scholarly journals Determination of an optimal frailty cut-off score of Tilburg Frailty Indicator and frailty associated factors in community-dwelling Turkish older adults

2021 ◽  
Author(s):  
Gulsah OZSOY ◽  
Esra ATES BULUT ◽  
Baris GURPINAR ◽  
Nursen ILCIN ◽  
Ahmet Turan ISIK
Keyword(s):  
Older Adults ◽  
Associated Factors ◽  
Community Dwelling ◽  
Tilburg Frailty Indicator ◽  
Frailty Indicator

scholarly journals Psychometric Properties of the Taiwanese Version of the Tilburg Frailty Indicator for Community-Dwelling Older Adults

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1193
Author(s):  
Chia-Hui Lin ◽  
Chieh-Yu Liu ◽  
Jiin-Ru Rong
Keyword(s):  
Older Adults ◽  
Psychometric Properties ◽  
Roc Curve ◽  
Goodness Of Fit ◽  
Community Dwelling ◽  
Self Report ◽  
Youden Index ◽  
Tilburg Frailty Indicator ◽  
Community Dwelling Older Adults ◽  
Frailty Indicator

Screening the frailty level of older adults is essential to avoid morbidity, prevent falls and disability, and maintain quality of life. The Tilburg Frailty Indicator (TFI) is a self-report instrument developed to assess frailty for community-dwelling older adults. The aim of this study was to explore the psychometric properties of the Taiwanese version of TFI (TFI-T). The sample consisted of 210 elderly participants living in the community. The scale was implemented to conduct a confirmatory factor analysis (CFA) test for validity. The models were evaluated through sensitivity, specificity, area under the curve, and receiving operating characteristic (ROC) curve. CFA was performed to evaluate construct validity, and the TFI-T has a goodness of fit with the three-factor structure of the TFI. Totally, the 15 items of TFI-T have acceptable internal consistency (Cronbach’s alpha = 0.78), and test–retest reliability (r = 0.88, p < 0.001). The criterion-related validity was examined, the TFI-T correlation with the Kihon Checklist (KCL) score (r = 0.74; p < 0.001). The cutoff of 5.5 based on the Youden index was considered optimal. The area under the ROC curve analysis indicated that the TFI-T has good accuracy in frailty screening. The TFI-T exhibits good reliability and validity and can be used as a sensitive and accurate instrument, which is highly applicable to screen frailty in Taiwan among older adults.

scholarly journals Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults

Medicine ◽  
2018 ◽  
Vol 97 (4) ◽  
pp. e9721 ◽  
Author(s):  
Yoshihito Tomita ◽  
Kazuhiko Arima ◽  
Ritsu Tsujimoto ◽  
Shin-ya Kawashiri ◽  
Takayuki Nishimura ◽  
...  
Keyword(s):  
Older Adults ◽  
Associated Factors ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Prevalence and factors associated with frailty among community-dwelling older people in rural Thanjavur district of South India: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e032904 ◽  
Author(s):  
Kirubakaran Kesavan Kendhapedi ◽  
Niveditha Devasenapathy
Keyword(s):  
Older People ◽  
Fear Of Falling ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Domain Definition ◽  
Tilburg Frailty Indicator ◽  
Community Dwelling Older People ◽  
Frailty Indicator

ObjectiveThere is sparse data on the prevalence of frailty from rural parts of India. Our aim was to estimate prevalence of frailty among community-dwelling older people in rural South Indian population and explore socio-demographic factors associated with frailty. We further explored the associations between frailty with fear of falling and falls.DesignCommunity based cross-sectional study.SettingFour villages in Thanjavur district of Southern India.ParticipantsRandom sample of adults aged 60 years and above from four villages.MethodsWe sampled community-dwelling older adults from the electoral list of four villages using stratified random sampling. We report prevalence of frailty as defined by physical definition (Fried’s Phenotype), accumulation of deficits (Frailty Index) and multi-domain definition (Tilburg Frailty Indicator). We report proportion of agreement of frailty status between the frailty tools. We used logistic regressions with robust SEs to examine the associations between socio-demographic determinants with frailty and the association between frailty with fear of falling and falls.ResultsAmong the 408 participants, the weighted (non-response and poststratification for sex) prevalence and 95% CI of frailty was 28% (18.9 to 28.1) for physical definition, 59% (53.9 to 64.3) for accumulation of deficits and 63% (57.4 to 67.6) for multi-domain definition. Frailty Index and Tilburg Frailty Indicator had good agreement (80%). Age, female, lower education, lower socioeconomic status, minimum physical activity in routine work were independently associated with frailty irrespective of the frailty definitions. Frail elderly had higher odds of falls as well as fear of falling compared with non-frail, irrespective of the definitions.ConclusionPrevalence of frailty among older people in rural Thanjavur district of South India was high compared with low-income and middle-income countries. Understanding the modifiable determinants of frailty can provide a valuable reference for future prevention and intervention.

scholarly journals Pre-frailty, frailty and associated factors in older caregivers of older adults

