Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management

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Physical Frailty : ICFSR International Clinical Practice Guidelines for Identification and Management

Dent, E. (författare): Torrens Univ Australia, Adelaide, SA, Australia;Baker Heart & Diabet Inst, Melbourne, Vic, Australia

Morley, J. E. (författare): St Louis Univ, Sch Med, Div Geriatr Med, St Louis, MO 63104 USA

Cruz-Jentoft, A. J. (författare): Hosp Univ Ramon Y Cajal IRYCIS, Serv Geriatria, Madrid, Spain

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Woodhouse, L. (författare): Univ Alberta, Dept Phys Therapy, Rehabil Med, Edmonton, AB, Canada

Rodriguez-Manas, L. (författare): Hosp Univ Getafe, Serv Geriatria, Madrid, Spain

Fried, L. P. (författare): Columbia Univ, Med Ctr, Mailman Sch Publ Hlth, New York, NY USA

Woo, J. (författare): Chinese Univ Hong Kong, Dept Med, Hong Kong, Peoples R China

Aprahamian, I (författare): Fac Med Jundiai, Grp Invest Multimorbid & Mental Hlth Aging GIMMA, Geriatr Div, Internal Med Dept, Jundiai, Brazil

Sanford, A. (författare): St Louis Univ, Sch Med, Div Geriatr Med, St Louis, MO 63104 USA

Lundy, J. (författare): Perry Cty Mem Hosp, Perryville, MO USA

Landi, F. (författare): Fdn Policlin A Gemelli, Rome, Italy

Beilby, J. (författare): Torrens Univ Australia, Adelaide, SA, Australia

Martin, F. C. (författare): Kings Coll London, Populat Hlth Sci, London, England

Bauer, J. M. (författare): Heidelberg Univ, Ctr Geriatr Med, Agaples Bethanien Krankenhaus, Heidelberg, Germany

Ferrucci, L. (författare): NIA, Intramural Res Program, Bethesda, MD 20892 USA

Merchant, R. A. (författare): Natl Univ Hlth Syst, Natl Univ Hosp, Dept Med, Div Geriatr Med, Singapore, Singapore

Dong, B. (författare): Sichuan Univ, West China Hosp, Dept Geriatr, Chengdu, Sichuan, Peoples R China;Sichuan Univ, West China Hosp, Natl Clin Res Ctr Geriatr, Chengdu, Sichuan, Peoples R China

Arai, H. (författare): Natl Ctr Geriatr & Gerontol, Obu, Japan

Hoogendijk, E. O. (författare): Amsterdam UMC Locat VU Univ Med Ctr, Dept Epidemiol & Biostat, Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands

Won, C. W. (författare): Kyung Hee Univ, Coll Med, Dept Family Med, Elderly Frailty Res Ctr, Seoul, South Korea

Abbatecola, A. (författare): Alzheimers Dis Clin Dept, Azienda Sanit Locale ASI Frosinone, Frosinone, Italy

Cederholm, Tommy (författare): Karolinska Institutet,Uppsala universitet,Klinisk nutrition och metabolism,Karolinska Univ Hosp, Theme Aging, Stockholm, Sweden

Strandberg, T. (författare): Univ Oulu, Ctr Life Course Hlth Res, Oulu, Finland;Univ Helsinki, Helsinki, Finland;Helsinki Univ Hosp, Helsinki, Finland

Gutierrez Robledo, L. M. (författare): Natl Inst Geriatr, Mexico City, DF, Mexico

Flicker, L. (författare): Univ Western Australia, Med Sch, Western Australian Ctr Hlth & Ageing, Perth, WA, Australia

Bhasin, S. (författare): Harvard Med Sch, Res Program Means Hlth Aging & Metab, Boston Claude D Pepper Older Amer Independence Ct, Brigham & Womens Hosp, Boston, MA 02115 USA

Aubertin-Leheudre, M. (författare): Univ Quebec Montreal, Dept Sci Activite Phys, CRIUGM, Montreal, PQ, Canada

Bischoff-Ferrari, H. A. (författare): Univ Hosp, Dept Geriatr & Aging Res, Zurich, Switzerland;Univ Zurich, Zurich, Switzerland

Guralnik, J. M. (författare): Univ Maryland, Sch Med, Dept Epidemiol & Publ Hlth, Div Gerontol, Baltimore, MD 21201 USA

Muscedere, J. (författare): Queens Univ, Dept Crit Care Med, Kingston, ON, Canada

Pahor, M. (författare): Univ Florida, Dept Aging & Geriatr Res, Gainesville, FL USA

Ruiz, J. (författare): Univ Miami, Miller Sch Med, Miami VA Healthcare Syst GRECC, Miami, FL 33136 USA;Univ Miami, Miller Sch Med, Div Geriatr & Palliat Med, Miami, FL 33136 USA

Negm, A. M. (författare): McMaster Univ, Sch Rehabil Sci, Fac Hlth Sci, Hamilton, ON, Canada

Reginster, J. Y. (författare): WHO Collaborating Ctr Publ Hlth Aspects Musculosk, Liege, Belgium;King Saud Univ, Chair Biomarkers Chron Dis, Dept Biochem, Coll Sci, Riyadh, Saudi Arabia

Waters, D. L. (författare): Univ Otago, Sch Physiotherapy, Dept Med, Dunedin, New Zealand

Vellas, B. (författare): Univ Paul Sabatier, CHU Toulouse, Gerontopole UMR Inserm 1027, Toulouse, France

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2019-10-03
2019
Engelska.
Ingår i: The Journal of Nutrition, Health & Aging. - : SPRINGER FRANCE. - 1279-7707 .- 1760-4788. ; 23:9, s. 771-787

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Objective: The task force of the International Conference of Frailty and Sarcopenia Research (ICFSR) developed these clinical practice guidelines to overview the current evidence-base and to provide recommendations for the identification and management of frailty in older adults.Methods: These recommendations were formed using the GRADE approach, which ranked the strength and certainty (quality) of the supporting evidence behind each recommendation. Where the evidence-base was limited or of low quality, Consensus Based Recommendations (CBRs) were formulated. The recommendations focus on the clinical and practical aspects of care for older people with frailty, and promote person-centred care.Recommendations for Screening and Assessment: The task force recommends that health practitioners case identify/screen all older adults for frailty using a validated instrument suitable for the specific setting or context (strong recommendation). Ideally, the screening instrument should exclude disability as part of the screening process. For individuals screened as positive for frailty, a more comprehensive clinical assessment should be performed to identify signs and underlying mechanisms of frailty (strong recommendation).Recommendations for Management: A comprehensive care plan for frailty should address polypharmacy (whether rational or nonrational), the management of sarcopenia, the treatable causes of weight loss, and the causes of exhaustion (depression, anaemia, hypotension, hypothyroidism, and B12 deficiency) (strong recommendation). All persons with frailty should receive social support as needed to address unmet needs and encourage adherence to a comprehensive care plan (strong recommendation). First-line therapy for the management of frailty should include a multi-component physical activity programme with a resistance-based training component (strong recommendation). Protein/caloric supplementation is recommended when weight loss or undernutrition are present (conditional recommendation). No recommendation was given for systematic additional therapies such as cognitive therapy, problem-solving therapy, vitamin D supplementation, and hormone-based treatment. Pharmacological treatment as presently available is not recommended therapy for the treatment of frailty.

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Physical Frailty : ICFSR International Clinical Practice Guidelines for Identification and Management

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