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 .
Risk factors for disability subtypes in older persons.
OBJECTIVES To identify risk factors for five different subtypes of disability . DESIGN Prospect i ve cohort study . SETTING Greater New Haven , Connecticut . PARTICIPANTS Seven hundred fifty-four community-living residents aged 70 and older and initially nondisabled in four essential activities of daily living ( bathing , dressing , walking , and transferring ) . MEASUREMENTS C and i date risk factors were measured every 18 months for 90 months during comprehensive home-based assessment s. Disability was assessed during monthly telephone interviews for up to 108 months . In participants who were nondisabled at the start of an 18-month interval , incident episodes of five different disability subtypes were determined during the subsequent 18 months : transient , short-term , long-term , recurrent , and unstable . RESULTS The cumulative incidence rates per 100 person-intervals were 9.8 ( 95 % confidence interval (CI)=8.9 - 10.6 ) for transient disability , 3.8 ( 95 % CI=3.3 - 4.3 ) for short-term disability , 7.1 ( 95 % CI=6.4 - 7.8 ) for long-term disability , 4.7 ( 95 % CI=4.1 - 5.3 ) for recurrent disability , and 4.4 ( 95 % CI=3.9 - 5.0 ) for unstable disability . In a multivariate analysis , the Short Physical Performance Battery ( SPPB ) was associated with each of the five disability subtypes , with adjusted hazard ratios ranging from 1.10 for transient disability to 1.35 for long-term disability . The only other factors associated with short-term , long-term , and recurrent disability were stroke , visual impairment , and poor grip strength , respectively . Transient disability and unstable disability shared the same set of risk factors-depressive symptoms , stroke , and poor grip strength-in addition to the SPPB . CONCLUSION These results provide mixed evidence to support the distinct nature of the five disability subtypes
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 .