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Using the Short Physical Performance Battery to screen for frailty in young-old adults with distinct socioeconomic conditions.

https://arctichealth.org/en/permalink/ahliterature121733
Source
Geriatr Gerontol Int. 2013 Apr;13(2):421-8
Publication Type
Article
Date
Apr-2013
Author
Saionara Maria Aires da Câmara
Beatriz Eugenia Alvarado
Jack M Guralnik
Ricardo Oliveira Guerra
Alvaro Campos Cavalcanti Maciel
Author Affiliation
Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal, Brazil.
Source
Geriatr Gerontol Int. 2013 Apr;13(2):421-8
Date
Apr-2013
Language
English
Publication Type
Article
Keywords
Aged
Brazil
Chronic Disease
Cross-Sectional Studies
Depression - classification
Educational Status
Fatigue - classification
Female
Frail Elderly
Gait - physiology
Geriatric Assessment - methods
Health Status Indicators
Humans
Income
Independent living
Male
Mass Screening - methods
Mobility Limitation
Motor Activity
Muscle Weakness - classification
Postural Balance - physiology
Poverty
Psychomotor Performance - physiology
Quebec
ROC Curve
Sensitivity and specificity
Social Class
Weight Loss - physiology
Abstract
To analyze the Short Physical Performance Battery's (SPPB) ability in screening for frailty in community-dwelling young elderly from cities with distinct socioeconomic conditions.
Elderly (65-74 years-of-age) from Canada (Saint Bruno; n = 60) and Brazil (Santa Cruz; n = 64) were evaluated with the SPPB to assess physical performance. Frailty was defined as the presence of = 3 of the following criteria: weight loss, exhaustion, weakness, mobility limitation and low physical activity. Linear regression and receiver operating characteristics analyses were carried out.
The SPPB correlated with frailty (R(2) = 0.33), with better results for Saint Bruno. A cut-off of 9 in the SPPB had good sensitivity (92%) and specificity (80%) in discriminating frail from non-frail in Saint Bruno (area under the curve [AUC] = 0.81), but showed fair results in Santa Cruz (AUC = 0.61, sensitivity = 81% and specificity = 52%).
The SPPB better discriminated frailty in elderly with higher socioeconomic conditions (Saint Bruno).
PubMed ID
22882512 View in PubMed
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