[Detection of the largest population susceptible to prescription of a program of exercises in Primary Care to prevent frailty].

Autor:	Rosas Hernández AM; Unidad de Medicina de Familia, Universidad Autónoma de Madrid UAM. Instituto de Investigación IdiPAZ, Madrid, España. Electronic address: rosas.ana9031@gmail.com., Alejandre Carmona S; CS Dr. Castroviejo, Atención Primaria, Área asistencial Norte Madrid, Madrid, España., Rodríguez Sánchez JE; CS Dr. Castroviejo, Atención Primaria, Área asistencial Norte Madrid, Madrid, España., Castell Alcalá MV; CS Dr. Castroviejo, Atención Primaria, Área asistencial Norte Madrid, Unidad de Medicina de Familia, Universidad Autónoma de Madrid (UAM), Instituto de Investigación IdiPAZ, Madrid, España., Otero Puime Á; Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Madrid, Instituto de Investigación IdiPAZ, Madrid, España.
Jazyk:	Spanish; Castilian
Zdroj:	Atencion primaria [Aten Primaria] 2019 Mar; Vol. 51 (3), pp. 135-141. Date of Electronic Publication: 2018 Mar 16.
DOI:	10.1016/j.aprim.2017.11.005
Abstrakt:	Aim: Identify the population over 70 year's old treated in primary care who should participate in a physical exercise program to prevent frailty. Analyze the concordance among 2criteria to select the beneficiary population of the program. Design: Population-based cross-sectional study. Settings: Primary Care. Participants: Elderly over 70 years old, living in the Peñagrande neighborhood (Fuencarral district of Madrid) from the Peñagrande cohort, who accepted to participate in 2015 (n = 332). Main Measurements: The main variable of the study is the need for exercise prescription in people over 70 years old at the Primary Care setting. It was identified through 2different definitions: Prefrail (1-2 of 5 Fried criteria) and Independent individuals with physical performance limited, defined by Consensus on frailty and falls prevention among the elderly (independent and with a total SPPB score <10). Results: The 63,8% of participants (n = 196) need exercise prescription based on criteria defined by Fried and/or the consensus for prevention of frailty and falls in the elderly. In 82 cases the 2criteria were met, 80 were prefrail with normal physical performance and 34 were robust with a limited physical performance. The concordance among both criteria is weak (kappa index 0, 27). Conclusion: Almost 2thirds of the elderly have some kind of functional limitation. The criteria of the consensus document to prevent frailty detect half of the pre-frail individuals in the community. (Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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