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

Abstract

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.

Frailty state among Indonesian elderly: prevalence, associated factors, and frailty state transition

“…Most of our subjects had a constant frailty state (58%). However, frailty state improvement in our study was lower than Faria et al’s (14.8% vs 45%) [26]. Nevertheless, it showed that there is a possibility for individuals to transition into lesser frailty states, although the probability is low.…”

Exercise‐based physiotherapeutic interventions in frailty syndrome: A systematic review and meta‐analysis

“…Some longitudinal studies reported on the ability of older community-dwelling adults to move between frail states, suggesting that individuals previously classified as frail and pre-frail, according to the frailty phenotype, may have a reduction in the number of positive criteria scored over time (Faria et al, 2016;Ye et al, 2020). This issue reaffirms the dynamic and reversible character of frailty (Lopez et al, 2018); thus, we emphasize the importance of health strategies that can optimize this state transition, establish appropriate therapies to minimize or reverse frailty, and benefit from clinical decisions.…”

“…Considering that sarcopenia is one of the components of the frailty tripod, combined with neuroendocrine dysfunction and immune system dysregulation (Faria et al, 2016;Silva et al, 2016), its results can be improved with exercise interventions in older adults (Lopez et al, 2018).…”

Piora da fragilidade em pessoas idosas comunitárias com hipertensão e fatores associados

“…Como 54 idosos faleceram e é possível que estes apresentassem os piores níveis de fragilidade, talvez isso explique essa suposta melhora. É possível uma melhora espontânea da fragilidade, uma reversão de níveis ruins e até reabilitação do idoso considerado frágil, neste caso são necessárias intervenções assistenciais 21 . Outra ação positiva que pode colaborar para melhora dos níveis de fragilidade é a educação em saúde.…”