The Frequency of Frailty in Ambulatory Patients With Chronic Lung Diseases

Journal of Primary Care & Community Health
Neha MittalKenneth Nugent

Abstract

To determine the prevalence of frailty in patients with chronic lung diseases. We studied 120 patients with chronic lung disease using Fried's criteria (gait speed, weight loss, exhaustion, grip strength, and physical activity). The study population (56% women) had a mean age of 64 ± 13 years, mean body mass index of 31± 9 kg/m(2), and a mean FEV(1) (forced expiratory volume in 1 second) of 60% ± 25% of predicted. The average gait speed was 52.1 ± 14.3 m/min; 18% were frail, 64% prefrail, and 18% robust. Gait speed correlated with frailty status and decreased as frailty worsened (57 m/min in robust subjects and 41 m/min in frail subjects). Slow gait speeds (<60 m/min) had a 95% sensitivity and 34% specificity to predict frailty. Patients with chronic lung disease frequently meet Fried's criteria for frailty. Gait speed can be used to screen these patients to determine if a more detailed evaluation is needed.

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Citations

Jul 3, 2016·Molecular Aspects of Medicine·Javier AnguloLeocadio Rodríguez-Mañas
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