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Frail Older Individuals Maintaining a Steady Standing Position: Associations Between Sway Measurements with Frailty Status Across Four Different Frailty Instruments

OBJECTIVE: An analysis of the relationships between static equilibrium parameters and frailty status and/or severity across four different frailty measures. DESIGN: Cross-sectional analysis. SETTING: Geriatric wards of a general hospital. PARTICIPANTS: One hundred twenty-three geriatric inpatients c...

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Autores principales: Schülein, Samuel, Sieber, Cornel Christian, Gaßmann, Karl-Günter, Ritt, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106653/
https://www.ncbi.nlm.nih.gov/pubmed/32273688
http://dx.doi.org/10.2147/CIA.S223056
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author Schülein, Samuel
Sieber, Cornel Christian
Gaßmann, Karl-Günter
Ritt, Martin
author_facet Schülein, Samuel
Sieber, Cornel Christian
Gaßmann, Karl-Günter
Ritt, Martin
author_sort Schülein, Samuel
collection PubMed
description OBJECTIVE: An analysis of the relationships between static equilibrium parameters and frailty status and/or severity across four different frailty measures. DESIGN: Cross-sectional analysis. SETTING: Geriatric wards of a general hospital. PARTICIPANTS: One hundred twenty-three geriatric inpatients comprising 70 women (56.5%) and 53 men (42.7%) with an age range of 68–95 years. METHODS: The variation in the center of pressure (CoP), ie, the length of sway, the area of sway, and the mean speed, was assessed for different positions/tasks: 1) wide standing with eyes open (WSEO); 2) wide standing with eyes closed (WSEC); 3) narrow standing with eyes open (NSEO) and 4) narrow standing with eyes closed (NSEC), using a force plate. Frailty status and/or frailty severity were evaluated using the frailty phenotype (FP), the clinical frailty scale (CFS), the 14-item frailty index based on a comprehensive geriatric assessment (FI-CGA), and a 47-item frailty index (FI). RESULTS: WSEO length of sway (FP, CFS, FI-CGA, FI), WSEO area of sway (FP, CFS, FI-CGA, FI), and WSEO mean speed (FP, CFS, FI-CGA, FI), WSEC length of sway (FP, FI-CGA, FI), WSEC area of sway (FP, FI-CGA, FI) and WSEC mean speed (FI-CGA, FI), NSEO length of sway (FP, FI-CGA, FI), NSEO area of sway (FP, CFS, FI-CGA, FI), and NSEO mean speed (FP, CFS, FI-CGA, FI), NSEC length of sway (FI-CGA, FI), NSEC area of sway (FI-CGA, FI) and NSEC mean speed (FI-CGA, FI) were associated with the frailty status and/or severity across the four different frailty instruments (all p < 0.05, respectively). CONCLUSION: Greater fluctuations in CoP with increasing frailty status and/or severity were a uniform finding across various major frailty instruments.
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spelling pubmed-71066532020-04-09 Frail Older Individuals Maintaining a Steady Standing Position: Associations Between Sway Measurements with Frailty Status Across Four Different Frailty Instruments Schülein, Samuel Sieber, Cornel Christian Gaßmann, Karl-Günter Ritt, Martin Clin Interv Aging Original Research OBJECTIVE: An analysis of the relationships between static equilibrium parameters and frailty status and/or severity across four different frailty measures. DESIGN: Cross-sectional analysis. SETTING: Geriatric wards of a general hospital. PARTICIPANTS: One hundred twenty-three geriatric inpatients comprising 70 women (56.5%) and 53 men (42.7%) with an age range of 68–95 years. METHODS: The variation in the center of pressure (CoP), ie, the length of sway, the area of sway, and the mean speed, was assessed for different positions/tasks: 1) wide standing with eyes open (WSEO); 2) wide standing with eyes closed (WSEC); 3) narrow standing with eyes open (NSEO) and 4) narrow standing with eyes closed (NSEC), using a force plate. Frailty status and/or frailty severity were evaluated using the frailty phenotype (FP), the clinical frailty scale (CFS), the 14-item frailty index based on a comprehensive geriatric assessment (FI-CGA), and a 47-item frailty index (FI). RESULTS: WSEO length of sway (FP, CFS, FI-CGA, FI), WSEO area of sway (FP, CFS, FI-CGA, FI), and WSEO mean speed (FP, CFS, FI-CGA, FI), WSEC length of sway (FP, FI-CGA, FI), WSEC area of sway (FP, FI-CGA, FI) and WSEC mean speed (FI-CGA, FI), NSEO length of sway (FP, FI-CGA, FI), NSEO area of sway (FP, CFS, FI-CGA, FI), and NSEO mean speed (FP, CFS, FI-CGA, FI), NSEC length of sway (FI-CGA, FI), NSEC area of sway (FI-CGA, FI) and NSEC mean speed (FI-CGA, FI) were associated with the frailty status and/or severity across the four different frailty instruments (all p < 0.05, respectively). CONCLUSION: Greater fluctuations in CoP with increasing frailty status and/or severity were a uniform finding across various major frailty instruments. Dove 2020-03-23 /pmc/articles/PMC7106653/ /pubmed/32273688 http://dx.doi.org/10.2147/CIA.S223056 Text en © 2020 Schülein et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Schülein, Samuel
Sieber, Cornel Christian
Gaßmann, Karl-Günter
Ritt, Martin
Frail Older Individuals Maintaining a Steady Standing Position: Associations Between Sway Measurements with Frailty Status Across Four Different Frailty Instruments
title Frail Older Individuals Maintaining a Steady Standing Position: Associations Between Sway Measurements with Frailty Status Across Four Different Frailty Instruments
title_full Frail Older Individuals Maintaining a Steady Standing Position: Associations Between Sway Measurements with Frailty Status Across Four Different Frailty Instruments
title_fullStr Frail Older Individuals Maintaining a Steady Standing Position: Associations Between Sway Measurements with Frailty Status Across Four Different Frailty Instruments
title_full_unstemmed Frail Older Individuals Maintaining a Steady Standing Position: Associations Between Sway Measurements with Frailty Status Across Four Different Frailty Instruments
title_short Frail Older Individuals Maintaining a Steady Standing Position: Associations Between Sway Measurements with Frailty Status Across Four Different Frailty Instruments
title_sort frail older individuals maintaining a steady standing position: associations between sway measurements with frailty status across four different frailty instruments
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106653/
https://www.ncbi.nlm.nih.gov/pubmed/32273688
http://dx.doi.org/10.2147/CIA.S223056
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