Approaches to the diagnosis and prevention of frailty
Open Access
- 30 April 2020
- journal article
- review article
- Published by Springer Science and Business Media LLC in Aging Clinical and Experimental Research
- Vol. 32 (9), 1629-1637
- https://doi.org/10.1007/s40520-020-01559-3
Abstract
An individual who is living with frailty has impairments in homeostasis across several body systems and is more vulnerable to stressors that may ultimately predispose them to negative health-related outcomes, disability and increased healthcare use. Approximately a quarter of individuals aged > 85 years are living with frailty and as such the identification of those who are frail is a public health priority. Given that the syndrome of frailty is defined by progressive and gradual loss of physiological reserves there is much scope to attempt to modify the trajectory of the frailty syndrome via physical activity and nutritional interventions. In this review we give an up to date account on the identification of frailty in clinical practice and offer insights into physical activity and nutritional strategies that may be beneficial to modify or reverse the frailty syndrome.Keywords
This publication has 83 references indexed in Scilit:
- High protein intake is associated with low prevalence of frailty among old Japanese women: a multicenter cross-sectional studyNutrition Journal, 2013
- Insufficient amounts and inadequate distribution of dietary protein intake in apparently healthy older adults in a developing country: implications for dietary strategies to prevent sarcopeniaClinical Interventions in Aging, 2013
- Distribution but not amount of protein intake is associated with frailty: a cross-sectional investigation in the region of NürnbergNutrition Journal, 2013
- Preventive Effect of Protein-Energy Supplementation on the Functional Decline of Frail Older Adults With Low Socioeconomic Status: A Community-Based Randomized Controlled StudyThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2012
- Serum 25‐Hydroxyvitamin D, Transitions Between Frailty States, and Mortality in Older Adults: The Invecchiare in Chianti StudyJournal of the American Geriatrics Society, 2012
- Oral supplementation with 25(OH)D3 versus vitamin D3: Effects on 25(OH)D levels, lower extremity function, blood pressure, and markers of innate immunityJournal of Bone and Mineral Research, 2011
- Exercise training increases size of hippocampus and improves memoryProceedings of the National Academy of Sciences of the United States of America, 2011
- Vitamin D deficiency and frailty in older AmericansJournal of Internal Medicine, 2010
- Regulation of Cerebral Blood Flow During ExerciseSports Medicine, 2007
- Endorphins and ExerciseSports Medicine, 1984