Motor performance tests as screening instruments for frailty in the older adults.

Appl Nurs Res

Departamento de Saúde, Universidade Estadual do Sudoeste da Bahia, Jequié, Brasil, 45206-190. Electronic address:

Published: November 2016

AI Article Synopsis

  • The study aimed to explore the relationship between frailty and physical performance in older adults, focusing on identifying the best predictor of frailty.
  • The research involved analyzing data from 286 individuals and found a frailty prevalence of 23.8%, with significant associations noted between frailty and scores on the 'chair stand' and 'pick up a pen' tests.
  • The 'chair stand' test, with a time over 14 seconds, was effective in identifying frailty, but the 'pick up a pen' test showed high sensitivity (84.6%) and is recommended for use in home settings.

Article Abstract

Objective: To verify the association between frailty and motor performance, and identify which test is the best predictor of frailty in the older adults.

Methods: Cross-sectional, population- and home-based study that analyzed data from 286 older adults. The association between physical performance tests and frailty was verified by binary logistic regression. The diagnostic power of the performance tests and the identification of the best cut-off points to frailty were evaluated using the ROC curve and the area under the ROC curve.

Results: The prevalence of frailty was 23.8%. Frailty was associated with worse performances in the 'chair stand' test (p=<0.01) and the 'pick up a pen' test (p=<0.01). Performance requiring more than 14 seconds in the 'chair stand' test proved to be a good criterion for discriminating frailty in the older adults, considering the sensitivity and specificity.

Conclusion: The worst performances in the tests were associated with the frailty syndrome. All tests were able to predict frailty in the older adults. However, taking into account the high sensitivity of the use of the 'pick up a pen' test to confirm a diagnosis of frailty (84.6%), this is recommended for use in home environments.

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Source
http://dx.doi.org/10.1016/j.apnr.2016.06.003DOI Listing

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