Journal of frailty, sarcopenia and falls最新文献_第2页

Associations of Frailty, Concerns About Falling, and Fall Risk in Community-Dwelling Older Adults in Orlando, Florida: A Preliminary Analysis. 佛罗里达州奥兰多社区居住老年人的虚弱、对跌倒的担忧和跌倒风险的关联：初步分析。

Journal of frailty, sarcopenia and falls Pub Date : 2025-03-01 DOI: 10.22540/JFSF-10-018

Abigail L Tice, Rui Xie, Wei Zhang, Norma E Conner, Yingru Li, Christopher T Emrich, Qun Huo, Ladda Thiamwong

{"title":"Associations of Frailty, Concerns About Falling, and Fall Risk in Community-Dwelling Older Adults in Orlando, Florida: A Preliminary Analysis.","authors":"Abigail L Tice, Rui Xie, Wei Zhang, Norma E Conner, Yingru Li, Christopher T Emrich, Qun Huo, Ladda Thiamwong","doi":"10.22540/JFSF-10-018","DOIUrl":"10.22540/JFSF-10-018","url":null,"abstract":"Objectives: This study examines relationships between frailty, concerns about falling (CaF), and fall risk in community-dwelling older adults (≥60 years old).Methods: Frailty, CaF, and fall risk were cross-sectionally assessed using the FRAIL, short FES-I, and STEADI questionnaires in 178 participants. Spearman correlations, logistical regression, and ordinal regression analysis were performed.Results: 38.2% of participants were robust, 48.9% pre-frail, and 12.9% frail. Logistic regressions revealed that frail individuals were 91.4% more likely to have CaF compared to non-frail individuals, and individuals with lower fall risk were 5.7 times less likely to have CaF than those with no fall risk. Pre-frail individuals were more likely to have fall risk than non-frail individuals. Individuals with low CaF were 6 times less likely to have fall risk than those with high CaF. Ordinal logistic regressions revealed that for individuals with no CaF and no fall risk, the odds of being frail were 69.5% and 86.7% lower, respectively, than those with high CaF and high fall risk.Conclusions: Frailty relationships with fall risk and CaF indicate the importance of addressing frailty to aid in fall prevention in older adults. Further, addressing the CaF mentality is important in fall prevention in older adults. ClinicalTrials.gov ID: NCT05778604.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 1","pages":"18-27"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frailty as Predictor for Early Functional Outcomes After Radical Prostatectomy. 虚弱是根治性前列腺切除术后早期功能预后的预测因子。

Journal of frailty, sarcopenia and falls Pub Date : 2025-03-01 DOI: 10.22540/JFSF-10-028

Mladen Stankovic, Christian Weber, Martin Koser, Norbert Weidner

{"title":"Frailty as Predictor for Early Functional Outcomes After Radical Prostatectomy.","authors":"Mladen Stankovic, Christian Weber, Martin Koser, Norbert Weidner","doi":"10.22540/JFSF-10-028","DOIUrl":"10.22540/JFSF-10-028","url":null,"abstract":"Objectives: While chronological aging does not necessarily impair oncological outcomes after radical prostatectomy, the role of frailty remains less clear. This study aimed to evaluate whether frailty significantly affects early continence rates following radical prostatectomy and to explore the potential association between frailty and postoperative complications.Methods: A retrospective cohort study of 212 patients undergoing radical prostatectomy was conducted. Preoperative frailty assessment employed a multimodal evaluation encompassing cardiovascular, respiratory, neurological, and urinary systems, supplemented by conventional risk measures such as physical performance status and biochemical markers. The primary endpoint was early continence recovery, while secondary outcomes included 30-day postoperative complications.Results: Comparative analysis revealed no statistically significant differences in baseline characteristics, oncological outcomes, or complication rates between the open and robotic-assisted surgical cohorts. However, frailty was strongly associated with reduced early continence recovery, irrespective of surgical technique (p<0.001). No significant association was detected between frailty and 30-day postoperative complications (p=0.36).Conclusions: This study highlights frailty as a pivotal predictor of early continence outcomes. The lack of association between frailty and postoperative complications suggests that comprehensive frailty assessment may be more relevant for anticipating functional recovery than predicting immediate surgical risks. These findings support integrating frailty evaluation into preoperative decision-making frameworks.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 1","pages":"28-36"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

