Relationship between peak expiratory flow and incidence of frailty, deaths and falls among nursing home residents: Results of the SENIOR cohort

Charles, Alexia; Buckinx, Fanny; Cataldo, Didier; Rygaert, X.; Gruslin, B.; Reginster, Jean-Yves; Bruyère, Olivier

doi:10.1016/j.archger.2019.103913

Article (Scientific journals)

Relationship between peak expiratory flow and incidence of frailty, deaths and falls among nursing home residents: Results of the SENIOR cohort

Charles, Alexia; Buckinx, Fanny; Cataldo, Didier et al.

2019 • In Archives of Gerontology and Geriatrics, 85

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/238613

DOI
10.1016/j.archger.2019.103913

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31357107

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Keywords :

Adverse outcomes; Frailty; Institutionalization; Respiratory function

Abstract :

[en] Objective: To correlate peak expiratory flow (PEF) with the incidence of frailty, deaths and falls among nursing home residents. Methods: This is a 1-year longitudinal analysis performed on the clinical data of the SENIOR cohort. PEF, measured by peak flow meter, was considered as “low” when the observed value was ≤80% of the theoretical value. Physical capacity was evaluated using Short Physical Performance Battery, balance and gait using Tinetti test and muscle strength using a dynamometer. The incidence of frailty was defined as the transition from a “robust” or “prefrail” status to a “frail” status following Fried's criteria. Deaths and falls were also collected. Results: Among 646 subjects included at baseline (83.2 ± 9 years and 72.1% women), 297 (45.7%) displayed a low PEF. In this subgroup, physical capacity (p-values from 0.01 to <0.001), muscle strength (p < 0.001), balance and gait score (p < 0.001) were significantly lower compared to subjects displaying normal PEF. Subjects who became frail after one year displayed a lower % of the theoretical PEF value compared to those that did not (88.52 ± 45.06 vs 102.78 ± 50.29, respectively, p = 0.03). After adjustment for potential confounding variables (calf circumference, Tinetti test, SPPB test and handgrip strength), PEF was no longer associated with the occurrence of frailty. There was no association between PEF and mortality and falls. Conclusion: In a nursing home setting, PEF is not an independent factor associated with the incidence of frailty, deaths and falls. © 2019 Elsevier B.V.

Disciplines :

Public health, health care sciences & services

Author, co-author :

Charles, Alexia ; Université de Liège - ULiège > Département des sciences de la santé publique > Epidémiologie clinique

Buckinx, Fanny ; Université de Liège - ULiège > Département des sciences de la santé publique > Département des sciences de la santé publique

Cataldo, Didier ; Université de Liège - ULiège > Département des sciences cliniques > Labo de biologie des tumeurs et du développement

Rygaert, X.; Department of Public Health, Epidemiology and Health Economics, University of Liège, WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Ageing, Avenue Hippocrate 13, Liège, Belgium

Gruslin, B.; Department of Public Health, Epidemiology and Health Economics, University of Liège, WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Ageing, Avenue Hippocrate 13, Liège, Belgium

Reginster, Jean-Yves ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé

Bruyère, Olivier ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé

Language :

English

Title :

Relationship between peak expiratory flow and incidence of frailty, deaths and falls among nursing home residents: Results of the SENIOR cohort

Publication date :

2019

Journal title :

Archives of Gerontology and Geriatrics

ISSN :

0167-4943

eISSN :

1872-6976

Publisher :

Elsevier Ireland Ltd

Volume :

Peer reviewed :

Peer Reviewed verified by ORBi

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since 13 August 2019

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