Your browser doesn't support javascript.
loading
Validity of the short physical performance battery for screening for frailty syndrome among older people in the Brazilian Amazon region. A cross-sectional study
Postgraduate Program on HealthRocco, Laila Lira Guimarães; Fernandes, Tiótrefis Gomes.
  • Postgraduate Program on HealthRocco, Laila Lira Guimarães; Universidade Federal do Amazonas. Society and Endemics in the Amazon. Postgraduate Program on HealthRocco, Laila Lira Guimarães. Manaus. BR
  • Fernandes, Tiótrefis Gomes; Universidade Federal do Amazonas. School of Physical Education and Physiotherapy. Manaus. BR
São Paulo med. j ; 138(6): 537-544, Nov.-Dec. 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1145132
ABSTRACT
ABSTRACT

BACKGROUND:

Environmental and population characteristics seem to influence the variation in cutoff points of the Short Physical Performance Battery (SPPB) for diagnosing frailty syndrome among older adults.

OBJECTIVE:

To verify the validity of the SPPB for screening for frailty syndrome among older adults in the Amazonian context. DESIGN AND

SETTING:

Cross-sectional population-based study on older adults in the urban area of Coari (AM), Brazil.

METHODS:

In total, 264 older adults (60 years of age or over) were included. Frailty syndrome was defined using the Fried phenotype criteria. The SPPB cutoff points were compared in relation to frailty and validity measurements were calculated for the test.

RESULTS:

A strong association between poor physical performance and frailty was identified (P < 0.001). The cutoff point of 6 demonstrated the best validity measurements for frailty in the sample studied (sensitivity 0.28; specificity 0.94; accuracy 0.88; area under the receiver operating characteristic curve, AUC-ROC 0.61; likelihood ratio, LR+ 4.44; LR- 0.77; prevalence 8.3%; post-test probability, PTP+ 0.32; PTP- 0.07), with emphasis on high specificity and the positive likelihood ratio value.

CONCLUSION:

The SPPB was shown to be useful for screening frail older adults in the Amazon region. The score of 6 demonstrated the best cutoff point for this population. This could be used in healthcare services for diagnostic screening for frailty among older people within the Amazonian context.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Mass Screening / Frail Elderly / Frailty / Physical Functional Performance Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors / Screening study Limits: Aged / Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Year: 2020 Type: Article Institution/Affiliation country: Universidade Federal do Amazonas/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Mass Screening / Frail Elderly / Frailty / Physical Functional Performance Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors / Screening study Limits: Aged / Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Year: 2020 Type: Article Institution/Affiliation country: Universidade Federal do Amazonas/BR