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frail

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Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381171
EISBN: 978-3-318-05457-6
... Abstract Much of the acute care provided in hospitals is for elderly people. Frailty is a common clinical condition among these patients. Frail patients are vulnerable to undergoing adverse events, to developing geriatric syndromes and to experiencing functional decline during or due...
Book Chapter
Series: Nestlé Nutrition Institute Workshop Series
Volume: 83
Published: 02 November 2015
10.1159/000382065
EISBN: 978-3-318-05478-1
.... Although the increase in muscle mass in response to resistance training may be attenuated in frail older adults, resistance training can significantly improve muscle strength, particularly in institutionalized patients, by ∼110%. Because both aerobic and resistance training target specific components...
Book Chapter
Series: Nestlé Nutrition Institute Workshop Series
Volume: 82
Published: 02 November 2015
10.1159/000382011
EISBN: 978-3-318-05499-6
... Abstract Older adults can be categorized into three subgroups to better design and develop personalized interventions: the disabled (those needing assistance in the accomplishment of basic activities of daily living), the ‘frail' (those presenting limitations and impairments in the absence...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381229
EISBN: 978-3-318-05457-6
... Abstract Rehabilitation approaches to frailty are in the early stages of development. Frailty also shows promise as a prognostic indicator for rehabilitation programs, similar to its application in other areas of medicine. However, care should be taken not to exclude frail older people from...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381200
EISBN: 978-3-318-05457-6
... frailty. Frailty represents proximity to complex system failure, with higher-order disturbance, such as mobility and balance disturbance, as a consequence. Impairment of mobility and balance is a common manifestation of illness in the frail individual and is therefore a sensitive marker of acute disease...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381233
EISBN: 978-3-318-05457-6
..., rather than in older people with frailty [ 3 ]. Frail older people are vulnerable to major changes in health following minor illness, resulting in the common presentations of mobility impairment, delirium and falls. These symptoms, although the consequence of an acute medical illness, may...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381235
EISBN: 978-3-318-05457-6
... discrimination, we raise questions about the grounds on which health providers and health systems can be required to give equal concern and respect to the needs of frail older persons. Second, we explore autonomy and identify the tension between meaningful self-determination and prevailing ethical and legal...
Book Chapter
Series: Nestlé Nutrition Institute Workshop Series
Volume: 83
Published: 02 November 2015
10.1159/000382052
EISBN: 978-3-318-05478-1
... enabled the study of populations of frail and nonfrail older adults, and facilitated the risk assessment for adverse health outcomes. In addition, using the syndromic approach to frailty, numerous biological hypotheses have been tested, which have identified chronic inflammatory pathway activation...
Book Chapter
Series: Contributions to Nephrology
Volume: 195
Published: 22 May 2018
10.1159/000486940
EISBN: 978-3-318-06350-9
... strength. According to this definition, approximately 7% of community-dwelling elderly in a large United States cohort study were frail, and frailty was significantly associated with female sex, older age, and higher comorbidity burden. To apply the concept of frailty to patients with chronic kidney...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381164
EISBN: 978-3-318-05457-6
..., these vulnerable older adults are understood as frail. As the concept of frailty has become more readily accepted, a variety of definitions of frailty have emerged; these definitions are currently the focus of debate. Two of the most commonly used approaches to conceptualize and define frailty are the phenotypic...
Book Chapter
Series: Nestlé Nutrition Institute Workshop Series
Volume: 83
Published: 02 November 2015
10.1159/000382092
EISBN: 978-3-318-05478-1
.... Of course, it is really important to take care of these patients, but at this stage their health status is often considered to be irreversible. The frail subjects represent between 10 and 15% of older adults and those in a stage preceding frailty amount to almost 20% of those aged 65 years or more...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381170
EISBN: 978-3-318-05457-6
... is associated with social determinants of health, which help to clarify the wide range of ‘biological ages' within population subgroups of the same chronological age [ 10 ]. In terms of individual risk stratification, the FI is a continuous variable that does not primarily classify people as frail...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381166
EISBN: 978-3-318-05457-6
... settings. Similarly to how someone can be hypertensive with a systolic blood pressure of 160 or 180, this person can be frail with a frailty index score of 0.4 or 0.6. Knowing the actual score is at least as important as knowing whether the person is considered to be frail or not. Many studies have...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381204
EISBN: 978-3-318-05457-6
... Abstract This chapter underscores the importance of interprofessional collaboration in the care of frail older patients. Hospital-based care is emphasized because interprofessionalism is difficult in that setting since the setting is constantly changing and since multiple healthcare...
Book Chapter
Series: Nestlé Nutrition Institute Workshop Series
Volume: 83
Published: 02 November 2015
EISBN: 978-3-318-05478-1
... heart rate variability indices. J Gerontol A Biol Sci Med Sci 2009;64:682-687. 13. Varadhan R, Walston J, Cappola AR, et al: Higher levels and blunted diurnal variation of cortisol in frail older women. J Gerontol A Biol Sci Med Sci 2008;63:190-195. 14. Papanicolaou DA, Wilder RL, Manolagas SC...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 38
Published: 18 January 2013
10.1159/000343582
EISBN: 978-3-318-02307-7
... Abstract Recent developments in oncogeriatric surgery focus on several items – preoperative risk estimation and identification of frail patients and optimalization of perioperative care. New screening tools are being evaluated and show promising results. There is increasing evidence...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/000381232
EISBN: 978-3-318-05457-6
.... The ability of health care systems to recognize and respond to acute health issues in frail patients using a holistic understanding of health and prognosis will play a central role in ensuring their effective and appropriate care, including that at the end of their lives. This chapter reviews the history...
Book Chapter
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 38
Published: 18 January 2013
10.1159/000343586
EISBN: 978-3-318-02307-7
... ]. According to one, frailty is a phenotype that identifies among functionally independent individuals those at increased risk of death and dependence [ 5 ]. Though able of independent living, the frail person may experience both loss of independence and shortening of life expectancy when subjected to a stress...
Book
Book Cover Image
Series: Interdisciplinary Topics in Gerontology and Geriatrics
Volume: 41
Published: 22 July 2015
10.1159/isbn.978-3-318-05457-6
EISBN: 978-3-318-05457-6
Book Chapter
Series: Nestlé Nutrition Institute Workshop Series
Volume: 83
Published: 02 November 2015
EISBN: 978-3-318-05478-1
... athletes. J Appl Physiol Respir Environ Exerc Physiol 1981;51:634-640. 9. Ehsani AA, Spina RJ, Peterson LR, et al: Attenuation of cardiovascular adaptations to exercise in frail octogenarians. J Appl Physiol 2003;95:1781-1788. 10. Villareal DT, Chode S, Parimi N, et al: Weight loss, exercise...