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An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale

Yıl 2023, , 149 - 156, 31.05.2023
https://doi.org/10.5472/marumj.1297696

Öz

Objective: Practical scales with tested validity and reliability are needed to clinically determine frailty.The aim of this study is to find
out whether the Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight (FRAIL) Scale is an effective screening scale to show
frailty.
Patients and Methods: The Frail non-Disabled (FIND) scale validated in the Turkish population was applied for FRAIL Scale validation.
Comprehensive geriatric assessment and Fried Index were performed on 85 outpatients who were 65 years and older. The patients were
examined in terms of comorbidity, number of falls, living environment, number of drugs used, and hospitalization in the last year.
Results: The FRAIL Scale had a high correlation with the FIND scale and Fried Index (correlation coefficients are 0.956 and 0.934,
respectively). In addition, it was found to be associated with Activities of Daily Living (ADL), Instrumental Activities of Daily Living
(IADL) scales, the Mini-Mental State Examination (MMSE),Y esavage Geriatric Depression Scale (GDS), Mini Nutritional Assessment
short-form (MNA-sf),Clock Drawing Test (CDT), handgrip strength, and timed up and go test (p<0.05). The compliance between
independent practitioners and test-retest compliance were found to be 100% (full compliance,Cronbach’s alpha coefficient is 1.00).
Conclusion: In the Turkish geriatric population, the FRAIL Scale was found to be a reliable and valid scale in showing frailty.

