Using the Short Physical Performance Battery to screen for frailty in young‐old adults with distinct socioeconomic conditions

Câmara, Saionara Maria Aires da; Alvarado, Beatriz; Guralnik, Jack M.; Guerra, Ricardo Oliveira; Maciel, Álvaro Campos Cavalcanti

doi:10.1111/j.1447-0594.2012.00920.x

Cited by 137 publications

(131 citation statements)

References 27 publications

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“…Lauretani et al [28] proposed cut-off of ≤0.8 m/s for the diagnosis of sarcopenia was also assessed. Finally, the SPPB, a composite measure of lower extremity function, was performed [24,29]. In addition to an assessment of walking speed as described above, it includes an assessment of balance and time to complete 5 chair stands [24,29].…”

Section: Data Collection and Analysesmentioning

confidence: 99%

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Diagnostic Accuracy of Frailty Screening Methods in Advanced Chronic Kidney Disease

Nixon

Bampouras

Pendleton

et al. 2018

Nephron

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Background/Aims: Frail patients with chronic kidney disease (CKD) have an increased hospitalisation and mortality rate. However, many popular frailty screening methods have not been validated in patients with CKD. This study evaluates the diagnostic accuracy of several frailty screening methods in patients with CKD G4–5 and those established on haemodialysis (G5D). Methods: Ninety participants with CKD G4–5D were recruited from Nephrology Outpatient Clinics and 2 Haemodialysis Units between December 2016 and December 2017. Frailty was diagnosed using the Fried Frailty Phenotype. The following frailty screening tests were evaluated: Clinical Frailty Scale, PRISMA-7, CKD Frailty Index, CKD FI-LAB, walking speed, hand grip strength and Short Physical Performance Battery. Results: The mean age of participants was 69 years (SD ±13). One-third of participants were dialysis-dependent. Nineteen (21%) patients were categorised as frail, 42 (47%) as pre-frail and 29 (32%) as robust. Overall, walking speed was the most discriminative measure (AUC 0.97 [95% CI 0.93–1.00], sensitivity 0.84 [95% CI 0.62–0.94], specificity 0.96 [95% CI 0.88–0.99]). The Clinical Frailty Scale had the best performance of the non-physical assessment frailty screening methods (AUC 0.90 [95% CI 0.84–0.97], sensitivity 0.79 [95% CI 0.57–0.91], specificity 0.87 [95% CI 0.78–0.93]). Conclusions: Walking speed can be used to accurately screen for frailty in CKD populations. If it is not practical to perform a physical assessment to screen for frailty, the Clinical Frailty Scale is a useful alternative.

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Section: Data Collection and Analysesmentioning

confidence: 99%

“…Finally, the SPPB, a composite measure of lower extremity function, was performed [24,29]. In addition to an assessment of walking speed as described above, it includes an assessment of balance and time to complete 5 chair stands [24,29]. A cut-off of 9 has been suggested to identify at-risk individuals [29].…”

Section: Data Collection and Analysesmentioning

confidence: 99%

Diagnostic Accuracy of Frailty Screening Methods in Advanced Chronic Kidney Disease

Nixon

Bampouras

Pendleton

et al. 2018

Nephron

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“…It has been validated in Spain [23], showing good reliability and convergent validity with other physical and functional measures. Further, it seems to provide good results when administered in the community, in addition to being well correlated with the Fried frailty criteria and a good predictor of adverse events [24]. With higher scores indicating better performance, the usual cut-off point for determining frailty in the general population is a score of 10 points, although in the FRADEA study [10] (which included patients in long-term care), the best cut-off was found to be 6 points.…”

Section: Instruments and Tools For Detecting Frailtymentioning

confidence: 91%

Frail elderly people: Detection and management in primary care

Martín-Lesende¹,

Iturbe²,

Olivas

et al. 2015

European Geriatric Medicine

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“…This was recently recommended by the International Working Group as a standard measure of physical performance in frail elderly people [20]. Thus, the SPPB can be used both for research and clinical practice.…”

Section: Short Physical Performance Batterymentioning

confidence: 99%

“…For the balance task, a score of 0 was assigned to those who were unable to perform the test, and a score of 1 was assigned to those who tried but were unable to maintain the tandem stand for >1 s. A score of 2 was assigned for those able to maintain a tandem stand for >1 s but <3 s, a score of 3 for those able to stand for 3-9 s, and a score of 4 for those who maintained the tandem stand for >10 s. The performance total score was calculated by summing the scores and could range from 0 to 12, with 0 as the worst score and 12 as the best [20].…”

Section: Short Physical Performance Batterymentioning

confidence: 99%

Untitled

2015

Cent Asian J Med Sci

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Objectives:The purpose of our study is to examine characteristics of body composition and anthropometric measurements in older Mongolian adults. methods: This cross-sectional study included 268 individuals aged 45 years and older who visited national hospitals over a period of one month. Body weight, BMI, waist circumference (WC) and other body circumferences, and body composition (body fat percentages, fat-free mass index, skeletal mass index) were measured and the Short Physical Performance Battery (SPPB) score was used to test the physical performance. Results: The sample was composed of 73.7% women and 26.3% men, and the mean age was 58.1±8.9. All measurements were relatively higher than the normal range in older Mongolian adults. Obesity in women was relatively higher than men. 77.1% of all participants were obese according to BMI, 92.5% were obese according to body fat percentage, and 96.2% were centrally obese according to WC. Among people aged 45-64 years, prevalence of obesity increased and then decreased in ages 65-74 years. Age was significantly correlated with WC and the SPPB score was indirectly correlated with age (p<0.05). conclusion: Obesity in older Mongolian adults is comparatively higher for women and tends to increase with age.

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Using the Short Physical Performance Battery to screen for frailty in young‐old adults with distinct socioeconomic conditions

Abstract: The SPPB better discriminated frailty in elderly with higher socioeconomic conditions (Saint Bruno).

Cited by 137 publications

References 27 publications

Diagnostic Accuracy of Frailty Screening Methods in Advanced Chronic Kidney Disease

Diagnostic Accuracy of Frailty Screening Methods in Advanced Chronic Kidney Disease

Frail elderly people: Detection and management in primary care

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