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This book offers a thorough examination of frailty, covering its complexity through sections on foundational concepts, pathogenesis research, assessment methods, management strategies, care settings, its relation to other chronic conditions, and societal implications. It provides a deep understanding of frailty's scientific basis, advanced assessment tools, innovative management, and prevention approaches, and examines frailty within diverse care settings and in relation to other health conditions. By integrating multidisciplinary insights, it presents a holistic view of frailty, addressing its clinical, societal, and policy-related aspects, aiming to enhance well-being and inform clinical practitioners, educators, and policymakers.
This book can serve as a reference guide with up-to-date information on frailty in older adults for geriatric medicine physicians, primary care clinicians, geroscience researchers, nurses, therapists (OT, PT, ST), and social workers.
Front Matter
Pages i-xii
Frailty and Related Concepts: An Overview
Front Matter
Pages 1-1
The Frailty Phenotype
Jorge G. Ruiz, Sara Espinoza
Pages 3-9
Deficit Accumulation
Samuel D. Searle, Kenneth Rockwood
Pages 11-14
Prevalence, Incidence, and Risk Factors of Frailty
Gotaro Kojima, Reijiro Aoyama, Steve Iliffe
Pages 15-18
Integration: A Unified Frailty Framework
Domenico Azzolino, Matteo Cesari
Pages 19-22
Intrinsic Capacity
Catherine Takeda, Philippe De Souto Barreto, Bruno Vellas
Pages 23-29
Transitions, Trajectories, and Reversibility
Ariela Orkaby, Rachel E. Ward
Pages 31-38
Sarcopenia and Frailty: A Common Thread Across Multiple Comorbidities
K. Prokopidis, J. Hargreaves, T. Ispoglou
Pages 39-43
Complications of Frailty
Luis Miguel Gutiérrez Robledo, Mario Ulises Pérez Zepeda
Pages 45-49
Sex Differences and Frailty
Myles W. O’Brien, Judith Godin
Pages 51-54
Mechanisms: Pathogenesis and Research
Front Matter
Pages 55-55
Inflammaging and Immunosenescence
Tamàs Fülöp, G. Pawelec, A. A. Cohen, V. Legault, K. Hirokawa, A. Larbi et al.
Pages 57-71
Implications of the Exposome for Frailty
Paulo H. M. Chaves, Marcia H. Varella
Pages 73-79
Preclinical Models of Frailty
Manish Mishra, Susan E. Howlett
Pages 81-89
Biomarkers of Frailty
Mariam El Assar, Isabel Rodriguez-Sanchez, Alejandro Álvarez-Bustos, Leocadio Rodríguez-Mañas
Pages 91-102
Mitochondrial Alterations and Signaling in Aging, Frailty, and Sarcopenia: An Integrated View
Anna Picca, Marta Gonzalez-Freire, Stephen D. Anton, Emanuele Marzetti, Christiaan Leeuwenburgh
Pages 103-107
Human Microbiome and Frailty: From Observations of Clinically Relevant Associations to Insights into Biological Mechanisms
Peter J. Larson, Wei Zhou, Julie Robison, George A. Kuchel, Julia Oh
Pages 109-117
Assessment
Front Matter
Pages 119-119
Clinical Frailty Scale
Kenneth Rockwood, Olga Theou
Pages 121-123
Frailty Measure Development, Selection, and Implications
Karen Bandeen-Roche
Pages 125-129
Pictorial Fit-Frail Scale
Olga Theou, Kenneth Rockwood
Pages 131-135
Frailty Assessment: The FRAIL Scale
Angela M. Sanford, John E. Morley
Pages 137-141
Edmonton Frail Scale
Darryl B. Rolfson
Pages 143-144
The Tilburg Frailty Indicator (TFI)
Robbert J. J. Gobbens
Pages 145-149
The Study of Osteoporotic Fractures (SOF) Frailty Index
Kristine E. Ensrud
Pages 151-155
Physical Assessments Instruments
