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

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Bartosch, PatrikLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Orthopedics,Lund University Research Groups,Skåne University Hospital (author)

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

Article/chapterEnglish2022

Publisher, publication year, extent ...

2022-03-25
Springer Science and Business Media LLC,2022

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LIBRIS-ID:oai:lup.lub.lu.se:a7bc39eb-52b0-4d70-b7e9-405bfb35234e
https://lup.lub.lu.se/record/a7bc39eb-52b0-4d70-b7e9-405bfb35234eURI
https://doi.org/10.1007/s40520-022-02106-yDOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:149224790URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

Notes

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 (rs = 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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
Community-dwelling
Frailty
General health
Visual perception
Women

Added entries (persons, corporate bodies, meetings, titles ...)

Malmgren, LinneaLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Orthopedics,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-lam (author)
Gerdhem, PaulKarolinska Institutet,Karolinska Institute,Karolinska University Hospital(Swepub:lu)orto-pge (author)
Kristensson, JimmieLund University,Lunds universitet,Palliativt Utvecklingscentrum,Forskargrupper vid Lunds universitet,Proaktiv, integrerad vård,The Institute for Palliative Care,Lund University Research Groups,Proactive Integrated Care,Region Skåne(Swepub:lu)info-jkr (author)
McGuigan, Fiona ElizabethLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Orthopedics,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-fam (author)
Akesson, Kristina EvaLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Orthopedics,Lund University Research Groups,Skåne University Hospital(Swepub:lu)orto-kak (author)
Ortopedi, LundSektion III (creator_code:org_t)

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In:Aging clinical and experimental research: Springer Science and Business Media LLC34:7, s. 1663-16711594-06671720-8319

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