Assessment of Physical Fitness and Risk Factors for the Occurrence of the Frailty Syndrome among Social Welfare Homes' Residents over 60 Years of Age in Poland
Jazyk angličtina Země Švýcarsko Médium electronic
Typ dokumentu časopisecké články
PubMed
35742694
PubMed Central
PMC9223572
DOI
10.3390/ijerph19127449
PII: ijerph19127449
Knihovny.cz E-zdroje
- Klíčová slova
- aging, frailty syndrome, gait analysis, nursing homes, physical fitness, physical functional performance,
- MeSH
- geriatrické hodnocení MeSH
- křehkost * diagnóza epidemiologie MeSH
- křehký senior MeSH
- lidé středního věku MeSH
- lidé MeSH
- průřezové studie MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- sociální péče MeSH
- tělesná výkonnost MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Polsko epidemiologie MeSH
The study aimed at assessing physical fitness and occurrence of the frailty syndrome among social welfare homes’ residents as well as defining factors which determine the level of frailty and its occurrence. The examination included 198 residents (115 females and 83 males of average age 75.5 ± 10.21) and was carried out with the use of the Short Physical Performance Battery (SPPB) test with the following cut-off points: 0−6—frail, 7−9—pre-frail, 10−12—non-frail. The research additionally collected data regarding age, gender, number of chronic diseases, education level, type of prior work and current physical activity. In addition, the height and weight of the respondents were measured. The frailty syndrome was found in more than a half of the examinees (104; 52.53%), the pre-frailty state in 30.30% (n = 60) and 17.17% (n = 34) were non-frail. The average result of the SPPB test was 6.52 ± 2.73, which proves a moderate limitation of the sample group’s fitness. No significant differences were noted between female and male respondents (p = 0.27). The multifactorial linear regression model showed that independent and direct frailty syndrome predicators included age, number of chronic diseases and regular physical activity (p < 0.05). In conclusion, promoting and encouraging regular, age and interest-related forms of physical activity among seniors might foster the maintenance of their physiological reservoir and functional efficiency.
Institute of Health Sciences University of Opole 45 060 Opole Poland
Rehabilitation Department District Hospital Nachod 547 69 Nachod Czech Republic
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Wang H., Wang J., Xie B., Liu B., Wang J. Multi-dimensional frailty and its risk factors among older residents in long-term care facilities in Shanghai, China. Int. J. Nurs. Sci. 2021;5:298–303. doi: 10.1016/j.ijnss.2021.06.003. PubMed DOI PMC
Kojima G. Frailty as a Predictor of Nursing Home Placement Among Community-Dwelling Older Adults: A Systematic Review and Meta-analysis. J. Geriatr. Phys. Ther. 2018;41:42–48. doi: 10.1519/JPT.0000000000000097. PubMed DOI
Zhang X., Dou Q., Zhang W., Wang C., Xie X., Yang Y., Zeng Y. Frailty as a predictor of all-cause mortality among older nursing home residents: A systematic review and meta-analysis. J. Am. Med. Dir. Assoc. 2019;20:657–663.e4. doi: 10.1016/j.jamda.2018.11.018. PubMed DOI
Ebina J., Ebihara S., Kano O. Similarities, differences and overlaps between frailty and Parkinson’s disease. Geriatr. Gerontol. Int. 2022;22:259–270. doi: 10.1111/ggi.14362. PubMed DOI PMC
Główny Urząd Statystyczny Zakłady Stacjonarne Pomocy Społecznej w 2020 r. [(accessed on 20 March 2022)]; Available online: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjo8rOn19T2AhUq-yoKHfg-Dq0QFnoECAgQAQ&url=https%3A%2F%2Fstat.gov.pl%2Fobszary-tematyczne%2Fwarunki-zycia%2Fubostwo-pomoc-spoleczna%2Fzaklady-stacjonarne-pomocy-spolecznej-w-2020-roku%2C18%2C5.html&usg=AOvVaw1r_ncUfCl3q2AFj-4DIyeW.
