Cohen Carl I, Benyaminov Rivka, Rahman Manumar, Ngu Dilys, Reinhardt Michael
SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
Med Clin North Am. 2023 Jan;107(1):183-197. doi: 10.1016/j.mcna.2022.04.006. Epub 2022 Oct 28.
The original conceptual landscape of frailty has evolved into a complex, multidimensional biopsychosocial syndrome. This has broadened the field to now include social and behavioral scientists and clinicians from a wide range of specialties. This article aims to provide an updated overview of this conceptual change by examining the emerging definitions of physical, cognitive, social, and psychological frailty; the tools used for diagnosis and assessment of these domains; the epidemiology of the domains; their pathogenesis, risk factors, and course; frameworks for prevention and treatment; and unresolved issues affecting the field.
虚弱最初的概念范畴已演变成一种复杂的、多维度的生物心理社会综合征。这使得该领域得到了拓展,如今纳入了来自广泛专业领域的社会和行为科学家以及临床医生。本文旨在通过审视身体、认知、社会和心理虚弱的新兴定义;用于诊断和评估这些领域的工具;这些领域的流行病学;它们的发病机制、风险因素和病程;预防和治疗框架;以及影响该领域的未解决问题,来提供这一概念变化的最新概述。