About Falls Efficacy: A commentary on "World guidelines for falls prevention and management for older adults: a global initiative". 关于跌倒功效：对“老年人跌倒预防和管理世界指南：一项全球倡议”的评论。

Journal of frailty, sarcopenia and falls Pub Date : 2024-12-01 DOI: 10.22540/JFSF-09-281

Shawn Leng Hsien Soh, Christopher McCrum, Yoshi Okubo, Melanie Farlie, Sze-Ee Soh, Maw Pin Tan, Christopher Tsung Chien Lien, Dawn A Skelton

引用次数: 0

Post-Physical Therapy 4-Month In-Home Dynamic Standing Protocol Maintains Physical Therapy Gains and Improves Mobility, Balance Confidence, Fear of Falling and Quality of Life in Parkinson's Disease: A Randomized Controlled Examiner-Blinded Feasibility Clinical Trial. 物理治疗后4个月在家动态站立方案维持物理治疗成果，改善帕金森病患者的活动能力、平衡信心、对跌倒的恐惧和生活质量：一项随机对照检查-盲法可行性临床试验

Journal of frailty, sarcopenia and falls Pub Date : 2024-12-01 DOI: 10.22540/JFSF-09-267

Miriam van Emde Boas, Chatkaew Pongmala, Abigail M Biddix, Alexis Griggs, Austin T Luker, Giulia Carli, Uros Marusic, Nicolaas I Bohnen

{"title":"Post-Physical Therapy 4-Month In-Home Dynamic Standing Protocol Maintains Physical Therapy Gains and Improves Mobility, Balance Confidence, Fear of Falling and Quality of Life in Parkinson's Disease: A Randomized Controlled Examiner-Blinded Feasibility Clinical Trial.","authors":"Miriam van Emde Boas, Chatkaew Pongmala, Abigail M Biddix, Alexis Griggs, Austin T Luker, Giulia Carli, Uros Marusic, Nicolaas I Bohnen","doi":"10.22540/JFSF-09-267","DOIUrl":"10.22540/JFSF-09-267","url":null,"abstract":"Objective: Parkinson's patients will experience mobility disturbances with disease progression. Beneficial effects of physical therapy are short-lasting. Novel interventions are needed to maintain these benefits.Methods: Fourteen Parkinson's patients (71±4.08 years) participated in a randomized controlled examiner-blinded feasibility clinical trial. After 12 physical therapy sessions, the intervention group received a height-adjustable desk that facilitates stepping while standing, for 4 months. Explorative outcome measures included MDS-UPDRS II, III, TUG, 8.5m walking test, PDQ-39, sABC, sFES, DEXA scans, and lower extremity strength.Results: Post-physical-therapy, everyone significantly improved on the MDS-UPDRS II, III, TUG, and 8.5m walking test, and PDQ-39. (p<0.05) After 4 months, the control group regressed towards pre-physical-therapy values. In the intervention group, sedentary behavior decreased beyond desk use, indicating a carry-over effect. MDS-UPDRS II, PDQ-39, sFES, sABC, TUG, 8.5m walking test, activity time, sitting time, hip strength all improved with clinically relevant effect sizes.Conclusion: Post-physical therapy in-home reduction of sedentary behavior was associated with maintenance of physical benefits and additional improvements in mobility, activity time, balance and quality of life.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"9 4","pages":"267-280"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Thematic Analysis of Lived Experiences of Falls in Middle-Aged and Older Adults. 中老年人跌倒生活经历的专题分析。

Journal of frailty, sarcopenia and falls Pub Date : 2024-12-01 DOI: 10.22540/JFSF-09-249