Kaynakça

  • Walston J, Hadley EC, Ferrucci L, et al. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc 2006;54:991-1001. doi: 10.1111/j.1532-5415.2006.00745.x.
  • Gross AL, Xue QL, Bandeen-Roche K, et al., Declines and impairment in executive function predict onset of physical frailty. J Gerontol A Biol Sci Med Sci 2016;71:1624-30. doi: 10.1093/gerona/glw067.
  • Sirven N, Rapp T. The cost of frailty in France. Eur J Health Econ 2017;18:243-53. doi: 10.1007/s10198.016.0772-7.
  • Qin Y, Hao X, Lv M, Zhao X, Wu S, Li K. A global perspective on risk factors for frailty in community-dwelling older adults: A systematic review and meta-analysis. Arch Gerontol Geriatr 2023;105:104844. doi: 10.1016/j.archger.2022.104844.
  • Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. J Am Med Dir Assoc 2013;14:392-7. doi: 10.1016/j. jamda.2013.03.022.
  • Wang X, Hu J, Wu D. Risk factors for frailty in older adults. Medicine (Baltimore) 2022;101:e30169. doi: 10.1097/ MD.000.000.0000030169.
  • Aarts S, Patel KV, Garcia ME, et al. Co-presence of multimorbidity and disability with frailty: an examination of heterogeneity in the frail older population. J Frailty Aging 2015;4:131-8. doi: 10.14283/jfa.2015.45.
  • Morley JE, Malmstrom TK, Miller DK. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging 2012;16:601-8. doi: 10.1007/s12603.012.0084-2.
  • Jung HW, Yoo HJ, Park SY, et al. The Korean version of the FRAIL scale: clinical feasibility and validity of assessing the frailty status of Korean elderly. Korean J Intern Med 2016;31:594-600. doi: 10.3904/kjim.2014.331.
  • Díaz de León González E, Gutiérrez Hermosillo H, Martinez Beltran JA, et al. Validation of the FRAIL scale in Mexican elderly: results from the Mexican Health and Aging Study. Aging Clin Exp Res 2016;28:901-8. doi: 10.1007/ s40520.015.0497-y.
  • Dong L, Qiao X, Tian X, et al. Cross-cultural adaptation and validation of the FRAIL scale in Chinese community-dwelling older adults. J Am Med Dir Assoc 2018;19:12-7. doi: 10.1016/j. jamda.2017.06.011.
  • Gardiner PA, Mishra GD, Dobson AJ. Validity and responsiveness of the FRAIL scale in a longitudinal cohort study of older Australian women. J Am Med Dir Assoc 2015;16:781-3. doi: 10.1016/j.jamda.2015.05.005.
  • Lopez D, Flicker L, Dobson A. Validation of the frail scale in a cohort of older Australian women. J Am Geriatr Soc 2012;60:171-3. doi: 10.1111/j.1532-5415.2011.03746.x.
  • Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. Jama 1963;185: 914-9.
  • Arik G, Varan HD, Yavuz BB, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr 2015;61:344-50. doi: 10.1016/j. archger.2015.08.019.
  • Lawton MP, Brody EM. Assessment of older people: selfmaintaining and instrumental activities of daily living. Gerontologist 1969;9:179-86. PMID:5349366.
  • Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-98. doi: 10.1016/0022-3956(75)90026-6.
  • Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize mini mental test’in Türk toplumunda hafif demans tan› s› nda geçerlik ve güvenilirliği. Turk Psikiyatri Derg. 2002;13:273-81. PMID: 12794644.
  • Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 2002;18:737-57. doi: 10.1016/s0749-0690(02)00059-9.
  • Sarikaya D, Halil M, Kuyumcu ME, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr. 2015;61:56-60. doi: 10.1016/j.archger.2015.04.006.
  • Yesavage JA, Brink TL, Rose TL, et al., Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982-1983;17:37-49. doi: 10.1016/0022-3956(82)90033-4.
  • Stähelin HB, Monsch AU, Spiegel R. Early diagnosis of dementia via a two-step screening and diagnostic procedure. Int Psychogeriatr 1997;9 Suppl 1:123-30. doi: 10.1017/ s104.161.0297004791.
  • Cesari M, Demougeot L, Boccalon H, et al. A self-reported screening tool for detecting community-dwelling older persons with frailty syndrome in the absence of mobility disability: the FiND questionnaire. PLoS One. 2014;9:e101745. doi: 10.1371/journal.pone.0101745.
  • Arık G, Canbaz B, Karabulut E, Kara O, Sumer F, Ulger Z. Disabilite yokluğunda kırılganlık sendromunun saptanması için güvenir bir tarama testi:FİND anketi türkçe formu 9. Akademik Geriatri Kongresi 2016.
  • Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56:M146-56. doi: 10.1093/gerona/56.3.m146.
  • Taylor HL, Jacobs DR Jr, Schucker B, Knudsen J, Leon AS, Debacker G. A questionnaire for the assessment of leisure time physical activities. J Chronic Dis 1978;31:741-55. doi: 10.1016/0021-9681(78)90058-9.
  • Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993;342(8878):1032-6. doi: 10.1016/0140-6736(93)92884-v.
  • Poli S, Pandolfini V. Social Factors & Elderly Frailty – An Application of the Frail Scale in Italy. BMS 2016; 131: 92-100. doi: 10.1177/075.910.6316642720.
  • de Vries NM, Staal JB, van Ravensberg CD, Hobbelen JS, Olde Rikkert MG, Nijhuis-van der Sanden MW. Outcome instruments to measure frailty: a systematic review. Ageing Res Rev 2011;10:104-14. doi: 10.1016/j.arr.2010.09.001.
Yıl 2023, , 149 - 156, 31.05.2023
https://doi.org/10.5472/marumj.1297696

