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.