Conclusions This review shows that physical frailty indicators can predict ADL disability in community-dwelling elderly people .
Slow gait speed and low physical activity/exercise seem to be the most powerful predictors followed by weight loss , lower extremity function , balance , muscle strength , and other indicators .
Nevertheless , our study suggests that monitoring physical frailty indicators in community-dwelling elderly people might be useful to identify elderly people who could benefit from disability prevention programs
Background Disability in Activities of Daily Living ( ADL ) is an adverse outcome of frailty that places a burden on frail elderly people , care providers and the care system .
Knowing which physical frailty indicators predict ADL disability is useful in identifying elderly people who might benefit from an intervention that prevents disability or increases functioning in daily life .
The objective of this study was to systematic ally review the literature on the predictive value of physical frailty indicators on ADL disability in community-dwelling elderly people .
Predictors for functional decline among nondisabled older Japanese living in a community during a 3-year follow-up.
OBJECTIVES To examine predictors for functional decline in basic activities of daily living ( BADL ) as well as predictors for decline in instrumental activities of daily living ( IADL ) among nondisabled older Japanese people living in a community during a 3-year interval from 1992 to 1995 . DESIGN A prospect i ve cohort study . SETTING A community-based environment . PARTICIPANTS A total of 583 men and women aged 65 to 89 at baseline who were independent in both BADL and IADL . MEASUREMENTS Independent variables regarding various factors potentially associated with functional decline were obtained from an interview survey and medical examinations at baseline . Dependent variables were functional status in BADL and IADL obtained at the time of the 3-year follow-up . RESULTS During the 3-year follow-up , significant predictors for functional decline in BADL and only IADL decline included ( 1 ) age of > or = 75 , ( 2 ) less h and -grip strength , and ( 3 ) a history of hospitalization during the past 1 year . In addition , having poor intellectual activities and having poor social roles were identified as significant predictors for functional decline in only IADL during the 3-year follow-up . Furthermore , not having the habit of taking a walk was identified as a significant predictor of functional decline in BADL during the 3-year interval . CONCLUSION Having a high level h and -grip strength , good intellectual activities , and good social roles are strongly associated with remaining independence in IADL for the nondisabled Japanese persons aged > or = 65
Conclusions This review shows that physical frailty indicators can predict ADL disability in community-dwelling elderly people .
Slow gait speed and low physical activity/exercise seem to be the most powerful predictors followed by weight loss , lower extremity function , balance , muscle strength , and other indicators .
Nevertheless , our study suggests that monitoring physical frailty indicators in community-dwelling elderly people might be useful to identify elderly people who could benefit from disability prevention programs
Background Disability in Activities of Daily Living ( ADL ) is an adverse outcome of frailty that places a burden on frail elderly people , care providers and the care system .
Knowing which physical frailty indicators predict ADL disability is useful in identifying elderly people who might benefit from an intervention that prevents disability or increases functioning in daily life .
The objective of this study was to systematic ally review the literature on the predictive value of physical frailty indicators on ADL disability in community-dwelling elderly people .