Öz

Kaynakça

  • Walston J, Hadley EC, Ferrucci L, et al. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc 2006;54:991-1001. doi: 10.1111/j.1532-5415.2006.00745.x.
  • Gross AL, Xue QL, Bandeen-Roche K, et al., Declines and impairment in executive function predict onset of physical frailty. J Gerontol A Biol Sci Med Sci 2016;71:1624-30. doi: 10.1093/gerona/glw067.
  • Sirven N, Rapp T. The cost of frailty in France. Eur J Health Econ 2017;18:243-53. doi: 10.1007/s10198.016.0772-7.
  • Qin Y, Hao X, Lv M, Zhao X, Wu S, Li K. A global perspective on risk factors for frailty in community-dwelling older adults: A systematic review and meta-analysis. Arch Gerontol Geriatr 2023;105:104844. doi: 10.1016/j.archger.2022.104844.
  • Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. J Am Med Dir Assoc 2013;14:392-7. doi: 10.1016/j. jamda.2013.03.022.
  • Wang X, Hu J, Wu D. Risk factors for frailty in older adults. Medicine (Baltimore) 2022;101:e30169. doi: 10.1097/ MD.000.000.0000030169.
  • Aarts S, Patel KV, Garcia ME, et al. Co-presence of multimorbidity and disability with frailty: an examination of heterogeneity in the frail older population. J Frailty Aging 2015;4:131-8. doi: 10.14283/jfa.2015.45.
  • Morley JE, Malmstrom TK, Miller DK. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging 2012;16:601-8. doi: 10.1007/s12603.012.0084-2.
  • Jung HW, Yoo HJ, Park SY, et al. The Korean version of the FRAIL scale: clinical feasibility and validity of assessing the frailty status of Korean elderly. Korean J Intern Med 2016;31:594-600. doi: 10.3904/kjim.2014.331.
  • Díaz de León González E, Gutiérrez Hermosillo H, Martinez Beltran JA, et al. Validation of the FRAIL scale in Mexican elderly: results from the Mexican Health and Aging Study. Aging Clin Exp Res 2016;28:901-8. doi: 10.1007/ s40520.015.0497-y.
  • Dong L, Qiao X, Tian X, et al. Cross-cultural adaptation and validation of the FRAIL scale in Chinese community-dwelling older adults. J Am Med Dir Assoc 2018;19:12-7. doi: 10.1016/j. jamda.2017.06.011.
  • Gardiner PA, Mishra GD, Dobson AJ. Validity and responsiveness of the FRAIL scale in a longitudinal cohort study of older Australian women. J Am Med Dir Assoc 2015;16:781-3. doi: 10.1016/j.jamda.2015.05.005.
  • Lopez D, Flicker L, Dobson A. Validation of the frail scale in a cohort of older Australian women. J Am Geriatr Soc 2012;60:171-3. doi: 10.1111/j.1532-5415.2011.03746.x.
  • Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. Jama 1963;185: 914-9.
  • Arik G, Varan HD, Yavuz BB, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr 2015;61:344-50. doi: 10.1016/j. archger.2015.08.019.
  • Lawton MP, Brody EM. Assessment of older people: selfmaintaining and instrumental activities of daily living. Gerontologist 1969;9:179-86. PMID:5349366.
  • Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-98. doi: 10.1016/0022-3956(75)90026-6.
  • Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize mini mental test’in Türk toplumunda hafif demans tan› s› nda geçerlik ve güvenilirliği. Turk Psikiyatri Derg. 2002;13:273-81. PMID: 12794644.
  • Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 2002;18:737-57. doi: 10.1016/s0749-0690(02)00059-9.
  • Sarikaya D, Halil M, Kuyumcu ME, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr. 2015;61:56-60. doi: 10.1016/j.archger.2015.04.006.
  • Yesavage JA, Brink TL, Rose TL, et al., Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982-1983;17:37-49. doi: 10.1016/0022-3956(82)90033-4.
  • Stähelin HB, Monsch AU, Spiegel R. Early diagnosis of dementia via a two-step screening and diagnostic procedure. Int Psychogeriatr 1997;9 Suppl 1:123-30. doi: 10.1017/ s104.161.0297004791.
  • Cesari M, Demougeot L, Boccalon H, et al. A self-reported screening tool for detecting community-dwelling older persons with frailty syndrome in the absence of mobility disability: the FiND questionnaire. PLoS One. 2014;9:e101745. doi: 10.1371/journal.pone.0101745.
  • Arık G, Canbaz B, Karabulut E, Kara O, Sumer F, Ulger Z. Disabilite yokluğunda kırılganlık sendromunun saptanması için güvenir bir tarama testi:FİND anketi türkçe formu 9. Akademik Geriatri Kongresi 2016.
  • Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56:M146-56. doi: 10.1093/gerona/56.3.m146.
  • Taylor HL, Jacobs DR Jr, Schucker B, Knudsen J, Leon AS, Debacker G. A questionnaire for the assessment of leisure time physical activities. J Chronic Dis 1978;31:741-55. doi: 10.1016/0021-9681(78)90058-9.
  • Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993;342(8878):1032-6. doi: 10.1016/0140-6736(93)92884-v.
  • Poli S, Pandolfini V. Social Factors & Elderly Frailty – An Application of the Frail Scale in Italy. BMS 2016; 131: 92-100. doi: 10.1177/075.910.6316642720.
  • de Vries NM, Staal JB, van Ravensberg CD, Hobbelen JS, Olde Rikkert MG, Nijhuis-van der Sanden MW. Outcome instruments to measure frailty: a systematic review. Ageing Res Rev 2011;10:104-14. doi: 10.1016/j.arr.2010.09.001.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Research
Yazarlar

