Frailty status transition in the frail and pre-frail older people Frail, prefrail, pre-frail, robust, frailty status, older, elder, nutrition, kihon, kihon checklist, frail scale, MNA, GPAQ, calf circumference, TGDS-15, depression, cognitive impairment, genetics, epigenetics, DNA methylation, B vitamins
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Thai elderly patients age 60 years or older.
Exclusion criteria
Exclusion criteria: 1.Patients who cannot communicate 2.Cognitive impairment ( TMSE <18) 3.Life expectancy <6 months 4.Unstable condition ( Congestive heart failure, Cardiovascular or respiratory failure , Blood pressure <90/60mmHg, or >180/100mmHg, heart rate >100bpm, oxygen saturation < 92%, Respiratory rate 22/min) 5.disabled people 6. people with prosthesis which disturbs body composition measurement by bioelectrical impedance analysis 7.History of hospitalization within 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physical characteristics Cross-sectional at the recruiment chair stand, functional reach, gait speed in 4 meters, hand grip strength, and sit and reach,Blood parameters Cross-sectional at the recruiment chemiluminescence, electrical resistance, hydrodynamic focusing, SLS-haemoglobin, and high-performance liquid chromatography methods and Chronic Kidney Disease Epidemiology Collaboration equation | — |
Secondary
| Measure | Time frame |
|---|---|
| Genetics and epigenetics profiles Cross-sectional at the recruiment sanger sequencing, and colorimetric method and Infinium MethylationEPIC array | — |
Countries
Thailand
Contacts
Faculty of Medicine Siriraj Hospital, Mahidol University