Evaluation of frailty status among older people living in urban communities by Edmonton Frail Scale in Wuhu, China: a cross-sectional study

Liu, Yang; Jiang, Yumin; Xu, Shuai; Bao, Lihua; Parker, Deborah; Xu, Xiaoyue; Li, Jinzhi

doi:10.1080/10376178.2018.1552525

Cited by 15 publications

(16 citation statements)

References 26 publications

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“…Being widowed, divorced or unmarried was a risk factor for being multi-frail, cognitive and functionally frail and psychologically frail in the elderly but showed no effect on physiological frailty. This may be linked to the possibility that older persons who live with their spouses may receive emotional, economic and social support [32]. However, the influence of the spouse may not be significant in the physiological domain.…”

Section: Discussionmentioning

confidence: 99%

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

Zhang

Lian

et al. 2020

Aging

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In order to explore frailty subtypes and find their associated risk factors, we conducted cross-sectional surveys of 5,341 seniors aged 60 and over in China using the Frailty Index (FI) scale. We identified four frailty subtypes, namely multi-frail, cognitive and functionally frail, psychologically frail and physiologically frail. Old age and low education level were the common risk factors among the four subtypes. Being widowed, divorced or unmarried was a risk factor for multi-frail, cognitive and functionally frail and psychologically frail, and male sex was a protective factor against cognitive and functionally frail and psychologically frail subtypes. Having a harmonious relationship with family was a protective factor against multi-frail, and fewer visits to the elderly by their children was a risk factor for psychologically frail. Dissatisfaction with their housing was a risk factor for cognitive and functionally frail, psychologically frail and physiologically frail, and a pension being the main source of income was a risk factor for cognitive and functionally frail and psychologically frail. Exercising every day was a protective factor against multi-frail and cognitive and functionally frail, and a lower level of physical activity was a risk factor for all four frailty subtypes. Our findings confirm the heterogeneity of frailty and suggest that different frail elderly individuals need more targeted care interventions.

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Section: Discussionmentioning

confidence: 99%

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

Zhang

Lian

et al. 2020

Aging

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“…The EFS includes nine components: functional limitation, self-reported health, general health status, cognition, social support, mood, functional performance, polypharmacy and continence (75), and is most commonly used in the hospital setting (81). It is also suitable for the community setting (82).…”

Section: Frailty Screeningmentioning

confidence: 99%

Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management

Dent

Morley

Cruz-Jentoft

et al. 2019

The Journal of nutrition, health and aging

583

536

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Objective: The task force of the International Conference of Frailty and Sarcopenia Research (ICFSR) developed these clinical practice guidelines to overview the current evidence-base and to provide recommendations for the identification and management of frailty in older adults. Methods: These recommendations were formed using the GRADE approach, which ranked the strength and certainty (quality) of the supporting evidence behind each recommendation. Where the evidence-base was limited or of low quality, Consensus Based Recommendations (CBRs) were formulated. The recommendations focus on the clinical and practical aspects of care for older people with frailty, and promote person-centred care. Recommendations for Screening and Assessment: The task force recommends that health practitioners case identify/screen all older adults for frailty using a validated instrument suitable for the specific setting or context (strong recommendation). Ideally, the screening instrument should exclude disability as part of the screening process. For individuals screened as positive for frailty, a more comprehensive clinical assessment should be performed to identify signs and underlying mechanisms of frailty (strong recommendation). Recommendations for Management: A comprehensive care plan for frailty should address polypharmacy (whether rational or nonrational), the management of sarcopenia, the treatable causes of weight loss, and the causes of exhaustion (depression, anaemia, hypotension, hypothyroidism, and B12 deficiency) (strong recommendation). All persons with frailty should receive social support as needed to address unmet needs and encourage adherence to a comprehensive care plan (strong recommendation). First-line therapy for the management of frailty should include a multicomponent physical activity programme with a resistance-based training component (strong recommendation). Protein/caloric supplementation is recommended when weight loss or undernutrition are present (conditional recommendation). No recommendation was given for systematic additional therapies such as cognitive therapy, problem-solving therapy, vitamin D supplementation, and hormone-based treatment. Pharmacological treatment as presently available is not recommended therapy for the treatment of frailty.

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“…Social support was measured by one item in the Edmonton Frail Scale "When you need help, can you count on someone to fulfill your needs? "; the possible answers included "always", "sometimes", and "never" [27].…”

Section: Survey Instrumentmentioning

confidence: 99%

Physical and mental health outcomes including behavior and attitudes in people having social contacts with COVID-19 patients

Zhang

et al. 2021

PLoS ONE

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The novel coronavirus (COVID-19) infection has spread worldwide since late 2019. People who have social contacts with COVID-19 patients might be at higher risk of physical or mental health problems. This study investigated whether people who had social contacts with COVID-19 patients would have poorer physical or mental outcomes, and different attitudes and behaviors. Chinese adults were recruited to fill in an online survey using snowball sampling during 21st-26nd February 2020. Physical symptoms, psychological outcomes, quality of life, COVID-19 related attitudes, and behaviors were measured. The differences in the outcomes between participants who had COVID-19 social contacts and those who had not were analyzed. The survey included 1,447 non-infected eligible participants. Among those, 173 (12.0%) reported at least one confirmed/suspected case in their social contacts. In the multiple regression adjusted for demographic data, the presence of confirmed/suspected infection cases in one’s social contacts was significantly associated with poorer physical and mental outcomes, lower health-related quality of life, and different COVID-19 related attitudes and behaviors (p<0.05). In conclusion, people who had social contacts with COVID-19 patients were at risk of adverse health outcomes. Future studies are needed to understand the long-term impacts. Similarly, strategies to improve health outcomes for these people are needed.

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Evaluation of frailty status among older people living in urban communities by Edmonton Frail Scale in Wuhu, China: a cross-sectional study

Cited by 15 publications

References 26 publications

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management

Physical and mental health outcomes including behavior and attitudes in people having social contacts with COVID-19 patients

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