Detecting Frailty in Primary Care: A Major Challenge for Primary Care Physicians

Journal of the American Medical Directors Association

Volumn 13, Issue 8, 2012, Pages 669-672

  Rougé Bugat, Marie Eve ^a,b   Cestac, Philippe ^b,c   Oustric, Stéphane ^a,b   Vellas, Bruno ^b,c   Nourhashemi, Fati ^b,c  

^a UNIVERSITÉ PAUL SABATIER   (France)

^b INSERM   (France)

^c TOULOUSE UNIVERSITY HOSPITAL   (France)

Author keywords

[No Author keywords available]

Indexed keywords

AGING; ALZHEIMER DISEASE; CARDIOVASCULAR DISEASE; CLINICAL PRACTICE; COMORBIDITY; COXITIS; DISABILITY; EDITORIAL; ELDERLY CARE; EXHAUSTION; FALLING; FRAIL ELDERLY; FRAILTY; GENERAL PRACTITIONER; GERIATRIC DISORDER; GRIP STRENGTH; HAND GRIP; HEALTH PROMOTION; HOSPITALIZATION; HUMAN; KNEE ARTHRITIS; LIFE EXPECTANCY; MORBIDITY; MUSCLE WEAKNESS; OUTCOME ASSESSMENT; PREVENTIVE MEDICINE; PRIMARY MEDICAL CARE; QUALITY OF LIFE; QUESTIONNAIRE; VISUAL IMPAIRMENT; WEAKNESS; WEIGHT REDUCTION;

EID: 84866772252     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2012.07.015     Document Type: Editorial

References (60)

