Measuring frailty in Dutch community-dwelling older people: Reference values of the Tilburg Frailty Indicator (TFI)

M.A.L.M. van Assen, Esther Pallast, Fatima El Fakiri, R.J.J. Gobbens

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objectives: 

The objectives of this study were to provide reference values of the Tilburg Frailty Indicator (TFI) for community-dwelling older people by age, sex, marital status, ethnicity, education, income, and residence, and examine the effects of these seven socio-demographic variables on frailty.

Methods: 

47,768 individuals aged 65 years and older living in the Netherlands completed a health questionnaire (58.5% response rate), including the TFI. The TFI is a self-report questionnaire for measuring frailty, developed from an integral approach of frailty, including physical, psychological, and social domains.

Results: 

Reference values were provided for men and women separately, as a function of age. We found associations of all socio-demographic variables with frailty, also after controlling for the effects of age. These associations held for both sexes and for big cities as wells as more rural areas. For instance, the effect of age was large for total and physical frailty, women were more frail than men, and some very large average frailty differences between the ethnic groups were found, with autochthon people having the lowest frailty score.

Conclusions: 

In conclusion, this study offers reference values of the TFI by socio-demographic characteristics and explains frailty using these characteristics. This information will support researchers, policymakers and health care professionals in interpreting scores of the TFI, which may guide their efforts to reduce frailty and its adverse outcomes. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)120-129
JournalArchives of Gerontology and Geriatrics
Volume67
DOIs
Publication statusPublished - 2016

Keywords

  • Frailty
  • Tilburg Frailty Indicator (TFI)
  • Reference values
  • Community-dwelling older people
  • Socio-demographic variables
  • Ethnicity
  • QUALITY-OF-LIFE
  • HEALTH-CARE UTILIZATION
  • PSYCHOMETRIC PROPERTIES
  • ELDERLY-PEOPLE
  • SOCIAL VULNERABILITY
  • ADULTS
  • PREVALENCE
  • DISABILITY
  • ASSOCIATION
  • POPULATION

Cite this

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title = "Measuring frailty in Dutch community-dwelling older people: Reference values of the Tilburg Frailty Indicator (TFI)",
abstract = "Objectives: The objectives of this study were to provide reference values of the Tilburg Frailty Indicator (TFI) for community-dwelling older people by age, sex, marital status, ethnicity, education, income, and residence, and examine the effects of these seven socio-demographic variables on frailty.Methods: 47,768 individuals aged 65 years and older living in the Netherlands completed a health questionnaire (58.5{\%} response rate), including the TFI. The TFI is a self-report questionnaire for measuring frailty, developed from an integral approach of frailty, including physical, psychological, and social domains.Results: Reference values were provided for men and women separately, as a function of age. We found associations of all socio-demographic variables with frailty, also after controlling for the effects of age. These associations held for both sexes and for big cities as wells as more rural areas. For instance, the effect of age was large for total and physical frailty, women were more frail than men, and some very large average frailty differences between the ethnic groups were found, with autochthon people having the lowest frailty score.Conclusions: In conclusion, this study offers reference values of the TFI by socio-demographic characteristics and explains frailty using these characteristics. This information will support researchers, policymakers and health care professionals in interpreting scores of the TFI, which may guide their efforts to reduce frailty and its adverse outcomes. (C) 2016 Elsevier Ireland Ltd. All rights reserved.",
keywords = "Frailty, Tilburg Frailty Indicator (TFI), Reference values, Community-dwelling older people, Socio-demographic variables, Ethnicity, QUALITY-OF-LIFE, HEALTH-CARE UTILIZATION, PSYCHOMETRIC PROPERTIES, ELDERLY-PEOPLE, SOCIAL VULNERABILITY, ADULTS, PREVALENCE, DISABILITY, ASSOCIATION, POPULATION",
author = "{van Assen}, M.A.L.M. and Esther Pallast and {El Fakiri}, Fatima and R.J.J. Gobbens",
year = "2016",
doi = "10.1016/j.archger.2016.07.005",
language = "English",
volume = "67",
pages = "120--129",
journal = "Archives of Gerontology and Geriatrics",
issn = "0167-4943",
publisher = "Elsevier Ireland Ltd",

}

Measuring frailty in Dutch community-dwelling older people : Reference values of the Tilburg Frailty Indicator (TFI). / van Assen, M.A.L.M.; Pallast, Esther; El Fakiri, Fatima; Gobbens, R.J.J.