Honinx E., Van Dop N., Smets T., Deliens L., Van Den Noortgate N., Froggatt K., Gambassi G., Kylänen M., Onwuteaka-Philipsen B., Szczerbińska K., et al. PACE. Dying in long-term care facilities in Europe: The PACE epidemiological study of deceased residents in six countries. BMC Public Health. 2019;19:1199. doi: 10.1186/s12889-019-7532-4. PubMed DOI PMC
Eurostat Statistics Explained Population Structure and Ageing. [(accessed on 20 March 2022)]. Available online: https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Population_structure_and_ageing.
Piotrowicz J., Soll A., Kielar U., Zwiefka A., Guligowska A., Pigłowska M., Kostka T., Kurpas D. ICT and environmental support for patients with frailty syndrome: CareWell Project, Focus Project and SUNFRA IL Project. Med. Sci. Pulse. 2017;11:37–43. doi: 10.5604/01.3001.0009.9274. DOI
World Health Organization. Regional Office for Europe Physical Activity Strategy for the WHO European Region 2016–2025. [(accessed on 20 March 2022)]; Available online: https://www.euro.who.int/en/publications/abstracts/physical-activity-strategy-for-the-who-european-region-20162025.
Rohrmann S. Epidemiology of Frailty in Older People. Adv. Exp. Med. Biol. 2020;1216:21–27. PubMed
Manfredi G., Midão L., Paúl C., Cena C., Duarte M., Costa E. Prevalence of frailty status among the European elderly population: Findings from the Survey of Health, Aging and Retirement in Europe. Geriatr. Gerontol. Int. 2019;19:723–729. doi: 10.1111/ggi.13689. PubMed DOI
Muszalik M., Kotarba A., Borowiak E., Puto G., Cybulski M., Kȩdziora-Kornatowska K. Socio-Demographic, Clinical and Psychological Profile of Frailty Patients Living in the Home Environment and Nursing Homes: A Cross-Sectional Study. Front. Psychiatry. 2021;12:736804. doi: 10.3389/fpsyt.2021.736804. PubMed DOI PMC
Kojima G. Prevalence of frailty in nursing homes: A systematic review and meta-analysis. J. Am. Med. Dir. Assoc. 2015;16:940.e5. doi: 10.1016/j.jamda.2015.06.025. PubMed DOI
Fried L.P., Cohen A.A., Xue Q.L., Walston J., Bandeen-Roche K., Varadhan R. The physical frailty syndrome as a transition from homeostatic symphony to cacophony. Nat. Aging. 2021;1:36–46. doi: 10.1038/s43587-020-00017-z. PubMed DOI PMC
Angulo J., El Assar M., Álvarez-Bustos A., Rodríguez-Mañas L. Physical activity and exercise: Strategies to manage frailty. Redox Biol. 2020;35:101513. doi: 10.1016/j.redox.2020.101513. PubMed DOI PMC
Fried L.P., Tangen C.M., Walston J., Newman A.B., Hirsch C., Gottdiener J., Seeman T., Tracy R., Kop W.J., Burke G., et al. Frailty in older adults: Evidence for a phenotype. J. Gerontol. A Biol. Sci. Med. Sci. 2001;56:146–157. doi: 10.1093/gerona/56.3.M146. PubMed DOI
Motta F., Sica A., Selmi C. Frailty in Rheumatic Diseases. Front. Immunol. 2020;11:576134. doi: 10.3389/fimmu.2020.576134. PubMed DOI PMC
Liotta G., Gilardi F., Orlando S., Rocco G., Proietti M.G., Asta F., De Sario M., Michelozzi P., Mancinelli S., Palombi L., et al. Cost of hospital care for the older adults according to their level of frailty. A cohort study in the Lazio region, Italy. PLoS ONE. 2019;14:e0217829. doi: 10.1371/journal.pone.0217829. PubMed DOI PMC
