title: [Health and competence: detection and decoding using comprehensive assessments in the Longitudinal Urban Cohort Ageing Study (LUCAS)].
abstract: OBJECTIVE
  The goal of this work was to characterise and distinguish persons without (fit), with earliest signs (pre-frail) or accelerated functional decline (frail) during self-referral (geriatric centre) or preventive home visits.
  
  
  METHODS
  After screening independently living older people in an urban longitudinal cohort (n = 1,995) using a self-administered questionnaire, they were functionally classified as fit, pre-frail or frail. In 10% randomly selected samples of these cohort parts a comprehensive extended gerontological-geriatric assessment (EGGA) was administered.
  
  
  RESULTS
  Fit, pre-frail and frail samples are significantly different regarding comorbidity, medication, mobility, fall risk, instrumental activities of daily living and use of social support but not nutrition. The best indicator to discriminate fit versus frail was exhaustion (mobility tiredness).
  
  
  CONCLUSIONS
  Competence is essential regarding health in old age. Identification of resources and risks by comprehensive assessment is useful before planning interventions to prevent frailty or its progression.
authors.affiliation: Forschungsabteilung, Zentrum für Geriatrie und Gerontologie, Albertinen-Haus, Wissenschaftliche Einrichtung an der Universität Hamburg, Sellhopsweg 18-22, 22459 Hamburg. Jenny.Anders@albertinen.de
authors.forename: J
authors.initials: J
authors.lastname: Anders
authors.forename: F
authors.initials: F
authors.lastname: Pröfener
authors.forename: U
authors.initials: U
authors.lastname: Dapp
authors.forename: S
authors.initials: S
authors.lastname: Golgert
authors.forename: A
authors.initials: A
authors.lastname: Daubmann
authors.forename: K
authors.initials: K
authors.lastname: Wegscheider
authors.forename: W
authors.initials: W
authors.lastname: von Renteln-Kruse
authors.forename: C E
authors.initials: CE
authors.lastname: Minder
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000145:classification* / Q000401:mortality*; D015331:Cohort Studies; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods* / Q000706:statistics & numerical data; D005858:Germany / Q000453:epidemiology; D006305:Health Status Indicators; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008403:Mass Screening / Q000379:methods*; D010809:Physical Fitness; D010865:Pilot Projects; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014505:Urban Population / Q000706:statistics & numerical data