Higher FORTA (Fit fOR The Aged) scores are associated with poor functional outcomes, dementia, and mortality in older people

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dc.citation.issue11
dc.citation.volume78
dc.contributor.authorPazan F
dc.contributor.authorBreunig H
dc.contributor.authorWeiss C
dc.contributor.authorRöhr S
dc.contributor.authorLuppa M
dc.contributor.authorPentzek M
dc.contributor.authorBickel H
dc.contributor.authorWeeg D
dc.contributor.authorWeyerer S
dc.contributor.authorWiese B
dc.contributor.authorKönig H-H
dc.contributor.authorBrettschneider C
dc.contributor.authorHeser K
dc.contributor.authorMaier W
dc.contributor.authorScherer M
dc.contributor.authorRiedel-Heller S
dc.contributor.authorWagner M
dc.contributor.authorWehling M
dc.coverage.spatialGermany
dc.date.accessioned2023-11-22T01:17:25Z
dc.date.accessioned2024-07-25T06:48:27Z
dc.date.available2022-09-27
dc.date.available2023-11-22T01:17:25Z
dc.date.available2024-07-25T06:48:27Z
dc.date.issued2022-11
dc.description.abstractPurpose Higher Fit fOR The Aged (FORTA) scores have been shown to be negatively associated with adverse clinical outcomes in older hospitalized patients. This has not been evaluated in other health care settings. The aim of this study was to examine the association of the FORTA score with relevant outcomes in the prospective AgeCoDe–AgeQualiDe cohort of community-dwelling older people. In particular, the longitudinal relation between the FORTA score and mortality and the incidence of dementia was evaluated. Methods Univariate and multivariate correlations between the FORTA score and activities of daily living (ADL) or instrumental activities of daily living (IADL) as well as comparisons between high vs. low FORTA scores were conducted. Results The FORTA score was significantly correlated with ADL/IADL at baseline and at all follow-up visits (p < 0.0001). ADL/IADL results of participants with a low FORTA score were significantly better than in those with high FORTA scores (p < 0.0001). The FORTA score was also significantly (p < 0.0001) correlated with ADL/IADL in the multivariate analysis. Moreover, the mean FORTA scores of participants with dementia were significantly higher (p < 0.0001) than in those without dementia at follow-up visits 6 through 9. The mean FORTA scores of participants who died were significantly higher than those of survivors at follow-up visits 7 (p < 0.05), 8 (p < 0.001), and 9 (p < 0.001). Conclusion In this study, an association between higher FORTA scores and ADL as well as IADL was demonstrated in community-dwelling older adults. Besides, higher FORTA scores appear to be linked to a higher incidence of dementia and even mortality.
dc.format.pagination1851-1859
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/36167853
dc.identifier.citationPazan F, Breunig H, Weiss C, Röhr S, Luppa M, Pentzek M, Bickel H, Weeg D, Weyerer S, Wiese B, König H-H, Brettschneider C, Heser K, Maier W, Scherer M, Riedel-Heller S, Wagner M, Wehling M. (2022). Higher FORTA (Fit fOR The Aged) scores are associated with poor functional outcomes, dementia, and mortality in older people.. Eur J Clin Pharmacol. 78. 11. (pp. 1851-1859).
dc.identifier.doi10.1007/s00228-022-03389-w
dc.identifier.eissn1432-1041
dc.identifier.elements-typejournal-article
dc.identifier.issn0031-6970
dc.identifier.pii10.1007/s00228-022-03389-w
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70923
dc.languageeng
dc.publisherSpringer Nature Switzerland AG
dc.relation.isPartOfEur J Clin Pharmacol
dc.rights(c) 2022 The Author/s
dc.rightsCC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectDementia
dc.subjectInappropriate prescribing
dc.subjectMultimorbidity
dc.subjectOlder people
dc.subjectPolypharmacy
dc.subjectActivities of Daily Living
dc.subjectAged
dc.subjectDementia
dc.subjectHumans
dc.subjectIndependent Living
dc.subjectProspective Studies
dc.titleHigher FORTA (Fit fOR The Aged) scores are associated with poor functional outcomes, dementia, and mortality in older people
dc.typeJournal article
pubs.elements-id457196
pubs.organisational-groupOther
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