Advertisement

Aging Clinical and Experimental Research

, Volume 31, Issue 2, pp 209–214 | Cite as

Validation of the Spanish version of the Pittsburgh Fatigability Scale for older adults

  • Laura M. PérezEmail author
  • Marta Roqué
  • Nancy W. Glynn
  • Adam J. Santanasto
  • Maria Ramoneda
  • Maria T. Molins
  • Laura Coll-Planas
  • Patricia Vidal
  • Marco Inzitari
Original Article

Abstract

Background

The Pittsburgh Fatigability Scale (PFS) is the only validated scale for measuring perceived fatigability in older adults.

Aims

We validated the PFS Spanish version by assessing convergent validity with respect to several measures of physical performance, physical activity, physical function and disability.

Methods

A cross-sectional validation study of 79 community-dwelling older adults aged 70 and older from Barcelona, Spain was included. Translation–retrotranslation was performed. Convergent validity was assessed in relation to physical activity and performance measurements, and analyzed with Spearman correlation coefficients, a linear trend test and non-linear regression. We also assessed the discriminant validity of the PFS physical score between participants with different physical activity and performance levels.

Results

Higher PFS physical scores were inversely associated with the Short Physical Performance Battery (r = − 0.5, p < 0.001) and weak to moderately correlated with gait speed (r = 0.38, p = 0.001), and self-reported weekly walking time (r = 0.24, p = 0.035).

Conclusion

The PFS is a novel, brief instrument to assess fatigability in Spanish-speaking older adults, with good convergent validity against physical performance measurements. Thus, the PFS can be used in Spanish-speaking populations.

Keywords

Fatigability Fatigue Validity Spanish version 

Notes

Acknowledgements

Rosario Jimenez, Esperança Palacios and Palmira Villafuerte of the ABS Vallcarca-Sant Gervasi for their help in conducting the clinical trial and assessments. Jordi González-Guerra and Irene Garcia for their help in conducting the interviews. Àlex Domingo, Gabriela del Valle Gómez, Cristina Puchol, Ignasi Bolibar, Alejandro Carrera Rodriguez for their help in the translation procedure of the Spanish version of the PFS.

Funding

The sub-study is part of a clinical trial “Exercise Park Equipment for Improving Physical Function and Physical Activity Levels in the Elderly” (NCT02375594) that had partial funding by Lappset España—Lappset Group Oy. The NCT02375594 clinical trial sponsor had no role in conducting the analyses, interpreting or reviewing the data included in this paper. The original Pittsburgh Fatigability Scale development and validation was funded by a Pittsburgh Claude D. Pepper Older Americans Independence Center Developmental Pilot Grant NIH P30 AG024826 and also from the Intramural Research Program, National Institute on Aging, National Institutes of Health.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

This study was approved by the Animal and Human Experimentation Ethics Committee of the Universitat Autónoma de Barcelona.

Informed consent

Written informed consent was collected from all participants.

Supplementary material

40520_2018_959_MOESM1_ESM.docx (2.7 mb)
Supplementary material 1 (DOCX 2753 KB)

