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Background: Items of frailty phenotype and frailty load can differently influence functional capacity and risk of falls in frail older adults. Methods: The FIBRA study is a cross-sectional, multicentric, and multidisciplinary investigation of 617 community-dwelling older adults from Brazil considered frail by the frailty phenotype. Results and Conclusion: Functional capacity for basic activities of daily living was different for those older adults positive at gait slowness (P = .002); for instrumental activities of daily living differences occurred for 4 positive items; for falls differences appeared only for gait slowness (P = .30). As older adults are considered frail, frailty load is not strongly associated with functional capacity and falls occurrence. [ABSTRACT FROM AUTHOR]

Aims Few studies have been published on the use of the Cambridge Cognitive Examination Test - Revised ( CAMCOG- R) for cognitive assessment of low educational level older adults. The aim of the present study was to determine the accuracy of the Brazilian version of the CAMCOG- R ( Br- CAMCOG- R) within a sample of low educational level and illiterate older adults. Methods The Br- CAMCOG- R was administered to outpatients in a public geriatric clinic. The diagnosis of dementia was based on the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition criteria. The receiving operator characteristic curves were plotted, and the best trade-offs between sensitivities and specificities were calculated. Results A total of 189 participants were evaluated. The mean age was 77 ± 6.9 years. The mean educational level was 3.1 ± 2.2 years. The mean test score was 66.5 ± 13.1 points; there were 56 (29.6%) participants with dementia. The best cut-off score for illiterate participants was 50/51; sensitivity, specificity and area under the curve ( AUC) were 69%, 69% and 0.75, respectively; for participants with a low educational level, the best cut-off point was 60/61; the sensitivity, specificity and AUC were 83%, 85%, and 0.93, respectively; for participants with a middle educational level, the best cut-off point was 69/70; the sensitivity, specificity and AUC were 90%, 76% and 0.91, respectively. Conclusions The Br- CAMCOG- R was useful for identifying cases of dementia among older adults with middle and low levels of literacy, but inadequate for the illiterate individuals. Geriatr Gerontol Int 2014; 14: 763-768. [ABSTRACT FROM AUTHOR]