2020 ◽  
Vol 54 ◽  
pp. 17
Author(s):  
Roberta De Oliveira Máximo ◽  
Ingrid Cristina Lopes ◽  
Allan Gustavo Brigola ◽  
Bruna Moretti Luchesi ◽  
Aline Cristina Martins Gratão ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Low Income ◽  
Associated Factors ◽  
Multinomial Logistic Regression ◽  
Community Dwelling ◽  
Clinical Aspects ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Older Caregivers

INTRODUCTION: Providing care to an older adult is an activity that requires considerable physical effort and can cause stress and psychological strain, which accentuate factors that trigger the cycle of frailty, especially when the caregiver is also an older adult. However, few studies have analyzed the frailty process in older caregivers. OBJECTIVES: To investigate the prevalence of pre-frailty, frailty and associated factors in older caregivers of older adults. METHODS: A cross-sectional study was conducted including 328 community-dwelling older caregivers. Frailty was identified using frailty phenotype. Socio-demographic, behavioral and clinical aspects, characteristics related to care and functioning were covariables in the multinomial logistic regression. RESULTS: The prevalence of pre-frailty and frailty were 58.8% and 21.1%, respectively. An increased age, female sex, not having a conjugal life, depressive symptoms and pain were commonly associated with pre-frailty and frailty. Sedentary lifestyle was exclusively associated with pre-frailty, whereas living in an urban area, low income and the cognitive decline were associated with frailty. A better performance on instrumental activities of daily living reduced the chance of frailty. CONCLUSION: Many factors associated with the frailty syndrome may be related to the act of providing care, which emphasizes the importance of the development of coping strategies for this population.

scholarly journals Comparison of the frailty phenotype and the Tilburg Frailty Indicator regarding the prediction of quality of life in a two-year follow-up

2016 ◽  
Vol 33 (S1) ◽  
pp. S185-S185
Author(s):  
T. Coelho ◽  
C. Paúl ◽  
L. Fernandes
Keyword(s):  
Quality Of Life ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Stressful Events ◽  
Early Screening ◽  
Frailty Phenotype ◽  
Tilburg Frailty Indicator ◽  
Frailty Indicator

IntroductionFrail individuals are highly vulnerable to minor stressful events, presenting a higher risk for adverse health outcomes (e.g. falls, disability, hospitalization), which can lead to a decline in quality of life (QoL). In this context, an early screening of elderly frailty is of crucial importance.ObjectiveTo compare how the Frailty Phenotype (FP) and the Tilburg Frailty Indicator (TFI) predict QoL in a two-year follow-up.MethodsA longitudinal study was designed recruiting 110 community-dwelling elderly (≥ 65 years). The presence of frailty was assessed at baseline (FP ≥ 3 and TFI ≥ 6), whereas QoL was measured two years later with two different scales: the WHOQOL-OLD and the EUROHIS-QOL-8. Hierarchical regressions were conducted.ResultsThe mean age of the participants at baseline was 77.7 ± 6.9 years, and most were women (75.5%). According to FP, 33.6% of the participants were classified as frail, while the TFI detected frailty in 50% of the elderly. After adjusting for age and gender, the TFI significantly predicted QoL (WHOQOL-OLD: β = −18.9, t(106) = −6.97, P < 0.001; EUROHIS-QOL-8: β = −6.1, t(106) = −6.71, P < 0.001), whereas the effect of the FP on the outcome measures was non-significant.ConclusionsFrailty at baseline was associated with a lower QoL at follow-up. A multidimensional frailty operationalization (TFI) showed a stronger predictive validity than an exclusively physical one (FP). The option of which frailty measure to use in a clinical setting should take into account its ability to predict specific adverse outcomes, conducing to targeted and effective interventions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Fall Awareness Behaviour And Its Associated Factors Among Community Dwelling Older Adults

2020 ◽  
Author(s):  
GOH JING WEN ◽  
Devinder Kaur Ajit Singh ◽  
NORMALA MESBAH ◽  
ANIS AFIFA MOHD HANAFI ◽  
ADLYN FARHANA AZWAN
Keyword(s):  
Older Adults ◽  
Associated Factors ◽  
Linear Regression Analysis ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Timed Up And Go ◽  
Mortality And Morbidity ◽  
Falls In Older Adults ◽  
Causes Of Mortality ◽  
Community Dwelling Older Adults

Abstract Falls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors. A total of 140 community dwelling older adults (mean age of 70.69±4.3 years) participated in this study. Physical performance was assessed using timed up and go(TUG), gait speed(GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviours and fall prevention knowledge respectively. Stepwise linear regression analysis showed that the practice of fall awareness behaviours (R2=.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p<.001], having lower BMI [95% C.I: -0.692 to -0.135, p<.05], living with family [95% C.I: 0.022 to 5.953, p<.05] and those having higher functional mobility [95% C.I: -2.008 to -0.164, p<.05]. Fall awareness behaviours should be emphasized among older females, those with lower functional mobility, higher BMI and living alone.

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