References

  1. 1.
    Swain MG (2000) Fatigue in chronic disease. Clin Sci (Lond) 99:1–8CrossRefGoogle Scholar
  2. 2.
    Meng H, Hale L, Friedberg F (2010) Prevalence and predictors of fatigue in middle-aged and older adults: evidence from the health and retirement study. J Am Geriatr Soc 58:2033–2034.  https://doi.org/10.1111/j.1532-5415.2010.03088.x CrossRefGoogle Scholar
  3. 3.
    Eldadah BA (2010) Fatigue and fatigability in older adults. PMR 2:406–413.  https://doi.org/10.1016/j.pmrj.2010.03.022 CrossRefGoogle Scholar
  4. 4.
    Alexander NB, Taffet GE, Horne FM et al (2010) Bedside-to-bench conference: research agenda for idiopathic fatigue and aging. J Am Geriatr Soc 58:967–975.  https://doi.org/10.1111/j.1532-5415.2010.02811.x CrossRefGoogle Scholar
  5. 5.
    Basu N, Yang X, Luben RN et al (2016) Fatigue is associated with excess mortality in the general population: results from the EPIC-Norfolk study. BMC Med 14:122.  https://doi.org/10.1186/s12916-016-0662-y CrossRefGoogle Scholar
  6. 6.
    Richardson CA, Glynn NW, Ferrucci LG et al (2015) Walking energetics, fatigability, and fatigue in older adults: the study of energy and aging pilot. J Gerontol Ser A Biol Sci Med Sci 70:487–494.  https://doi.org/10.1093/gerona/glu146 CrossRefGoogle Scholar
  7. 7.
    Simonsick EM, Glynn NW, Jerome GJ et al (2016) Fatigued, but not frail: perceived fatigability as a marker of impending decline in mobility-intact older adults. J Am Geriatr Soc 64:1287–1292.  https://doi.org/10.1111/jgs.14138 CrossRefGoogle Scholar
  8. 8.
    Fried LP, Tangen CM, Walston J et al (2001) Cardiovascular health study collaborative research group, frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56:M146–M56.  https://doi.org/10.1186/s12877-015-0078-0 CrossRefGoogle Scholar
  9. 9.
    Glynn NW, Santanasto AJ, Simonsick EM et al (2015) The Pittsburgh Fatigability Scale for older adults: development and validation. J Am Geriatr Soc 63:130–135.  https://doi.org/10.1111/jgs.13191 CrossRefGoogle Scholar
  10. 10.
    World Health Organization (2010) Global recommendations on physical activity for health. World Health Organization, GenevaGoogle Scholar
  11. 11.
    Pahor M, Blair S, Espeland M et al (2006) Effects of a physical activity intervention on measures of physical performance: results of the lifestyle interventions and independence for elders pilot (LIFE-P) Study. J Gerontol Ser A Biol Sci Med Sci 61:1157–1165.  https://doi.org/10.1093/gerona/61.11.1157 CrossRefGoogle Scholar
  12. 12.
    Beaton DE, Bombardier C, Guillemin F et al (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 25:3186–3191CrossRefGoogle Scholar
  13. 13.
    Guralnik JM, Ferrucci L, Simonsick EM et al (1995) Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med 332:556–561.  https://doi.org/10.1056/NEJM199503023320902 CrossRefGoogle Scholar
  14. 14.
    Cabrero-García J, Muñoz-Mendoza CL, Cabañero-Martínez MJ et al (2012) Valores de referencia de la Short Physical Performance Battery para pacientes de 70 y más años en atención primaria de salud. Aten Primaria 44:540–548.  https://doi.org/10.1016/j.aprim.2012.02.007 CrossRefGoogle Scholar
  15. 15.
    Guralnik JM, Simonsick EM, Ferrucci L et al (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 49:M85-94CrossRefGoogle Scholar
  16. 16.
    Studenski S, Perera S, Patel K et al (2011) Gait speed and survival in older adults. JAMA 305:50–58.  https://doi.org/10.1001/jama.2010.1923 CrossRefGoogle Scholar
  17. 17.
    Abellan van Kan G, Rolland Y, Andrieu S et al (2009) Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging 13:881–889CrossRefGoogle Scholar
  18. 18.
    Cruz-Jentoft AJ, Baeyens JP, Bauer JM et al (2010) European working group on sarcopenia in older people, sarcopenia: European consensus on definition and diagnosis. Report of the European working group on sarcopenia in older people. Age Ageing 39:412–423.  https://doi.org/10.1093/ageing/afq034 CrossRefGoogle Scholar
  19. 19.
    Lauretani F, Russo CR, Bandinelli S et al (2003) Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol 95:1851–1860.  https://doi.org/10.1152/japplphysiol.00246.2003 CrossRefGoogle Scholar
  20. 20.
    Martinez-Gonzalez MA, Lopez-Fontana C, Varo JJ (2005) Validation of the Spanish version of the physical activity questionnaire used in the Nurses’ Health Study and the Health Professionals’ Follow-up Study. Public Health Nutr 8:920–927CrossRefGoogle Scholar
  21. 21.
    Craig CL, Marshall AL, Sjöström M et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35:1381–1395.  https://doi.org/10.1249/01.MSS.0000078924.61453.FB CrossRefGoogle Scholar
  22. 22.
    Denkinger MD, Igl W, Coll-Planas L et al (2009) Evaluation of the short form of the late-life function and disability instrument in geriatric inpatients—validity, responsiveness, and sensitivity to change. J Am Geriatr Soc 57:309–314.  https://doi.org/10.1111/j.1532-5415.2008.02095.x CrossRefGoogle Scholar
  23. 23.
    Abizanda P, López-Jiménez M, López-Torres J et al (2011) Validation of the Spanish version of the short-form late-life function and disability instrument. J Am Geriatr Soc 59:893–899.  https://doi.org/10.1111/j.1532-5415.2011.03392.x CrossRefGoogle Scholar
  24. 24.
    McAuley E, Konopack JF, Motl RW et al (2005) Measuring disability and function in older women: psychometric properties of the late-life function and disability instrument. J Gerontol A Biol Sci Med Sci 60:901–909CrossRefGoogle Scholar
  25. 25.
    Swinscow TDV (1997) Correlation and regression. In: University of S. Campbell (eds) Stat. Sq. One, 9th edn. BMJ Publishing Group, LondonGoogle Scholar
  26. 26.
    Schnelle JF, Buchowski MS, Ikizler TA et al (2012) Evaluation of two fatigability severity measures in elderly adults. J Am Geriatr Soc 60:1527–1533.  https://doi.org/10.1111/j.1532-5415.2012.04062.x CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Laura M. Pérez
    • 1
    Email author
  • Marta Roqué
    • 2
  • Nancy W. Glynn
    • 3
  • Adam J. Santanasto
    • 3
  • Maria Ramoneda
    • 2
  • Maria T. Molins
    • 1
  • Laura Coll-Planas
    • 2
  • Patricia Vidal
    • 4
  • Marco Inzitari
    • 1
    • 5
  1. 1.Intermediate Care Hospital, Parc Sanitari Pere VirgiliBarcelonaSpain
  2. 2.Fundació Salut i EnvellimentUniversitat Autònoma de BarcelonaBarcelonaSpain
  3. 3.Department of Epidemiology, Center for Aging and Population HealthUniversity of PittsburghPittsburghUSA
  4. 4.Catalan Board of Physical Therapists (ColFiCat)BarcelonaSpain
  5. 5.Department of MedicineUniversitat Autònoma de BarcelonaBarcelonaSpain

Personalised recommendations