Consenso brasileiro de fragilidade em idosos: conceitos, epidemiologia e instrumentos de avaliação
The aim of the present study was to describe the conceptual and operational definitions of the frailty syndrome recommended by the Brazilian Consensus on Frailty in Older People. In 2015, a task force consisting of Brazilian specialists on human aging conducted a bibliographical review on frailty am...
| Autores: | , , , , , , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2018 |
| País: | Brasil |
| Institución: | Universidade Federal de Minas Gerais (UFMG) |
| Repositorio: | Repositório Institucional da UFMG |
| Idioma: | portugués |
| OAI Identifier: | oai:repositorio.ufmg.br:1843/47126 |
| Acceso en línea: | https://doi.org/10.5327/Z2447-211520181800023 http://hdl.handle.net/1843/47126 https://orcid.org/0000-0003-0838-1285 https://orcid.org/0000-0002-4932-1935 https://orcid.org/0000-0003-4944-0085 https://orcid.org/0000-0003-3212-8466 https://orcid.org/0000-0002-0919-1320 https://orcid.org/0000-0003-3933-2179 https://orcid.org/0000-0002-0296-3666 https://orcid.org/0000-0002-5028-2451 https://orcid.org/0000-0003-3806-7895 https://orcid.org/0000-0002-4458-8358 |
| Access Level: | acceso abierto |
| Palabra clave: | Envelhecimento Idoso Saúde do idoso Vulnerabilidade Fragilidade Idoso fragilizado Idosos Vulnerabilidade em saúde |
| Sumario: | The aim of the present study was to describe the conceptual and operational definitions of the frailty syndrome recommended by the Brazilian Consensus on Frailty in Older People. In 2015, a task force consisting of Brazilian specialists on human aging conducted a bibliographical review on frailty among older people in Brazil and established a consensus on the main findings through periodic meetings. A total of 72 articles were included in the analysis, comprising one systematic review, two conceptual discussions, two methodological descriptions, four longitudinal studies focusing on mortality and worsening of the frailty profile, eight cross-cultural adaptation studies, and 55 cross-sectional or prevalence studies. Forty-five studies (62.5%) used the Cardiovascular Health Study (CHS) frailty scale, of which seven (15.2%) used unadjusted cut-off points for their samples and 17 (36.9%) modified at least one of the five items of the instrument. The prevalence of frailty varied between 6.7 and 74.1%. When the CHS frailty scale was used, the wide range of prevalence — from 8 to 49.3% — depended on the cut-off points used to classify changes in gait speed and handgrip strength, as well as the research setting. The studies were based on four major conceptual models of frailty. Frailty in older people represents a state of physiological vulnerability and should not be confused with disabilities or multi-morbidities. In the Brazilian population, the prevalence of frailty has not yet been adequately estimated, and the cut-off points of the items of the frailty scales should be adapted to the parameters of this population. |
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