ArticleBMC geriatrics2022
Validation of the Kihon Checklist and the frailty screening index for frailty defined by the phenotype model in older Japanese adults.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed, 69 citations in OpenAlex.
- Sustained and attenuated effects of transitioning from supervised to self-managed resistance training in older adults with type 2 diabetes and sarcopenia: a randomized controlled trial.Acta diabetologica · 2026Trial
- Comparison of frailty in patients with nontuberculous mycobacterial lung disease and bronchiectasis: a prospective cohort study.BMC pulmonary medicine · 2022Trial
- Three-time-point directional patterns of frailty and physical function in older adults participating in community gathering places in Koshigaya City, Japan: a retrospective exploratory study.Preventive medicine reports · 2026Article
- Carbohydrate-to-fat ratio is positively associated with comprehensive frailty across protein-intake levels in older adults.European journal of nutrition · 2026Article
- A Machine Learning-Derived Risk Scorecard for Pneumonia Hospitalization in Japanese Old-Old Adults.Geriatrics & gerontology international · 2026Article
- Association between body mass index and frailty for middle-aged and older adults in Japan: a cross-sectional study of the Osaka health disparity solution program.BMC public health · 2026Article
- Effects of a Proactive Driving Transition Class on Extending Safe Driving and Preparing for Life After Driving Cessation Among Older Drivers.Geriatrics (Basel, Switzerland) · 2026Article
- Relationship between fall experience and fear of falling, health literacy, and self-efficacy among community-dwelling older adults.Journal of physical therapy science · 2026Article
- Longitudinal co-development of social interaction, physical frailty, and subjective cognitive decline among community-dwelling older adults in Japan: a six-year parallel growth study.Frontiers in public health · 2026Article
- Early sitting within 72 hours in the intensive care unit and post-intensive care outcomes: a multicenter cohort study.Annals of intensive care · 2026Article
- Association of healthy lifestyle patterns with changes in physical frailty and subjective cognitive function among community-dwelling older adults: a 3-year longitudinal study.BMC geriatrics · 2025Article
- Performance and satisfaction with meaningful occupations as predictors of health-related quality of life among community-dwelling older adults: A cross-sectional study in rural Japan.The British journal of occupational therapy · 2025Article
- Hospital-Acquired Disability as a Predictor of Functional Decline in ICU Survivors: A Multicenter Prospective Cohort Study in Japan.Journal of clinical medicine · 2025Article
- Association of the interaction between daily step counts and frailty with disability in older adults.GeroScience · 2025Article
- Splenic and portal venous flow associated with frailty and sarcopenia in older outpatients with cardiovascular disease.BMC geriatrics · 2025Article
- Characteristics of Community-Dwelling Older People Who Are Less Likely to Respond to Mail Surveys Under Infection Countermeasures for New Strains of Coronavirus: The Takasaki Study.International journal of environmental research and public health · 2025Article
- Is a higher body mass index associated with longer duration of survival with disability in frail than in non-frail older adults?International journal of obesity (2005) · 2025Article
- Factors Associated with Frailty Transitions Using the Kihon Checklist: A 6-Year Longitudinal Study Among Japanese Residents.Clinical interventions in aging · 2025Article
- Oral Frailty and Its Relationship with Physical Frailty in Older Adults: A Longitudinal Study Using the Oral Frailty Five-Item Checklist.Nutrients · 2024Article
- Risk Factors for Falls in Community-Dwelling Older Adults During the Novel Coronavirus Pandemic in Japan: A Prospective Cohort Study.International journal of environmental research and public health · 2024Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe term "frailty" might appear simple, but the methods used to assess it differ among studies. Consequently, there is inconsistency in the classification of frailty and predictive capacity depending on the frailty assessment method utilised. We aimed to examine the diagnostic accuracy of several screening tools for frailty defined by the phenotype model in older Japanese adults.
methodsThis cross-sectional study included 1,306 older Japanese adults aged ≥ 65 years who underwent physical check-up by cluster random sampling as part of the Kyoto-Kameoka Study in Japan. We evaluated the diagnostic accuracy of several screening instruments for frailty using the revised Japanese version of the Cardiovascular Health Study criteria as the reference standard. These criteria are based on the Fried phenotype model and include five elements: unintentional weight loss, weakness (grip strength), exhaustion, slowness (normal gait speed), and low physical activity. The Kihon Checklist (KCL), frailty screening index (FSI), and self-reported health were evaluated using mailed surveys. We calculated the non-parametric area under the receiver operating characteristic curve (AUC ROC) for several screening tools against the reference standard.
resultsThe participants' mean (standard deviation) age was 72.8 (5.5) years. The prevalence of frailty based on the Fried phenotype model was 12.2% in women and 10.3% in men. The AUC ROC was 0.861 (95% confidence interval: 0.832-0.889) for KCL, 0.860 (0.831-0.889) for FSI, and 0.668 (0.629-0.707) for self-reported health. The cut-off for identifying frail individuals was ≥ 7 points in the KCL and ≥ 2 points in the FSI.
conclusionsOur results indicated that the two instruments (KCL and FSI) had sufficient diagnostic accuracy for frailty based on the phenotype model for older Japanese adults. This may be useful for the early detection of frailty in high-risk older adults.
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