Jodi P Ventre, Toni Hall, Paul S Holmes, Chesney E Craig

{"title":"A Thematic Analysis of Lived Experiences of Falls in Middle-Aged and Older Adults.","authors":"Jodi P Ventre, Toni Hall, Paul S Holmes, Chesney E Craig","doi":"10.22540/JFSF-09-249","DOIUrl":"10.22540/JFSF-09-249","url":null,"abstract":"Objectives: Fall-related injuries occur at a similar prevalence rate in middle-aged and older adults and may increase concerns about falling and future falls. No research to date has examined how experiences of falls and related concerns, differ between middle-aged and older fallers. This study aimed to address this using qualitative interviews.Methods: Ten middle-aged (55-64 years) and ten older adults (68-83 years) were interviewed about their experiences of falls and concerns about falling. Guided by a social constructivist epistemology, reflexive thematic analysis was used to categorise themes within the data.Results: Five overarching themes were identified. Four themes showed distinctions between groups (i) perceptions of age-related decline; (ii) ageism: stigma associated with 'fallers'; (iii) concerns about loss of independence; and (iv) unravelling perceived control. The fifth theme (v) perceptions of falls risk: concerns and awareness, demonstrated the most similarities.Conclusions: Whilst middle-aged and older fallers showed similar ratings of concern about falling, the behaviours underlying these were qualitatively different. For older adults, concerns led to protective adaptations to reduce their fall risk. Contrastingly, middle-aged adults showed a lack of personal responsibility over their fall risk. The findings highlight the importance of early educational intervention to reduce future falls and frailty.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"9 4","pages":"249-266"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modified Hospital Frailty Risk Score (mHFRS) as a Tool to Identify and Predict Outcomes for Hospitalised Older Adults at Risk of Frailty. 改进的医院虚弱风险评分（mHFRS）作为识别和预测住院老年人虚弱风险结局的工具

Journal of frailty, sarcopenia and falls Pub Date : 2024-12-01 DOI: 10.22540/JFSF-09-235

Lydia Sim, Ting Yu Chang, Kyaw Khine Htin, Aileen Lim, Thevapriya Selvaratnam, Simon Conroy, Kiat Sern Goh, Barbara Rosario

{"title":"Modified Hospital Frailty Risk Score (mHFRS) as a Tool to Identify and Predict Outcomes for Hospitalised Older Adults at Risk of Frailty.","authors":"Lydia Sim, Ting Yu Chang, Kyaw Khine Htin, Aileen Lim, Thevapriya Selvaratnam, Simon Conroy, Kiat Sern Goh, Barbara Rosario","doi":"10.22540/JFSF-09-235","DOIUrl":"10.22540/JFSF-09-235","url":null,"abstract":"Objectives: This study aims to determine whether modified Hospital Frailty Risk Score (mHFRS) can identify frail hospitalised older adults by comparing mHFRS to HFRS and Clinical Frailty Scale (CFS).Methods: A retrospective review was undertaken in patients =>65 years hospitalised following an Emergency Department attendance between 1st July 2022 and 31st March 2023. Predictive models were evaluated with correlation and measure of agreement between frailty risk scores, CFS and HFRS, CFS and modified HFRS (mHFRS) using the Spearman's rank correlation and Cohen's kappa (κ).Results: Of 3042 patients, CFS categorised 1635 (53.7%) patients as non-frail (CFS 1-4) and 1407 (46.3%) as frail (CFS 5-9,p<0.001). Frail patients were more likely to be female (55.9%), older (81.8 years, SD 8.41 vs 75.3 years, SD 7.20, p<0.001), with longer LOS (52.5% % vs 31.5%, p<0.001), higher 30-day emergency re-admission (18.5% vs 9.9%, p<0.001) and higher mortality at all time points. We could compute mHFRS for 1623 (53.4%) patients, of whom, 37.5% were low risk, 40.5% intermediate risk and 22.1% high frailty risk. mHFRS showed significant correlation with CFS (p<0.001) and HFRS (p<0.001), respectively and achieved comparable association with clinical outcomes.Conclusion: mHFRS was better at identifying non-frail patients and provides a novel, standardised and comparable frailty risk stratification tool for screening older hospitalised patients.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"9 4","pages":"235-248"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Youth Migration in Low-income Countries: Who is Going to Provide Care for the Frail Older Adults? 低收入国家的青年移民：谁来照顾体弱多病的老年人？

Journal of frailty, sarcopenia and falls Pub Date : 2024-12-01 DOI: 10.22540/JFSF-09-232

Jagadish K Chhetri

引用次数: 0

Prognostic Impact of Each Item of the SARC-F Questionnaire in Patients Undergoing Major Surgery for Urologic Cancer. SARC-F 问卷各项目对泌尿系统癌症大手术患者预后的影响

Journal of frailty, sarcopenia and falls Pub Date : 2024-09-01 DOI: 10.22540/JFSF-09-201

Kohei Hirose, Shugo Yajima, Ryo Andy Ogasawara, Naoki Imasato, Sao Katsumura, Madoka Kataoka, Yasukazu Nakanishi, Hitoshi Masuda

