The Frequency of Frailty in Ambulatory Patients With Chronic Lung Diseases

Neha Mittal; Rishi Raj; Ebtesam Attaya Islam; Kenneth Nugent

doi:10.1177/2150131915603202

The Frequency of Frailty in Ambulatory Patients With Chronic Lung Diseases

Neha Mittal, Rishi Raj, Ebtesam Attaya Islam, Kenneth Nugent^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

37 Scopus citations

Abstract

Objectives: To determine the prevalence of frailty in patients with chronic lung diseases. Methods: We studied 120 patients with chronic lung disease using Fried’s criteria (gait speed, weight loss, exhaustion, grip strength, and physical activity). Results: The study population (56% women) had a mean age of 64 ± 13 years, mean body mass index of 31± 9 kg/m², and a mean FEV₁ (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. Conclusions: 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.

Original language	English (US)
Pages (from-to)	10-15
Number of pages	6
Journal	Journal of Primary Care & Community Health
Volume	7
Issue number	1
DOIs	https://doi.org/10.1177/2150131915603202
State	Published - Jan 2016

Keywords

chronic obstructive pulmonary disease (COPD)
frailty
gait speed
lung disease

ASJC Scopus subject areas

Community and Home Care
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/2150131915603202

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title = "The Frequency of Frailty in Ambulatory Patients With Chronic Lung Diseases",

abstract = "Objectives: To determine the prevalence of frailty in patients with chronic lung diseases. Methods: We studied 120 patients with chronic lung disease using Fried{\textquoteright}s criteria (gait speed, weight loss, exhaustion, grip strength, and physical activity). Results: The study population (56% women) had a mean age of 64 ± 13 years, mean body mass index of 31± 9 kg/m2, and a mean FEV1 (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. Conclusions: Patients with chronic lung disease frequently meet Fried{\textquoteright}s criteria for frailty. Gait speed can be used to screen these patients to determine if a more detailed evaluation is needed.",

keywords = "chronic obstructive pulmonary disease (COPD), frailty, gait speed, lung disease",

author = "Neha Mittal and Rishi Raj and Islam, {Ebtesam Attaya} and Kenneth Nugent",

year = "2016",

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doi = "10.1177/2150131915603202",

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AU - Raj, Rishi

AU - Islam, Ebtesam Attaya

AU - Nugent, Kenneth

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N2 - Objectives: To determine the prevalence of frailty in patients with chronic lung diseases. Methods: We studied 120 patients with chronic lung disease using Fried’s criteria (gait speed, weight loss, exhaustion, grip strength, and physical activity). Results: The study population (56% women) had a mean age of 64 ± 13 years, mean body mass index of 31± 9 kg/m2, and a mean FEV1 (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. Conclusions: 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.

AB - Objectives: To determine the prevalence of frailty in patients with chronic lung diseases. Methods: We studied 120 patients with chronic lung disease using Fried’s criteria (gait speed, weight loss, exhaustion, grip strength, and physical activity). Results: The study population (56% women) had a mean age of 64 ± 13 years, mean body mass index of 31± 9 kg/m2, and a mean FEV1 (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. Conclusions: 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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KW - frailty

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KW - lung disease

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The Frequency of Frailty in Ambulatory Patients With Chronic Lung Diseases

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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