#for_healthcare

Energetics of Aging and Frailty: The FRADEA Study

P. Abizanda, L. Romero, P.M. Sánchez-Jurado, et al.

J Gerontol A Biol Sci Med Sci. 2016;71(6):787-96

Resting metabolic rate (RMR) and total daily energy expenditure (TDEE) decrease with aging, but it is not known whether frailty modulates this association. Authors hypothesize that RMR and TDEE values are similar between younger and older nonfrail adults, whereas they are lower in older prefrail and frail compared with younger adults. This study shows that frailty status modulates the energy requirements of aging. Frail and prefrail older adults present lower eRMR than nonfrail adults.

Polish

Sarco-Osteoporosis: Prevalence and Association with Frailty in Chinese Community-Dwelling OlderAdults

Y.J. Wang, Y. Wang, J.K. Zhan, et al.

Int J Endocrinol. 2015;2015:482940

The study aimed to apply Asian Working Group for Sarcopenia (AWGS) proposed criteria to estimate the prevalence of sarco-osteoporosis and investigate its relationship with frailty, in a sample of 316 community-dwelling Chinese older people. The results indicate that patients with sarco-osteoporosis are more likely to be ≧ 80 years with higher burden of comorbidities and to have frailty/prefrailty, especially women.

Polish

Dairy Consumption and Risk of Frailty in Older Adults: A Prospective Cohort Study

A. Lana, F. Rodriguez-Artalejo and E. Lopez-Garcia

J Am Geriatr Soc. 2015;63(9):1852-60

Some studies have found positive effects of dairy consumption in older people, but the evidence base for this recommendation remains scarce. This study aimed to examining the association between consumption of dairy products and risk of frailty in community-dwelling older adults. Data obtained shown that higher consumption of low-fat milk and yogurt are associated with lower risk of frailty and, specifically, lower risk of slow walking speed and weight loss.

Polish

What is a Clinically Meaningful Improvement in Leg-Extensor Power for Mobility-limited Older Adults?

D.R. Kirn, K.F. Reid, C. Hau, et al.

J Gerontol A Biol Sci Med Sci. 2016;71(5):632-6

The purpose of this study is to establish the minimal clinically important improvement (MCII) and substantial improvement (SI) for leg-extensor power and muscle contraction velocity in mobility-limited older adults.

This is the first study to establish a clinically meaningful improvement of leg-extensor power (9%-10%) and velocity (6%-7%) in mobility-limited older adults

Polish

Is Trunk Posture in Walking a Better Marker than Gait Speed in Predicting Decline in Function and Subsequent Frailty?

R.A. Merchant, S. Banerji, G. Singh, et al.

J Am Med Dir Assoc. 2016;17(1):65-70

Older adults are known to compensate well for declining physiological reserve through environmental modification and posture adaptation. This study aimed to analyze and identify significant posture adaptation in older adults that is required to maintain gait speed in the face of increasing vulnerability. Data of this study suggest that identifying trunk posture adaptation before the onset of decline in gait speed will help in planning interventions in the at-risk community-dwelling older adults even before gait speed declines.

Polish

Comparison of Handgrip and Leg Extension Strength in Predicting Slow Gait Speed in Older Adults

M.S. Fragala, D.E. Alley, M.D. Shardell, et al.

J Am Geriatr Soc. 2016;64:144–150

This study aimed at comparing the relative predictive power of handgrip and leg extension strength in predicting slow walking.

Results suggest that handgrip strength may be an adequate measure to predict physical function whereas leg extension strength is only a slightly better predictor of slow gait speed.

Polish

Differences in palliative care quality between patients with cancer, patients with organ failure and frail patients: A study based on measurements with the Consumer Quality Index Palliative Care for bereaved relatives

J.M. Hofstede, N.J. Raijmakers, L.S. van der Hoek, et al.

Palliat Med. 2016;30(8):780-8

The aim of this paper is to compare the quality of palliative care provided to patients with cancer, patients with organ failure and frail patients and their relatives. Compared with the bereaved relatives of patients with cancer, bereaved relatives of patients with organ failure or frailty were more likely to negatively assess the palliative care provided to both the patient and themselves.

Polish

Development and validation of an electronic frailty index using routine primary care electronic health record data

A. Clegg, C. Bates, J. Young, R.Ryan, et al.

Age and Ageing. 2016;45(3):353-60

International guidelines recommend routine identification of frailty to provide evidence-based treatment, but currently available tools require additional resource. This retrospective cohort study wants to develop and validate an electronic frailty index (eFI), using routinely available primary care electronic health record data.

Polish

Macronutrients Intake and Incident Frailty in Older Adults: A Prospective Cohort Study

H. Sandoval-Insausti, R.F. Pérez-Tasigchana, E. López-García, et al.

J Gerontol A Biol Sci Med Sci.2016;71(10):1329-34

This study examined the association of protein and other macronutrient intake with the risk of frailty in older adults. Authors concluded that the intake of total protein, animal protein, and MUFAs was inversely associated with incident frailty. Promoting the intake of these nutrients might reduce frailty.

Polish

Neuromuscular function in different stages of sarcopenia

T. Morat, K.J. Gilmore and C.L. Rice

Exp Gerontol. 2016;81:28-36

This study applied the screening tool developed by the European Working Group on Sarcopenia in Older People (EWGSOP) on seniors aged over 65years and concurrently tested various laboratory-based indices of neuromuscular function. Based on gait speed, handgrip strength and muscle mass all subjects were categorized into one of the three conceptual sarcopenia stages (pre-sarcopenia, sarcopenia, severe sarcopenia). The laboratory tests found neuromuscular differences among the 3 groups which generally supported the classification scheme and helped to illustrate some key factors that could explain differences in functional capacities.

Polish

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