1. European Forum for Primary Care. Available at: Accessed July 9, 2012. http://www.euprimarycare.org.
2. Gobbens R.J., Luijkx K.G., Wijnen-Sponselee M.T., Schols J.M. In search of an integral conceptual definition of frailty: Opinions of experts. J Am Med Dir Assoc 2010, 11:338-343.
3. Walston J., Hadley E.C., Ferrucci L., et al. Research agenda for frailty in older adults: Toward a better understanding of physiology and etiology: Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc 2006, 54:991-1001.
4. Mitnitski A., Fallah N., Rockwood M.R., Rockwood K. Transitions in cognitive status in relation to frailty in older adults: A comparison of three frailty measures. J Nutr Health Aging 2011, 15:863-867.
5. Jacobs J.M., Cohen A., Ein-Mor E., et al. Frailty, cognitive impairment and mortality among the oldest old. J Nutr Health Aging 2011, 15:678-682.
6. Auyeung T.W., Lee J.S., Kwok T., Woo J. Physical frailty predicts future cognitive decline-a four-year prospective study in 2737 cognitively normal older adults. J Nutr Health Aging 2011, 15:690-694.
7. Abellan van Kan G., Rolland Y., Bergman H., et al. The I.A.N.A Task Force on frailty assessment of older people in clinical practice. J Nutr Health Aging 2008, 12:29-37.
8. Bonnefoy M., Boutitie F., Mercier C., et al. Efficacy of a home-based intervention programme on the physical activity level. J Nutr Health Aging 2012, 16:370-377.
9. Yamada M., Arai H., Sonoda T., Aoyama T. Community-based exercise program is cost-effective by preventing care and disability in Japanese frail older adults. J Am Med Dir Assoc 2012, 8:8.
10. Cesari M., Leeuwenburgh C., Lauretani F., et al. Frailty syndrome and skeletal muscle: results from the Invecchiare in Chianti study. Am J Clin Nutr 2006, 83:1142-1148.
11. Bandeen-Roche K., Xue Q.L., Ferrucci L., et al. Phenotype of frailty: Characterization in the women's health and aging studies. J Gerontol A Biol Sci Med Sci 2006, 61:262-266.
12. Santos-Eggimann B., Cuenoud P., Spagnoli J., Junod J. Prevalence of frailty in middle-aged and older community-dwelling Europeans. J Gerontol A Biol Sci Med Sci 2009, 64:675-681.
13. Fried L.P., Tangen C.M., Walston J., et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001, 56:M146-M156.
14. Boeckxstaens P., De Graaf P. Primary care and care for older persons: Position paper of the European Forum for Primary Care. Qual Prim Care 2011, 19:369-389.
15. Beswick A.D., Rees K., Dieppe P., et al. Complex interventions to improve physical function and maintain independent. Lancet 2008, 371:725-735.
16. Daniels R., van Rossum E., de Witte L., et al. Interventions to prevent disability in frail community-dwelling elderly: A systematic review. BMC Health Serv Res 2008, 8:278.
17. Singh N.A., Quine S., Clemson L.M., et al. Effects of high-intensity progressive resistance training and targeted multidisciplinary treatment of frailty on mortality and nursing home admissions after hip fracture: A randomized controlled trial. J Am Med Dir Assoc 2011, 13:24-30.
18. De Lepeleire J., Iliffe S., Mann E., Degryse J.M. Frailty: An emerging concept for general practice. Br J Gen Pract 2009, 59:e177-e182.
19. de Vries N.M., Staal J.B., van Ravensberg C.D., et al. Outcome instruments to measure frailty: A systematic review. Ageing Res Rev 2010, 10:104-114.
20. Barreto P.D.S., Greig C., Ferrandez A.M. Detecting and categorizing frailty status in older adults using a self-report. Arch Gerontol Geriatr 2012, 54:1.
21. Gobbens R.J., van Assen M.A., Luijkx K.G., et al. Determinants of frailty. J Am Med Dir Assoc 2010, 11:356-364.
22. Ravaglia G., Forti P., Lucicesare A., et al. Development of an easy prognostic score for frailty outcomes in the aged. Age Ageing 2008, 37:161-166.
23. Tinetti M.E. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986, 34:119-126.
24. Rolfson D.B., Majumdar S.R., Tsuyuki R.T., et al. Validity and reliability of the Edmonton Frail Scale. Age Ageing 2006, 35:526-529.
25. Steverink N., Slaets J.P.J., Schuurmans H. Measuring frailty; development and testing of the Groningen Frailty Indicator (GFI). Gerontologist 2001, 41:236-237.
26. Schuurmans H., Steverink N., Lindenberg S., et al. Old or frail: What tells us more?. J Gerontol A Biol Sci Med Sci 2004, 59(9):M962-M965.
27. Metzelthin S.F., Daniels R., van Rossum E., et al. The psychometric properties of three self-report screening instruments for identifying frail older people in the community. BMC Public Health 2010, 10:176.
28. De Lepeleire J., Ylieff M., Stessens J. The validity of the Frail instrument in general practice. Arch Public Health 2004, 62:185-196.
29. Romero-Ortuno R., Walsh C.D., Lawlor B.A., Kenny R.A. A frailty instrument for primary care: Findings from the Survey of Health, Ageing and Retirement in Europe (SHARE). BMC Geriatr 2010, 10:57.
30. SHARE Frailty Instrument. Calculators. Available at: Accessed June 8, 2012. https://sites.google.com/a/tcd.ie/share-frailty-instrument-calculators/home.
31. Romero-Ortuno R., O'Shea D., Kenny R.A. The SHARE frailty instrument for primary care predicts incident disability in a European population-based sample. Qual Prim Care 2011, 19:301-309.
32. Abellan van Kan G., Rolland Y., Houles M., et al. The assessment of frailty in older adults. Clin Geriatr Med 2010, 26:275-286.
