The Discrimination of Screen Pre-Frailty for Community-Dwelling Elderly People

2.50
Hdl Handle:
http://hdl.handle.net/10755/335203
Category:
Full-text
Type:
Presentation
Title:
The Discrimination of Screen Pre-Frailty for Community-Dwelling Elderly People
Author(s):
Chang, Shu-Fang
Lead Author STTI Affiliation:
Non-member
Author Details:
Shu-Fang Chang, PhD, linda@ntunhs.edu.tw
Abstract:
Session presented on Friday, July 25, 2014: Purpose: The purpose of this presentation is to analyze the risk factors and cut-off point of a short battery of physical performance tests for identifying community-dwelling elderly people with pre-frailty. Methods: A short battery of physical performance tests was employed at community activity center to assess the following characteristics among elderly people: balance, mobility, and flexibility. Instructions were provided to participants by demonstration. Results: Logistic regression analysis indicated that four indicators were significantly correlated to pre-frailty, that is, pre-frailty included falls in the previous year (OR = 3.05, 95% CI of OR = 1.46 - 6.38), smoking (OR = 3.22, 95% CI of OR = 1.40 - 7.38), hypertension (OR = 2.21, 95% CI of OR = 1.16 - 4.21) and bone and joint disease (OR = 8.96, 95% CI of OR = 3.05 - 26.30) (Tables 3). Furthermore, according to the logistic regression analysis results, three of the mentioned tests could significantly predict pre-frailty, namely, right-hand grip (OR = 0.96, 95% CI of OR = 1.92 - 1.99), left-hand grip (OR = 0.92, 95% CI of OR = 1.87 - 1.97), and the 8-foot up-and-go test (OR = 1.15, 95% CI of OR = 1.04 - 1.27). The results indicate that grip and 8-foot up-and-go are effective independent predictors for pre-frailty. Conclusion: To the best of our knowledge, this study is the first academic examination of the cut-off points for objective physiological indicators assessing pre-frailty among elderly Asian people. Although this study focuses on community-dwelling elderly people in East Asian countries, research investigating the diagnosis methods, sensitivity, specificity, NPV, and PPV of screening methods for pre-frailty are scarce. Furthermore, in this study, pre-frailty is determined according to an established and validated index
Keywords:
cut-off point; physical performance; pre-frailty
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14PST26
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Discrimination of Screen Pre-Frailty for Community-Dwelling Elderly Peopleen
dc.contributor.authorChang, Shu-Fangen
dc.contributor.departmentNon-memberen
dc.author.detailsShu-Fang Chang, PhD, linda@ntunhs.edu.twen
dc.identifier.urihttp://hdl.handle.net/10755/335203-
dc.description.abstractSession presented on Friday, July 25, 2014: Purpose: The purpose of this presentation is to analyze the risk factors and cut-off point of a short battery of physical performance tests for identifying community-dwelling elderly people with pre-frailty. Methods: A short battery of physical performance tests was employed at community activity center to assess the following characteristics among elderly people: balance, mobility, and flexibility. Instructions were provided to participants by demonstration. Results: Logistic regression analysis indicated that four indicators were significantly correlated to pre-frailty, that is, pre-frailty included falls in the previous year (OR = 3.05, 95% CI of OR = 1.46 - 6.38), smoking (OR = 3.22, 95% CI of OR = 1.40 - 7.38), hypertension (OR = 2.21, 95% CI of OR = 1.16 - 4.21) and bone and joint disease (OR = 8.96, 95% CI of OR = 3.05 - 26.30) (Tables 3). Furthermore, according to the logistic regression analysis results, three of the mentioned tests could significantly predict pre-frailty, namely, right-hand grip (OR = 0.96, 95% CI of OR = 1.92 - 1.99), left-hand grip (OR = 0.92, 95% CI of OR = 1.87 - 1.97), and the 8-foot up-and-go test (OR = 1.15, 95% CI of OR = 1.04 - 1.27). The results indicate that grip and 8-foot up-and-go are effective independent predictors for pre-frailty. Conclusion: To the best of our knowledge, this study is the first academic examination of the cut-off points for objective physiological indicators assessing pre-frailty among elderly Asian people. Although this study focuses on community-dwelling elderly people in East Asian countries, research investigating the diagnosis methods, sensitivity, specificity, NPV, and PPV of screening methods for pre-frailty are scarce. Furthermore, in this study, pre-frailty is determined according to an established and validated indexen
dc.subjectcut-off pointen
dc.subjectphysical performanceen
dc.subjectpre-frailtyen
dc.date.available2014-11-17T13:46:50Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:46:50Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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