{"title":"Prognostic Impact of Each Item of the SARC-F Questionnaire in Patients Undergoing Major Surgery for Urologic Cancer.","authors":"Kohei Hirose, Shugo Yajima, Ryo Andy Ogasawara, Naoki Imasato, Sao Katsumura, Madoka Kataoka, Yasukazu Nakanishi, Hitoshi Masuda","doi":"10.22540/JFSF-09-201","DOIUrl":"10.22540/JFSF-09-201","url":null,"abstract":"Objectives: We aimed to evaluate the association between scores on each item of the SARC-F questionnaire and life expectancy in patients undergoing major surgery for urologic cancer.Methods: This retrospective study included 1018 patients undergoing elective major urologic cancer surgery. All patients completed the SARC-F questionnaire preoperatively. Demographic and clinical data were collected. The primary endpoint was an association between SARC-F scores and overall survival (OS).Results: Of the 1018 patients, the median age was 72 years and 920 (90%) were male. Multivariate analysis revealed four factors significantly and independently associated with shorter OS: assistance with walking score ≥1 (Hazard ratio: HR=2.18, P=0.044), cancer stages ≥ III (HR=7.98, P<0.001), high blood loss ≥78 ml or blood transfusion during surgery (HR=4.53, P=0.007 and HR=2.41, P=0.037, respectively).Conclusions: This study found that among the items of the SARC-F questionnaire, assistance with walking was a strong predictor of life expectancy. Incorporating such a simple screening tool into the preoperative assessment would help to ensure more appropriate perioperative care for urologic cancer patients.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"9 3","pages":"201-206"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can EWGSOP2 and SDOC Definitions of Sarcopenia Identify Functional Muscle Quality? EWGSOP2 和 SDOC 对 "肌肉疏松症 "的定义能否识别功能性肌肉质量？

Journal of frailty, sarcopenia and falls Pub Date : 2024-09-01 DOI: 10.22540/JFSF-09-192

Patricia Parreira Batista, Monica Rodrigues Perracini, Daniele Sirineu Pereira, Juleimar Soares Coelho De Amorim, Leani Souza Máximo Pereira

{"title":"Can EWGSOP2 and SDOC Definitions of Sarcopenia Identify Functional Muscle Quality?","authors":"Patricia Parreira Batista, Monica Rodrigues Perracini, Daniele Sirineu Pereira, Juleimar Soares Coelho De Amorim, Leani Souza Máximo Pereira","doi":"10.22540/JFSF-09-192","DOIUrl":"10.22540/JFSF-09-192","url":null,"abstract":"Objectives: To compare the European Working Group on Sarcopenia in Older People (EWGSOP2) and the Sarcopenia Definition and Outcomes Consortium (SDOC) in identifying muscle quality indexes (MQI) and lower limb muscle performance in older women aged ≥ 65.Methods: Participants meeting EWGSOP2 and SDOC criteria were classified into the sarcopenia group (GS); others were placed in the non-sarcopenia group (GNS). Using an isokinetic dynamometer, we assessed peak torque (PT), maximal work (MW), and power (POW) of lower limbs. MQI was calculated as the ratio of muscle performance to appendicular lean mass, adjusted for body mass index (BMI) and lean tissue mass of the right lower limb (LTM).Results: We included 96 older women. In both SDOC (n=37) and EWGSOP2 (n=48) sarcopenia groups, muscle performance and BMI-adjusted MQI were significantly lower. Sarcopenia (SDOC) was significantly associated with all lower limb muscle performance and MQI variables [adjusted model by age and race: MQIPOW/LTM OR = 0.67 (95% CI 0.52; 0.85); MQIPT/LTM OR = 0.76 (95% CI 0.64; 0.89)].Conclusions: Older women diagnosed with sarcopenia by EWGSOP2 and SDOC criteria showed significant declines in muscle function and quality. The SDOC definition discriminated muscle contraction quality components in older individuals with and without sarcopenia.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"9 3","pages":"192-200"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Measurement and Reporting of Falls: Recommendations for Research on Falls Data Collection and Capturing Social Determinants of Health. 跌倒的测量和报告：关于跌倒数据收集和捕捉健康社会决定因素研究的建议》。

Journal of frailty, sarcopenia and falls Pub Date : 2024-09-01 DOI: 10.22540/JFSF-09-166

Deborah A Jehu, Dawn A Skelton

引用次数: 0