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10 - Prevention of Frailty

from Part I - Biomedical Aspects

Published online by Cambridge University Press:  10 January 2019

Rocío Fernández-Ballesteros
Affiliation:
Universidad Autónoma de Madrid
Athanase Benetos
Affiliation:
Université de Lorraine and Institut national de la santé et de la recherche médicale (INSERM) Nancy
Jean-Marie Robine
Affiliation:
INSERM
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Summary

As the population ages, the number of older people with frailty is expected to increase worldwide with consequent rising of expenditures for healthcare and long-term care. Effective methods for preventing or delaying the onset of frailty are urgently required. Frailty is a common and important geriatric condition characterized by age-associated declines in multiple physiological mechanisms, leading to increased vulnerability to stressors and higher risk for adverse health outcomes. Significant advancements have been made in the understanding of the frailty pathophysiological background. Chronic inflammation is likely a key mechanism contributing to frailty both directly as well as indirectly, by affecting a wide spectrum of systems (e.g., the musculoskeletal, endocrine, and hematologic systems). Given its multidimensional nature, preventing frailty requires a comprehensive approach. In this context, raising awareness about healthy lifestyle and improving health education are key interventions for the prevention of frailty. Every effort should be made by healthcare authorities in order to maximize efforts in this field, taking into account the need of balancing priorities, needs, and resources.
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Publisher: Cambridge University Press
Print publication year: 2019

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References

Abellan van Kan, G., Rolland, Y., Bergman, H., et al. The I.A.N.A Task Force on frailty assessment of older people in clinical practice. J Nutr Health Aging. 2008 Jan; 12(1): 2937.CrossRefGoogle ScholarPubMed
Al Snih, S., Graham, J. E., Ray, L. A., et al. Frailty and incidence of activities of daily living disability among older Mexican Americans. J Rehabil Med. 2009 Nov; 41(11): 892–7.CrossRefGoogle ScholarPubMed
Andrew, M. K., Mitnitski, A. B., Rockwood, K. Social vulnerability, frailty and mortality in elderly people. PloS One. 2008; 3(5): e2232.CrossRefGoogle ScholarPubMed
Arem, H., Moore, S. C., Patel, A., et al. Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship. JAMA Intern Med. 2015 Jun; 175(6): 959–67.CrossRefGoogle ScholarPubMed
Bandeen-Roche, K., Xue, Q.-L., Ferrucci, L., et al. Phenotype of frailty: characterization in the Women's Health and Aging Studies. J Gerontol A Biol Sci Med Sci. 2006 Mar; 61(3): 262–6.CrossRefGoogle ScholarPubMed
Barlow, J., Singh, D., Bayer, S., Curry, R. A systematic review of the benefits of home telecare for frail elderly people and those with long-term conditions. J Telemed Telecare. 2007; 13(4): 172–9.CrossRefGoogle ScholarPubMed
Bauer, M., Fitzgerald, L., Haesler, E., Manfrin, M. Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. J Clin Nurs. 2009 Sep; 18(18): 2539–46.CrossRefGoogle ScholarPubMed
Beasley, J. M., Shikany, J. M., Thomson, C. A. The role of dietary protein intake in the prevention of sarcopenia of aging. Nutr Clin Pract Off Publ Am Soc Parenter Enter Nutr. 2013 Dec; 28(6): 684–90.Google ScholarPubMed
Beck, A. M., Kjær, S., Hansen, B. S., et al. Follow-up home visits with registered dietitians have a positive effect on the functional and nutritional status of geriatric medical patients after discharge: a randomized controlled trial. Clin Rehabil. 2013 Jun; 27(6): 483–93.CrossRefGoogle ScholarPubMed
Bendayan, M., Bibas, L., Levi, M., et al. Therapeutic interventions for frail elderly patients: part II. Ongoing and unpublished randomized trials. Prog Cardiovasc Dis. 2014 Oct; 57(2): 144–51.CrossRefGoogle ScholarPubMed
