Frailty Intervention Trial (FIT)

Fairhall, Nicola; Aggar, Christina; Kurrle, Susan; Sherrington, Catherine; Lord, Stephen R.; Lockwood, Keri; Monaghan, Noeline; Cameron, Ian D.

doi:10.1186/1471-2318-8-27

Cited by 141 publications

(133 citation statements)

References 63 publications

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“…Similar to the results presented in the literature, we also found that frailty rates were significantly lower in subjects who could walk and do their shopping independently (Heuberger 2011;Moreira and Lourenço 2013;González-Vaca et al 2014). Exercise is reported to be an important factor for frailty, and this finding is important in terms of establishing protective approaches (Fairhal et al 2008;Heuberger 2011). Findings regarding functional status, weakness, and exhaustion in the older adults are important and may provide us with guidance for preventing frailty, as well as for early diagnosis (Bandeen-Roche et al 2006;Xue et al 2008).…”

Section: Discussionsupporting

confidence: 77%

“…It is very important for our clinical practice that frailty is independently predictive of fall incidents, comorbidities, worsening of mobility or activities of daily life, hospitalization, and death (Fairhal et al 2008;Wong et al 2010;Heuberger 2011;Jürschik et al 2012;Runzer-Colmenares et al 2014). At the end of our study, as many as 39.2 and 43.3 % of the older adult participants were found frail and pre-frail, respectively.…”

Section: Discussionmentioning

confidence: 82%

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Frailty prevalence and related factors in the older adult—FrailTURK Project

Eyigör

Kutsal

Duran

et al. 2015

AGE

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Frailty is one of the geriatric syndromes and has an important relationship with mortality and morbidity. The aim of this study is to present the characteristics, prevalence, and related factors of frailty in older adults in our country. The study included 1126 individuals over 65 years of age from 13 centers. Frailty was evaluated using the Fried Frailty criteria, and patients were grouped as Bfrail,^Bpre-frail,^and Bnon-frail.N utritional status was assessed with BMini Nutritional Test,^psychological status with the BCenter for Epidemiological Studies Depression Scale-CES-D,^and additional diseases with the "Charlson Comorbidity index." Approximately 66.5 % of the participants were between 65 and 74 years of age and 65.7 % were AGE (2015) women. Some 39.2 and 43.3 % of the participants were rated as frail and pre-frail, respectively. The multinomial logistic regression analysis was used to determine the factors associated with frailty. It was observed that age, female gender, low education level, being a housewife, living with the family, being sedentary, presence of an additional disease, using 4 or more drugs/day, avoiding to go outside, at least one visit to any emergency department within the past year, hospitalization within the past year, non-functional ambulation, and malnutrition increased the risk of frailty (p<0.05). Establishing the factors associated with frailty is highly important for both clinical practice and national economy. This is the first study on this subject in our country and will provide guidance in determining treatment strategies.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 82%

Frailty prevalence and related factors in the older adult—FrailTURK Project

Eyigör

Kutsal

Duran

et al. 2015

AGE

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“…Alguns estudos têm utilizado o dinamômetro Saehan hidráulico para avaliar a força de preensão 33,34 [35][36][37][38] . Assim, os testes foram realizados na posição recomendada pela SATM.…”

Section: Introductionunclassified

Medida da força de preensão manual- validade e confiabilidade do dinamômetro saehan

