Frailty, walking ability and self-rated health in predicting institutionalization : an 18-year follow-up study among Finnish community-dwelling older people

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Viljanen , A , Salminen , M , Irjala , K , Korhonen , P , Wuorela , M , Isoaho , R , Kivelä , S-L , Vahlberg , T , Viitanen , M , Lopponen , M & Viikari , L 2021 , ' Frailty, walking ability and self-rated health in predicting institutionalization : an 18-year follow-up study among Finnish community-dwelling older people ' , Aging Clinical and Experimental Research , vol. 33 , pp. 547–554 . https://doi.org/10.1007/s40520-020-01551-x

Title: Frailty, walking ability and self-rated health in predicting institutionalization : an 18-year follow-up study among Finnish community-dwelling older people
Author: Viljanen, Anna; Salminen, Marika; Irjala, Kerttu; Korhonen, Paivi; Wuorela, Maarit; Isoaho, Raimo; Kivelä, Sirkka-Liisa; Vahlberg, Tero; Viitanen, Matti; Lopponen, Minna; Viikari, Laura
Contributor organization: Divisions of Faculty of Pharmacy
Division of Social Pharmacy
Faculty of Pharmacy
Date: 2021-03
Language: eng
Number of pages: 8
Belongs to series: Aging Clinical and Experimental Research
ISSN: 1594-0667
DOI: https://doi.org/10.1007/s40520-020-01551-x
URI: http://hdl.handle.net/10138/340761
Abstract: Background In clinical practice, there is a need for an instrument to screen older people at risk of institutionalization. Aims To analyze the association of frailty, walking-ability and self-rated health (SRH) with institutionalization in Finnish community-dwelling older people. Methods In this prospective study with 10- and 18-year follow-ups, frailty was assessed using FRAIL Scale (FS) (n = 1087), Frailty Index (FI) (n = 1061) and PRISMA-7 (n = 1055). Walking ability was assessed as self-reported ability to walk 400 m (n = 1101). SRH was assessed by a question of general SRH (n = 1105). Cox regression model was used to analyze the association of the explanatory variables with institutionalization. Results The mean age of the participants was 73.0 (range 64.0-97.0) years. Prevalence of institutionalization was 40.8%. In unadjusted models, frailty was associated with a higher risk of institutionalization by FS in 10-year follow-up, and FI in both follow-ups. Associations by FI persisted after age- and gender-adjustments in both follow-ups. By PRISMA-7, frailty predicted a higher risk of institutionalization in both follow-ups. In unadjusted models, inability to walk 400 m predicted a higher risk of institutionalization in both follow-ups and after adjustments in 10-year follow-up. Poor SRH predicted a higher risk of institutionalization in unadjusted models in both follow-ups and after adjustments in 10-year follow-up. Discussion Simple self-reported items of walking ability and SRH seemed to be comparable with frailty indexes in predicting institutionalization among community-dwelling older people in 10-year follow-up. Conclusions In clinical practice, self-reported walking ability and SRH could be used to screen those at risk.
Subject: Association
Frailty
Institutionalization
Older people
Self-rated health
Walking ability
GAIT SPEED
400 METERS
ADULTS
PREVALENCE
MORTALITY
OUTCOMES
CARE
ACCUMULATION
PHENOTYPE
FITNESS
3142 Public health care science, environmental and occupational health
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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