Bibas, L., Levi, M., Bendayan, M., et al. Therapeutic interventions for frail elderly patients: part I. Published randomized trials. Prog Cardiovasc Dis. 2014 Oct; 57(2): 134–43.CrossRefGoogle ScholarPubMed
Bonnefoy, M., Berrut, G., Lesourd, B., et al. Frailty and nutrition: searching for evidence. J Nutr Health Aging. 2015 Mar; 19(3): 250–7.CrossRefGoogle ScholarPubMed
Brach, J. S., Simonsick, E. M., Kritchevsky, S., Yaffe, K., Newman, A. B., Health, Aging and Body Composition Study Research Group. The association between physical function and lifestyle activity and exercise in the health, aging and body composition study. J Am Geriatr Soc. 2004 Apr; 52(4): 502–9.CrossRefGoogle ScholarPubMed
Brown, M., Sinacore, D. R., Ehsani, A. A., et al. Low-intensity exercise as a modifier of physical frailty in older adults. Arch Phys Med Rehabil. 2000 Jul; 81(7): 960–5.CrossRefGoogle ScholarPubMed
Cadore, E. L., Moneo, A. B. B., Mensat, M. M., et al. Positive effects of resistance training in frail elderly patients with dementia after long-term physical restraint. Age Dordr Neth. 2014 Apr; 36(2): 801–11.Google ScholarPubMed
Cawthon, P. M., Marshall, L. M., Michael, Y., et al. Frailty in older men: prevalence, progression, and relationship with mortality. J Am Geriatr Soc. 2007 Aug; 55(8): 1216–23.CrossRefGoogle ScholarPubMed
Chandler, J. M., Duncan, P. W., Kochersberger, G., Studenski, S. Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders? Arch Phys Med Rehabil. 1998 Jan; 79(1): 2430.CrossRefGoogle ScholarPubMed
Chernichovsky, D., Leibowitz, A. A. Integrating public health and personal care in a reformed US health care system. Am J Public Health. 2010 Feb; 100(2): 205–11.CrossRefGoogle Scholar
Chou, C.-H., Hwang, C.-L., Wu, Y.-T. Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: a meta-analysis. Arch Phys Med Rehabil. 2012 Feb; 93(2): 237–44.CrossRefGoogle ScholarPubMed
Clegg, A., Barber, S., Young, J., Iliffe, S., Forster, A. The Home-based Older People's Exercise (HOPE) trial: a pilot randomised controlled trial of a home-based exercise intervention for older people with frailty. Age Ageing. 2014 Sep; 43(5): 687–95.CrossRefGoogle Scholar
Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., Rockwood, K. Frailty in elderly people. Lancet. 2013 Mar 2; 381(9868): 752–62.CrossRefGoogle ScholarPubMed
Crimmins, E. M. Trends in the health of the elderly. Annu Rev Public Health. 2004; 25: 7998.CrossRefGoogle ScholarPubMed
Cutler, D. M., Landrum, M. B., Stewart, K. A. Intensive medical care and cardiovascular disease disability reductions [Internet]. National Bureau of Economic Research; 2006 May [cited 2016 Jul 11]. Report No.: 12184. Available from: http://nber.org/papers/w12184Google Scholar
Deutz, N. E. P., Bauer, J. M., Barazzoni, R., et al. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clin Nutr Edinb Scotl. 2014 Dec; 33(6): 929–36.Google ScholarPubMed
Dorner, T. E., Lackinger, C., Haider, S., et al. Nutritional intervention and physical training in malnourished frail community-dwelling elderly persons carried out by trained lay “buddies”: study protocol of a randomized controlled trial. BMC Public Health. 2013; 13: 1232.CrossRefGoogle ScholarPubMed
Dumbreck, S., Flynn, A., Nairn, M., et al. Drug-disease and drug-drug interactions: systematic examination of recommendations in 12 UK national clinical guidelines. BMJ. 2015; 350: h949.CrossRefGoogle ScholarPubMed
Ehsani, A. A., Spina, R. J., Peterson, L. R., et al. Attenuation of cardiovascular adaptations to exercise in frail octogenarians. J Appl Physiol Bethesda MD 1985. 2003 Nov; 95(5): 1781–8.Google Scholar
Elkan, R., Kendrick, D., Dewey, M., et al. Effectiveness of home based support for older people: systematic review and meta-analysis. BMJ. 2001 Sep 29; 323(7315): 719–25.CrossRefGoogle ScholarPubMed