Ben Azir Begum Hymabaccus Bu kişi benim 0000-0002-8864-4390

Rana Tuna Dogrul Bu kişi benim 0000-0001-9470-5113

Cafer Balcı Bu kişi benim 0000-0002-1478-1106

Cemile Ozsurekcı Bu kişi benim 0000-0002-2373-183X

Hatice Calıskan Bu kişi benim 0000-0001-9750-3840

Erdem Karabulut Bu kişi benim 0000-0002-7811-8215

Meltem Halıl Bu kişi benim 0000-0001-7597-8140

Mustafa Cankurtaran Bu kişi benim 0000-0002-8213-7515

Burcu Balam Dogu Bu kişi benim 0000-0002-4430-6146

Yayımlanma Tarihi 31 Mayıs 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

APA Hymabaccus, B. A. B., Dogrul, R. T., Balcı, C., Ozsurekcı, C., vd. (2023). An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Medical Journal, 36(2), 149-156. https://doi.org/10.5472/marumj.1297696
AMA Hymabaccus BAB, Dogrul RT, Balcı C, Ozsurekcı C, Calıskan H, Karabulut E, Halıl M, Cankurtaran M, Dogu BB. An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Med J. Mayıs 2023;36(2):149-156. doi:10.5472/marumj.1297696
Chicago Hymabaccus, Ben Azir Begum, Rana Tuna Dogrul, Cafer Balcı, Cemile Ozsurekcı, Hatice Calıskan, Erdem Karabulut, Meltem Halıl, Mustafa Cankurtaran, ve Burcu Balam Dogu. “An Effective and Practical Tool to Assess Physical Frailty in Older Adults: Turkish Validation of the FRAIL Scale”. Marmara Medical Journal 36, sy. 2 (Mayıs 2023): 149-56. https://doi.org/10.5472/marumj.1297696.
EndNote Hymabaccus BAB, Dogrul RT, Balcı C, Ozsurekcı C, Calıskan H, Karabulut E, Halıl M, Cankurtaran M, Dogu BB (01 Mayıs 2023) An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Medical Journal 36 2 149–156.
IEEE B. A. B. Hymabaccus, R. T. Dogrul, C. Balcı, C. Ozsurekcı, H. Calıskan, E. Karabulut, M. Halıl, M. Cankurtaran, ve B. B. Dogu, “An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale”, Marmara Med J, c. 36, sy. 2, ss. 149–156, 2023, doi: 10.5472/marumj.1297696.
ISNAD Hymabaccus, Ben Azir Begum vd. “An Effective and Practical Tool to Assess Physical Frailty in Older Adults: Turkish Validation of the FRAIL Scale”. Marmara Medical Journal 36/2 (Mayıs 2023), 149-156. https://doi.org/10.5472/marumj.1297696.
JAMA Hymabaccus BAB, Dogrul RT, Balcı C, Ozsurekcı C, Calıskan H, Karabulut E, Halıl M, Cankurtaran M, Dogu BB. An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Med J. 2023;36:149–156.
MLA Hymabaccus, Ben Azir Begum vd. “An Effective and Practical Tool to Assess Physical Frailty in Older Adults: Turkish Validation of the FRAIL Scale”. Marmara Medical Journal, c. 36, sy. 2, 2023, ss. 149-56, doi:10.5472/marumj.1297696.
Vancouver Hymabaccus BAB, Dogrul RT, Balcı C, Ozsurekcı C, Calıskan H, Karabulut E, Halıl M, Cankurtaran M, Dogu BB. An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Med J. 2023;36(2):149-56.