An update on frailty diagnosis and management

Deane, Andrew; Jaafar, Ahmed F

doi:10.1017/s0959259813000099

Rev. Clin. Gerontol.

2013

DOI: 10.1017/s0959259813000099

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An update on frailty diagnosis and management

Andrew Deane

Ahmed F Jaafar

Abstract: Frailty as a clinical syndrome is becoming more widely recognized and current evidence shows the importance of early detection of pre-frail states with a potential for reversibility of poor outcomes. The purpose of this review is to present the latest literature on frailty since the last review in this journal in 2007, with a particular focus on interventions aimed at reversing the processes of frailty.

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Cited by 3 publications

References 46 publications

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Sarcopenia: a clinical review

Cruz-Jentoft

2013

Rev. Clin. Gerontol.

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SummaryAlthough sarcopenia has been used to define muscle mass loss in older subjects, muscle mass is not directly linked to muscle function. Recent definitions consider sarcopenia as a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength with a risk of adverse outcomes, such as physical disability, poor quality of life, and death. It is closely linked with physical frailty, and also with other muscle wasting disorders, including cachexia and malnutrition. This review focuses on the incorporation of sarcopenia into clinical practice, reviews case finding and diagnosis of sarcopenia, proposes a syndromic approach for the diagnostic work-up of sarcopenic patients, and looks at intervention trials with physical exercise and nutrition, as drugs to treat this condition are not expected to be available in the near future.

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Sarcopenia: a clinical review

Cruz-Jentoft

2013

Rev. Clin. Gerontol.

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Exercise, nutrition and managing hip fracture in older persons

Singh¹

2013

Current Opinion in Clinical Nutrition and Metabolic Care

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Frailty in older people: a principle-based concept analysis

Waldon

2018

Br J Community Nurs

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Frailty is a term that presents many difficulties for policy makers and clinicians due to the lack of consensus in defining frailty in a way that meets the needs of older people. A principle-based concept analysis was used to examine the scientific literature across four perspectives: medicine, nursing, social sciences, and occupational and physiotherapy. The purpose was to identify the conceptual components of frailty as revealed by analysis of the literature, and to develop a theoretical definition of frailty. The findings exposed commonalities in implied meanings both within and across perspectives. The strengths of frailty as a concept are revealed in the implications for clinical practice and relevance to health professionals. The limitations reflect a concept that is still evolving and further research is recommended but this should not stop health professionals engaging in this process. The definition developed in this study will enhance existing knowledge and promote a shared understanding to unite different disciplines in recognising frailty as an important concept.

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An update on frailty diagnosis and management

Cited by 3 publications

References 46 publications

Sarcopenia: a clinical review

Sarcopenia: a clinical review

Exercise, nutrition and managing hip fracture in older persons

Frailty in older people: a principle-based concept analysis

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