Substitution of Fried's performance-based physical frailty criteria with self-report questions

Linda P.M. Op het Veld, Henrica C.W. de Vet, Erik van Rossum, Gertrudis I.J.M. Kempen, Sander M.J. van Kuijk, Anna J.H.M. Beurskens

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective To identify self-report questions that can substitute Fried's performance-based frailty measures for use in large-scale studies and daily practice. Methods A cross-sectional study was conducted among community dwelling older people (65 + ). Based on a literature search and interviews with older people and experts, 11 questions concerning walk time and 10 on handgrip strength were selected. All participants completed these sets of self-report questions as well as the original Fried criteria (including performance-based tests). Regression analyses were performed to find the questions that best substituted the performance-based tests. Results In total, 135 individuals (mean age 73.8 ± 7.0, 58.5% female) in different stages of frailty (non-frail 38.5%, pre-frail 40.7%, frail 20.7%) were included. Regression analyses revealed four questions for walk time and two for handgrip strength. Cut-off values of three for walk time (range 0–5) and one for handgrip strength (range 0–3) seem most optimal. This resulted in a sensitivity of 69.2%, 86.1% specificity and 79.4% agreement for walk time and a sensitivity of 73.2%, 71.3% specificity and 71.9% agreement for handgrip strength. The comparison of frailty stages using frailty criteria including the performance-based measures and scores based solely on self-report questions, resulted in an observed agreement of 71.1% (kappa value = 0.55). Conclusions Considering the agreement between the questions and the performance-based tests, these two sets of questions might be used in settings where the performance-based tests of walk time and handgrip strength are unfeasible, such as in daily practice and large-scale research.

Original languageEnglish
Pages (from-to)91-95
Number of pages5
JournalArchives of Gerontology and Geriatrics
Volume75
DOIs
Publication statusPublished - 1 Mar 2018

Cite this

Op het Veld, Linda P.M. ; de Vet, Henrica C.W. ; van Rossum, Erik ; Kempen, Gertrudis I.J.M. ; van Kuijk, Sander M.J. ; Beurskens, Anna J.H.M. / Substitution of Fried's performance-based physical frailty criteria with self-report questions. In: Archives of Gerontology and Geriatrics. 2018 ; Vol. 75. pp. 91-95.
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abstract = "Objective To identify self-report questions that can substitute Fried's performance-based frailty measures for use in large-scale studies and daily practice. Methods A cross-sectional study was conducted among community dwelling older people (65 + ). Based on a literature search and interviews with older people and experts, 11 questions concerning walk time and 10 on handgrip strength were selected. All participants completed these sets of self-report questions as well as the original Fried criteria (including performance-based tests). Regression analyses were performed to find the questions that best substituted the performance-based tests. Results In total, 135 individuals (mean age 73.8 ± 7.0, 58.5{\%} female) in different stages of frailty (non-frail 38.5{\%}, pre-frail 40.7{\%}, frail 20.7{\%}) were included. Regression analyses revealed four questions for walk time and two for handgrip strength. Cut-off values of three for walk time (range 0–5) and one for handgrip strength (range 0–3) seem most optimal. This resulted in a sensitivity of 69.2{\%}, 86.1{\%} specificity and 79.4{\%} agreement for walk time and a sensitivity of 73.2{\%}, 71.3{\%} specificity and 71.9{\%} agreement for handgrip strength. The comparison of frailty stages using frailty criteria including the performance-based measures and scores based solely on self-report questions, resulted in an observed agreement of 71.1{\%} (kappa value = 0.55). Conclusions Considering the agreement between the questions and the performance-based tests, these two sets of questions might be used in settings where the performance-based tests of walk time and handgrip strength are unfeasible, such as in daily practice and large-scale research.",
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Substitution of Fried's performance-based physical frailty criteria with self-report questions. / Op het Veld, Linda P.M.; de Vet, Henrica C.W.; van Rossum, Erik; Kempen, Gertrudis I.J.M.; van Kuijk, Sander M.J.; Beurskens, Anna J.H.M.

In: Archives of Gerontology and Geriatrics, Vol. 75, 01.03.2018, p. 91-95.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - de Vet, Henrica C.W.

AU - van Rossum, Erik

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AB - Objective To identify self-report questions that can substitute Fried's performance-based frailty measures for use in large-scale studies and daily practice. Methods A cross-sectional study was conducted among community dwelling older people (65 + ). Based on a literature search and interviews with older people and experts, 11 questions concerning walk time and 10 on handgrip strength were selected. All participants completed these sets of self-report questions as well as the original Fried criteria (including performance-based tests). Regression analyses were performed to find the questions that best substituted the performance-based tests. Results In total, 135 individuals (mean age 73.8 ± 7.0, 58.5% female) in different stages of frailty (non-frail 38.5%, pre-frail 40.7%, frail 20.7%) were included. Regression analyses revealed four questions for walk time and two for handgrip strength. Cut-off values of three for walk time (range 0–5) and one for handgrip strength (range 0–3) seem most optimal. This resulted in a sensitivity of 69.2%, 86.1% specificity and 79.4% agreement for walk time and a sensitivity of 73.2%, 71.3% specificity and 71.9% agreement for handgrip strength. The comparison of frailty stages using frailty criteria including the performance-based measures and scores based solely on self-report questions, resulted in an observed agreement of 71.1% (kappa value = 0.55). Conclusions Considering the agreement between the questions and the performance-based tests, these two sets of questions might be used in settings where the performance-based tests of walk time and handgrip strength are unfeasible, such as in daily practice and large-scale research.

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