Journals / Marmara Medical Journal / 2023 / Cilt: 36 Sayı: 2

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

Pages
149–156
Publication Date
2023-05-31
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

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).

📌 3 Key Takeaways

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Objective & Hypothesis: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.
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Key Findings & Data:Comprehensive geriatric assessment and Fried Index were performed on 85 outpatients who were 65 years and older.
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Conclusion & Impact: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).
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:The FRAIL scale · Frailty · Comprehensive geriatric assessment

Abstract

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.

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Cite This Article

HYMABACCUS, B. A. B., DOGRUL, R. T., BALCI, C., OZSUREKCI, C., CALISKAN, H., KARABULUT, E., HALIL, M., CANKURTARAN, M., DOGU, B. B. (2023). An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Medical Journal, Cilt: 36 Sayı: 2, 149–156. https://ajindex.com/articles/941417

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References (3)

  1. 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.
  2. 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.
  3. 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. Validatio