M. Aubertin-Leheudre, F. Buckinx
Pages 157-166
Technology-Based Assessments of Frailty
Megan Huisingh-Scheetz, Nabiel Mir, M. Lucia Madariaga, Daniel Rubin
Pages 167-172
Frailty Tools Using Health Care Databases
Stephanie Denise M. Sison, Dae Hyun Kim
Pages 173-178
Management: Treatment and Prevention
Front Matter
Pages 179-179
Comprehensive Geriatric Assessment CGA
Wakana Teranaka, Simon Conroy
Pages 181-185
Exercise Strategies for Improving Health Outcomes in Older Adults with Comorbidities: The Role of Vivifrail Tailored-Multicomponent Training
Mikel Izquierdo
Pages 187-200
Nutritional Aspects of Frailty in Older Adults: Undernutrition, Nutrients Consumption, and Diet Patterns
Hélio José Coelho-Junior, Emanuele Marzetti
Pages 201-209
Deprescribing
Sarah N. Hilmer, Nashwa Masnoon
Pages 211-215
Geroscience-Based Interventions
Oh Sung Kwon, Sara Espinoza
Pages 217-222
Integrated Care for Frailty
Anne Hendry, Ronan O’Caoimh, Mohamed A. Salem, Ana Carriazo, Regina Roller-Wirnsberger
Pages 223-228
Settings of Care
Front Matter
Pages 229-229
Frailty in Primary Care: Interventions and Opportunities
John Travers, Marie Therese Cooney, Roman Romero-Ortuno
Pages 231-237
Frailty in Acute Care Settings
Natasha Melo Resendes
Pages 239-248
Frailty in Nursing Homes
Renuka Visvanathan
Pages 249-253
Rehabilitation
Margaret Danilovich
Pages 255-258
Palliative Care
Daniel Stow, Sarah Combes, Felicity Dewhurst
Pages 259-265
Frailty in Home Care
Carmen Castillo Gallego
Pages 267-271
A Community-Based Model for Detecting and Managing Frailty
Jean Woo, Ruby Yu, Anson Kai-Chun Chau
Pages 273-278
Other Conditions
Front Matter
Pages 279-279
Bidirectional Relationships Between COVID-19 and Frailty in Older Adults
Chia-Ling Kuo, Patrick P. Coll, George A. Kuchel
Pages 281-285
Frailty and Cancer
Marco Ruiz, Natasha Melo Resendes, Jannelle Vicens
Pages 287-297
Frailty and Cardiovascular Disease
Deirdre E. O’Neill, Daniel E. Forman
Pages 299-308
Frailty in Older People with Diabetes Mellitus
Alan J. Sinclair, A. H. Abdelhafiz
Pages 309-324
Frailty and Cognition. Fellow Travelers or Partners in Crime?
Manuel Montero-Odasso, Frederico Pieruccini-Faria, Qu Tian, Joe Verghese
Pages 325-332
Frailty and Orthogeriatrics: Enhancing Care for Fragility Fractures
Mauricio Vazquez-Guajardo, Gustavo Duque
Pages 333-343
Frailty in Older Adults with Obesity and the Effect of Lifestyle Interventions
Georgia Colleluori, Dennis T. Villareal
Pages 345-349
Vaccines, Vaccine-Preventable Diseases, and Frailty
Henrique Pott, Melissa K. Andrew
Pages 351-358
Oral Health and Frailty
Christie-Michele Hogue, Roberto Carlos Castrejón-Pérez
Pages 359-368
Perioperative, Surgical, and Procedural Care for Older Adults with Frailty
Daniel I. McIsaac, Sylvie D. Aucoin
Pages 369-375
Delirium
Giuseppe Bellelli, Maria Cristina Ferrara, Alessandro Morandi
Pages 377-385
Social and Other Issues
Front Matter
Pages 387-387
Social Determinants of Physical Frailty
Brian Buta, Erica Twardzik, Laura Samuel, Thomas Cudjoe, Anthony L. Teano, Jackie Langdon et al.
Pages 389-401
Educating and Training the Workforce
Iriana S. Hammel, Elizabeth N. Chapman
Pages 403-409
Frailty in Low- and Middle-Income Countries
Tania Tello, Ximena Guevara, Paola Casas
Pages 411-418
Ethical and Policy Aspects of Frailty
John Muscedere
Pages 419-423
Back Matter
Pages 425-430
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