Evidence map›Paper›PMID 38961352›Full record

ArticleBMC geriatrics2024

Screening for frailty and its association with activities of daily living, cognitive impairment, and falls among community-dwelling older adults in China.

Dakang Ji, Haijian Guo, Shanhu Qiu, Lirong Dong, Ya Shen, Zhengkai Shen, Jinshui Xu

Abstract read
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In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dakang JiDepartment of Integrated Services, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, 210009, China.
Haijian GuoDepartment of Integrated Services, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, 210009, China. guohjcdc@163.com.
Shanhu QiuDepartment of Endocrinology, Zhongda Hospital, Institute of Diabetes, School of Medicine, Southeast University, Nanjing, 210009, China.
Lirong DongDepartment of Integrated Services, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, 210009, China.
Ya ShenDepartment of Integrated Services, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, 210009, China.
Zhengkai ShenDepartment of Integrated Services, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, 210009, China.
Jinshui XuDepartment of Integrated Services, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, 210009, China.

Funding

The 2022 Annual Open Project of Jiangsu Research Center for Primary Health Development and General Practice Education No. 2022A02
6 · The paper itself

Abstract

objectivesFrailty is a prevalent geriatric condition that significantly impacts the health of older adults. This study aimed to examine the prevalence of frailty among older Chinese adults aged ≥ 65 years and to assess its association with adverse geriatric outcomes.

methodThis study included 20,724 older adults aged ≥ 65 years in Jiangsu Province, China, utilizing a random, stratified, multistage cluster sampling approach. Frailty was assessed using the 5-item FRAIL scale. Geriatric outcomes, such as independence in activities of daily living (ADL), cognitive impairment, and frequent fall events (occurring four or more times in the preceding year), were evaluated. Logistic regression models were employed to evaluate the association between frailty and geriatric outcomes, with results presented as odds ratios (ORs) and 95% confidence intervals (CIs).

resultsThe mean age of the participants was 73.4 ± 6.4 years. The standardized prevalence of prefrailty and frailty was 35.2% and 10.3%, respectively. Individuals identified as prefrail or frail tended to live in rural areas, have lower educational levels, be widowed, have lower incomes, and engage in less physical activity. Prefrailty and frailty were associated with an increased risk of limitations in BADL (OR: 9.62, 95% CI: 7.43-12.46; and OR: 29.25, 95% CI: 22.42-38.17, respectively) and IADL (OR: 2.54, 95% CI 2.35-2.74; and OR: 5.19, 95% CI 4.66-5.78, respectively), positive cognitive impairment screening (OR: 1.23, 95% CI: 1.16-1.31; and OR: 1.72, 95% CI: 1.56-1.91, respectively), and frequent falls (occurring four or more times in the preceding year) (OR: 3.38, 95% CI: 2.50-4.56; and OR: 8.37, 95% CI: 6.01-11.65). The association between frailty and both limitations in BADL and falls was notably more pronounced among the younger age groups (p for interaction < 0.001).

conclusionsAccording to the 5-item FRAIL scale, frailty was associated with limitations in BADLs and IADLs, positive cognitive impairment screening, and recent falls among older adults living in the community. Screening for frailty in younger age groups has the potential to prevent declines in physical function and falls.

Indexed as

Accidental FallsActivities of Daily LivingCognitive DysfunctionFrail ElderlyFrailtyGeriatric AssessmentIndependent LivingAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleMass ScreeningPrevalenceADLAgingFallsFRAIL scaleFrailty

Identifiers

PMID38961352
PMCPMC11223382

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.