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A “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women

BACKGROUND: In clinic, a subjective visual estimation of a patient’s general health often guides interventions, yet little is known of how this assessment relates to objectively measured frailty. AIMS: To characterize the relationship between these two assessments and explore the implication of disc...

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Autores principales: Bartosch, Patrik, Malmgren, Linnea, Gerdhem, Paul, Kristensson, Jimmie, McGuigan, Fiona Elizabeth, Akesson, Kristina Eva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246768/
https://www.ncbi.nlm.nih.gov/pubmed/35332507
http://dx.doi.org/10.1007/s40520-022-02106-y
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author Bartosch, Patrik
Malmgren, Linnea
Gerdhem, Paul
Kristensson, Jimmie
McGuigan, Fiona Elizabeth
Akesson, Kristina Eva
author_facet Bartosch, Patrik
Malmgren, Linnea
Gerdhem, Paul
Kristensson, Jimmie
McGuigan, Fiona Elizabeth
Akesson, Kristina Eva
author_sort Bartosch, Patrik
collection PubMed
description BACKGROUND: In clinic, a subjective visual estimation of a patient’s general health often guides interventions, yet little is known of how this assessment relates to objectively measured frailty. AIMS: To characterize the relationship between these two assessments and explore the implication of discordance. METHODS: The study was performed in the OPRA cohort of 75-year old community-dwelling women (n = 1044). Visual perception of health (VPH) was estimated within 15 s from first sight and stratified into tertiles (poor/intermediate/good health). Frailty was measured using a frailty index (FI) (scored 0.0–1.0) and stratified into tertiles: ‘frail’ (≥ 0.22), ‘pre-frail’ (0.13–0-21) and ‘non-frail’ (≤ 0.12). Association between VPH and FI and with 10-year mortality was evaluated using Kaplan Meier curves and Cox proportional hazard models. RESULTS: VPH and FI correlated, but was strongest in those perceived to be in poor health (r(s) = 0.424, p < 0.001). Approximately half of these women were also objectively frail (53.7%). Similarly, 50.7% perceived to be in good health were also objectively non-frail. However, for one in ten, perceived health was discordant with measured frailty. Subjective and objective measures were associated with mortality, but VPH lacked discrimination in healthier looking women (p = 0.372) compared to FI (p = 0.002). DISCUSSION: Detecting pre-frailty is important to prevent or slow the transition into a frail state. The frailest can be identified with a visual estimation, but only objective frailty assessments can reliably identity pre-frailty. CONCLUSIONS: A visual estimation of health provides valuable complementary information on health, whereas objective assessment of frailty has a broader applicability for health in aging. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40520-022-02106-y.
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spelling pubmed-92467682022-07-02 A “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women Bartosch, Patrik Malmgren, Linnea Gerdhem, Paul Kristensson, Jimmie McGuigan, Fiona Elizabeth Akesson, Kristina Eva Aging Clin Exp Res Original Article BACKGROUND: In clinic, a subjective visual estimation of a patient’s general health often guides interventions, yet little is known of how this assessment relates to objectively measured frailty. AIMS: To characterize the relationship between these two assessments and explore the implication of discordance. METHODS: The study was performed in the OPRA cohort of 75-year old community-dwelling women (n = 1044). Visual perception of health (VPH) was estimated within 15 s from first sight and stratified into tertiles (poor/intermediate/good health). Frailty was measured using a frailty index (FI) (scored 0.0–1.0) and stratified into tertiles: ‘frail’ (≥ 0.22), ‘pre-frail’ (0.13–0-21) and ‘non-frail’ (≤ 0.12). Association between VPH and FI and with 10-year mortality was evaluated using Kaplan Meier curves and Cox proportional hazard models. RESULTS: VPH and FI correlated, but was strongest in those perceived to be in poor health (r(s) = 0.424, p < 0.001). Approximately half of these women were also objectively frail (53.7%). Similarly, 50.7% perceived to be in good health were also objectively non-frail. However, for one in ten, perceived health was discordant with measured frailty. Subjective and objective measures were associated with mortality, but VPH lacked discrimination in healthier looking women (p = 0.372) compared to FI (p = 0.002). DISCUSSION: Detecting pre-frailty is important to prevent or slow the transition into a frail state. The frailest can be identified with a visual estimation, but only objective frailty assessments can reliably identity pre-frailty. CONCLUSIONS: A visual estimation of health provides valuable complementary information on health, whereas objective assessment of frailty has a broader applicability for health in aging. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40520-022-02106-y. Springer International Publishing 2022-03-25 2022 /pmc/articles/PMC9246768/ /pubmed/35332507 http://dx.doi.org/10.1007/s40520-022-02106-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Bartosch, Patrik
Malmgren, Linnea
Gerdhem, Paul
Kristensson, Jimmie
McGuigan, Fiona Elizabeth
Akesson, Kristina Eva
A “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women
title A “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women
title_full A “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women
title_fullStr A “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women
title_full_unstemmed A “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women
title_short A “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women
title_sort “snap-shot” visual estimation of health and objectively measured frailty: capturing general health in aging older women
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246768/
https://www.ncbi.nlm.nih.gov/pubmed/35332507
http://dx.doi.org/10.1007/s40520-022-02106-y
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