Johns Hopkins University Older Americans Independence Center, Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Room 1A.62, Baltimore, MD 21224, USA.
Johns Hopkins University Older Americans Independence Center, Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Room 1A.62, Baltimore, MD 21224, USA.
Clin Geriatr Med. 2018 Feb;34(1):25-38. doi: 10.1016/j.cger.2017.09.004.
Frailty is recognized as a cornerstone of geriatric medicine. It increases the risk of geriatric syndromes and adverse health outcomes in older and vulnerable populations. Although multiple screening instruments have been developed and validated to improve feasibility in clinical practice, frequent lack of agreement between frailty instruments has slowed broad implementation of these tools. Despite this, interventions to improve frailty-related health outcomes developed to date include exercise, nutrition, multicomponent interventions, and individually tailored geriatric care models. Possible strategies to prevent frailty include lifestyle or behavioral interventions, proper nutrition, and increased activity levels and social engagement.
衰弱是老年医学的基石。它增加了老年和脆弱人群患老年综合征和不良健康结果的风险。尽管已经开发和验证了多种筛查工具来提高临床实践的可行性，但衰弱工具之间经常缺乏一致性，这减缓了这些工具的广泛应用。尽管如此，迄今为止为改善与衰弱相关的健康结果而开发的干预措施包括运动、营养、多组分干预以及个体化的老年护理模式。预防衰弱的可能策略包括生活方式或行为干预、适当的营养以及增加活动水平和社会参与。