In: Archives of Gerontology and Geriatrics, Vol. 67, 2016, p. 120-129.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Measuring frailty in Dutch community-dwelling older people

T2 - Reference values of the Tilburg Frailty Indicator (TFI)

AU - van Assen, M.A.L.M.

AU - Pallast, Esther

AU - El Fakiri, Fatima

AU - Gobbens, R.J.J.

PY - 2016

Y1 - 2016

N2 - Objectives: The objectives of this study were to provide reference values of the Tilburg Frailty Indicator (TFI) for community-dwelling older people by age, sex, marital status, ethnicity, education, income, and residence, and examine the effects of these seven socio-demographic variables on frailty.Methods: 47,768 individuals aged 65 years and older living in the Netherlands completed a health questionnaire (58.5% response rate), including the TFI. The TFI is a self-report questionnaire for measuring frailty, developed from an integral approach of frailty, including physical, psychological, and social domains.Results: Reference values were provided for men and women separately, as a function of age. We found associations of all socio-demographic variables with frailty, also after controlling for the effects of age. These associations held for both sexes and for big cities as wells as more rural areas. For instance, the effect of age was large for total and physical frailty, women were more frail than men, and some very large average frailty differences between the ethnic groups were found, with autochthon people having the lowest frailty score.Conclusions: In conclusion, this study offers reference values of the TFI by socio-demographic characteristics and explains frailty using these characteristics. This information will support researchers, policymakers and health care professionals in interpreting scores of the TFI, which may guide their efforts to reduce frailty and its adverse outcomes. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

AB - Objectives: The objectives of this study were to provide reference values of the Tilburg Frailty Indicator (TFI) for community-dwelling older people by age, sex, marital status, ethnicity, education, income, and residence, and examine the effects of these seven socio-demographic variables on frailty.Methods: 47,768 individuals aged 65 years and older living in the Netherlands completed a health questionnaire (58.5% response rate), including the TFI. The TFI is a self-report questionnaire for measuring frailty, developed from an integral approach of frailty, including physical, psychological, and social domains.Results: Reference values were provided for men and women separately, as a function of age. We found associations of all socio-demographic variables with frailty, also after controlling for the effects of age. These associations held for both sexes and for big cities as wells as more rural areas. For instance, the effect of age was large for total and physical frailty, women were more frail than men, and some very large average frailty differences between the ethnic groups were found, with autochthon people having the lowest frailty score.Conclusions: In conclusion, this study offers reference values of the TFI by socio-demographic characteristics and explains frailty using these characteristics. This information will support researchers, policymakers and health care professionals in interpreting scores of the TFI, which may guide their efforts to reduce frailty and its adverse outcomes. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

KW - Frailty

KW - Tilburg Frailty Indicator (TFI)

KW - Reference values

KW - Community-dwelling older people

KW - Socio-demographic variables

KW - Ethnicity

KW - QUALITY-OF-LIFE

KW - HEALTH-CARE UTILIZATION

KW - PSYCHOMETRIC PROPERTIES

KW - ELDERLY-PEOPLE

KW - SOCIAL VULNERABILITY

KW - ADULTS

KW - PREVALENCE

KW - DISABILITY

KW - ASSOCIATION

KW - POPULATION

U2 - 10.1016/j.archger.2016.07.005

DO - 10.1016/j.archger.2016.07.005

M3 - Article

VL - 67

SP - 120

EP - 129

JO - Archives of Gerontology and Geriatrics

JF - Archives of Gerontology and Geriatrics

SN - 0167-4943

ER -