functional capacity. total score: 0-12 it should be calculated by adding the score in each one of...

Functional capacity

Total Score: 0-12It should be calculated by adding theScore in each one of the three partsof the test (Balance, Gait and Chair Stand)

Decreases in 1 point regarding previousScores in the same patient are of clinicalrelevance

Mortality rates according to single score(adjusted by age and sex)

11,7

7,8

9,0

6,6

4,5

6,1

4,3

3,2

4,4

3,03,6

3,0

1,92,5

3,0

0

5

10

15

Dea

ths

per

100

Per

son

-Yea

rs

Walk Chair Stands Standing Balance% Distribution 5 23 25 26 22 22 19 20 20 19 10 15 13 14 49

0 1 2 3 4Test Category 0 1 2 3 4 0 1 2 3 4

Guralnik JM, et al. J Gerontol Med Sci. 1994;49:M85-M94.

Age and Sex Adjusted

De

ath

s p

er 1

00

Pe

rso

n–

Ye

ars

Performance Test Summary Score

Guralnik JM, et al. J Gerontol Med Sci. 1994;49:M85-M94.

Mortality rates as a function of the overall score

Age and Sex Adjusted Guralnik JM, et al. J Gerontol Med Sci. 1994;49:M85-M94.

Insitutionalization rates as a function of the overall punctuation

Functional status at 4 years as a function of baseline gait velocity in non-disabled older people

0%

Guralnik JM, et al.N Engl J Med. 1995; 332: 556-61.

0.42 0.43 – 0.59 0.60 – 0.77 0.78

Gait velocity (m/sec)

Category 1 2 3 4

20%

40%

60%

80%

100%

Stat

us o

f dis

abili

ty(%

of s

ubje

cts)

Iowa EPESE

No disability

Mobility affected

Impairment in BADL+ Mobility

Risk of falls/Risk of fracturesNICE document to assess risk of falls

FRAX INDEX to assess risk of fractures

COGNITIVE AND AFECTIVE ASSESSMENT

Take home messages

DM impacts several functional domains. Function is the best predictor of adverse events in these patients.A comprehensive assessment of older people with DM must include not only classical clinical components but also function, cognition, mood, risk of falls and fractures, nutrition and social support.There are many validated instruments to assess all of those domains.They are easy to use, inexpensive and friendly for both the patient and the evaluator.