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Frailty Indicators (frailty + indicator)
Selected AbstractsPrevalence of frailty on clinical wards: Description and implicationsINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 1 2010Richt M Andela PhD RN Andela RM, Dijkstra A, Slaets JPJ, Sanderman R. International Journal of Nursing Practice 2010; 16: 14,19 Prevalence of frailty on clinical wards: Description and implications This paper describes the prevalence and frailty level of patients aged , 75 years upon admission to various clinical wards. The data collection took place on five clinical wards of different clinical specialisms: Geriatric Centre, traumatology, pulmonology/rheumatology, internal medicine and surgical medicine. The Groningen Frailty Indicator was used to assess the frailty of newly admitted patients. The presence of number and kind of the various frailty indicators was different for the clinical wards, because of clinical diagnose, age and gender. On the Geriatric Centre, almost all patients were indicated as frail. On the other wards, 50,80% of the patients were indicated as frail with most frailty indicators on the scale ,psychosocial'. The study show a high prevalence of frail elderly on some wards and gives an indication of the various needs for other disciplines within the framework of the care for frail elderly people. [source] The Association Between Obesity and the Frailty Syndrome in Older Women: The Women's Health and Aging StudiesJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 6 2005Caroline S. Blaum MD Objectives: To determine whether obesity is associated with the frailty phenotype and, if so, whether comorbid conditions or inflammatory markers explain this association. Design: Cross-sectional analysis of baseline data from the Women's Health and Aging Studies I (1992) and II (1994), complementary population-based studies. Setting: Twelve contiguous ZIP code areas in Baltimore, Maryland. Participants: Five hundred ninety-nine community-dwelling women aged 70 to 79 with a body mass index (BMI) greater than 18.5 kg/m2. Measurements: The dependent variables were the frailty syndrome, including prefrailty, defined as presence of one or two of five frailty indicators (weakness, slowness, weight loss, low physical activity, exhaustion), and frailty, defined as three or more indicators. Independent variables included BMI, categorized using World Health Organization criteria as normal (18.5 to <25 kg/m2), overweight (25 to <30 kg/m2), and obese (,30 kg/m2); chronic diseases; C-reactive protein; and serum carotenoids. Results: Being overweight was significantly associated with prefrailty, and obesity was associated with prefrailty and frailty. In all frail women, regardless of BMI group, a similar pattern of three defining frailty indicators was found: slowness, weakness, and low activity (with the addition of weight loss in the normal weight group.) In multinomial regression models, obesity was significantly associated with prefrailty (odds ratio (OR)=2.23, 95% confidence interval (CI)=1.29,3.84) and frailty (OR=3.52, 95% CI=1.34,9.13), even when controlling for covariates. Conclusion: Obesity is associated with the frailty syndrome in older women in cross-sectional data. This association remains significant even when multiple conditions associated with frailty are considered. Prospective studies are needed to confirm this finding. [source] | ||||||||||