Dedeyne L., Deschodt M., Verschueren S., Tournoy J., Gielen E. Effects of multi-domain interventions in (pre)frail elderly on frailty, functional, and cognitive status: A systematic review. Clin. Interv. Aging. 2017;12:873–896. doi: 10.2147/CIA.S130794. PubMed DOI PMC
Kaczorowska A., Sebastjan A., Kołodziej M., Kozieł S., Tomczak M., Ignasiak Z. Functional capacity and risk of frailty syndrome in 85-year-old and older women living in nursing homes in Poland. Anthropol. Rev. 2021;84:395–404. doi: 10.2478/anre-2021-0027. DOI
Rizka A., Indrarespati A., Dwimartutie N., Muhadi M. Frailty among Older Adults Living in Nursing Homes in Indonesia: Prevalence and Associated Factors. Ann. Geriatr. Med. Res. 2021;25:93–97. doi: 10.4235/agmr.21.0033. PubMed DOI PMC
Kojima G., Tanabe M. Frailty is Highly Prevalent and Associated with Vitamin D Deficiency in Male Nursing Home Residents. J. Am. Geriatr. Soc. 2016;64:e33–e35. doi: 10.1111/jgs.14268. PubMed DOI
Arnljots R., Thorn J., Elm M., Moore M., Sundvall P.D. Vitamin D deficiency was common among nursing home residents and associated with dementia: A cross sectional study of 545 Swedish nursing home residents. BMC Geriatr. 2017;17:229. doi: 10.1186/s12877-017-0622-1. PubMed DOI PMC
Liu W., Puts M., Jiang F., Zhou C., Tang S., Chen S. Physical frailty and its associated factors among elderly nursing home residents in China. BMC Geriatr. 2020;20:294. doi: 10.1186/s12877-020-01695-5. PubMed DOI PMC
Kendhapedi K.K., Devasenapathy N. Prevalence and factors associated with frailty among community-dwelling older people in rural Thanjavur district of South India: A cross-sectional study. BMJ Open. 2019;9:e032904. doi: 10.1136/bmjopen-2019-032904. PubMed DOI PMC
Niederstrasser N.G., Rogers N.T., Bandelow S. Determinants of frailty development and progression using a multidimensional frailty index: Evidence from the English Longitudinal Study of Ageing. PLoS ONE. 2019;14:e0223799. doi: 10.1371/journal.pone.0223799. PubMed DOI PMC
Travers J., Romero-Ortuno R., Bailey J., Cooney M.-T. Delaying and reversing frailty: A systematic review of primary care interventions. Br. J. Gen. Pract. 2019;69:e61–e69. doi: 10.3399/bjgp18X700241. PubMed DOI PMC
Hsieh T.-J., Su S.-C., Chen C.-W., Kang Y.-W., Hu M.-H., Hsu L.-L., Wu S.-Y., Chen L., Chang H.-Y., Chuang S.-Y., et al. Individualized home-based exercise and nutrition interventions improve frailty in older adults: A randomized controlled trial. Int. J. Behav. Nutr. Phys. Act. 2019;16:119. doi: 10.1186/s12966-019-0855-9. PubMed DOI PMC
Apóstolo J., Cooke R., Bobrowicz-Campos E., Santana S., Marcucci M., Cano A., Vollenbroek-Hutten M., Germini F., D’Avanzo B., Gwyther H., et al. Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: A systematic review. JBI Database Syst. Rev. Implement. Rep. 2018;16:140–232. doi: 10.11124/JBISRIR-2017-003382. Erratum in JBI Database Syst. Rev Implement. Rep. 2018, 16, 1282–1283. PubMed DOI PMC
Guralnik J.M., Simonsick E.M., Ferrucci L., Glynn R.J., Berkman L.F., Blazer D.G., Scherr P.A., Wallace R.B. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J. Gerontol. 1994;49:85–94. doi: 10.1093/geronj/49.2.M85. PubMed DOI
Zasadzka E., Pawlaczyk M. Short Physical Performance Battery test as a tool useful for the assessment of physical function in elderly. Gerontol. Pol. 2013;4:148–153.
