Frailtek


OBJECTIVES:

“To go forward in the multidimensional characterization of frailty and in the elaboration of innovative strategies for its identification”

This project, developed in 2015 - 2016, has focused on finding innovative identification and assessment methods that complement the usual ones and allow systematizing the identification of frailty and incorporating it into current healthcare procedures.

ACTIVITIES:

Work has been done:

  1. To develop knowledge of the symptoms and signs that make up the syndrome of frailty from a global and integrating perspective, taking into account its multidimensionality as well as its biological substrate.

  2. To develop technology-based solutions to innovate and improve the methods currently used for the identification and clinical assessment of frail subjects.

RESULTS AND CONTRIBUTIONS:

Cohorts of robust and frail elderly people both in primary care and in geriatric care; Cohorts characterized from the functional, cognitive and life pattern point of view.

In primary care, a total of 567 subjects with an average age of 80 years have been recruited and evaluated in various municipalities of Gipuzkoa belonging to the Integrated Health Organization OSI Donostialdea of Osakidetza. The high prevalence of notable limitations in the capacity of functional execution of the subjects studied stands out.

It has been established a cohort of 114 frail individuals from the institutional field of a total of 10 residential care centers from Gipuzkoa. The residential area sample is characterized by a poor physical condition, an important degree of sedentary lifestyle (greater than that caused by its functional limitation), an important degree of multimorbidity and multipharmacy.

  • Trial designed and tested for the joint assessment of physical and cognitive function. Work has been done on the construction of a frailty identification test based on the execution of a combined task, with both physical and cognitive components. This tool has been evaluated with different users.
  • Prototype to study sitting action applicable in “get up and go” (Sit to Stand) tests: Based on pressure sensors (technology patented by CIDETEC), it allows to analyze the getting up and sitting down process and to extract parameters that allow to identify the frailty condition of the subjects under study.
  • Prototype for postural control / balance assessment applicable in the Berg balance scale tests: It uses a combination of an optical system for capturing trunk movement and a pressure platform for measuring the plantar pressure distribution. Both measures allow an estimation of the relative position between the Center of Mass and the Base of Support, and in this way it allows to analyze the stability of the subjects under study.
  • Prototype for studying the life patterns of frail subjects. Solution based on the monitoring of life habits and patterns and physical activity performed together with the measure of psychosocial variables (perception of vulnerability, loneliness, emotions, ...).
  • Study of genetic and biochemical markers for the identification of frail subjects. Proposal of batteries of genetic and molecular indicators relevant to the characterization of frail subjects and progress in the development of diagnostic proposals based on them.
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