ArticleCanadian family physician Medecin de famille canadien2017
Screening for frailty in primary care: Accuracy of gait speed and hand-grip strength.
Article in Canadian family physician Medecin de famille canadien, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.
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Who cites it
60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Measurement properties of the usual and fast gait speed tests in community-dwelling older adults: a COSMIN-based systematic review.Age and ageing · 2024Pooled it
- How gait influences frailty models and health-related outcomes in clinical-based and population-based studies: a systematic review.Journal of cachexia, sarcopenia and muscle · 2021Pooled it
- Article
- Effect of home-based rehabilitation in frail older adults after cardiac surgery: a prospective feasibility study.Journal of rehabilitation medicine · 2026Article
- Validity and Reliability of the InGripJournal of Korean medical science · 2026Article
- Comparing the Relationship Between Social Determinants of Health and Frailty Status of Medicare Beneficiaries in Rural and Urban Areas in the United States.Journal of ageing and longevity · 2026Article
- Shifts in the timing of gait muscle synergies in older adults with reduced lower-limb motor function.Experimental brain research · 2026Article
- Is muscle strength an overlooked parameter in patients affected by mild autonomous cortisol secretion?Frontiers in endocrinology · 2026Article
- Regional inequalities in Brazil and new approaches to measuring population aging.Cadernos de saude publica · 2026Article
- Fr-AGILE: validation and reliability of a multidimensional and rapid frailty assessment tool in the Turkish elderly population.Aging clinical and experimental research · 2025Article
- Impact of recombinant erythropoietin on anemia, physical function, and cognitive assessment in hospitalized older adults.Internal and emergency medicine · 2025Article
- Gaming Against Frailty: Effects of Virtual Reality-Based Training on Postural Control, Mobility, and Fear of Falling Among Frail Older Adults.Journal of clinical medicine · 2025Article
- Approaches to optimally target frailty screening among people with HIV in clinical care: findings from the Centers for AIDS Research Network of Integrated Clinical Systems (CNICS).Journal of acquired immune deficiency syndromes (1999) · 2025Article
- Handgrip Strength in Heart Failure: Developing a Reference Equation.Arquivos brasileiros de cardiologia · 2025Article
- Preoperative muscle function assessments in nursing as predictors of postoperative outcomes in patients with colorectal cancer and malnutrition.Frontiers in nutrition · 2025Article
- A Step Forward in the Assessment of Handgrip Strength in Heart Failure.Arquivos brasileiros de cardiologia · 2025Article
- Handgrip Strength and Dehydroepiandrosterone Sulfate in a Frailty Unit: A Retrospective Study.Cureus · 2024Article
- Risk factors predicting subtypes of physical frailty incidence stratified by musculoskeletal diseases in community-dwelling older adults: The SONIC study.Geriatrics & gerontology international · 2024Article
- Psychometric adequacy of the persian adapted version of the tilburg frailty indicator (P-TFI).BMC geriatrics · 2024Article
- Longitudinal association of grip strength with cardiovascular and all-cause mortality in older urban Lithuanian population.BMC public health · 2024Article
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Authors and funding
9 authors at 8 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the accuracy of individual Fried frailty phenotype measures in identifying the Fried frailty phenotype in primary care.
designRetrospective chart review.
settingA community-based primary care practice in Kitchener, Ont.
participantsA total of 516 patients 75 years of age and older who underwent frailty screening.
main outcome measuresUsing modified Fried frailty phenotype measures, frailty criteria included gait speed, hand-grip strength as measured by a dynamometer, and self-reported exhaustion, low physical activity, and unintended weight loss. Sensitivity, specificity, accuracy, and precision were calculated for single-trait and dual-trait markers.
resultsComplete frailty screening data were available for 383 patients. The overall prevalence of frailty based on the presence of 3 or more frailty criteria was 6.5%. The overall prevalence of individual Fried frailty phenotype markers ranged from 2.1% to 19.6%. The individual criteria all showed sensitivity and specificity of more than 80%, with the exception of weight loss (8.3% and 97.4%, respectively). The positive predictive value of the single-item criteria in predicting the Fried frailty phenotype ranged from 12.5% to 52.5%. When gait speed and hand-grip strength were combined as a dual measure, the positive predictive value increased to 87.5%.
conclusionThere is a need for frailty measures that are psychometrically sound and feasible to administer in primary care. While use of gait speed or grip strength alone was found to be sensitive and specific as a proxy for the Fried frailty phenotype, use of both measures together was found to be accurate, precise, specific, and more sensitive than other possible combinations. Assessing both measures is feasible within primary care.
Indexed as
Identifiers
28115460PMC5257239W2582226733What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.