Guralnik J.M., Ferrucci L., Simonsick E.M., Salive M.E., Wallace R.B. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N. Engl. J. Med. 1995;322:556–562. doi: 10.1056/NEJM199503023320902. PubMed DOI PMC
Bandinelli S., Lauretani F., Boscherini V., Gandi F., Pozzi M., Corsi A.M., Bartali B., Lova R.M., Guralnik J.M., Ferrucci L. A randomized, controlled trial of disability prevention in frail older patients screened in primary care: The FRASI study. Design and baseline evaluation. Aging Clin. Exp. Res. 2006;18:359–366. doi: 10.1007/BF03324831. PubMed DOI PMC
Vasunilashorn S., Coppin A.K., Patel K.V., Lauretani F., Ferrucci L., Bandinelli S., Guralnik J.M. Use of the short physical performance battery score to predict loss of ability to walk 400 meters: Analysis from the InCHIANTI study. J. Gerontol. A Biol. Sci. Med. Sci. 2009;64:223–229. doi: 10.1093/gerona/gln022. PubMed DOI PMC
Da Camara S.M., Alvarado B.E., Guralnik J.M., Guerra R.O., Maciel A.C. Using the short physical performance battery to screen for frailty in young-old adults with distinct socioeconomic conditions. Geriatr. Gerontol. Int. 2013;13:421–428. doi: 10.1111/j.1447-0594.2012.00920.x. PubMed DOI
Subra J., Gillette-Guyonnet S., Cesari M., Oustric S., Vellas B., Platform T. The integration of frailty into clinical practice: Preliminary results from the Gerontopole. J. Nutr. Health Aging. 2012;16:714–720. doi: 10.1007/s12603-012-0391-7. PubMed DOI
R Foundation For Statistical Computing; Vienna, Austria: 2021. [(accessed on 13 January 2022)]. R Core Teem R: A language and Environment for Statistical Computing. Available online: https://www.R-project.org/
Guede Rojas F.A., Chirosa L.J., Fuentealba S., Vergara C.A., Ulloa D.L., Salazar S.E., Márquez H.A., Barboza P.A. Anthropometric characteristics and functional fitness of Chilean community-dwelling older adults. Nutr. Hosp. 2017;34:1319–1327. PubMed
De Amorim J.S.C., Da Silva S.L.A., Viana J.U., Trelha C.S. Factors associated with the prevalence of sarcopenia and frailty syndrome in elderly university workers. Arch. Gerontol. Geriatr. 2019;82:172–178. doi: 10.1016/j.archger.2019.02.002. PubMed DOI
Fisher K.L., Harrison E.L., Bruner B.G., Lawson J.A., Reeder B.A., Ashworth N.L., Sheppard M.S., Chad K.E. Predictors of Physical Activity Levels in Community-Dwelling Older Adults: A Multivariate Approach Based on a Socio-Ecological Framework. J. Aging Phys. Act. 2018;26:114–120. doi: 10.1123/japa.2016-0286. PubMed DOI
Furtado H.L., Sousa N., Simao R., Pereira F.D., Vilaca-Alves J. Physical exercise and functional fitness in independently living vs. institutionalized eldery women: A comparison of 60-to 79-year-old city dwellers. Clin. Interv. Aging. 2015;10:795–801. PubMed PMC
Barber S.E., Forster A., Birch K.M. Levels and Patterns of Daily Physical Activity and Sedentary Behavior Measured Objectively in Older Care Home Residents in the United Kingdom. J. Aging Phys. Activ. 2005;23:133–143. doi: 10.1123/JAPA.2013-0091. PubMed DOI
Mudrak J., Stochl J., Slepicka P., Elavsky S. Physical activity, self efficacy and quality of life in older Czech adults. Eur. J. Ageing. 2016;13:5–14. doi: 10.1007/s10433-015-0352-1. PubMed DOI PMC
Drygas W., Kwaśniewska M., Szcześniewska D., Kozakiewicz K., Głuszek J., Wiercińska E., Wyrzykowski B., Kurjata P. Ocena poziomu aktywności fizycznej dorosłej populacji Polski. Wyniki programu WOBASZ. Kardiol. Pol. 2005;63:6. PubMed
Furtado G., Patrıcio M., Loureiro M., Teixeira A.N., Ferreira J.P. Physical Fitness and Frailty Syndrome in Institutionalized Older Women. Percept. Mot. Ski. 2017;124:754–776. doi: 10.1177/0031512517709915. PubMed DOI
Skalska A. Frailty—Zespół słabości. Geriatr. Opieka Długoterminowa. 2016;4:1–4.
