Using the Short Physical Performance Battery to screen for frailty in young-old adults with distinct socioeconomic conditions

Aim:  To analyze the Short Physical Performance Battery's (SPPB) ability in screening for frailty in community‐dwelling young elderly from cities with distinct socioeconomic conditions. Methods:  Elderly (65–74 years‐of‐age) from Canada (Saint Bruno; n = 60) and Brazil (Santa Cruz; n = 64) were...

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Veröffentlicht in:Geriatrics & gerontology international 2013-04, Vol.13 (2), p.421-428
Hauptverfasser: da Câmara, Saionara Maria Aires, Alvarado, Beatriz Eugenia, Guralnik, Jack M, Guerra, Ricardo Oliveira, Maciel, Álvaro Campos Cavalcanti
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container_issue 2
container_start_page 421
container_title Geriatrics & gerontology international
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creator da Câmara, Saionara Maria Aires
Alvarado, Beatriz Eugenia
Guralnik, Jack M
Guerra, Ricardo Oliveira
Maciel, Álvaro Campos Cavalcanti
description Aim:  To analyze the Short Physical Performance Battery's (SPPB) ability in screening for frailty in community‐dwelling young elderly from cities with distinct socioeconomic conditions. Methods:  Elderly (65–74 years‐of‐age) from Canada (Saint Bruno; n = 60) and Brazil (Santa Cruz; n = 64) were evaluated with the SPPB to assess physical performance. Frailty was defined as the presence of ≥3 of the following criteria: weight loss, exhaustion, weakness, mobility limitation and low physical activity. Linear regression and receiver operating characteristics analyses were carried out. Results:  The SPPB correlated with frailty (R2 = 0.33), with better results for Saint Bruno. A cut‐off of 9 in the SPPB had good sensitivity (92%) and specificity (80%) in discriminating frail from non‐frail in Saint Bruno (area under the curve [AUC] = 0.81), but showed fair results in Santa Cruz (AUC = 0.61, sensitivity = 81% and specificity = 52%). Conclusions:  The SPPB better discriminated frailty in elderly with higher socioeconomic conditions (Saint Bruno). Geriatr Gerontol Int 2013; 13: 421–428.
doi_str_mv 10.1111/j.1447-0594.2012.00920.x
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Methods:  Elderly (65–74 years‐of‐age) from Canada (Saint Bruno; n = 60) and Brazil (Santa Cruz; n = 64) were evaluated with the SPPB to assess physical performance. Frailty was defined as the presence of ≥3 of the following criteria: weight loss, exhaustion, weakness, mobility limitation and low physical activity. Linear regression and receiver operating characteristics analyses were carried out. Results:  The SPPB correlated with frailty (R2 = 0.33), with better results for Saint Bruno. A cut‐off of 9 in the SPPB had good sensitivity (92%) and specificity (80%) in discriminating frail from non‐frail in Saint Bruno (area under the curve [AUC] = 0.81), but showed fair results in Santa Cruz (AUC = 0.61, sensitivity = 81% and specificity = 52%). Conclusions:  The SPPB better discriminated frailty in elderly with higher socioeconomic conditions (Saint Bruno). Geriatr Gerontol Int 2013; 13: 421–428.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/j.1447-0594.2012.00920.x</identifier><identifier>PMID: 22882512</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Aged ; aging ; Brazil ; Chronic Disease ; Cross-Sectional Studies ; Depression - classification ; disability ; Educational Status ; Fatigue - classification ; Female ; Frail Elderly ; Frailty ; Gait - physiology ; Geriatric Assessment - methods ; Health Status Indicators ; Humans ; Income ; Independent Living ; Male ; Mass Screening - methods ; Medical screening ; Mobility Limitation ; Motor Activity ; Muscle Weakness - classification ; Older people ; Postural Balance - physiology ; Poverty ; Psychomotor Performance - physiology ; Quebec ; ROC Curve ; Sensitivity and Specificity ; Social Class ; Socioeconomic factors ; Weight Loss - physiology</subject><ispartof>Geriatrics &amp; gerontology international, 2013-04, Vol.13 (2), p.421-428</ispartof><rights>2012 Japan Geriatrics Society</rights><rights>2012 Japan Geriatrics Society.