@article{ref1,
title="Association between Functional Assessment Instruments and Frailty in Older Adults: The FRADEA Study",
journal="Journal of frailty and aging",
year="2012",
author="Abizanda, P. and Romero, L. and Sánchez-Jurado, P. M. and Atienzar-Núñez, P. and Esquinas-Requena, J. L. and García-Nogueras, I.",
volume="1",
number="4",
pages="162-168",
abstract="OBJECTIVES: To determine the association between functional assessment instruments and frailty. <br><br>DESIGN: Concurrent cohort study. SETTING: Albacete Health Area (Spain). PARTICIPANTS: 993 subjects aged ≥ 70 years, participating in the FRADEA Study. MEASUREMENTS: The following functional instruments were applied: Barthel index, Lawton index and Short Form-Late Life Function and Disability Instrument (SF-LLFDI) as disability questionnaires; Holden´s Functional Ambulation Classification (FAC) as ambulation scale, and seven performance tests: gait speed (m/s), Timed up and go (TUG) (sec), unipodal balance time (sec), 5-chair-sit-to-stand test (sec), Short Physical Performance Battery (SPPB), hand grip strength (kg) and elbow flexion strength (kg). Frailty was assessed by Fried´s criteria. The association between functional instruments and frailty was assessed, ROC curves were constructed and the area under the curves (AUC) calculated. The best cut-point was identified for each instrument and their sensitivity (S) and specificity (SP) are described. <br><br>RESULTS: 16.9% participants were frail. The AUC, best cut-point, S and SP for each instrument were respectively: Barthel (0.916; ≤ 85; 0.90, 0.82), Lawton (0.917; ≤ 3; 0.86, 0.93), SF-LLFDI (0.948; ≤ 90; 0.87, 0.91), FAC (0.885; ≤ 4; 0.81, 0.83), gait speed (0.938; ≤ 0.62; 0.90, 0.90), TUG (0.984; ≥ 17.8; 0.93, 0.98), unipodal balance time (0.753; ≤ 5; 0.73, 0.71), 5-chair-sit-to-stand test (0.880; ≥ 15; 0.78, 0.76), SPPB (0.956; ≤ 6; 0.88, 0.88), hand grip strength (0.807; ≤ 26; 0.75, 0.75) and elbow flexion strength (0.924; ≤ 15; 0.89, 0.87). <br><br>CONCLUSION: The best performance tests to identify frail subjects are the Timed Up and Go test, gait speed and the SPPB, and the best questionnaire is the SF-LLFDI.<p /> <p>Language: en</p>",
language="en",
issn="2260-1341",
doi="10.14283/jfa.2012.25",
url="http://dx.doi.org/10.14283/jfa.2012.25"
}