Journal of frailty, sarcopenia and falls最新文献_第8页

Interventions and measurement instruments used for falls efficacy in community-dwelling older adults: A systematic review. 干预措施和测量工具用于社区居住的老年人跌倒疗效:系统回顾。

Journal of frailty, sarcopenia and falls Pub Date : 2022-09-01 DOI: 10.22540/JFSF-07-151

Shawn Leng-Hsien Soh, Judith Lane, Ashleigh Yoke-Hwee Lim, Mariana Shariq Mujtaba, Chee-Wee Tan

{"title":"Interventions and measurement instruments used for falls efficacy in community-dwelling older adults: A systematic review.","authors":"Shawn Leng-Hsien Soh, Judith Lane, Ashleigh Yoke-Hwee Lim, Mariana Shariq Mujtaba, Chee-Wee Tan","doi":"10.22540/JFSF-07-151","DOIUrl":"https://doi.org/10.22540/JFSF-07-151","url":null,"abstract":"Falls efficacy has been defined as perceived self-belief in the prevention and management of falls. In the case of community-dwelling older adults, it is essential that interventions should address the different aspects of falls efficacy in terms of balance confidence, balance recovery confidence, safe landing confidence and post-fall recovery confidence to improve their agency to deal with falls. This review aims to provide the current landscape of falls efficacy interventions and measurement instruments. A literature search of five electronic databases was conducted to extract relevant trials from January 2010 to September 2021, and the CASP tool for critical appraisal was applied to assess the quality and applicability of the studies. Eligibility criteria included randomised controlled trials evaluating falls efficacy as a primary or secondary outcome for community-dwelling older adults. A total of 302 full texts were reviewed, with 47 selected for inclusion involving 7,259 participants across 14 countries. A total of 63 interventions were identified, using exercise and other components to target different aspects of falls efficacy. The novel contribution of this article is to highlight that those interventions were applied to address the different fall-related self-efficacies across pre-fall, near-fall, fall landing and completed fall stages. Appropriate measurement instruments need to be used to support empirical evidence of clinical effectiveness.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"151-164"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/60/JFSF-7-151.PMC9433947.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40365452","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: 3

The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain. 老年慢性腰痛患者椎旁腰椎放射学测量与骨骼肌减少症临床测量的关系。

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-052

Denys Gibbons, Jake M McDonnell, Daniel P Ahern, Gráinne Cunniffe, Rose-Anne Kenny, Roman Romero-Ortuno, Joseph S Butler

{"title":"The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain.","authors":"Denys Gibbons, Jake M McDonnell, Daniel P Ahern, Gráinne Cunniffe, Rose-Anne Kenny, Roman Romero-Ortuno, Joseph S Butler","doi":"10.22540/JFSF-07-052","DOIUrl":"https://doi.org/10.22540/JFSF-07-052","url":null,"abstract":"Objectives: Sarcopenia is postulated to be an influential factor in chronic low back pain. The aim of this study is to evaluate the relationship between traditional clinical measures of sarcopenia and novel radiographic methods which evaluate overall muscle status, such as adjusted psoas cross-sectional area (APCSA) and degree of fat infiltration (%FI) in paraspinal muscles, in patients with chronic low back pain.Methods: Prospective study performed at our institution from 01/01/19-01/04/19. Inclusion criteria were patients ≥65 years old not requiring surgical intervention presenting to a low back pain assessment clinic.Results: 25 patients were identified (mean age: 73 years, 62% male). On spearman's analyses, %FI shared a significant relationship with hand grip strength (r = -0.37; p=0.03), chair rise (r=0.38; p=0.03), SC (r=0.64; p<0.01), and visual analogue scale scores (r=-0.14; p=0.02). Comparably, a statistically significant correlation was evident between APCSA and %FI (r=-0.40; p=0.02) on analysis.Conclusion: The results of our study demonstrate a statistically significant relationship between APCSA and %FI in the multifidus and erector spinae muscles. Further significant associations of relatability were depicted with traditional clinical measures of sarcopenia. Thus, %FI may be a supplemental indicator of the sarcopenic status of patients presenting with chronic low back pain.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 2","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/fe/JFSF-7-052.PMC9175279.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10256531","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: 1

Assessment of frailty syndrome with coexisting hypertension and depression among older individuals, aged >80 years of age. 评估年龄大于 80 岁、同时患有高血压和抑郁症的老年人的虚弱综合征。

