Approaches to therapy and prevention of frailty in the light of contemporary medicine

Bujnowska–Fedak, Maria Magdalena; Waligóra, Joanna; D’Avanzo, Barbara; Holland, Carol; Kurpas, Donata

doi:10.5114/fmpcr.2017.69293

Cited by 5 publications

(6 citation statements)

References 118 publications

(108 reference statements)

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“…Obesity is one of the risk factors because physical ability is then reduced through the deposition of adipose tissue in muscles. As frailty syndrome advances, functional capability and independence decrease; multiple morbidities intensify; and the risk of falls, institutionalization and premature death increases 13…”

Section: Introductionmentioning

confidence: 99%

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<p>Assessment of the relationship between frailty syndrome and the nutritional status of older patients</p>

Muszalik¹,

Gurtowski²,

Doroszkiewicz³

et al. 2019

CIA

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Objective: The aim of this study was to assess the relationship between frailty syndrome and the nutritional status of older patients. Material and methods: This cross-sectional study was conducted in a sample of 120 patients hospitalized at the Geriatric Clinic between January 2017 and May 2017. The research tools were the Frailty Instrument of the Survey of Health, Ageing and Retirement in Europe (SHARE-FI), including relevant anthropometric measurements and muscle strength measurement, and the Mini Nutritional Assessment (MNA). All the calculations were performed using the Statistica 10.0 program. The p -values lower than 0.05 were considered as statistically significant. Results: The mean age of the participants was 71 years (SD=9.03). Most participants were from urban areas. More than half of the participants (53.3%) were women. Based on the SHARE-FI, the frailty syndrome was found in 33.3% of the participants. The mean value in the MNA scale was 24.4 points (SD=3.4). The frailty syndrome was significantly correlated to gender ( p <0.025), financial status ( p =0.036) and MNA ( p <0.01) score. A statistically significant difference was observed between gender ( p =0.026), financial status ( p =0.016), place of living ( p =0.046) and MNA score. Conclusion: This study confirmed significant correlations between the frailty syndrome and the nutritional status of older adults. In terms of prevention and clinical application, it seems important to control the nutritional status of older people and the frailty syndrome. The above-mentioned scales should be used to evaluate patients, analyze the risk and plan the intervention for that group of patients.

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Section: Introductionmentioning

confidence: 99%

“…The proper diet can largely prevent frailty. Early diagnosis of comorbidities ensures better opportunities for preventing the consequences of frailty syndrome 13…”

Section: Introductionmentioning

confidence: 99%

<p>Assessment of the relationship between frailty syndrome and the nutritional status of older patients</p>

Muszalik¹,

Gurtowski²,

Doroszkiewicz³

et al. 2019

CIA

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“…Managing frailty could be done in home and community settings and through hospital care. It consist of physical activity programmes (resistance-based training, aerobic training or balance and coordination training), nutritional interventions and cognitive training [18,43]. Combined multidisciplinary treatment is better than sole interventions [43].…”

Section: Discussionmentioning

confidence: 99%

“…It consist of physical activity programmes (resistance-based training, aerobic training or balance and coordination training), nutritional interventions and cognitive training [18,43]. Combined multidisciplinary treatment is better than sole interventions [43]. Published studies regarding pharmacological intervention for management of frailty are scarce [18].…”

Section: Discussionmentioning

confidence: 99%

Frailty and gender on mortality risk in elderly with coronavirus disease-19 (COVID-19): a meta-analysis

Daniella¹,

Aryana²

2022

fmpcr

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Background. Frailty was believed to reflect patients' prognosis better than age, but studies regarding the association between these factors are controversial. Moreover, studies highlighting the association of gender to mortality risk in frail patients are limited. Objectives. We aimed to investigate the association of frailty to mortality risk with the dose-response relationship of CFS and the association of gender to mortality risk in frail elderly with COVID-19. Material and methods. We performed a comprehensive literature search from several databases, such as europePMC, PubMed and DOAJ on 9 July 2021. We searched for studies investigating the association between frailty and mortality in COVID-19 patient. Results. A total of 16,438 patients from 15 studies were included. Frailty was found in 52.67% of the patients. the lowest mean age was 65.4 ± 15.8 years. Pre-frailty (OR 2.07 [1.53-2.79]; p < 0.00001; I 2 : 72%), mild frailty ; p = 0.00001; I 2 : 80%), moderate frailty ; p < 0.00001; I 2 : 79%) and severe frailty ; p < 0.00001; I 2 : 83%) increase the mortality risk in elderly with COVID-19. Each 1-point increase in CFS increases the mortality risk by 1.4 [1.3-1.5]; p = 0.000; I 2 : 98.6%. Men had a lower risk of frailty ; p = 0.0004; I 2 =36%) but higher mortality risk. Conclusions. This meta-analysis showed that pre-frailty and frailty increase the mortality risk in elderly with COVID-19. Each 1-point increase in CFS increased the mortality risk by 1.4. Men had a lower risk of frailty but higher mortality risk.

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“…An increase in the proportion of elderly people in the population is a growing challenge for GPs nowadays [1]. The course of the aging process can vary, and it can be affected by certain lifestyle elements, such as diet and physical activity.…”

Section: Introductionmentioning

confidence: 99%

Impact of reminder calls on the attendance of geriatric patients in general fitness classes

BOGURADZKA¹,

WROŃSKI²,

WOJTAL³

et al. 2023

fmpcr

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Background. One of the most important recommendations for senior citizens is to do moderate physical activity regularly. Physical exercises improve body coordination and prevent injuries. According to Statistics Poland, more than 75% of Polish senior citizens are physically inactive. Objectives. The aim of the study was to assess whether the organisation of general fitness classes by a GP and physiotherapists can improve the physical condition of senior citizens and whether reminder calls can reduce senior patients' absence from these classes. Material and methods. The size of the study group was established on the basis of a study conducted by Statistics Poland, according to which more than 80% of Polish people above 60 years of age declare no physical activity. It was assumed that during an appointment, a GP can motivate a senior patient to participate in general fitness classes. In addition to the above intervention, participants to the study group received reminder calls once a week. 40 groups of 6 individuals each were created. 50 female senior patients were selected in order to assess patients' physical condition right before and after and 15 weeks after the fitness programme using the Senior Fitness Test (SFT). Results. 224 persons divided into 39 groups participated in the study. 19 groups made up a control group (108 persons), and 20 constituted a study group (116 persons). A statistically significant difference (p < 0.05) was observed for attendance in the general fitness classes in the group addressed with reminder calls. A statistically significant improvement of Senior Fitness Test results was observed for 4 out of 6 tests performed among 50 women before and after the fitness programme. Conclusions. Organisation of general fitness classes for senior patients by a GP can improve the physical condition in this group of patients. Reminder calls can reduce patients' absence from general fitness classes.

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Approaches to therapy and prevention of frailty in the light of contemporary medicine

Cited by 5 publications

References 118 publications

<p>Assessment of the relationship between frailty syndrome and the nutritional status of older patients</p>

<p>Assessment of the relationship between frailty syndrome and the nutritional status of older patients</p>

Frailty and gender on mortality risk in elderly with coronavirus disease-19 (COVID-19): a meta-analysis

Impact of reminder calls on the attendance of geriatric patients in general fitness classes

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