Using the Updated EWGSOP2 Definition in Diagnosing Sarcopenia in Spanish Older Adults : Clinical Approach
Recently the European Working Group on Sarcopenia in Older People (EWGSOP2) has updated diagnostic criteria for sarcopenia, which consist of one or more measures of muscle strength, muscle mass, and physical performance, plus an initial screening test called SARC-F. The main objective was to compare the number of cases of sarcopenia, using the different measurements and screening options. A cross-sectional study was conducted on Spanish older adults (n = 272, 72% women). Combining the different measures proposed by the steps described in the EWGSOP2 algorithm, 12 options were obtained (A–L). These options were studied in each of the three models: (1) using SARC-F as initial screening
Electroestimulación en el tratamiento de la mano hemipléjica espástica después de un ictus: estudio aleatorizado
Resumen Fundamento y objetivo Se ha senalado que la estimulacion electrica neuromuscular (EENM) puede favorecer la recuperacion motora de la mano tras un ictus. El objetivo de este estudio se baso en examinar el efecto de un protocolo de electroestimulacion sobre el rango articular y la fuerza de la mano de un grupo de pacientes mayores con hemiplejia espastica tras ictus. Pacientes y metodo Veinte pacientes mayores de 60 anos con afectacion de la mano tras ictus fueron asignados aleatoriamente a un grupo experimental (rehabilitacion convencional y EENM) o un grupo control (rehabilitacion convencional). La EENM se aplico en los extensores de muneca y dedos 30 minutos 3 dias/semana durante 8…
Kihon Checklist to assess frailty in older adults: Some evidence on the internal consistency and validity of the Spanish version
Aim The aim of this study was to assess the internal consistency, hypothesis testing and criterion-related validity of the Spanish versions of the Kihon Checklist (KCL) - the original 25-item and reduced 15-item versions - for screening frailty in community-dwelling older adults. Methods A cross-sectional study was carried out between March and September 2018 in Valencia province (Spain). A sample of 251 participants was recruited. Construct validity was assessed using four different frailty instruments, and alternative measures corresponding to the KCL domains (handgrip strength, gait speed, the Short Physical Performance Battery, skeletal muscle mass index, physical activity level, functi…
Frailty Status Typologies in Spanish Older Population: Associations with Successful Aging
Background: Defining frailty typologies would contribute to guiding specific care interventions. These typologies could additionally be related to different health outcomes. This study aims at identifying subgroups of frail older adults based on the physical frailty phenotype and examining the relationships of these frailty profiles with quality of life and perceived health. Methods: This study relies on data from the SHARE project, namely a representative sample of 1765 Spanish-dwelling older adults identified as frail or pre-frail. Analysis included general descriptive statistics, exploratory latent class analysis (LCA) to determine the number of frailty subgroups, and LCA with covariates…
Quality of Life in European Older Adults of SHARE Wave 7: Comparing the Old and the Oldest-Old
CASP-12 (Control, Autonomy, Self-realization, and Pleasure scale) is one of the most common internationally used measures for quality of life in older adults, although its structure is not clearly established. Current research aims to test the factor structure of the CASP-12, so as to provide evidence on reliability and external validity, and to test for measurement invariance across age groups. Data from 61,355 Europeans (≥60 years old) from the Survey of Health, Ageing and Retirement in Europe wave 7 were used. CASP-12, EURO-D (European depression scale), self-perceived health, and life satisfaction measurements were included. Reliability and validity coefficients, competing confirmatory …
Dimensions underlying frailty indicators in the Kihon Checklist.
Aim Frailty has become a current topic of debate in recent years among researchers as a key concept of clinical care in old age. One of the scales developed for its measurement is the Kihon Checklist (KCL). However, the dimensionality of the KCL has not been tested yet, and therefore the aim of the present study was to validate its dimensional structure. Methods This was a cross-sectional study carried out between March and September 2018 in Valencia province (Spain). Participation in the study was voluntary. A total of 251 participants were sampled. They answered sociodemographic and medical indicators, as well as five frailty scales, including the KCL. Results Five confirmatory models wit…
Functional and Clinical Characteristics for Predicting Sarcopenia in Institutionalised Older Adults: Identifying Tools for Clinical Screening
Background: Recently, the European Working Group on Sarcopenia in Older People (EWGSOP2) has updated the sarcopenia definition based on objective evaluation of muscle strength, mass and physical performance. The aim of this study was to analyse the relationship between sarcopenia and clinical aspects such as functionality, comorbidity, polypharmacy, hospitalisations and falls in order to support sarcopenia screening in institutionalised older adults, as well as to estimate the prevalence of sarcopenia in this population using the EWGSOP2 new algorithm. Methods: A multicentre cross-sectional study was conducted on institutionalised older adults (n = 132, 77.7% female, mean age 82 years). App…
Evidencia de la estimulación eléctrica neuromuscular distal en la recuperación del paciente tras ictus: una revisión sistemática
Resumen Objetivo La estimulacion electrica neuromuscular (EENM) es una herramienta propuesta en la recuperacion del miembro superior tras ictus, pero se necesitan datos mas solidos sobre su aplicacion. Por tanto, nos planteamos valorar su efectividad, conocer los protocolos y las caracteristicas muestrales. Estrategia de busqueda Estudios publicados entre 1998 y 2013, en MEDLINE, PubMed, PEDro y CINAHL. Seleccion de estudios: se seleccionaron 35 ensayos clinicos aleatorizados, donde se aplico EENM distal tras ictus. Se evaluo su calidad metodologica mediante la escala PEDro. Sintesis de resultados Se analizaron las muestras y los protocolos de estimulacion, se valoro su efectividad frente a…
Impacto del estatus de fragilidad sobre la salud y calidad de vida en personas mayores españolas
Resumen: Objetivo: El objetivo de este trabajo se centra en evaluar la capacidad predictiva de una medida latente de fragilidad basada en los indicadores físicos propuestos para la Encuesta de Salud, Envejecimiento y Jubilación en Europa (SHARE) sobre la calidad de vida y la salud general percibida de una muestra representativa de personas mayores españolas. Diseño: Estudio descriptivo transversal. Emplazamiento: España. Participantes: La muestra estuvo compuesta por 4.498 personas mayores de 60 años que residían en la comunidad cuyos datos se obtuvieron de la sexta ola de la encuesta SHARE. Mediciones principales: Se empleó un modelo de ecuaciones estructurales para definir el factor de fr…