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-072

Anugna Avvari, Bana Manishaa Reddy, Enakshi Ganguly, Pawan Kumar Sharma

{"title":"Assessment of frailty syndrome with coexisting hypertension and depression among older individuals, aged >80 years of age.","authors":"Anugna Avvari, Bana Manishaa Reddy, Enakshi Ganguly, Pawan Kumar Sharma","doi":"10.22540/JFSF-07-072","DOIUrl":"10.22540/JFSF-07-072","url":null,"abstract":"Objectives: The objective was to determine odds of frailty syndrome with coexistence of hypertension and depression among oldest-old adults.Methods: We analysed secondary data from 167 community-dwelling hypertensive participants aged 80 years and older from a cross-sectional study of frailty conducted in India. Data included sociodemographic, medical history, physical performance, functional limitations, mobility-disability, cognition, depression, sleep, frailty syndrome and chronic diseases. Odds of frailty syndrome was compared among individuals having only hypertension, and individuals having hypertension and depression. Chi-square test, t-test and logistic regression were performed to determine odds of frailty.Results: Frailty was significantly higher (OR: 4.93;95% CI: 1.89-12.84) among individuals having hypertension and coexisting depression, compared to individuals having only hypertension. Men (OR: 5.07;95% CI: 1.02-25.17) and women (OR: 4.58;95% CI: 1.36-15.40) with hypertension and depression showed a higher risk of frailty, compared with hypertension alone. Logistic regression models were adjusted for age, sex, cognitive impairment, chronic obstructive pulmonary disease, cardiovascular diseases, anaemia, diabetes, obesity, physical performance, activities of daily living and 4-meter walking speed.Conclusion: Coexistence of hypertension and depression increased risk of frailty syndrome among men and women above 80 years of age by almost 5 folds. Treating depression in hypertensive older individuals may reduce the risk of frailty among them.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 2","pages":"72-80"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/26/JFSF-7-072.PMC9175282.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10256535","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

Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience. 急诊科临床虚弱量表评分:家庭第一经验。

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-095

Owen Thorpe, Elva McCabe, Elena Marie Herrero, William Ormiston Doyle, Aoife Dillon, Lucinda Edge, Sinéad Flynn, Anna Mullen, Aisling Davis, Aoife Molamphy, Anna Kirwan, Robert Briggs, Amanda H Lavan, Darragh Shields, Geraldine McMahon, Arthur Hennessy, Una Kennedy, Paul Staunton, Emer Kidney, Sarah-Jane Yeung, Deirdre Glynn, Frances Horgan, Conal Cunningham, Roman Romero-Ortuno

{"title":"Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience.","authors":"Owen Thorpe, Elva McCabe, Elena Marie Herrero, William Ormiston Doyle, Aoife Dillon, Lucinda Edge, Sinéad Flynn, Anna Mullen, Aisling Davis, Aoife Molamphy, Anna Kirwan, Robert Briggs, Amanda H Lavan, Darragh Shields, Geraldine McMahon, Arthur Hennessy, Una Kennedy, Paul Staunton, Emer Kidney, Sarah-Jane Yeung, Deirdre Glynn, Frances Horgan, Conal Cunningham, Roman Romero-Ortuno","doi":"10.22540/JFSF-07-095","DOIUrl":"https://doi.org/10.22540/JFSF-07-095","url":null,"abstract":"We evaluated predictors of the Clinical Frailty Scale (CFS) scored by an interdisciplinary team (Home FIRsT) performing comprehensive geriatric assessment (CGA) in our Emergency Department (ED). This was a retrospective observational study (service evaluation) utilising ED-based CGA data routinely collected by Home FIRsT between January and October 2020. A linear regression model was computed to establish independent predictors of CFS. This was complemented by a classification and regression tree (CRT) to evaluate the main predictors. There were 799 Home FIRsT episodes, of which 740 were unique patients. The CFS was scored on 658 (89%) (median 4, range 1-8; mean age 81 years, 61% women). Independent predictors of higher CFS were older age (p<0.001), history of dementia (p<0.001), mobility (p≤0.007), disability (p<0.001), and higher acuity of illness (p=0.009). Disability and mobility were the main classifiers in the CRT. Results suggest appropriate CFS scoring informed by functional baseline.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"95-100"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/0f/JFSF-7-095.PMC9175280.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40461856","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