Elwood, P., Galante, J., Pickering, J., et al. Healthy lifestyles reduce the incidence of chronic diseases and dementia: evidence from the Caerphilly cohort study. PLoS One. 2013; 8(12): e81877.CrossRefGoogle ScholarPubMed
Epping-Jordan, J. E., Galea, G., Tukuitonga, C., Beaglehole, R. Preventing chronic diseases: taking stepwise action. Lancet Lond Engl. 2005 Nov 5; 366(9497): 1667–71.Google ScholarPubMed
Esterman, A. J., Ben-Tovim, D. I. The Australian coordinated care trials: success or failure? The second round of trials may provide more answers. Med J Aust. 2002 Nov 4; 177(9): 469–70.CrossRefGoogle ScholarPubMed
Estruch, R., Ros, E., Salas-Salvadó, J., et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013 Apr 4; 368(14): 1279–90.CrossRefGoogle ScholarPubMed
Fiatarone, M. A., O'Neill, E. F., Ryan, N. D., et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med. 1994 Jun 23; 330(25): 1769–75.CrossRefGoogle ScholarPubMed
Forster, A., Lambley, R., Hardy, J., et al. Rehabilitation for older people in long-term care. Cochrane Database Syst Rev. 2009; (1): CD004294.CrossRefGoogle ScholarPubMed
Fried, L. P., Ferrucci, L., Darer, J., Williamson, J. D., Anderson, G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004 Mar; 59(3): 255–63.CrossRefGoogle ScholarPubMed
Fried, L. P., Tangen, C. M., Walston, J., et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar; 56(3): M146–56.CrossRefGoogle ScholarPubMed
Fried, L. P., Xue, Q.-L., Cappola, A. R., et al. Nonlinear multisystem physiological dysregulation associated with frailty in older women: implications for etiology and treatment. J Gerontol A Biol Sci Med Sci. 2009 Oct; 64(10): 1049–57.Google ScholarPubMed
Fulop, T., Larbi, A., Witkowski, J. M., et al. Aging, frailty and age-related diseases. Biogerontology. 2010 Oct; 11(5): 547–63.CrossRefGoogle ScholarPubMed
Gill, T. M., Baker, D. I., Gottschalk, M., et al. A program to prevent functional decline in physically frail, elderly persons who live at home. N Engl J Med. 2002 Oct 3; 347(14): 1068–74.CrossRefGoogle ScholarPubMed
Giné-Garriga, M., Roqué-Fíguls, M., Coll-Planas, L., Sitjà-Rabert, M., Salvà, A. Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2014 Apr; 95(4): 753–69.e3.CrossRefGoogle ScholarPubMed
Goodwin, N., Sonola, L., Thiel, V., Kodner, D. Co-ordinated Care for People with Complex Chronic Conditions [Internet]. 2013 [cited 2016 Sep 27]. (London: The King's Fund). Available from: http://kingsfund.org.uk/sites/files/kf/field/field_publication_file/co-ordinated-care-for-peoplewith-complex-chronic-conditions-kingsfund-oct13.pdfGoogle Scholar
Graham, J. E., Snih, S. A., Berges, I. M., et al. Frailty and 10-year mortality in community-living Mexican American older adults. Gerontology. 2009; 55(6): 644–51.CrossRefGoogle ScholarPubMed
Gustafsson, S., Edberg, A.-K., Johansson, B., Dahlin-Ivanoff, S. Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review. Eur J Ageing. 2009 Oct 17; 6(4): 315–29.CrossRefGoogle ScholarPubMed
Harber, M. P., Konopka, A. R., Douglass, M. D., et al. Aerobic exercise training improves whole muscle and single myofiber size and function in older women. Am J Physiol Regul Integr Comp Physiol. 2009 Nov; 297(5): R1452–9.CrossRefGoogle ScholarPubMed
Hébert, R., Raîche, M., Dubois, M.-F., et al. Impact of PRISMA, a coordination-type integrated service delivery system for frail older people in Quebec (Canada): a quasi-experimental study. J Gerontol B Psychol Sci Soc Sci. 2010 Jan; 65B(1): 107–18.CrossRefGoogle ScholarPubMed
Huber, M., Knottnerus, J. A., Green, L., et al. How should we define health? BMJ. 2011; 343: d4163.CrossRefGoogle ScholarPubMed
Inzitari, M., Doets, E., Bartali, B., et al. Nutrition in the age-related disablement process. J Nutr Health Aging. 2011 Aug; 15(8): 599604.CrossRefGoogle ScholarPubMed
