The Effect of Frailty Level on Acceptance of Illness in Older People With Chronic Obstructive Pulmonary Disease

Bozkurt, Canan; Yıldırım, Yasemin; Aykar, Fisun Şenuzun

doi:10.31086/tjgeri.2021.221

Cited by 3 publications

(6 citation statements)

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“…In fact, this did not change the result that all older COPD patients in our study were frail, but the fact that the participants were being treated for COPD exacerbations may also explain the increased frailty levels. Similarly, the positive correlation of these values with frailty as indicators of disease and dyspnea severity was also in line with the findings of a previous study (20).…”

Section: Discussionsupporting

confidence: 91%

“…Similar to our study, Bozkurt et al (20) (2021) reported no relationship between smoking and frailty levels; however, in the same study, those who consume alcohol were found to have lower frailty, unlike our study. It is assumed that the difference may be due to the differences in the patient groups involved.…”

Section: Discussionsupporting

confidence: 85%

“…Based on this information, all older people with COPD participating in our study were frail according to the assessment tool we used (≥5 points), and their frailty levels were quite high based on the mean score (10.13±2.17). Also in Turkey reported that the prevalence of frailty in older people with COPD ranged from 50.2% to 84.7% (20). The difference in this study is thought to be due to the fact that the study sample consisted of individuals who were treated in the hospital due to COPD exacerbation.…”

Section: Discussionmentioning

confidence: 76%

“…Despite high levels of frailty in both genders, the main finding that caught our attention was that the frailty level of males was significantly higher than that of females in our study. Although it was claimed that women were frailer than men and some studies supported this view (19,20). However, this is the first time a higher level of frailty was reported for men.…”

Section: Discussionmentioning

confidence: 83%

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The Effect of the Adherence to the Mediterranean Diet on Frailty in Older People With Chronic Obstructive Pulmonary Disease

Arslan¹

2022

tjgeri

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 83%

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The Effect of the Adherence to the Mediterranean Diet on Frailty in Older People With Chronic Obstructive Pulmonary Disease

Arslan¹

2022

tjgeri

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“…The characteristics of the included studies are presented in Table 1 . These studies were published between 2011 and 2022, and 24 of them were cross-sectional studies [ 6 , 7 , 19 , 21 – 41 ], 8 of which were longitudinal studies [ 17 , 42 – 48 ] and the remaining 6 cohort studies [ 12 , 49 – 53 ]. In total, 19,362 participants from 13 countries were included in the analysis, with the main geographic locations in the United States (eight studies) [ 28 , 38 , 40 , 44 – 46 , 49 , 50 ].…”

Section: Resultsmentioning

confidence: 99%

Prevalence and risk factors of frailty in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis

Yan

Wang

et al. 2023

Eur Geriatr Med

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Objective To systematically review the prevalence and risk factors for frailty in patients with chronic obstructive pulmonary disease (COPD). Methods A systematic review and meta-analysis were conducted, and a search of the PubMed, Embase and Web of Science databases was carried out to collect Chinese and English studies on frailty and COPD published up to September 5, 2022. Results A total of 38 articles were included for the quantitative analysis after the collected literature was either included or omitted based on pertinent criteria. The results indicated that the estimated overall pooled prevalence of frailty was 36% (95% confidence interval [CI] = 31–41%), and the estimated pre-frailty was 43% (95% CI = 37–49%). A higher age (odds ratio [OR] = 1.04; 95% CI = 1.01–1.06) and higher COPD assessment test (CAT) score (OR = 1.19; 95% CI = 1.12–1.27) were associated with a significantly increased likelihood of frailty in patients with COPD. However, a higher educational attainment (OR = 0.55; 95% CI = 0.43–0.69) and higher income (OR = 0.63; 95% CI = 0.45–0.88) were associated with a significantly reduced risk of frailty in patients with COPD. A total of 17 other risk factors for frailty were identified via qualitative synthesis. Conclusion The incidence of frailty in patients with COPD is high, and there are many influencing factors.

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European Respiratory Society statement on frailty in adults with chronic lung disease

et al. 2023

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Frailty is a complex, multidimensional syndrome characterised by a loss of physiological reserves that increases a person's susceptibility to adverse health outcomes. Most knowledge regarding frailty originates from geriatric medicine, however, awareness of its importance as a treatable trait for people with chronic respiratory disease (including asthma, COPD and interstitial lung disease) is emerging. A clearer understanding of frailty and its impact in chronic respiratory disease is a pre-requisite to optimise clinical management in the future. This unmet need underpins the rationale for undertaking the present work.This European Respiratory Society Statement synthesises current evidence and clinical insights from international experts and people affected by chronic respiratory conditions regarding frailty in adults with chronic respiratory disease. The scope includes coverage of frailty within international respiratory guidelines, prevalence and risk factors, review of clinical management options (including comprehensive geriatric care, rehabilitation, nutrition, pharmacological and psychological therapies), and identification of evidence gaps to inform future priority areas of research. Frailty is under-represented in international respiratory guidelines, despite being common and related to increased hospitalisation and mortality. Validated screening instruments can detect frailty to prompt comprehensive assessment and personalised clinical management. Clinical trials targeting people with chronic respiratory disease and frailty are needed.

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The Effect of Frailty Level on Acceptance of Illness in Older People With Chronic Obstructive Pulmonary Disease

Cited by 3 publications

References 0 publications

The Effect of the Adherence to the Mediterranean Diet on Frailty in Older People With Chronic Obstructive Pulmonary Disease

The Effect of the Adherence to the Mediterranean Diet on Frailty in Older People With Chronic Obstructive Pulmonary Disease

Prevalence and risk factors of frailty in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis

European Respiratory Society statement on frailty in adults with chronic lung disease

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