2011

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Nada a declarar RESUMO: Existe uma grande variedade de instrumentos utilizados para a avaliação da força de preensão manual. Porém, não existem estudos demonstrando a validade e a confiabilidade da maioria destes instrumentos. O objetivo deste estudo foi avaliar a validade concorrente e a confiabilidade intraexaminador do dinamômetro Saehan hidráulico comparado-o com o dinamômetro Jamar hidráulico. Cem indivíduos sadios (50 homens e 50 mulheres), entre 20 e 50 anos de idade, sem alterações cognitivas, deficiências físicas, disfunções neuromusculares e ortopédicas e história de lesões nos membros superiores, foram testados com os dinamômetros Jamar e Saehan. A validade concorrente entre o dinamômetro Jamar e o dinamômetro Saehan foi excelente para os testes de força de preensão realizados com as mãos direita (r=0,976) e esquerda (r=0,986). A confiabilidade intra-examinador foi excelente tanto para o dinamômetro Jamar (r=0,985 mãos direita e esquerda) quanto para o dinamômetro Saehan (r=0,981 mão direita e r=0,985 mão esquerda). O dinamômetro Saehan é válido, confiável e comparável com o dinamômetro Jamar. Portanto, dados coletados com o dinamômetro Jamar são equivalentes aos dados coletados com o dinamômetro Saehan. Consequentemente, valores de força obtidos por testes com dinamômetro Saehan podem ser comparados com valores de referência de força de preensão que foram obtidos com o dinamômetro Jamar. DEScRitORES: dinamômetro; força de preensão manual; validade; confiabilidade.ABStRAct: There is a great variety of instruments available for evaluating hand grip strength. There is, however, a lack of studies showing the validity and reliability of most of these instruments. The purpose of this study was to examine the concurrent validity and test-retest reliability of the hydraulic Saehan dynamometer using the hydraulic Jamar dynamometer. One hundred healthy subjects (50 men and 50 women), between the ages of 20 and 50 years old, without cognitive impairment, physical disability, neuromuscular or orthopedic dysfunction, and history of upper extremity injuries were tested with the Jamar and Saehan dynamometers. The concurrent validity between the Jamar and the Saehan dynamometers was excellent for both the right hand (r=0.976) and the left hand (r=0.986). Test-retest reliability was excellent for both the Jamar (r=0.985 right and left hands) and the Saehan (r=0.981 right hand and r=0.985 left hand). The Saehan dynamometer is valid, reliable and comparable to the Jamar dynamometer. Therefore, the Jamar and Saehan dynamometers measure handgrip strength equivalently. As a result, strength values obtained with the Saehan dynamometer can be compared with reference values which were collected with the Jamar dynamometer.

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“…Comprehensive geriatric assessment followed by an individualised multicomponent treatment has a strong evidence base and so not surprisingly is effective when applied to frail older adults. Recent frailty focused trials utilize a range of treatments, including nutritional therapy, psychiatrist or psychologist input, interventions to reduce social isolation, and exercise therapy and show effects [110,111]. One recent trial however showed that the effects take time to accrue so interventions need to be long term.…”

Section: Treatment Strategiesmentioning

confidence: 99%

“…Liu et al [106] Recognising that frailty in older adults is multifactorial in cause, it is likely that patients will require treatment across a range of these modalities, and management of individual comorbidities [28,110]. Patients are likely to need a variety of treatment tailored to the causes and effects of frailty in their individual cases [110].…”

Section: Treatment Strategiesmentioning

confidence: 99%

Musculoskeletal health, frailty and functional decline

Milte

Crotty

2014

Best Practice & Research Clinical Rheumatology

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Frailty in older people is associated with a vulnerability to adverse events. While ageing is associated with a loss of physiological reserves identifying those with the syndrome of frailty has the potential to assist clinicians tailor treatments to those at risk of future decline into disability with increased risk of complications, morbidity and mortality. Sarcopenia is a key component of the frailty syndrome and on its own puts older people at risk of fragility fractures however the clinical syndrome of frailty affects musculoskeletal and non musculoskeletal systems. Hip fractures are becoming a prototype condition in the study of frailty. Following a hip fracture many of the interventions are focused on limiting mobility disability and restoring independence with activities of daily living but there are multiple factors to be addressed including osteoporosis, sarcopenia, delirium, weight loss. Established techniques of geriatric evaluation and management allow systematic assessment and intervention on multiple components by multidisciplinary teams and deliver the best outcomes. Using the concept of frailty to identify older people with musculoskeletal problems as at risk of a poor outcome assists in treatment planning and is likely to become more important as effective pharmacological treatments for sarcopenia emerge. This review will focus on the concept of frailty and its relationship with functional decline, as well as describing its causes, prevalence, risk factors and potential clinical applications and treatment strategies. Key wordsFragility fracture, frailty, functional decline, screening, older adult, exercise therapy, dietary therapy Word count 9,401 words (word limit=9,400)

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Frailty Intervention Trial (FIT)

Cited by 141 publications

References 63 publications

Frailty prevalence and related factors in the older adult—FrailTURK Project

Frailty prevalence and related factors in the older adult—FrailTURK Project

Medida da força de preensão manual- validade e confiabilidade do dinamômetro saehan

Musculoskeletal health, frailty and functional decline

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