Lauretani F., Ticinesi A., Gionti L., Prati B., Nouvenne A., Tana C., Meschi T., Maggio M. Short-Physical Performance Battery (SPPB) score is associated with falls in older outpatients. Aging Clin. Exp. Res. 2019;31:1435–1442. doi: 10.1007/s40520-018-1082-y. PubMed DOI
Pritchard J.M., Kennedy C.C., Karampatos S., Ioannidis G., Misiaszek B., Marr S., Patterson C., Woo T., Papaioannou A. Measuring frailty in clinical practice: A comparison of physical frailty assessment methods in a geriatric out-patient clinic. BMC Geriatr. 2017;17:264. doi: 10.1186/s12877-017-0623-0. PubMed DOI PMC
Danilovich M.K., Diaz L., Johnson C., Holt E., Ciolino J.D. Evaluating frailty in Medicaid Home and Community-based Services clients: A feasibility and comparison study between the SHARE-FI and SPPB. Pilot Feasibility Stud. 2019;5:48. doi: 10.1186/s40814-019-0429-2. PubMed DOI PMC
Rodríguez-Gómez I., Mañas A., Losa-Reyna J., Alegre L.M., Rodríguez-Mañas L., García-García F.J., Ara I. Relationship between Physical Performance and Frailty Syndrome in Older Adults: The Mediating Role of Physical Activity, Sedentary Time and Body Composition. Int. J. Environ. Res. Public Health. 2021;18:203. doi: 10.3390/ijerph18010203. PubMed DOI PMC
Carneiro J.A., Cardoso R.R., Durães M.S., Guedes M.C.A., Santos F.L., Costa F.M.D., Caldeira A.P. Frailty in the elderly: Prevalence and associated factors. Rev. Bras. Enferm. 2017;70:747–752. doi: 10.1590/0034-7167-2016-0633. PubMed DOI
Miller D.K., Wolinsky F.D., Andresen E.M., Malmstrom T.K., Miller J.P. Adverse outcomes and correlates of change in the Short Physical Performance Battery over 36 months in the African American health project. J. Gerontol. A Biol. Sci. Med. Sci. 2008;63:487–494. doi: 10.1093/gerona/63.5.487. PubMed DOI PMC
Milanović Z., Pantelić S., Trajković N., Sporiš G., Kostić R., James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin. Interv. Aging. 2013;8:549–556. Erratum in Clin. Interv. Aging 2014, 9, 979. PubMed PMC
Delbari A., Zanjari N., Momtaz Y.A., Rahim F., Saeidimehr S. Prevalence of frailty and associated socio-demographic factors among community-dwelling older people in southwestern Iran: A cross-sectional study. J. Diabetes Metab. Disord. 2021;20:601–610. doi: 10.1007/s40200-021-00787-2. PubMed DOI PMC
Kidd T., Mold F., Jones C., Ream E., Grosvenor W., Sund-Levander M., Tingström P., Carey N. What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials. BMC Geriatr. 2019;19:184. doi: 10.1186/s12877-019-1196-x. PubMed DOI PMC
Walston J., Buta B., Xue Q.-L. Frailty screening and interventions: Considerations for clinical practice. Clin. Geriatr. Med. 2018;34:25–38. doi: 10.1016/j.cger.2017.09.004. PubMed DOI PMC
National Researcher Council . Preparing for an Aging World: The Case for Cross-National Research. National Academies Press; Washington, DC, USA: 2001. PubMed
Silva M.F., Petrica J., Serrano J., Paulo R., Ramalho A., Lucas D., Ferreira J.P., Duarte-Mendes P. The Sedentary Time and Physical Activity Levels on Physical Fitness in the Elderly: A Comparative Cross Sectional Study. Int. J. Environ. Res. Public Health. 2019;16:3697. doi: 10.3390/ijerph16193697. PubMed DOI PMC
Da Silva V.D., Tribess S., Meneguci J., Sasaki J.E., Garcia-Meneguci C.A., Carneiro J.A.O., Virtuoso J.S., Jr. Association between frailty and the combination of physical activity level and sedentary behavior in older adults. BMC Public Health. 2019;19:709. doi: 10.1186/s12889-019-7062-0. PubMed DOI PMC
