Multidimensional Approach to Frailty
The concept of frailty syndrome (FS) was first described in the scientific literature three decades ago. For a very long time, we understood it as a geriatric problem, recently becoming one of the dominant concepts in cardiology. It identifies symptoms of FS in one in 10 elderly people. It is estima...
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doaj-78c1a240f95e42789419bf457411d3a92020-11-25T03:12:35ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-03-011110.3389/fpsyg.2020.00564517603Multidimensional Approach to FrailtyMarta Wleklik0Izabella Uchmanowicz1Ewa A. Jankowska2Cristiana Vitale3Magdalena Lisiak4Marcin Drozd5Piotr Pobrotyn6Michał Tkaczyszyn7Christopher Lee8Faculty of Health Sciences, Wrocław Medical University, Wrocław, PolandFaculty of Health Sciences, Wrocław Medical University, Wrocław, PolandCentre for Heart Diseases, Faculty of Health Sciences, Wrocław Medical University, Wrocław, PolandCentre for Clinical and Basic Research, IRCCS San Raffaele Pisana, Rome, ItalyFaculty of Health Sciences, Wrocław Medical University, Wrocław, PolandCentre for Heart Diseases, Faculty of Health Sciences, Wrocław Medical University, Wrocław, PolandClinical University Hospital, Wrocław, PolandCentre for Heart Diseases, Faculty of Health Sciences, Wrocław Medical University, Wrocław, PolandWilliam F. Conell School of Nursing, Boston College, Newton, MA, United StatesThe concept of frailty syndrome (FS) was first described in the scientific literature three decades ago. For a very long time, we understood it as a geriatric problem, recently becoming one of the dominant concepts in cardiology. It identifies symptoms of FS in one in 10 elderly people. It is estimated that in Europe, 17% of elderly people have FS. The changes in FS resemble and often overlap with changes associated with the physiological aging process of the body. Although there are numerous scientific reports confirming that FS is age correlated, it is not an unavoidable part of the aging process and does not apply only to the elderly. FS is a reversible clinical condition. To maximize benefits of frailty-reversing activities for patient with frailty, identification of its determinants appears to be fundamental. Many of the determinants of the FS have already been known: reduction in physical activity, malnutrition, sarcopenia, polypharmacy, depressive symptom, cognitive disorders, and lack of social support. This review shows that insight into FS determinants is the starting point for building both the comprehensive definition of FS and the adoption of the assessment method of FS, and then successful clinical management.https://www.frontiersin.org/article/10.3389/fpsyg.2020.00564/fullcardiologydeterminantsdisabilityelderlyfrailty syndromemulti-morbidity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marta Wleklik Izabella Uchmanowicz Ewa A. Jankowska Cristiana Vitale Magdalena Lisiak Marcin Drozd Piotr Pobrotyn Michał Tkaczyszyn Christopher Lee |
spellingShingle |
Marta Wleklik Izabella Uchmanowicz Ewa A. Jankowska Cristiana Vitale Magdalena Lisiak Marcin Drozd Piotr Pobrotyn Michał Tkaczyszyn Christopher Lee Multidimensional Approach to Frailty Frontiers in Psychology cardiology determinants disability elderly frailty syndrome multi-morbidity |
author_facet |
Marta Wleklik Izabella Uchmanowicz Ewa A. Jankowska Cristiana Vitale Magdalena Lisiak Marcin Drozd Piotr Pobrotyn Michał Tkaczyszyn Christopher Lee |
author_sort |
Marta Wleklik |
title |
Multidimensional Approach to Frailty |
title_short |
Multidimensional Approach to Frailty |
title_full |
Multidimensional Approach to Frailty |
title_fullStr |
Multidimensional Approach to Frailty |
title_full_unstemmed |
Multidimensional Approach to Frailty |
title_sort |
multidimensional approach to frailty |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychology |
issn |
1664-1078 |
publishDate |
2020-03-01 |
description |
The concept of frailty syndrome (FS) was first described in the scientific literature three decades ago. For a very long time, we understood it as a geriatric problem, recently becoming one of the dominant concepts in cardiology. It identifies symptoms of FS in one in 10 elderly people. It is estimated that in Europe, 17% of elderly people have FS. The changes in FS resemble and often overlap with changes associated with the physiological aging process of the body. Although there are numerous scientific reports confirming that FS is age correlated, it is not an unavoidable part of the aging process and does not apply only to the elderly. FS is a reversible clinical condition. To maximize benefits of frailty-reversing activities for patient with frailty, identification of its determinants appears to be fundamental. Many of the determinants of the FS have already been known: reduction in physical activity, malnutrition, sarcopenia, polypharmacy, depressive symptom, cognitive disorders, and lack of social support. This review shows that insight into FS determinants is the starting point for building both the comprehensive definition of FS and the adoption of the assessment method of FS, and then successful clinical management. |
topic |
cardiology determinants disability elderly frailty syndrome multi-morbidity |
url |
https://www.frontiersin.org/article/10.3389/fpsyg.2020.00564/full |
work_keys_str_mv |
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