</rights><rights>Copyright © 2013 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4580-539c8be8bb719331b8f648adfcfa2a4125dd748cfdbda237ccc726ab6b1dc8b33</citedby><cites>FETCH-LOGICAL-c4580-539c8be8bb719331b8f648adfcfa2a4125dd748cfdbda237ccc726ab6b1dc8b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0594.2012.00920.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0594.2012.00920.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22882512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>da Câmara, Saionara Maria Aires</creatorcontrib><creatorcontrib>Alvarado, Beatriz Eugenia</creatorcontrib><creatorcontrib>Guralnik, Jack M</creatorcontrib><creatorcontrib>Guerra, Ricardo Oliveira</creatorcontrib><creatorcontrib>Maciel, Álvaro Campos Cavalcanti</creatorcontrib><title>Using the Short Physical Performance Battery to screen for frailty in young-old adults with distinct socioeconomic conditions</title><title>Geriatrics &amp; gerontology international</title><addtitle>Geriatr Gerontol Int</addtitle><description>Aim:  To analyze the Short Physical Performance Battery's (SPPB) ability in screening for frailty in community‐dwelling young elderly from cities with distinct socioeconomic conditions. Methods:  Elderly (65–74 years‐of‐age) from Canada (Saint Bruno; n = 60) and Brazil (Santa Cruz; n = 64) were evaluated with the SPPB to assess physical performance. Frailty was defined as the presence of ≥3 of the following criteria: weight loss, exhaustion, weakness, mobility limitation and low physical activity. Linear regression and receiver operating characteristics analyses were carried out. Results:  The SPPB correlated with frailty (R2 = 0.33), with better results for Saint Bruno. A cut‐off of 9 in the SPPB had good sensitivity (92%) and specificity (80%) in discriminating frail from non‐frail in Saint Bruno (area under the curve [AUC] = 0.81), but showed fair results in Santa Cruz (AUC = 0.61, sensitivity = 81% and specificity = 52%). Conclusions:  The SPPB better discriminated frailty in elderly with higher socioeconomic conditions (Saint Bruno). Geriatr Gerontol Int 2013; 13: 421–428.</description><subject>Aged</subject><subject>aging</subject><subject>Brazil</subject><subject>Chronic Disease</subject><subject>Cross-Sectional Studies</subject><subject>Depression - classification</subject><subject>disability</subject><subject>Educational Status</subject><subject>Fatigue - classification</subject><subject>Female</subject><subject>Frail Elderly</subject><subject>Frailty</subject><subject>Gait - physiology</subject><subject>Geriatric Assessment - methods</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Income</subject><subject>Independent Living</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Medical screening</subject><subject>Mobility Limitation</subject><subject>Motor Activity</subject><subject>Muscle Weakness - classification</subject><subject>Older people</subject><subject>Postural Balance - physiology</subject><subject>Poverty</subject><subject>Psychomotor Performance - physiology</subject><subject>Quebec</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Social Class</subject><subject>Socioeconomic factors</subject><subject>Weight Loss - physiology</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1O3DAURqOqVaHQV6gsddNNgv-SOFI3ZVQCEipILaI7y7EdxtPEBtsRk0XfvQ4Ds-gKb-6V7vmuLZ8sAwgWKJ2TTYEorXNYNrTAEOECwgbDYvsmO9wP3j71NEclqw6yDyFsIER1g9D77ABjxnCJ8GH29yYYewfiWoOfa-cjuF7PwUgxgGvte-dHYaUGpyJG7WcQHQjSa21BGoHeCzPEGRgLZjfZu9wNCgg1DTGARxPXQJkQjZURBCeN09JZNxoJUlUmGmfDcfauF0PQH5_rUXZz9v3X6jy_vGovVt8uc0lLBvOSNJJ1mnVdjRpCUMf6ijKhetkLLCjCpVI1ZbJXnRKY1FLKGleiqzqkUpCQo-zLbu-9dw-TDpGPJkg9DMJqNwWOCKaEVQThhH7-D924ydv0uoXCuKGUlYliO0p6F4LXPb_3ZhR-5gjyRRHf8MUEX0zwRRF_UsS3Kfrp-YKpG7XaB1-cJODrDng0g55fvZi37UVqUjzfxdPn6-0-LvwfXtWkLvntj5az37g9X51W_Iz8A1hNsK4</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>da Câmara, Saionara Maria Aires</creator><creator>Alvarado, Beatriz Eugenia</creator><creator>Guralnik, Jack M</creator><creator>Guerra, Ricardo Oliveira</creator><creator>Maciel, Álvaro Campos Cavalcanti</creator><general>Blackwell Publishing Asia</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Using the Short Physical Performance Battery to screen for frailty in young-old adults with distinct socioeconomic conditions</title><author>da Câmara, Saionara Maria Aires ; Alvarado, Beatriz Eugenia ; Guralnik, Jack M ; Guerra, Ricardo Oliveira ; Maciel, Álvaro Campos Cavalcanti</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4580-539c8be8bb719331b8f648adfcfa2a4125dd748cfdbda237ccc726ab6b1dc8b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>aging</topic><topic>Brazil</topic><topic>Chronic Disease</topic><topic>Cross-Sectional Studies</topic><topic>Depression - classification</topic><topic>disability</topic><topic>Educational Status</topic><topic>Fatigue - classification</topic><topic>Female</topic><topic>Frail Elderly</topic><topic>Frailty</topic><topic>Gait - physiology</topic><topic>Geriatric Assessment - methods</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Income</topic><topic>Independent Living</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Medical screening</topic><topic>Mobility Limitation</topic><topic>Motor Activity</topic><topic>Muscle Weakness - classification</topic><topic>Older people</topic><topic>Postural Balance - physiology</topic><topic>Poverty</topic><topic>Psychomotor Performance - physiology</topic><topic>Quebec</topic><topic>ROC Curve</topic><topic>Sensitivity and Specificity</topic><topic>Social Class</topic><topic>Socioeconomic factors</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>da Câmara, Saionara Maria Aires</creatorcontrib><creatorcontrib>Alvarado, Beatriz Eugenia</creatorcontrib><creatorcontrib>Guralnik, Jack M</creatorcontrib><creatorcontrib>Guerra, Ricardo Oliveira</creatorcontrib><creatorcontrib>Maciel, Álvaro Campos Cavalcanti</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics &amp; gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>da Câmara, Saionara Maria Aires</au><au>Alvarado, Beatriz Eugenia</au><au>Guralnik, Jack M</au><au>Guerra, Ricardo Oliveira</au><au>Maciel, Álvaro Campos Cavalcanti</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using the Short Physical Performance Battery to screen for frailty in young-old adults with distinct socioeconomic conditions</atitle><jtitle>Geriatrics &amp; gerontology international</jtitle><addtitle>Geriatr Gerontol Int</addtitle><date>2013-04</date><risdate>2013</risdate><volume>13</volume><issue>2</issue><spage>421</spage><epage>428</epage><pages>421-428</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim:  To analyze the Short Physical Performance Battery's (SPPB) ability in screening for frailty in community‐dwelling young elderly from cities with distinct socioeconomic conditions. Methods:  Elderly (65–74 years‐of‐age) from Canada (Saint Bruno; n = 60) and Brazil (Santa Cruz; n = 64) were evaluated with the SPPB to assess physical performance. Frailty was defined as the presence of ≥3 of the following criteria: weight loss, exhaustion, weakness, mobility limitation and low physical activity. Linear regression and receiver operating characteristics analyses were carried out. Results:  The SPPB correlated with frailty (R2 = 0.33), with better results for Saint Bruno. A cut‐off of 9 in the SPPB had good sensitivity (92%) and specificity (80%) in discriminating frail from non‐frail in Saint Bruno (area under the curve [AUC] = 0.81), but showed fair results in Santa Cruz (AUC = 0.61, sensitivity = 81% and specificity = 52%). Conclusions:  The SPPB better discriminated frailty in elderly with higher socioeconomic conditions (Saint Bruno). Geriatr Gerontol Int 2013; 13: 421–428.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>22882512</pmid><doi>10.1111/j.1447-0594.2012.00920.x</doi><tpages>8</tpages></addata></record>
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subjects Aged
aging
Brazil
Chronic Disease
Cross-Sectional Studies
Depression - classification
disability
Educational Status
Fatigue - classification
Female
Frail Elderly
Frailty
Gait - physiology
Geriatric Assessment - methods
Health Status Indicators
Humans
Income
Independent Living
Male
Mass Screening - methods
Medical screening
Mobility Limitation
Motor Activity
Muscle Weakness - classification
Older people
Postural Balance - physiology
Poverty
Psychomotor Performance - physiology
Quebec
ROC Curve
Sensitivity and Specificity
Social Class
Socioeconomic factors
Weight Loss - physiology
title Using the Short Physical Performance Battery to screen for frailty in young-old adults with distinct socioeconomic conditions
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