Riebe D., Blissmer B.J., Greaney M.L., Garber C.E., Lees F.D., Clark P.G. The relationship between obesity, physical activity, and physical function in older adults. J. Aging Health. 2009;21:1159–1178. doi: 10.1177/0898264309350076. PubMed DOI
Brach J.S., Simonsick E.M., Kritchevsky S., Yaffe K., Newman A.B. The association between physical function and lifestyle activity and exercise in the health, aging and body composition study. J. Am. Geriatr. Soc. 2004;52:502–509. doi: 10.1111/j.1532-5415.2004.52154.x. PubMed DOI
Simons R., Andel R. The effects of resistance training and walking on functional fitness in advanced old age. J. Aging Health. 2006;18:91–105. doi: 10.1177/0898264305281102. PubMed DOI
Kehler D.S., Theou O. The impact of physical activity and sedentary behaviors on frailty levels. Mech. Ageing Dev. 2019;180:29–41. doi: 10.1016/j.mad.2019.03.004. PubMed DOI
Billot M., Calvani R., Urtamo A., Sánchez-Sánchez J.L., Ciccolari-Micaldi C., Chang M., Roller-Wirnsberger R., Wirnsberger G., Sinclair A., Vaquero-Pinto N., et al. Preserving Mobility in Older Adults with Physical Frailty and Sarcopenia: Opportunities, Challenges, and Recommendations for Physical Activity Interventions. Clin. Interv. Aging. 2020;15:1675–1690. doi: 10.2147/CIA.S253535. PubMed DOI PMC
Nascimento C.M., Ingles M., Salvador-Pascual A., Cominetti M.R., Gomez-Cabrera M.C., Viña J. Sarcopenia, frailty and their prevention by exercise. Free Radic. Biol. Med. 2019;132:42–49. doi: 10.1016/j.freeradbiomed.2018.08.035. PubMed DOI
Gabrylewicz T., Mandecka M. Effects of physical activity on cognitive functions in older adults and the course of Alzheimer’s disease. Aktualn. Neurol. 2013;13:56–61.
Yokoyama H., Okazaki K., Imai D., Yamashina Y., Takeda R., Naghavi N., Ota A., Hirasawa Y., Miyagawa T. The effect of cognitive-motor dual-task training on cognitive function and plasma amyloid β peptide 42/40 ratio in healthy elderly persons: A randomized controlled trial. BMC Geriatr. 2015;15:60. doi: 10.1186/s12877-015-0058-4. PubMed DOI PMC
Hagovska M., Olekszyova Z. Relationships between balance control and cognitive functions, gait speed, and activities of daily living. Z. Gerontol. Geriatr. 2016;49:379–385. doi: 10.1007/s00391-015-0955-3. PubMed DOI
Haider S., Grabovac I., Dorner T.E. Effects of physical activity interventions in frail and prefrail community-dwelling people on frailty status, muscle strength, physical performance and muscle mass-a narrative review. Wien. Klin. Wochenschr. 2019;131:244–254. doi: 10.1007/s00508-019-1484-7. PubMed DOI PMC
Hamilton S.L., Clemes S.A., Griffiths P.L. UK adults exhibit higher step counts in summer compared to winter months. Ann. Hum. Biol. 2008;35:154–169. doi: 10.1080/03014460801908058. PubMed DOI
Mizumoto A., Ihira H., Makino K., Saitoh S., Ohnishi H., Furuna T. Physical activity changes in the winter in older persons living in northern Japan: A prospective study. BMC Geriatr. 2015;15:43. doi: 10.1186/s12877-015-0034-z. PubMed DOI PMC
Raciborski F., Pinkas J., Jankowski M., Sierpiński R., Zgliczyński W.S., Szumowski Ł., Rakocy K., Wierzba W., Gujski M. Dynamics of the coronavirus disease 2019 outbreak in Poland: An epidemiological analysis of the first 2 months of the epidemic. Pol. Arch. Intern. Med. 2020;130:615–621. PubMed