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Frailty: implications for clinical practice and public health

The Lancet (British edition), 2019-10, Vol.394 (10206), p.1365-1375 [Peer Reviewed Journal]

2019 Elsevier Ltd ;Copyright © 2019 Elsevier Ltd. All rights reserved. ;2019. Elsevier Ltd ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(19)31786-6 ;PMID: 31609228

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Title:
Frailty: implications for clinical practice and public health
Author: Hoogendijk, Emiel O ; Afilalo, Jonathan ; Ensrud, Kristine E ; Kowal, Paul ; Onder, Graziano ; Fried, Linda P
Subjects: Age ; Aging ; Clinical medicine ; Cost of Illness ; Frailty ; Frailty - epidemiology ; Frailty - therapy ; Genotype & phenotype ; Heart surgery ; Hospital costs ; Humans ; Long term health care ; Low income groups ; Medicare ; Nutrient deficiency ; Older people ; Population ; Prevalence ; Prevention ; Public Health ; Registration ; Risk analysis ; Risk factors ; Risk levels
Is Part Of: The Lancet (British edition), 2019-10, Vol.394 (10206), p.1365-1375
Description: Frailty is an emerging global health burden, with major implications for clinical practice and public health. The prevalence of frailty is expected to rise alongside rapid growth in the ageing population. The course of frailty is characterised by a decline in functioning across multiple physiological systems, accompanied by an increased vulnerability to stressors. Having frailty places a person at increased risk of adverse outcomes, including falls, hospitalisation, and mortality. Studies have shown a clear pattern of increased health-care costs and use associated with frailty. All older adults are at risk of developing frailty, although risk levels are substantially higher among those with comorbidities, low socioeconomic position, poor diet, and sedentary lifestyles. Lifestyle and clinical risk factors are potentially modifiable by specific interventions and preventive actions. The concept of frailty is increasingly being used in primary, acute, and specialist care. However, despite efforts over the past three decades, agreement on a standard instrument to identify frailty has not yet been achieved. In this Series paper, we provide an overview of the global impact and burden of frailty, the usefulness of the frailty concept in clinical practice, potential targets for frailty prevention, and directions that need to be explored in the future.
Publisher: England: Elsevier Ltd
Language: English
Identifier: ISSN: 0140-6736
EISSN: 1474-547X
DOI: 10.1016/S0140-6736(19)31786-6
PMID: 31609228
Source: ProQuest One Psychology
AUTh Library subscriptions: ProQuest Central
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Frailty: implications for clinical practice and public health

2019 Elsevier Ltd ;Copyright © 2019 Elsevier Ltd. All rights reserved. ;2019. Elsevier Ltd ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(19)31786-6 ;PMID: 31609228

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