and following further study, the nurse will be able to:

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“…28 However, there is still no consensus regarding the conceptual and operational definition of frailty. [29][30][31] Fundamentally, frailty is a medical concept, and as a result, it is often defined in the context of problems in physical functioning. An example of such a definition is the one produced by Fried et al 23 These researchers define frailty as a "biologic syndrome of decreased reserve and resistance to stressors, resulting from cumulative declines across multiple physiologic systems, causing vulnerability to adverse outcomes."…”

Section: Frailty Definitions and Measuresmentioning

confidence: 99%

“…A definition of frailty that expresses this integrative approach is as follows: "Frailty is a dynamic state affecting an individual who experiences losses in one or more domains of human functioning (physical, psychological, social), which is caused by the influence of a range of variables and which increases the risk of adverse outcomes." 33 Recently, Sutton et al 29 identified 38 multi-component frailty measures. One of these measures is the frequently used and cited Frailty Index developed by Mitnitski et al 35 The Frailty Index is based on the cumulative deficit approach and proposes that frailty can be assessed by evaluating a large number of non-specified age-associated health deficits, usually at least 30.…”

Section: Frailty Definitions and Measuresmentioning

confidence: 99%

“…According to Sutton et al, 29 the TFI has been the most extensively examined in terms of psychometric properties and also has the most robust evidence of reliability and validity. Nevertheless, the definition of frailty and adverse outcomes that best suits the unique needs of researchers, healthcare professionals (such as clinicians, nurses, physiotherapists and occupational therapists) and policymakers conducting the assessment of frailty determines the choice of the appropriate measure of frailty.…”

Section: Frailty Definitions and Measuresmentioning

confidence: 99%

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Hypertension and Frailty Syndrome in Old Age: Current Perspectives

Uchmanowicz

Chudiak

Jankowska‐Polańska

et al. 2017

Cardiac Failure Review

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Hypertension is considered the most common disorder in the general population. It is both a health and a financial problem worldwide.The Writing Group of the American Society of Hypertension defines hypertension as a cardiovascular syndrome resulting from a number of interconnected factors. 1 Therefore, a comprehensive evaluation is required, involving both the cardiovascular system and other risk factors. In the global population, the prevalence of hypertension is 26.4 %, which is expected to increase to one-third of the population by 2025. 2 The elderly comprise a special group of hypertensive patients because of ageing-related processes. In accordance with data from the Framingham study, 58.9 % of people aged ≥65 and 70 % of those aged ≥80 years are hypertensive. 3 Most patients in the group have isolated systolic hypertension, with normal diastolic blood pressure (DBP) valuesbelow 90 mmHg. In the elderly population, systolic blood pressure (SBP) is a more significant risk factor for cardiovascular complications than DBP. Chronic high SBP leads to left ventricular hypertrophy, as decreased elasticity of large blood vessels -particularly the aortaputs extra strain on the heart. 4 The ageing process involves a number of changes contributing to the development of hypertension. Besides decreased blood vessel elasticity, these include increased collagen content in the extracellular matrix, decreased numbers of elastic fibres, increased vessel wall thickness, and decreased vessel lumen.In the elderly, the lower number of elastic fibres in the vessel wall contributes to increased SBP. AbstractHypertension is both a health problem and a financial one globally. It affects nearly 30 % of the general population. Elderly people, aged ≥65 years, are a special group of hypertensive patients. In this group, the overall prevalence of the disease reaches 60 %, rising to 70 % in those aged ≥80 years. In the elderly population, isolated systolic hypertension is quite common. High systolic blood pressure is associated with an increased risk of cardiovascular disease, cerebrovascular disease, peripheral artery disease, cognitive impairment and kidney disease. Considering the physiological changes resulting from ageing alongside multiple comorbidities, treatment of hypertension in elderly patients poses a significant challenge to treatment teams. Progressive disability with regard to the activities of daily life, more frequent hospitalisations and low quality of life are often seen in elderly patients. There is discussion in the literature regarding frailty syndrome associated with old age. Frailty is understood to involve decreased resistance to stressors, depleted adaptive and physiological reserves of a number of organs, endocrine dysregulation and immune dysfunction. The primary dilemma concerning frailty is whether it should only be defined on the basis of physical factors, or whether psychological and social factors should also be included. Proper nutrition and motor rehabilitation should be prioritised in care for frail pa...

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Psychometric properties of multicomponent tools designed to assess frailty in older adults: A systematic review

Cited by 161 publications

References 96 publications

Frailty and Associated Factors among Centenarians in the 5-COOP Countries

Frailty and Associated Factors among Centenarians in the 5-COOP Countries

Frailty, Sarcopenia and Falls

Hypertension and Frailty Syndrome in Old Age: Current Perspectives

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