Obituary Martin Runge (1949-2021) 马丁·龙格(1949-2021)

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/jfsf-07-101

R. Rawer, Jörn Rittweger, Yannis Dionyssiotis, E. Schönau

引用次数: 0

The prevalence of polypharmacy and fall-risk-increasing drugs after hospital discharge for hip fracture: A retrospective study. 髋部骨折患者出院后使用多种药物和增加跌倒风险的药物:一项回顾性研究

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-081

Christiana Zidrou, Angelo V Vasiliadis, Maria Tsatlidou, George Charitoudis, Anastasios Beletsiotis

{"title":"The prevalence of polypharmacy and fall-risk-increasing drugs after hospital discharge for hip fracture: A retrospective study.","authors":"Christiana Zidrou, Angelo V Vasiliadis, Maria Tsatlidou, George Charitoudis, Anastasios Beletsiotis","doi":"10.22540/JFSF-07-081","DOIUrl":"https://doi.org/10.22540/JFSF-07-081","url":null,"abstract":"Objectives: To evaluate the incidence of polypharmacy and the use of fall-risk-increasing drugs (FRIDs) in patients >65 years of age.Methods: 478 patients >65 years old, discharged from an Orthopaedic Department because of hip-fracture surgery, capable of walking before surgery, were included. The baseline characteristics of the patients and the total numbers of drugs and FRIDs were recorded from the electronic hospital registration system. Polypharmacy was defined as the average daily use of five or more drugs. The gender differences in drug prescriptions were calculated.Results: All the patients took medications except for eight (1.7%); 46% of the patients were taking <5 medications, while 386 (80.8%) were taking ≤3 FRIDs. The female patients were taking more drugs (5±2.7) and FRIDs (2.4±1.3) than the male ones (4.5±3 and 1.9±1.3) (both p<0.01). The average numbers of drugs and FRIDs prescribed at discharge were 4.9±2.8 and 2.3±1.3, respectively. The Barthel Index was higher for patients taking <5 drugs, while the length of hospital stay was greater for patients taking ≥5 medications. Increased age was associated with taking ≥5 medications (p<0.05).Conclusions: Polypharmacy and FRID use are prevalent among patients over 65 years old who have been hospitalized and surgically treated because of hip fractures.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 2","pages":"81-87"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/77/JFSF-7-081.PMC9175281.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10309201","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: 1

Balance Exercise Circuit for fall prevention in older adults: a randomized controlled crossover trial. 预防老年人跌倒的平衡练习回路：随机对照交叉试验。

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-060

Juliana N A Costa, Alexandre L A Ribeiro, Daniele B G Ribeiro, Silvia G R Neri, Daniel F Barbosa, Bruna P Avelar, Marisete P Safons

{"title":"Balance Exercise Circuit for fall prevention in older adults: a randomized controlled crossover trial.","authors":"Juliana N A Costa, Alexandre L A Ribeiro, Daniele B G Ribeiro, Silvia G R Neri, Daniel F Barbosa, Bruna P Avelar, Marisete P Safons","doi":"10.22540/JFSF-07-060","DOIUrl":"10.22540/JFSF-07-060","url":null,"abstract":"Objectives: This study aimed to assess the immediate and short-term effects of the Balance Exercise Circuit (BEC) on muscle strength, postural balance, and quality of life, with the aim of preventing falls in older adults.Methods: Twenty-two volunteers participated in this randomized controlled crossover study. Group A performed BEC training in the initial 3 months and received no intervention in the following 3 months. Group B received no intervention during the first 3 months and then participated in BEC training for the next 3 months. In addition, participants were followed for an additional 3 months. Muscle strength, postural balance, functional mobility, and quality of life were assessed, respectively, using an isokinetic dynamometer, force platform, TUG test, and the WHOQOL.Results: After 3 months of training, Group A presented improved balance and rate of force development (RFD), while Group B presented improvements in RFD, TUG performance, and WHOQOL physical and psychological domains. Regarding the short-term effects, the participants maintained the training effects in WHOQOL balance, RFD, and the social domain. In addition, the number of falls decreased during follow-up.Conclusion: The BEC intervention improved muscle strength, postural balance, and quality of life in older adults, in addition to reducing the risk of falls.Trial registration: Brazilian Registry of Clinical Trials (ReBEC) - RBR-5nvrwm.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"60-71"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/d0/JFSF-7-060.PMC9175283.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40461857","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

