Smartphone Frailty Screening: Development of a Quantitative Early Detection Method for the Frailty Syndrome

Overview

Journal J Chin Med Assoc

Specialty General Medicine

Date 2020 Aug 11

PMID 32773591

Citations 4

Authors

Hung-Ju Chen

Po-Yin Chen

Chung-Lan Kao

Wen-Hsu Sung

Affiliations

Soon will be listed here.

Abstract

Background: Frailty syndrome in older population generates formidable social cost. The early detection of "prefrail" stage is essential so that interventions could be performed to prevent deterioration. The purpose of this study was to organize appropriate physical performance tests into a computerized early frailty screening platform, called frailty assessment tools (FAT) system, to detect individuals who are in the prefrail stage.

Methods: Four switches, one distance meter, and one power measure were adopted to build the FAT system that could perform six physical performance tests including single leg standing (SLS), repeated chair rise, timed up and go, self-selected walking speed, functional reach, and grip power. Participants over 65 years old were recruited and classified into three groups according to Fried criteria. The differences in variables between prefrail and robust groups were compared by the χ test, independent samples t test, and Mann-Whitney U test, for nominal variables, normal, and non-normal distributive continuous variables, respectively. The statistically significant level was set at 0.05 (α = 0.05).

Results: Only SLS did not reach significance to distinguish prefrail from robust. Among 35 participants (73.23 ± 5.70 years old), the FAT score predicted that 90.73 ± 19.95% of pre-frail subjects and 15.01 ± 25.25% of robust subjects were in the prefrail stage.

Conclusion: The FAT system, which provides results immediately, is an advantageous alternative to traditional manual measurements. The use of the FAT score for predicting the prefrail stage will help to provide early intervention to prevent individuals from progressing into frailty. The FAT system provides a more convenient and comprehensive frailty screening. Using this computerized automatic screening platform, it may be possible to expand the scope of frailty prevention.

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References

Sasaki H, Kasagi F, Yamada M, Fujita S . Grip strength predicts cause-specific mortality in middle-aged and elderly persons. Am J Med. 2007; 120(4):337-42. DOI: 10.1016/j.amjmed.2006.04.018. View

Ensrud K, Ewing S, Taylor B, Fink H, Stone K, Cauley J . Frailty and risk of falls, fracture, and mortality in older women: the study of osteoporotic fractures. J Gerontol A Biol Sci Med Sci. 2007; 62(7):744-51. DOI: 10.1093/gerona/62.7.744. View

Abellan van Kan G, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M . Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging. 2009; 13(10):881-9. DOI: 10.1007/s12603-009-0246-z. View

Al Snih S, Markides K, Ray L, Ostir G, Goodwin J . Handgrip strength and mortality in older Mexican Americans. J Am Geriatr Soc. 2002; 50(7):1250-6. DOI: 10.1046/j.1532-5415.2002.50312.x. View

Kage H, Okuda M, Nakamura I, Kunitsugu I, Sugiyama S, Hobara T . Measuring methods for functional reach test: comparison of 1-arm reach and 2-arm reach. Arch Phys Med Rehabil. 2009; 90(12):2103-7. DOI: 10.1016/j.apmr.2009.07.021. View

Hiroyuki S, Uchiyama Y, Kakurai S . Specific effects of balance and gait exercises on physical function among the frail elderly. Clin Rehabil. 2003; 17(5):472-9. DOI: 10.1191/0269215503cr638oa. View

Costarella M, Monteleone L, Steindler R, Zuccaro S . Decline of physical and cognitive conditions in the elderly measured through the functional reach test and the mini-mental state examination. Arch Gerontol Geriatr. 2009; 50(3):332-7. DOI: 10.1016/j.archger.2009.05.013. View

Ahmed N, Mandel R, Fain M . Frailty: an emerging geriatric syndrome. Am J Med. 2007; 120(9):748-53. DOI: 10.1016/j.amjmed.2006.10.018. View

Rantanen T, Masaki K, Foley D, Izmirlian G, White L, Guralnik J . Grip strength changes over 27 yr in Japanese-American men. J Appl Physiol (1985). 1998; 85(6):2047-53. DOI: 10.1152/jappl.1998.85.6.2047. View

10.

Bas Aslan U, Cavlak U, Yagci N, Akdag B . Balance performance, aging and falling: a comparative study based on a Turkish sample. Arch Gerontol Geriatr. 2007; 46(3):283-92. DOI: 10.1016/j.archger.2007.05.003. View

11.

Fishman M, Colby L, Sachs L, Nichols D . Comparison of upper-extremity balance tasks and force platform testing in persons with hemiparesis. Phys Ther. 1997; 77(10):1052-62. DOI: 10.1093/ptj/77.10.1052. View

12.

Buatois S, Miljkovic D, Manckoundia P, Gueguen R, Miget P, Vancon G . Five times sit to stand test is a predictor of recurrent falls in healthy community-living subjects aged 65 and older. J Am Geriatr Soc. 2008; 56(8):1575-7. DOI: 10.1111/j.1532-5415.2008.01777.x. View

13.

Toulotte C, Fabre C, Dangremont B, Lensel G, Thevenon A . Effects of physical training on the physical capacity of frail, demented patients with a history of falling: a randomised controlled trial. Age Ageing. 2003; 32(1):67-73. DOI: 10.1093/ageing/32.1.67. View

14.

Wee J, Wong H, Palepu A . Validation of the Berg Balance Scale as a predictor of length of stay and discharge destination in stroke rehabilitation. Arch Phys Med Rehabil. 2003; 84(5):731-5. DOI: 10.1016/s0003-9993(02)04940-7. View

15.

Lally F, Crome P . Understanding frailty. Postgrad Med J. 2007; 83(975):16-20. PMC: 2599957. DOI: 10.1136/pgmj.2006.048587. View

16.

Behrman A, Light K, Flynn S, Thigpen M . Is the functional reach test useful for identifying falls risk among individuals with Parkinson's disease?. Arch Phys Med Rehabil. 2002; 83(4):538-42. DOI: 10.1053/apmr.2002.30934. View

17.

Isles R, Low Choy N, Steer M, Nitz J . Normal values of balance tests in women aged 20-80. J Am Geriatr Soc. 2004; 52(8):1367-72. DOI: 10.1111/j.1532-5415.2004.52370.x. View

18.

Meretta B, Whitney S, Marchetti G, Sparto P, Muirhead R . The five times sit to stand test: responsiveness to change and concurrent validity in adults undergoing vestibular rehabilitation. J Vestib Res. 2007; 16(4-5):233-43. View

19.

Chen H, Lin C, Yu L . Normative physical fitness scores for community-dwelling older adults. J Nurs Res. 2009; 17(1):30-41. DOI: 10.1097/JNR.0b013e3181999d4c. View

20.

Rantanen T, Volpato S, Ferrucci L, Heikkinen E, Fried L, Guralnik J . Handgrip strength and cause-specific and total mortality in older disabled women: exploring the mechanism. J Am Geriatr Soc. 2003; 51(5):636-41. DOI: 10.1034/j.1600-0579.2003.00207.x. View