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Influence of Frailty Phenotype Items on Functional Capacity and Falls Occurrence in Frail Community-Dwelling Older Adults: Analysis of FIBRA Study

Azevedo da Silva, Silvia Lanziotti PhD; Viana, Joana Ude MSc; Neri, Anita Liberalesso PhD; Ferriolli, Eduardo PhD; Lourenço, Roberto Alves PhD; Dias, Rosângela Corrêa PhD

Topics in Geriatric Rehabilitation: April/June 2016 - Volume 32 - Issue 2 - p 74–80
doi: 10.1097/TGR.0000000000000096
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Background: Items of frailty phenotype and frailty load can differently influence functional capacity and risk of falls in frail older adults.

Methods: The FIBRA study is a cross-sectional, multicentric, and multidisciplinary investigation of 617 community-dwelling older adults from Brazil considered frail by the frailty phenotype.

Results and Conclusion: Functional capacity for basic activities of daily living was different for those older adults positive at gait slowness (P = .002); for instrumental activities of daily living differences occurred for 4 positive items; for falls differences appeared only for gait slowness (P = .30). As older adults are considered frail, frailty load is not strongly associated with functional capacity and falls occurrence.

Universidade Federal de Alfenas—UNIFAL-MG, Bairro Santa Clara, Alfenas, MG, Brazil (Dr Azevedo da Silva); Universidade Federal de Minas Gerais—UFMG, Belo Horizonte, Minas Gerais, Brazil (Ms Viana); Universidade Estadual de Campinas—UNICAMP-SP, São Paulo, Brazil (Dr Neri); Universidade de São Paulo—USP/Ribeirão Preto, São Paulo, Brazil (Dr Ferriolli); Universidade do Estado do Rio de Janeiro—UERJ, Maracanã, Rio de Janeiro RJ, Brazil (Dr Lourenço); and Universidade Federal de Minas Gerais—UFMG, Belo Horizonte, Minas Gerais, Brazil (Dr Dias).

Correspondence: Silvia Lanziotti Azevedo da Silva, PhD, Escola de Enfermagem, Curso de Fisioterapia, Universidade Federal de Alfenas—Unidade Educacional II, Av. Jovino Fernandes Sales, 2600, Bairro Santa Clara, Alfenas MG, Brazil (silviafisiojf@yahoo.com.br).

FIBRA Study was supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG), Brazil.

The authors declare no conflicts of interest.

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