MAXIMUM WALKING SPEED CAN IMPROVE THE DIAGNOSTIC VALUE OF FRAILTY AMONG COMMUNITY-DWELLING OLDER ADULTS A CROSS-SECTIONAL STUDY

2018 ◽  
pp. 1-3
Author(s):  
M. do Carmo Correia de Lima ◽  
T. Loffredo Bilton ◽  
W. Jefferson de Sousa Soares ◽  
L. Paccini Lustosa ◽  
E. Ferriolli ◽  
...  
Keyword(s):  
Older Adults ◽  
Diagnostic Accuracy ◽  
Walking Speed ◽  
High Specificity ◽  
Diagnostic Value ◽  
Population Based ◽  
Community Dwelling ◽  
Likelihood Ratios ◽  
Cross Sectional ◽  
Community Dwelling Older Adults

This study investigates the diagnostic accuracy of the combination of usual walking speed (UWS) and maximum walking speed (MWS) to identify frailty in community-dwelling older adults. A population-based study with 758 participants aged 65 and older was conducted. Frailty syndrome was determined using the Fried phenotype. UWS and MWS were evaluated in a 4.6-meter path. Both measures were categorized using the 1.0 m/s cut points, and participants were categorized into three groups: those with “very good”, “good” and “insufficient” walking reserve capacity (WRC). Of all participants, 9% were identified as frail and 47% as prefrail. The “insufficient” WRC presented a low sensitivity of 0.55, high specificity of 0.91 and moderately useful likelihood ratios (LR+ 6.57, LR- 0.48) to identify frailty. Based on Fagan’s nomogram, an elder’s corresponding post-test probability of being frail with an “insufficient” WRC would be around 40%, which substantially increased the diagnostic accuracy of frailty.

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

2021 ◽  
Vol 18 (21) ◽  
pp. 11083
Author(s):  
Hyungchul Park ◽  
Jihye Lim ◽  
Ji Yeon Baek ◽  
Eunju Lee ◽  
Hee-Won Jung ◽  
...  
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
Population Based ◽  
Cross Sectional Study ◽  
Clinical Suspicion ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Iadl Disability ◽  
Community Dwelling Older Adults

(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.

The association of mental health with positive behaviours, attitudes and virtues in community-dwelling older adults: Results of a population-based study

2021 ◽  
pp. 002076402199969
Author(s):  
Eduardo Luiz Mendonça Martins ◽  
Laís Cunha Salamene ◽  
Alessandra Lamas Granero Lucchetti ◽  
Giancarlo Lucchetti
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Older Adults ◽  
Meaning In Life ◽  
Satisfaction With Life ◽  
Population Based ◽  
Community Dwelling ◽  
Cognitive State ◽  
Cross Sectional ◽  
Community Dwelling Older Adults

Background: Despite major advancements in understanding of the factors associated with mental health in older adults, studies assessing positive behaviours, attitudes and virtues are still scarce in the literature. Aims: This study aims to investigate whether factors related to positive behaviours, attitudes and virtues are associated with mental health (i.e. depression, anxiety and stress) and satisfaction with life in Brazilian community-dwelling older adults. Methods: A population-based, cross-sectional study of Brazilian older adults who were users of the public health system and seen by Family Health teams was conducted in 2017. Instruments were applied to assess cognition, physical activity, sleep, quality of life, social support, religiousness, spirituality, satisfaction with life, resilience, altruism, volunteerism, loneliness, meaning in life and mental health (i.e. depression, anxiety and stress). Analyses were carried out using linear and logistic regression models. Results: A total of 534 (93.5%) older adults were included. Positive behavioural factors and values including volunteerism, meaning in life, resilience, peace, loneliness, faith and religiousness were associated with mental health outcomes (i.e. depression, anxiety and stress), as were traditional factors, such as sleep, gender, social support and cognitive state. Conclusions: Aspects related to positive behaviour, attitudes and virtues can impact the mental health of the older population. These results can serve to alert health professionals on the importance of addressing these factors and help guide the implementation of preventive measures and interventions for this age group.

Life satisfaction and frailty in community-based older adults: cross-sectional and prospective analyses

2013 ◽  
Vol 25 (10) ◽  
pp. 1709-1716 ◽  
Author(s):  
Philip D. St John ◽  
Suzanne L. Tyas ◽  
Patrick R. Montgomery
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Population Based ◽  
Community Dwelling ◽  
Community Based ◽  
Cross Sectional ◽  
Gender Education ◽  
Community Dwelling Older Adults ◽  
Prospective Analyses

ABSTRACTBackground:Frailty may be associated with reduced life satisfaction (LS). The objectives of this paper are to determine if (1) frailty is associated with LS in community-dwelling older adults in cross-sectional analyses; (2) frailty predicts LS five years later; and (3) specific domains of LS are preferentially associated with frailty.Methods:This paper presents analysis of an existing population-based cohort study of 1,751 persons aged 65+ who were assessed in 1991, with follow-up five years later. LS was measured using the terrible–delightful scale, which measures overall LS and LS in specific domains. Frailty was measured using the Brief Frailty Instrument. Analyses were adjusted for age, gender, education, and marital status.Results:Frailty was associated with overall LS at time 1 and predicted overall LS at time 2. This was seen in unadjusted analyses and after adjusting for confounding factors. Frailty was associated with all domains of LS at time 1, and predicted LS at time 2 in all domains except housing and self-esteem. However, the effect was stronger for LS with health than with other domains for both times 1 and 2.Conclusions:Frailty is associated with LS, and the effect is strongest for LS with health.

scholarly journals Gait speed correlates in a multiracial population of community-dwelling older adults living in Brazil: a cross-sectional population-based study

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Cintia Regina Ruggero ◽  
Tereza Lofredo Bilton ◽  
Luiza Faria Teixeira ◽  
Juliane de Lemos Armada Ramos ◽  
Sandra Regina Alouche ◽  
...  
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
Population Based ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Population Based Study ◽  
Community Dwelling Older Adults

scholarly journals Regional differences in the profile of disabled community-dwelling older adults: A European population-based cross-sectional study

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0208946 ◽  
Author(s):  
Javier Jerez-Roig ◽  
Marina Bosque-Prous ◽  
Maria Giné-Garriga ◽  
Caritat Bagur-Calafat ◽  
Dyego L. Bezerra de Souza ◽  
...  
Keyword(s):  
Older Adults ◽  
Regional Differences ◽  
Population Based ◽  
Cross Sectional Study ◽  
European Population ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Dwelling Older Adults
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