Influence of sarcopenia and functionality indicators on the frailty profile of community-dwelling elderly subjects: a cross-sectional study

Viana, Joana Ude; Silva, Sílvia Lanziotti Azevedo da; Torres, Juliana Lustosa; Dias, João Marcos Domingues; Pereira, Leandro de Mattos; Dias, Rosângela Corrêa

doi:10.1590/s1413-35552013005000102

Cited by 33 publications

(30 citation statements)

References 26 publications

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“…Among the PF and NF elderly, the highest scoring criteria were muscle weakness and physical inactivity, data ratified by Viana et al 22 who reported that these were the most significant factors in the development of the syndrome of frailty. However, unintentional weight loss was less frequent.…”

Section: Discussionmentioning

confidence: 80%

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Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Freitas

Sarges

Moreira

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To investigate the occurrence of frailty and analyze the functional capacity and quality of life in the elderly in a department of geriatrics and gerontology in Belém-PA. Method: Cross-sectional, descriptive and analytical study.103 elderly people were assessed as the socio-demographic and clinical aspects, frailty, according to the phenotype of Fried, history of falls, self-perceived health, functional capacity (FC) and quality of life (QOL). The elderly were classified as frail (FR), pre-frail (PF) and non-frail (NF). The groups were compared using the binomial test, Kruskal-Wallis test and ANOVA test, and the relationship between FC and QOL through Pearson correlation. Results: The mean age was 73.39(±6.42) years; 23.0% of the elderly were FR, 57.0%were PF and 20.0% were NF. The highest criteria of phenotype were muscle weakness and physical inactivity. Was no difference in FC between FR and PF ( p<0.01) and FR and NF ( p<0.01). The FR elderly had lower QOL and the highest scores were intimacy (15.33±2.26) and death and dying (14.88±3.26). There were correlation between FC and QOL in groups PF ( p=0.0273) and NF ( p=0.0017). 62.1% of seniors pointed to health as regular and 34.0% had a history of falling. Conclusion: Muscle weakness and physical inactivity were most striking in the development of frailty, which was associated with worse QOL and FC, despite most seniors be independent. These data are important for early detection of determinants of frailty, since the criteria discussed here are reversible.

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Section: Discussionmentioning

confidence: 80%

“…20 This indicates that frailty can vary greatly among the Brazilian population, perhaps due to cultural diversity and living habits, including diet and physical activity, which are important protective factors against frailty. 22 However, these factors were not the object of this analysis.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Freitas

Sarges

Moreira

et al. 2016

Rev. bras. geriatr. gerontol.

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“…Associated with this, previous studies concluded that the reduction of muscle strength is not only the main variable that contributes to the establishment of the frailty syndrome, 19 but also that lower muscle strength identified in the baseline assessment is associated with a negative evolution of the phenotype. 18 Thus, it is believed that muscular strength and gait speed are of the utmost importance for elderly people, since it has been observed that loss of muscle mass 19 and low gait speed 20 are associated with negative outcomes in elderly persons, 20 among which are the establishment of frailty syndrome 19,20 and death. 5 Literature reports that this occurs due to the aging process tending to reduce muscle mass.…”

Section: Discussionmentioning

confidence: 99%

Transição entre níveis de fragilidade em idosos no município de Belo Horizonte, Minas Gerais

Faria

Ribeiro

Vieira

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To observe possible changes in frailty phenotype classification over time. Method: 40 individuals of both genders aged over 65 years, living in the metropolitan region of Belo Horizonte, Minas Gerais and identified in a base line Rede FIBRA assessment as frail, who could walk independently or with the aid of devices and who had no illnesses that would prevent tests being carried out, , were considered. A standardized survey previously established by Rede FIBRA was administered. Results: The initial sample was composed of 40 individuals with a mean age of 78.03 (±6.46) years. After 24 months, a follow up of the 22 individuals from the initial sample that could be found was performed. The frailty phenotype classification scores of the same 22 subjects from the two samples were compared. After comparing the groups, it was found that 16 individuals had a lower number of frailty phenotype positive items in the follow up, three had higher positive scores and there was no change in the score of three individuals between assessments ( p=0.004). Conclusion: This study found that a large majority of individuals showed improvement in their frailty phenotype classification.

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“…11 Frail community-dwelling elderly individuals are characterized by loss of functionality. 12 Similarly, people with COPD become progressively immobile and physically limited, mainly due to dyspnea and fatigue. 13 According to Fried et al, 1 the loss of muscle mass plays an important etiologic role in the frailty process in elderly subjects.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation

et al. 2015

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BACKGROUND: Frailty is a key issue in the care of elderly patients. Patients with COPD are more likely to be frail, with a prevalence of 57.8%. Frailty is associated with a low level of physical activity. The aim of this study was to analyze the predictive power and identify the cutoffs of physical activity in their different domains (household, leisure time, and sport) for the absence of frailty in subjects with COPD exacerbation and stable COPD. METHODS: A cross-sectional study was conducted. The participants underwent an individual interview, including sociodemographic and clinical aspects. The total physical activity and its domains were assessed by the modified Baecke questionnaire, and frailty was measured according to the modified version of Fried. A total of 212 subjects with COPD (104 stable and 108 with COPD exacerbation) were enrolled, along with 100 healthy subjects. RESULTS: The prevalence of frailty was higher in subjects with COPD compared with the control group. An activity level of 3.54 for COPD exacerbation, 3.88 for stable COPD, and 3.50 for healthy subjects assessed using the Baecke questionnaire were recommended as the cutoff points for frailty. Sensitivity and specificity values were 0.95 and 0.807; 0.95 and 0.815; and 0.95 and 0.947, respectively. CONCLUSIONS: Physical activity level can predict the absence or presence of frailty in subjects with stable and exacerbated COPD.

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Influence of sarcopenia and functionality indicators on the frailty profile of community-dwelling elderly subjects: a cross-sectional study

Cited by 33 publications

References 26 publications

Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Transição entre níveis de fragilidade em idosos no município de Belo Horizonte, Minas Gerais

Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation

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