Izquierdo, M., Cadore, E. L. Muscle power training in the institutionalized frail: a new approach to counteracting functional declines and very late-life disability. Curr Med Res Opin. 2014 Jul; 30(7): 1385–90.CrossRefGoogle ScholarPubMed
Johri, M., Beland, F., Bergman, H. International experiments in integrated care for the elderly: a synthesis of the evidence. Int J Geriatr Psychiatry. 2003 Mar; 18(3): 222–35.CrossRefGoogle ScholarPubMed
Jones, D. M., Song, X., Rockwood, K. Operationalizing a frailty index from a standardized comprehensive geriatric assessment. J Am Geriatr Soc. 2004 Nov; 52(11): 1929–33.CrossRefGoogle ScholarPubMed
Kaiser, M., Bandinelli, S., Lunenfeld, B. Frailty and the role of nutrition in older people. A review of the current literature. Acta Bio-Medica Atenei Parm. 2010; 81 (Suppl 1): 3745.Google ScholarPubMed
Kaufman, D. W., Kelly, J. P., Rosenberg, L., Anderson, T. E., Mitchell, A. A. Recent patterns of medication use in the ambulatory adult population of the United States: the Slone survey. JAMA. 2002 Jan 16; 287(3): 337–44.CrossRefGoogle ScholarPubMed
Kojima, G. Frailty as a predictor of future falls among community-dwelling older people: a systematic review and meta-analysis. J Am Med Dir Assoc. 2015 Dec; 16(12): 1027–33.CrossRefGoogle ScholarPubMed
Kshetrimayum, N., Reddy, C. V. K., Siddhana, S., et al. Oral health-related quality of life and nutritional status of institutionalized elderly population aged 60 years and above in Mysore City, India. Gerodontology. 2013 Jun; 30(2): 119–25.CrossRefGoogle ScholarPubMed
Lally, F., Crome, P. Understanding frailty. Postgrad Med J. 2007 Jan; 83(975): 1620.CrossRefGoogle ScholarPubMed
Lloyd-Sherlock, P., Beard, J., Minicuci, N., Ebrahim, S., Chatterji, S. Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control. Int J Epidemiol. 2014 Feb; 43(1): 116–28.CrossRefGoogle ScholarPubMed
Malafarina, V., Uriz-Otano, F., Iniesta, R., Gil-Guerrero, L. Effectiveness of nutritional supplementation on muscle mass in treatment of sarcopenia in old age: a systematic review. J Am Med Dir Assoc. 2013 Jan; 14(1): 10–7.CrossRefGoogle ScholarPubMed
Marengoni, A., Angleman, S., Melis, R., et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011 Sep; 10(4): 430–9.CrossRefGoogle ScholarPubMed
Marengoni, A., Pasina, L., Concoreggi, C., et al. Understanding adverse drug reactions in older adults through drug-drug interactions. Eur J Intern Med. 2014 Nov; 25(9): 843–6.CrossRefGoogle ScholarPubMed
McDonald, K. M., Schultz, E. M., Chang, C. Evaluating the state of quality-improvement science through evidence synthesis: insights from the closing the quality gap series. Perm J. 2013; 17(4): 5261.CrossRefGoogle ScholarPubMed
Morley, J. E., Argiles, J. M., Evans, W. J., et al. Nutritional recommendations for the management of sarcopenia. J Am Med Dir Assoc. 2010 Jul; 11(6): 391–6.CrossRefGoogle ScholarPubMed
Michel, J.-P., Newton, J. L., Kirkwood, T. B. L. Medical challenges of improving the quality of a longer life. JAMA. 2008 Feb 13; 299(6): 688–90.CrossRefGoogle ScholarPubMed
Morley, J. E., Vellas, B., van Kan, G. A., et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013 Jun; 14(6): 392–7.CrossRefGoogle ScholarPubMed
Millward, D. J. Nutrition and sarcopenia: evidence for an interaction. Proc Nutr Soc. 2012 Nov; 71(4): 566–75.CrossRefGoogle ScholarPubMed
Musini, V. M., Tejani, A. M., Bassett, K., Wright, J. M. Pharmacotherapy for hypertension in the elderly. Cochrane Database Syst Rev. 2009; (4): CD000028.CrossRefGoogle ScholarPubMed
Nobili, A., Pasina, L., Tettamanti, M., et al. Potentially severe drug interactions in elderly outpatients: results of an observational study of an administrative prescription database. J Clin Pharm Ther. 2009 Aug; 34(4): 377–86.CrossRefGoogle ScholarPubMed
Nowson, C., O'Connell, S. Protein requirements and recommendations for older people: a review. Nutrients. 2015 Aug; 7(8): 6874–99.CrossRefGoogle ScholarPubMed
