https://scholars.lib.ntu.edu.tw/handle/123456789/624367
標題: | Pilot study on cutoff values of physical, psychological and social frailty indexes in Taiwan community-dwelling older people | 作者: | Zhong, Zi Ting DUAN-RUNG CHEN Chen, Tony Hsiu Hsi Yeh, Yen Po RAY-E CHANG Chen, Yin Cheng Chen, Peng Yu YA-MEI CHEN |
關鍵字: | Cutoff Values | Mstq: Modified Sof Tfi Qsfs Integrated Frailty Tool | Physical Frailty | Psychological Frailty | Social Frailty | 公開日期: | 1-十二月-2020 | 卷: | 39 | 期: | 6 | 來源出版物: | Taiwan Journal of Public Health | 摘要: | Objectives: Screening for frailty among older people to guard them against adverse health outcomes is a crucial task as the population ages. This study sought to find the most optimal cutoff values for physical (SOF-walking speed » SOF-handgrip), psychological (TFI, Tilburg Frailty Indicator), and social frailty indexes (QSFS, Questionnaire to define Social Frailty Status), and Modified SOF TFI QSFS Integrated Frailty Tool (MSTQ) in Taiwanese community-dwelling older people. Methods: The study used cross-sectional survey data in two secondary sets collected from two municipalities in Taipei, with 471 and 703 older adult participants, respectively. Spearman's rank correlation analysis was used to assess the association of three dimensions of frailty. Receiver operator characteristic curves were generated to determine the discriminant functions for these frailty indexes. Results: Modest associations were found between physical, psychological, and social frailty. The full integrated frailty indexes, which combined the three separate indexes, showed an improved discriminant function (cutoff values: Frail ≥4, pre-frail = 3) relative to the single index. The cutoff values suggested for Taiwanese older adults was as follows: Physical frailty (frail ≥2, pre-frail = 1), psychological frailty (frail ≥3, pre-frail = 2), and social frailty (frail ≥2, pre-frail = 1). Conclusions: Our findings supported the use of the full integrated frailty index and provided cutoff values to screen older community-dwelling people for frailty. The discriminate ability of the MSTQ was better to include SOF-handgrip comparing to include SOF walking speed as physical frailty. Researchers can select either one of the indexes as needed. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85100895637&doi=10.6288%2fTJPH.202012_39%286%29.109109&partnerID=40&md5=a269af6e0e18527c2c06f03b0c2d3b68 https://scholars.lib.ntu.edu.tw/handle/123456789/624367 |
ISSN: | 10232141 | DOI: | 10.6288/TJPH.202012_39(6).109109 |
顯示於: | 健康行為與社區科學研究所 |
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