Screening Value of Timed Up and Go Test for Frailty and Low Physical Performance in Korean Older Population: The Korean Frailty and Aging Cohort Study (KFACS)

Jung, Hee-Won; Kim, Sun Young; Jang, Il‐Young; Shin, Dong Wook; Lee, Ji Eun; Won, Chang Won

doi:10.4235/agmr.20.0072

Cited by 26 publications

(22 citation statements)

References 27 publications

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“…Although physical performance measures can be assessed objectively and are excellent in determining the frailty status with high prediction ability for adverse outcomes in older adults [ 31 ], issues exist due to the dynamic range of tools and feasibilities in applying them in varying circumstances of real-world clinical practice. For example, usual gait speed and the timed up and go test are excellent to screen the vulnerable population in primary care or community setting [ 32 - 34 ]; however, these examinations are less feasible in acutely ill patients with tethers (e.g., intravenous access lines, urinary catheters, and endotracheal tubes) or unstable vital signs. Additionally, these physical performance measures are less likely to provide additional information for patients with apparent limitations in mobility both in acute and chronic care settings [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Validity of the Clinical Frailty Scale in Korean older patients at a geriatric clinic

Jung

Jang

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et al. 2021

Korean J Intern Med

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Background/Aims: We aimed to assess the validity of the Korean translated version of the Clinical Frailty Scale (CFS) in determining the frailty status in geriatric outpatients.Methods: The records of 123 ambulatory outpatients who had undergone CFS and comprehensive geriatric assessments (CGAs) including measurements for the Cardiovascular Health Study (CHS) frailty scale and the frailty index (CGA-FI) were analyzed. Correlations between CFS, CHS frailty scale, and CGA-FI were assessed. The ability of CFS to classify frailty status was calculated using the CHS frailty scale and CGA-FI as references.Results: The mean CFS score was 3.2 in the study population, with a mean age of 77.49 years (45.5% men). Individuals with higher CFS scores were older, had a greater burden of chronic diseases, and worse daily functions and cognitive performance. CFS scores positively correlated with CGA-FI (B = 0.78, p < 0.001) and CHS frailty scale (B = 0.67, p < 0.001) scores. For CFS, C-statistics to classify frailty by CGA-FI and CHS scale were 0.905 and 0.826, respectively. The cut-off value of CFS ≥ 4 maximized Youden’s J to classify frailty by both the CHS scale and CGAFI.Conclusions: The CFS is a valid screening tool to assess the frailty status in outpatients of a geriatric clinic in Korea. As a simple and quick measure, the CFS may facilitate frailty assessments in real-world clinical practice.

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Section: Discussionmentioning

confidence: 99%

Validity of the Clinical Frailty Scale in Korean older patients at a geriatric clinic

Jung

Jang

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et al. 2021

Korean J Intern Med

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“…The prevalence of frailty in Korean older adults ranged from 2.5% to 55.7%, as defined by the Cardiovascular Health Study (CHS) frailty phenotype, frailty index, and other operational measures (Table 4). [17][18][19][20][21][22][23][24][25][26][27][28][29][30] Recent Korean studies have shown that either frailty index, phenotype model, or physical performance measures could similarly identify older individuals at risk for geriatric adverse outcomes. 18) In addition, gait speed was inversely related to the frailty index and predicted adverse health outcomes (mortality or institutionalization).…”

Section: Frailty Statusmentioning

confidence: 99%

“… 31 ) The Timed Up and Go test was associated with both the CHS frailty phenotype and total Short Physical Performance Battery. 20 )…”

Section: Geriatric Syndromes and Common Comorbiditiesmentioning

confidence: 99%

Geriatrics Fact Sheet in Korea 2021

Baek

Lee

Jang

2021

Ann Geriatr Med Res

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While the global population is aging, South Korea is one of the most rapidly aging societies worldwide. It took 17 years for Korea to transition to an aged society from an aging society, defined as proportions of the population aged 65 years or older of ≥ 14.0% and 7.0%, respectively, while Japan took 24 years for the same transition. 1) More strikingly, Korea is expected to become a super-aged society, defined as a proportion of the population aged 65 years or older of ≥ 20.0%, in 2025. This prominent trend of population aging in Korea has been, to some degree, attributed to rapid economic development that accompanies the fast-growing life expectancy at birth with the establishment of modern healthcare systems after

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“…Sarcopenia, defined as an age-related state of decreased muscle mass, strength, and/or physical performance, is a common geriatric syndrome associated with increased risks of adverse health outcomes including fall, functional decline, and death [ 12 , 13 , 14 , 15 ]. Decreased physical activity and poor nutritional status, the known contributing factors of constipation, have also been regarded as risk factors for sarcopenia in several cross-sectional and longitudinal studies [ 12 , 13 , 15 , 16 ]. Therefore, sarcopenia can be considered as a coexisting condition of constipation that causes unpleasant outcome in older people.…”

Section: Introductionmentioning

confidence: 99%

Status of Constipation and Its Association with Sarcopenia in Older Adults: A Population-Based Cohort Study

Park

Lim

Baek

et al. 2021

IJERPH

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(1) Background: As the clinical relevance of constipation and sarcopenia is not well studied, we aimed to investigate the association between them in older adults. (2) Methods: A cross-sectional study was conducted on 1278 community-dwelling older adults in South Korea. The Rome IV criteria were used to identify patients with clinically defined constipation, while sarcopenia was defined by the Asian Working Group for Sarcopenia consensus. The cohort was classified into three groups: no constipation, self-reported constipation only, and clinically defined constipation. (3) Results: The presence of constipation was associated with sarcopenia and slow gait speed (p < 0.001). After adjustment for possible covariates, the association with sarcopenia attenuated, while that for slow gait speed persisted. In terms of geriatric parameters, both groups with clinically defined and self-reported constipation had a higher burden of cognitive impairment, IADL disability, and lower QOL scores (p < 0.05) compared with those without constipation. (4) Conclusions: Sarcopenia and slow gait speed associated with constipation in community-dwelling older adults. Individuals with self-reported constipation symptoms alone showed comparable sarcopenic and geriatric burden to those with clinically defined constipation. Clinical suspicion for possible co-existing sarcopenia is warranted in older patients with constipation.

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Screening Value of Timed Up and Go Test for Frailty and Low Physical Performance in Korean Older Population: The Korean Frailty and Aging Cohort Study (KFACS)

Cited by 26 publications

References 27 publications

Validity of the Clinical Frailty Scale in Korean older patients at a geriatric clinic

Validity of the Clinical Frailty Scale in Korean older patients at a geriatric clinic

Geriatrics Fact Sheet in Korea 2021

Status of Constipation and Its Association with Sarcopenia in Older Adults: A Population-Based Cohort Study

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