Nutritional management of individuals with SARS-CoV-2 infection during rehabilitation. SARS-CoV-2感染患者康复期间的营养管理

Journal of frailty, sarcopenia and falls Pub Date : 2022-06-01 DOI: 10.22540/JFSF-07-088

Amalia Tsagari, Grigoris Risvas, Jannis V Papathanasiou, Yannis Dionyssiotis

{"title":"Nutritional management of individuals with SARS-CoV-2 infection during rehabilitation.","authors":"Amalia Tsagari, Grigoris Risvas, Jannis V Papathanasiou, Yannis Dionyssiotis","doi":"10.22540/JFSF-07-088","DOIUrl":"https://doi.org/10.22540/JFSF-07-088","url":null,"abstract":"The combination of poor dietary intake and increased healthcare needs predisposes COVID-19 patients to malnutrition and sarcopenia. The scope of this narrative review is tο present epidemiology and etiology of malnutrition and sarcopenia in COVID-19 patients, their consequences as well as the content and delivery mode of optimum nutritional services for malnourished/sarcopenic COVID-19 patients in the rehabilitation setting. This narrative review also summarizes nutritional recommendations, consensus statements and treatment pathways developed by scientific societies for COVID-19 patients. COVID-19 patients are prone to malnutrition and sarcopenia due to inactivity, comorbidities, cytokine response, nutritional deficiencies, anosmia, loss of taste, anorexia and treatment with dexamethasone. Thus, all COVID-19 patients, including those who are overweight or obese, should be regularly screened for malnutrition and sarcopenia at admission to the rehabilitation setting, using a validated tool to identify those with (or at risk of) malnutrition. As a consequence of malnutrition and sarcopenia, COVID-19 patients demonstrate diminished immune potential, lower respiratory function, swallowing dysfunction, and low resilience to metabolic stress. COVID-19 patients have increased energy (27-30 kcal/day) and protein needs (1-1.5 g/kg body weight/day). Personalized nutritional education and counseling, food fortification with energy dense and/or protein rich whole foods or with powdered supplements and use of high protein, energy dense oral nutritional supplements are recommended.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":" ","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/95/JFSF-7-088.PMC9175278.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40461855","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: 2

Recommendations for physical activity in the elderly population: A scoping review of guidelines. 老年人体育活动的建议：指南的范围审查

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/JFSF-07-018

Christos Nikitas, Dimitris Kikidis, Athanasios Bibas, Marousa Pavlou, Zoi Zachou, Doris-Eva Bamiou

{"title":"Recommendations for physical activity in the elderly population: A scoping review of guidelines.","authors":"Christos Nikitas, Dimitris Kikidis, Athanasios Bibas, Marousa Pavlou, Zoi Zachou, Doris-Eva Bamiou","doi":"10.22540/JFSF-07-018","DOIUrl":"10.22540/JFSF-07-018","url":null,"abstract":"Physical inactivity and sedentary time are associated with all-cause mortality, chronic non-communicable diseases and falls in the elderly. Objective of this review is to assess and summarize recommendations from clinical guidelines for physical activity (PA) of older adults in general and related to falls. A scoping review of the existing clinical guidelines was conducted. The included studies should have been developed under the auspices of a health organization and their methodology should be described in detail. Nine clinical guidelines providing specific recommendations for the elderly were identified. There was a strong agreement across the guidelines regarding goals, activities parameters, adverse effects of PA, in addition to reference for preventing falls. Keeping even the minimum of physical activity, introducing balance exercises and strengthening exercises for preventing falls, avoiding unexpected accelerations in the intensity of the activities, applying the necessary precautions and consulting a health professional are the main pillars of recommendations. Despite any deficiencies in definitions, monitoring and optimal dosage consistency of recommendations, is an ideal incentive for countries and organizations to adopt and enhance physical activity as an antidote to the degeneration of human's health and quality of life.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"7 1","pages":"18-28"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45550946","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

Physical Resilience: A novel approach for healthy aging 身体弹性:健康老龄化的新方法

Journal of frailty, sarcopenia and falls Pub Date : 2022-03-01 DOI: 10.22540/JFSF-07-029

J. K. Chhetri, Lina Ma, P. Chan

引用次数: 2