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Frailty: An overview - PubMed

a day ago
  • #geriatric-care
  • #multimorbidity
  • #frailty
  • Frailty is a global health concern linked to aging and multimorbidity.
  • It is a geriatric syndrome with reduced physiological reserve and increased vulnerability to stressors.
  • Prevalence ranges from 4-16% in community-dwelling older adults to over 40% in clinical subgroups.
  • Higher frailty rates are observed in women and the oldest-old.
  • Etiology includes sarcopenia, chronic inflammation, endocrine dysregulation, and nutritional deficits.
  • Pathophysiological mechanisms involve inflammaging, mitochondrial dysfunction, and metabolic alterations.
  • Diagnosis uses tools like Fried Frailty Phenotype, Frailty Index, and Clinical Frailty Scale.
  • Management requires a multidisciplinary approach: exercise, nutrition, medication review, and psychosocial support.
  • Early identification and tailored interventions are crucial to mitigate frailty's impact.
  • There is a need for integrated care models, especially in low- and middle-income countries.