1. Canadian Study of Health and Aging Disability and Frailty

2. Canadian Study of Health and Aging Prevalence of Various Levels of Functional Ability by Dementia Status CommunityInstitutions NormalDementia Normal Dementia % % % % Good function 65.8 6.6 7.1 0.0 Mild disability 20.2 14.8 10.8 0.3 Moderate 12.1 30.8 39.5 2.5 Severe 1.3 21.2 27.3 12.3 Total disability 0.6 26.5 15.3 84.9

3. Canadian Study of Health and Aging The association of dementia with disability Source: J. Graham Am J Epidemiol 1999;150:1045 Proportion with impaired mobility Age

4. Canadian Study of Health and Aging Selected CSHA Results on Disability Graham et al. (1999) modeled frailty in terms of the more rapid cumulation of functional deficits than normal. Such people are ‘functionally older’ than others. Using this approach, they distinguished normal aging from the effects of diseaseGraham et al. (1999) modeled frailty in terms of the more rapid cumulation of functional deficits than normal. Such people are ‘functionally older’ than others. Using this approach, they distinguished normal aging from the effects of disease Hogan et al. (1999) described changes in function over 5 years. 68% of subjects reported a functional decline; 27% of people remained the same. They described predictors of functional decline, and reported functioning among the very old (85+).Hogan et al. (1999) described changes in function over 5 years. 68% of subjects reported a functional decline; 27% of people remained the same. They described predictors of functional decline, and reported functioning among the very old (85+).

5. Canadian Study of Health and Aging Disability (continued) Moghal et al. (1994, 1995) reported the prevalence of movement disorders (tremor, Parkinson’s disease) in community and institutional residentsMoghal et al. (1994, 1995) reported the prevalence of movement disorders (tremor, Parkinson’s disease) in community and institutional residents Rockwood et al. (1999) proposed a brief approach for classifying frailtyRockwood et al. (1999) proposed a brief approach for classifying frailty Thomas et al. (1998) reported on the number of distinct dimensions of ADL and IADL disabilitiesThomas et al. (1998) reported on the number of distinct dimensions of ADL and IADL disabilities

6. Canadian Study of Health and Aging CSHA Researchers have Contributed to the Conceptualization of Frailty: 1.Static definition: ADL problems  cognitive problems,  poor self-rated health 2.Balance conception: Deficits:ADL/IADL,CognitiveproblemsAssets:Assistance,SES,Confidence Sources: K. Rockwood et al., J Amer Geriatr Soc 1996;44:578-582 Lancet 1999;353:205-6

7. Canadian Study of Health and Aging Percentage of Canadian population classified as frail by different definitions & Static: ADL + IADL & Balance definition &,  Static: ADL + Cognition  Balance; Static: ADL/IADL  Static: ADL only  Static: ADL only