Multidimensional Approach to Frailty

Frontiers in Psychology

article

Marta Wleklik¹  Izabella Uchmanowicz¹  Ewa A. Jankowska²  Cristiana Vitale³  Magdalena Lisiak¹  Marcin Drozd²  Piotr Pobrotyn⁴  Michał Tkaczyszyn²  Christopher Lee⁵ 

[1] Faculty of Health Sciences, Wrocław Medical University;Centre for Heart Diseases, Faculty of Health Sciences, Wrocław Medical University;Centre for Clinical and Basic Research;Clinical University Hospital;William F. Conell School of Nursing, Boston College, United States

关键词: cardiology;    determinants;    disability;    elderly;    frailty syndrome;    multi-morbidity;   

DOI  :  10.3389/fpsyg.2020.00564

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

The concept of frailty syndrome (FS) was first described in the scientific literature three decades ago. For a very long time, we understood it as a geriatric problem, recently becoming one of the dominant concepts in cardiology. It identifies symptoms of FS in one in 10 elderly people. It is estimated that in Europe, 17% of elderly people have FS. The changes in FS resemble and often overlap with changes associated with the physiological aging process of the body. Although there are numerous scientific reports confirming that FS is age correlated, it is not an unavoidable part of the aging process and does not apply only to the elderly. FS is a reversible clinical condition. To maximize benefits of frailty-reversing activities for patient with frailty, identification of its determinants appears to be fundamental. Many of the determinants of the FS have already been known: reduction in physical activity, malnutrition, sarcopenia, polypharmacy, depressive symptom, cognitive disorders, and lack of social support. This review shows that insight into FS determinants is the starting point for building both the comprehensive definition of FS and the adoption of the assessment method of FS, and then successful clinical management.

【 授权许可】

CC BY