Clinical-functional vulnerability index and the dimensions of functionality in the elderly person

Keywords: Aging, Frail Elderly, Primary Health Care.


Objective: to analyze the association between the Clinical-Functional Vulnerability Index-20 and the dimensions of the functionality of the elderly person. Methods: cross-sectional study with 307 participants. The Clinical-Functional Vulnerability Index-20, Mental State Mini-Exam, Abbreviated Geriatric Depression, Timed Up and Go, Hearing Test and Whisper were used. Data were analyzed using descriptive statistics and 5% significance. Results: prevalence of fragility was 16.6% and fragility at risk was 43.0%, with higher proportions for the cognitive deficit, the risk for depression, high risk of falls, visual and auditory dysfunction. There was a significant association between fragility and mental status, depression, functional mobility (p<0.001), Snellen Signal Test (right eye p=0.015, left eye p=0.025) and Whisper Test (right and left ear p˂0.001). Conclusion: the early detection of fragility and its association with the dimensions of functionality are essential to care interventions, guaranteeing the autonomy and independence of the elderly person.


Moraes EM, Lanna FM, Santos RR, Bicalho MAC, Machado CJ, Romero DE. A new proposal for the clinical-functional categorization of the elderly: Visual scale of frailty (VS-Frailty). J Aging Res Clin Pract. 2016; 5(1):24-30. doi:

Tse MM, Kwan RYC, Lau JL. Ageing in individuals with intellectual disability: issues and concerns in Hong Kong. Hong Kong Med J. 2018; 24(1):68-72. doi:

Moraes EM, Carmo JÁ, Moraes FL, Azevedo RS, Machado CJ, Montilla DER. Clinical-Functional Vulnerability Index-20 (IVCF-20): rapid recognition of frail older adults Rev. saúde pública. 2016; 50(81):1-10. doi:

Coutinho MLN, Samúdio MA, Andrade LM, Coutinho RN, Silva DMA. Sociodemographic profile and hospitalization process of elderly assisted at a emergency hospital. Rev Rene. 2015; 16(6):908-1005. doi:

Neri AL, Yassuda MS, Araújo LF, Eulálio MC, Cabral BE, Siqueira MEC, et al. Metodologia e perfil sociodemográfico, cognitivo e de fragilidade de idosos comunitários de sete cidades brasileiras: estudo FIBRA. Cad Saúde Pública. 2013; 29(4):778-92. doi:

Nunes DP, Duarte YAO, Santos JLF, Lebrão ML. Screening for frailty in older adults using a self-reported instrument. Rev Saúde Pública. 2015; 49(2):1-9. doi:

Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. The Mini-Mental State Examination in a general population: impact of educational status. Arq Neuropsiquiatria. 1994; 52(1):1-7. doi:

Li Z, Jeon YH, Low LF, Chenoweth L, O’Connor DW, Beattie E, Brodaty H. Validity of the geriatric depression scale and the collateral source version of the geriatric depression scale in nursing homes. Int Psychogeriatr. 2015; 27(9):1495-504. doi:

Vance RC, Healy DG, Galvin R, French HP. Dual tasking with the timed “up & go” test improves detection of risk of falls in people with Parkinson disease. Phys Ther. 2015; 95(1):95-102. doi:

Labanca L, Guimarães FS, Costa-Guarisco LP, Couto EAB, Gonçalves DU. Screening of hearing in elderly people: assessment of accuracy and reproducibility of the whispered voice test. Ciênc Saúde Coletiva. 2017; 22(11): 3589-98. doi:

Ferreira LMBM, Ribeiro KMOBF, Lima KC. Prevalence of vestibulopathy in institutionalized elderly persons in Natal-RN-Brazil. Rev CEFAC. 2015; 17(5):1563-72. doi:

Lee JSW, Auyeung TW, Leung J, Kwok T, Woo J. Transitions in frailty states among community-living older adults and their associated factors. J Am Med Dir Assoc. 2014; 15(4):281-6. doi:

Reis Júnior WM, Carneiro JAO, Coqueiro RS, Santos KT, Fernandes MH. Pre-frailty and frailty of elderly residents in a municipality with a low Human Development Index. Rev Latino-Am Enfermagem. 2014; 22(4):654-61. doi:

Silva HS, Duarte YAO, Andrade FB, Cerqueira ATAR, Santos JLF, Lebrão ML. Correlates of above-average cognitive performance among older adults: the SABE study. Cad Saúde Pública. 2014; 30(9):1977-86. doi:

Tapia CP, Valdivia-Rojas Y, Varela HV, Carmona AG, Iturra VM, Jorquera MC. Indicadores de fragilidad en adultos mayores del sistema público de salud de la ciudad de Antofagasta. Rev Med Chile. 2015; 143(4):459-66. doi:

Gouvêa JAG, Antunes MD, Bortolozzi F, Marques AG, Bertolini SMMG. Impact of Senior Dance on emotional and motor parameters and quality of life of the elderly. Rev Rene. 2017; 18(1):51-8. doi:

Lima BM, Araújo FA, Scattolin FAA. Qualidade de vida e independência funcional de idosos frequentadores do clube do idoso do município de Sorocaba. ABCS Health Sci. 2016; 41(3):168-75. doi:

Silva SLA, Neri AL, Ferrioli E, Lourenço RA, Dias RC. Fenótipo de fragilidade: influência de cada item na determinação da fragilidade em idosos comunitários – Rede Fibra. Ciênc Saúde Coletiva. 2016; 21(11):3483-92. doi:

Puts TEM, Toubasi S, Andrew MK, Ashe MC, Ploeg J, Atkinson E, et al. Interventions to prevent or reduce the level of frailty in community-dwelling older adults: a scoping review of the literature and international policies. Age Ageing. 2017; 46(3):383-92. doi:

Liljas AE, Wannamethee SG, Whincup PH, Papacosta O, Walters K, Iliffe S, et al. Socio-demographic characteristics, lifestyle factors and burden of morbidity associated with self-reported hearing and vision impairments in older British community-dwelling men: a cross-sectional study. J Public Health. 2015; 38(2):21-8. doi:

Research Article