33. Ensrud K.E., Ewing S.K., Taylor B.C., et al. Frailty and risk of falls, fracture, and mortality in older women: The study of osteoporotic fractures. J Gerontol A Biol Sci Med Sci 2007, 62:744-751.
34. Ensrud K.E., Ewing S.K., Taylor B.C., et al. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Arch Intern Med 2008, 168:382-389.
35. Ensrud K.E., Ewing S.K., Cawthon P.M., et al. A comparison of frailty indexes for the prediction of falls, disability, fractures, and mortality in older men. J Am Geriatr Soc 2009, 57:492-498.
36. Morley J., Malmstrom T.K., Miller D.K. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging 2012, 16:601-608.
37. Vellas B., Cesta P., Sourdet S., Morley J. Implementing frailty into clinical practice: We cannot wait!. J Nutr Health Aging 2012, 16:599-600.
38. Subra J, Gillette-Guyonnet S, Cesari M, et al. Integration of frailty into the clinical practice: Preliminary results from the Gerontopole of Toulouse, France. J Nutr Health Aging, in press.
39. Mitnitski A., Fallah N., Rockwood M.R., Rockwood K. Transitions in cognitive status in relation to frailty in older adults: A comparison of three frailty measures. J Nutr Health Aging 2011, 15:863-867.
40. Lee J.S., Auyeung T.W., Leung J., et al. Physical frailty in older adults is associated with metabolic and atherosclerotic risk factors and cognitive impairment independent of muscle mass. J Nutr Health Aging 2011, 15:857-862.
41. Watfa G., Husson N., Buatois S., et al. Study of Mini-Mental State Exam evolution in community-dwelling subjects aged over 60 years without dementia. J Nutr Health Aging 2011, 15:901-904.
42. Mulero J., Zafrilla P., Martinez-Cacha A. Oxidative stress, frailty and cognitive decline. J Nutr Health Aging 2011, 15:756-760.
43. Chau P.H., Woo J., Lee C.H., et al. Older people with diabetes have higher risk of depression, cognitive and functional impairments: Implications for diabetes services. J Nutr Health Aging 2011, 15:751-755.
44. Panza F., Solfrizzi V., Frisardi V., et al. Different models of frailty in predementia and dementia syndromes. J Nutr Health Aging 2011, 15:711-719.
45. Wirth R., Smoliner C., Sieber C.C., Volkert D. Cognitive function is associated with body composition and nutritional risk of geriatric patients. J Nutr Health Aging 2011, 15:706-710.
46. Auyeung T.W., Lee J.S., Kwok T., Woo J. Physical frailty predicts future cognitive decline-a four-year prospective study in 2737 cognitively normal older adults. J Nutr Health Aging 2011, 15:690-694.
47. Ávila-Funes J.A., Pina-Escudero S.D., Aguilar-Navarro S., et al. Cognitive impairment and low physical activity are the components of frailty more strongly associated with disability. J Nutr Health Aging 2011, 15:683-689.
48. Jacobs J.M., Cohen A., Ein-Mor E., et al. Frailty, cognitive impairment and mortality among the oldest old. J Nutr Health Aging 2011, 15:678-682.
49. Gopinath B., Flood V.M., McMahon C.M., et al. Dietary antioxidant intake is associated with the prevalence but not incidence of age-related hearing loss. J Nutr Health Aging 2011, 15:896-900.
50. Bobeuf F., Labonte M., Dionne I.J., Khalil A. Combined effect of antioxidant supplementation and resistance training on oxidative stress markers, muscle and body composition in an elderly population. J Nutr Health Aging 2011, 15:883-889.
51. Racine E., Troyer J.L., Warren-Findlow J., McAuley W.J. The effect of medical nutrition therapy on changes in dietary knowledge and DASH diet adherence in older adults with cardiovascular disease. J Nutr Health Aging 2011, 15:868-876.
52. Kim J., Lee Y. Frequency of dairy consumption and functional disability in older persons. J Nutr Health Aging 2011, 15:795-800.
53. Kamphuis P.J., Verhey F.R., Olde Rikkert M.G., et al. Efficacy of a medical food on cognition in Alzheimer's disease: Results from secondary analyses of a randomized, controlled trial. J Nutr Health Aging 2011, 15:720-724.
54. Inzitari M., Doets E., Bartali B., et al. Nutrition in the age-related disablement process. J Nutr Health Aging 2011, 15:599-604. International Association of Gerontology and Geriatrics (IAGG) Task Force for Nutrition in the Elderly.
55. Daniel K. Wii-hab for pre-frail older adults. Rehabil Nurs 2012, 37:195-201.
56. Painter P., Kuskowski M. A closer look at frailty in ESRD: Getting the measure right. Hemodial Int 2012, 10.1111/j.1542-4758.2012.00719.x.
57. Van Roie E., Bautmans I., Boonen S., et al. Impact of external resistance and maximal effort on force-velocity characteristics of the knee extensors during strengthening exercise: A randomized controlled experiment. J Strength Cond Res 2012, [Epub ahead of print].
58. Bonnefoy M., Boutitie F., Mercier C., et al. Efficacy of a home-based intervention programme on the physical activity level and functional ability of older people using domestic services: a randomised study. J Nutr Health Aging 2012, 16:370-377.
59. Chou C.H., Hwang C.L., Wu Y.T. Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: A meta-analysis. Arch Phys Med Rehabil 2012, 93:237-244.
60. Subra J., Rougé-Bugat M.E., Balardy L., et al. Gait speed: A new vital sign for older persons in primary care. The Journal of Frailty Aging 2012, 1:8-9.