Table 1. Domain’s variables used in the GA evaluation. *The cut-off value for educational groups was: 20 for illiterates; 25 for 1 to 4 years; 26.5 for 5 to 8 years; 28 for 9 to 11 years and 29 for higher levels [11]. #Score has to be adjusted to educational: for illiterates sum of two points, 1–3 years sum of one point (final score max of ten points) [12].
| Domain | Measure | Description | Range of score | Adopted standard |
|---|---|---|---|---|
| Functional status | Activities of daily living (ADL) (Katz Scale) [10] | Measure performance basic activities of living, including self-care ability. | 0–6 (higher score: better physical function) |
Normal: score > 4 Impaired: score < 4 |
| Instrumental ADL (Lawton Scale) [11] | Measure ability to maintain independence in the community, manage the environment. | 3–27 (higher score: better physical function) |
Normal: score >25 Impaired: <25 |
|
| Cognition status | Mini Mental State Examination [12] | Screening test to detect cognitive impairment based on assessment of cognitive functions. | 0–30 (higher score: better cognitive function) | The cut-off value is based on educational level* |
| 10-point cognitive screener [13] | Brief screening test to detect cognitive impairment based on assessment of cognitive functions. | 0–10 (higher score: better cognitive function) |
Normal: score > 8 Impaired: score < 8 Score adjusted to educational level# |
|
| Psychological state | 15-item geriatric depression scale (GDS-15) [14] | 15-item self-report measure designed to assess and screen depressive symptoms among older adults. | 0–15 (higher score: more depressive symptoms) |
Normal: score 0–4 Impaired: score > 5 |
| 4-item GDS-4 [15] | 4-item self-report measure designed to assess and screen depressive symptoms among older adults. | 0–4 (higher score: more depressive symptoms) |
Normal: score 0–1 Impaired: score > 2 |
|
| Diagnostic and statistical manual of mental disorders 5th edition [16] | It classifies major depressive disorder based on ≥5 symptoms during a 2-week period | Impaired: Presence of major depressive disorder criteria | ||
| Comorbidity | Charlson age-comorbidity index [17] | It considers age and number/severity of comorbidities, calculating the risk of mortality in 1 year | 0–37 (higher score: higher mortality). Each decade of age over 40 adds 1 point | Impaired: score > 5 |
| Nutritional status | Mini nutritional assessment short-form [18] | Identity people with undernutrition. | Normal: >12 Risk of malnutrition: <12 |
Impaired: score < 12 |
| Body mass index | It is defined as the body mass divided by the square of the body and height, and is expressed in units of kg/m2 | Impaired: IMC < 22 kg/m2 | ||
| Frailty | Fried criteria [19] | It assesses physical frailty through five criteria: unintentional weight loss; weakness or poor handgrip strength; self-reported exhaustion; slow walking speed; and low physical activity | Non-frail: 0 Pre-frailty: 1–2 Frailty: >3 |
Impaired: score > 3 |
| Study of osteoporotic fracture criteria [20] | Another form to assess frailty, based on weight loss, sit-to-stand chair capacity and reduce energy level. | Non-frail: 0 Pre-frailty: 1 Frailty: >2 |
Impaired: score > 2 | |
| Rockwood classification [21] | It provides a summary tool for clinicians to assess frailty and fitness based on their clinical evaluation | Impaired: score > 5 | ||
| Falls | No. of falls in last 12 months | Indicates the number of times fallen in the last 12 months |
Normal: None Impaired: >1 falls |