Integrating functional ageing into daily clinical practice

Michel, Jean‐Pierre; Ecarnot, Fiona

doi:10.22540/jfsf-04-030

Cited by 5 publications

(4 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It was believed that the hospital stay was prolonged because hospital admissions were due to complications and accompanying geriatric syndromes such as pressure sores and delirium were common in patients. Considering the increasing prevalence of chronic conditions with age and the occurrence of chronic conditions mostly in the elderly, it is believed that the progression of diseases and the development of complications may affect individual and social well-being by placing greater burdens on both the patients and the healthcare system (20).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

et al. 2021

View full text Add to dashboard Cite

Aim: The pandemic of Severe Acute Respiratory Syndrome-Coronavirus-2 was more severe and more fatal for elders and individuals who have chronic diseases. The treatment may be delayed due to the elders' "fear of infection" in hospitals. This study aimed to evaluate the data of older patients who were admitted to the Geriatrics clinic in the normalization period. Materials and Methods: The data was retrieved between June-August 2020, retrospectively from the file database for older patients who were hospitalized in a geriatrics clinic of a university hospital. Results: 23 patients were included in the study and their mean age was 81.4±7.4 years. The most common symptoms at admission were changes in consciousness, weight loss, and malnutrition, respectively. The duration of symptoms was less than a month in 56.5% of patients, 1-3 months in 17.4% of patients, and more than 3 months in 26.1% of patients. The most common indications were delirium, urinary tract infection, and acute renal failure, respectively 73.9% of patients applied from the outpatient clinics and 26.1% from the emergency clinic. The mean hospitalization duration was 24.2 ± 17,2 days. 43.5% of patients had delirium and 21.7% had pressure ulcers during their hospitalization. Conclusion:The hospitalization indications had variations, outpatient hospitalizations were higher, and the duration of hospitalization was longer during normalization process of SARS CoV-2. Approximately, half of the patients had symptoms for more than a month and it is an important point to be investigated. In addition, geriatric syndromes such as delirium and pressure ulcer increased in this process.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The most widely used concept is the Fried physical frailty phenotype, which defines frailty based on three or more of the following five symptoms: unintentional weight loss, slowness, weakness, exhaustion, and low physical activity [5]. Yet, functional decline due to sarcopenia is in the core of frailty syndrome [6].…”

Section: The "Unhappy Triad"mentioning

confidence: 99%

Sarcopenia in Older Adults

Carmeli¹

2021

Background and Management of Muscular Atrophy

View full text Add to dashboard Cite

Sarcopenia has become of great interest and focus of many studies since this phenomenon affects many people. Moreover, sarcopenia is associated with two more pandemic phenomena: frailty and obesity. These health-related conditions are increasing in western countries in general and in the older population in particular. Each of such health conditions relates to functional decline, yet the combination of two or three of them in one person severely affects quality of life and longevity. Aged individuals who are less physically active are more likely to develop sarcopenic obesity, and those who are obese with muscle weakness and inactive are disposed to become frail individuals. Hence, frailty and obesity overlap profoundly with the physical manifestations of sarcopenia of aging. These "unhappy" triads encompasses a wider range of geriatric decline that also includes cognitive, psychology and social deterioration associated with adverse outcomes. Nevertheless, this chapter focuses only on sarcopenia and will review the pathophysiological background of age-related decline in muscle mass and strength.

show abstract

“…The main comorbidities responsible for functional limitations are also the most prevalent in older populations: osteoarthritis, diabetes, cardiac/neurological vascular pathologies, chronic obstructive pulmonary diseases, and sensory impairments, as well as depression and various musculoskeletal disorders [ 44 ]. In those aged over 80, dementia is a major cause of disability [ 45 ].…”

Section: Introductionmentioning

confidence: 99%

“…All need to be conscious of their own individual responsibility in the aging process. Reducing long periods of disability is a key to health while aging [ 45 ], in the WHO, described the process of developing and maintaining functional ability which “enables well-being in older age [ 18 ].” Thus, there is a great need of revisiting our care policies and programs by laying greater emphasis on the functional aging of the population throughout life, focusing on functional detection, assessment, and prevention, instead of focusing on chronological or biological age only.…”

Section: Introductionmentioning

confidence: 99%

Functional Aging: Integrating Functionality to a Multidimensional Assessment of Healthy Aging

Frangos

Graf

Samaras

2023

Current Gerontology and Geriatrics Research

View full text Add to dashboard Cite

Worldwide, the number of old adults will peak in the coming decades. Relying solely on the chronological age to make treatment decisions and shape general or specific societal and medical considerations may reinforce ageism and lead to flawed reasoning. Defining physiological age using biological markers is not yet reliable, and an approach based on comorbidities without considering their impact on quality of life is inadequate. A multidimensional approach with strong integration of functionality is presented here to draw a real-world aging approach, easily accessible, clinically relevant, and of societal value.

show abstract

Integrating functional ageing into daily clinical practice

Cited by 5 publications

References 41 publications

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

Evaluation of patients hospitalized in a geriatrics clinic during normalization process of SARS CoV-2

Sarcopenia in Older Adults

Functional Aging: Integrating Functionality to a Multidimensional Assessment of Healthy Aging

Contact Info

Product

Resources

About