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Published on: December 13, 2017
Frailty in elderly persons with essential tremor: a population-based study (NEDICES)
E D Louis1, J Benito-León, S Vega
1The GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA. EDL2@columbia.edu
Essential tremor (ET) cases exhibit greater frailty than controls. This increased frailty may contribute to the higher mortality risk observed in some ET studies.
Area of Science:
- Neurology
- Gerontology
- Public Health
Background:
- Essential tremor (ET) is a common neurological disorder.
- ET is linked to comorbidities and potentially increased mortality.
- Frailty has not been previously studied in ET patients.
Purpose of the Study:
- To investigate frailty levels in essential tremor cases.
- To compare frailty in ET patients versus controls.
- To test the hypothesis that frailty is greater in ET cases.
Main Methods:
- A 20-item frailty score was used.
- The score assessed comorbidities, medications, and functional activity.
- Compared 237 ET cases with 3903 age-matched controls in Spain.
Main Results:
- ET cases showed significantly higher frailty scores than controls (8.6 vs. 6.8).
- Frailty increased with age, was higher in women, and correlated with poorer health status.
- Frailty was inversely correlated with body weight and physical activity levels.
Conclusions:
- Essential tremor patients demonstrate increased frailty compared to non-ET individuals.
- Further research is needed to determine if frailty contributes to increased mortality in ET.
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