Skip to main content
SpringerLink
Log in

Predictive Validity of the Physical Resilience Instrument for Older Adults (PRIFOR)

  • Brief Report
  • Published:
The journal of nutrition, health & aging

Abstract

This study aimed at evaluating the predictive ability of the Physical Resilience Instrument for Older Adults (PRIFOR) for the recovery of frailty, activity of daily living (ADL), and quality of life in older adults suffering from acute health stressors. The longitudinal study was adopted and patients aged 65 and older with Clinical Frailty Scale (CFS) scores between 4 and 6 were included. The PRIFOR was used to assess physical resilience at baseline. Katz ADL, CFS and EuroQoL 5-dimension Questionnaire (EQ 5D) scores were all assessed at baseline and one month after discharge. The mean age of the 192 participants was 76.29 ± 6.53 years, and 50.5% were female. After adjusting for the baseline condition, the PRIFOR was only significantly associated with the CFS (β=−0.183, p<0.001) at one month after discharge. Our study results provide evidence of the predictive capacity of the PRIFOR for recovery from frailty.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. World Health Organization (2015) World report on ageing and health. Geneva, Switzerland.

  2. Ukraintseva S, Yashin AI, Arbeev KG. Resilience versus robustness in aging. J Gerontol A Biol Sci Med Sci 2016;71:1533–1534; doi: https://doi.org/10.1093/gerona/glw083.

    Article  Google Scholar 

  3. Whitson HE, Duan-Porter W, Schmader KE, Morey MC, Cohen HJ, Colón-Emeric CS. Physical resilience in older adults: systematic review and development of an emerging construct. J Gerontol A Biol Sci Med Sci 2016;71:489–495; doi: https://doi.org/10.1093/gerona/glv202.

    Article  Google Scholar 

  4. Hadley EC, Kuchel GA, Newman AB, et al. Report: NIA workshop on measures of physiologic resiliencies in human aging. J Gerontol A Biol Sci Med Sci 2017;72:980–990; doi:https://doi.org/10.1093/gerona/glx015.

    Article  Google Scholar 

  5. Hu FW, Yen MF, Lin CH, Yang DC (2020). Establishing a frailty management model in hospitalized older patients. Government Research Bulletin. https://www.grb.gov.tw/search/planDetail?id=13117691. Accessed 1 Nov 2020.

  6. Rollason V, Vogt N. Reduction of polypharmacy in the elderly: A systematic review of the role of the pharmacist. Drugs Aging 2003;20:817–832; doi: https://doi.org/10.2165/00002512-200320110-00003.

    Article  Google Scholar 

  7. Hoyl MT, Alessi CA, Harker JO, et al. Development and testing of a five-item version of the geriatric depression scale. J Am Geriatr Soc 1999;47:873–878; doi: https://doi.org/10.1111/j.1532-5415.1999.tb03848.x.

    Article  CAS  Google Scholar 

  8. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975;23:433–441; doi: https://doi.org/10.1111/j.1532-5415.1975.tb00927.x.

    Article  CAS  Google Scholar 

  9. Hughes SL, Edelman PL, Singer RH, Chang RW. Joint impairment and self-reported disability in elderly persons. J Gerontol 1993; 48: S84–S92; doi: https://doi.org/10.1093/geronj/48.2.S84.

    Article  CAS  Google Scholar 

  10. Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ 2005;173:489–495; doi:https://doi.org/10.1503/cmaj.05005.

    Article  Google Scholar 

  11. EuroQol group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 1990;16:199–208; doi: https://doi.org/10.1016/0168-8510(90)90421-9.

    Article  Google Scholar 

  12. Chang TJ, Tarn YH, Hsieh CL, Liou WS, Shaw JW, Chiou XG. Taiwanese version of the EQ-5D: validation in a representative sample of the Taiwanese population. J Formos Med Assoc 2007;106:1023–1031; doi:https://doi.org/10.1016/S0929-6646(08)60078-9.

    Article  Google Scholar 

  13. Xue QL. The frailty syndrome: definition and nature history. Clin Geriatri Med 2011;21:1–15; doi: https://doi.org/10.1016/j.cger.2010.08.009.

    Article  Google Scholar 

  14. Whitson HE, Cohen HJ, Schmader KE, Morey MC, Kuchel G, Colon-Emeric CS. Physical resilience: not simply the opposite of frailty. J Am Geriatr Soc 2018; 66:1459–1461; doi: https://doi.org/10.1111/jgs.15233.

    Article  Google Scholar 

  15. Wu CK, Li YX., Marron MM, Odden MC, Newman AB, Sanders JL. Quantifying and classifying physical resilience among older adults: the Health, Aging, and Body Composition study. J Gerontol A Biol Sci Med Sci 2020;75:1960–1966; doi: https://doi.org/10.1093/gerona/glz247.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan

    F.-W. Hu

  2. Department of Health-Business Administration, College of Nursing, Fooyin University, Kaohsiung, Taiwan

    C.-H. Lin

  3. Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan

    P.-H. Lai

  4. Institute of Allied Health Sciences and Departments of Public Health and Occupational Therapy, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, 70101, Taiwan

    Chung-Ying Lin

Authors
  1. F.-W. Hu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C.-H. Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P.-H. Lai
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Chung-Ying Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

FWH: study concept, data collection, manuscript draft. PHL: data collection. CHL: study concept and statistical analyses. CYL: statistical analyses, manuscript draft and editing.

Corresponding author

Correspondence to Chung-Ying Lin.

Ethics declarations

The study was conducted in accordance with the Declaration of Helsinki and the ethical guidelines for Ethical Guidelines for Medical and Health Research Involving Human Subjects in Taiwan.

Additional information

Conflict of Interest

None of the authors have conflicts related to this manuscript.

Financial Disclosure

This study was supported by a grant from the Ministry of Science and Technology (MOST 108-2314-B-006-040).

Sponsor Role

None.

Electronic supplementary material

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hu, FW., Lin, CH., Lai, PH. et al. Predictive Validity of the Physical Resilience Instrument for Older Adults (PRIFOR). J Nutr Health Aging 25, 1042–1045 (2021). https://doi.org/10.1007/s12603-021-1667-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-021-1667-6

Key words

Search

Navigation