Onder, G., Bonassi, S., Abbatecola, A. M., et al. High prevalence of poor quality drug prescribing in older individuals: a nationwide report from the Italian Medicines Agency (AIFA). J Gerontol A Biol Sci Med Sci. 2014 Apr; 69(4): 430–7.CrossRefGoogle ScholarPubMed
Onder, G., Palmer, K., Navickas, R., et al. Time to face the challenge of multimorbidity. A European perspective from the joint action on chronic diseases and promoting healthy ageing across the life cycle (JA-CHRODIS). Eur J Intern Med. 2015 Apr; 26(3): 157–9.CrossRefGoogle ScholarPubMed
Ouwens, M., Wollersheim, H., Hermens, R., Hulscher, M., Grol, R. Integrated care programmes for chronically ill patients: a review of systematic reviews. Int J Qual Health Care J Int Soc Qual Health Care ISQua. 2005 Apr; 17(2): 141–6.Google ScholarPubMed
Paddon-Jones, D., Leidy, H. Dietary protein and muscle in older persons. Curr Opin Clin Nutr Metab Care. 2014 Jan; 17(1): 511.CrossRefGoogle ScholarPubMed
Pahor, M., Guralnik, J. M., Ambrosius, W. T., et al. Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. JAMA. 2014 Jun 18; 311(23): 2387–96.CrossRefGoogle ScholarPubMed
Parker, M. G., Thorslund, M. Health trends in the elderly population: getting better and getting worse. The Gerontologist. 2007 Apr; 47(2): 150–8.CrossRefGoogle ScholarPubMed
Perenboom, R. J. M., Van Herten, L. M., Boshuizen, H. C., Van Den Bos, G. A. M. Trends in disability-free life expectancy. Disabil Rehabil. 2004 Apr 8; 26(7): 377–86.CrossRefGoogle ScholarPubMed
Peters, L. L., Boter, H., Buskens, E., Slaets, J. P. J. Measurement properties of the Groningen Frailty Indicator in home-dwelling and institutionalized elderly people. J Am Med Dir Assoc. 2012 Jul; 13(6): 546–51.CrossRefGoogle ScholarPubMed
Peterson, M. J., Giuliani, C., Morey, M. C., et al. Physical activity as a preventative factor for frailty: the health, aging, and body composition study. J Gerontol A Biol Sci Med Sci. 2009 Jan; 64(1): 61–8.Google ScholarPubMed
Peto, R., Darby, S., Deo, H., et al. Smoking, smoking cessation, and lung cancer in the UK since 1950: combination of national statistics with two case-control studies. BMJ. 2000 Aug 5; 321(7257): 323–9.CrossRefGoogle ScholarPubMed
Pialoux, T., Goyard, J., Lesourd, B. Screening tools for frailty in primary health care: a systematic review. Geriatr Gerontol Int. 2012 Apr; 12(2): 189–97.CrossRefGoogle ScholarPubMed
Puts, M. T. E., Lips, P., Deeg, D. J. H. Static and dynamic measures of frailty predicted decline in performance-based and self-reported physical functioning. J Clin Epidemiol. 2005 Nov; 58(11): 1188–98.CrossRefGoogle ScholarPubMed
Reynolds, S. L., Saito, Y., Crimmins, E. M. The impact of obesity on active life expectancy in older American men and women. The Gerontologist. 2005 Aug; 45(4): 438–44.CrossRefGoogle ScholarPubMed
Robinson, S., Cooper, C., Aihie Sayer, A. Nutrition and sarcopenia: a review of the evidence and implications for preventive strategies. J Aging Res. 2012; 2012: 510801.CrossRefGoogle ScholarPubMed
Rodríguez-Artalejo, F., Rodríguez-Mañas, L. The frailty syndrome in the public health agenda. J Epidemiol Community Health. 2014 Aug; 68(8): 703–4.CrossRefGoogle ScholarPubMed
Romero-Ortuno, R., Walsh, C. D., Lawlor, B. A., Kenny, R. A. A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE). BMC Geriatr. 2010; 10: 57.CrossRefGoogle ScholarPubMed
Rondanelli, M., Faliva, M., Monteferrario, F., et al. Novel insights on nutrient management of sarcopenia in elderly. BioMed Res Int. 2015; 2015: 524948.CrossRefGoogle ScholarPubMed
Rowe, J. W., Fulmer, T., Fried, L. Preparing for better health and health care for an aging population. JAMA. 2016 Oct 25; 316(16): 1643–4.CrossRefGoogle ScholarPubMed
Savela, S. L., Koistinen, P., Stenholm, S., et al. Leisure-time physical activity in midlife is related to old age frailty. J Gerontol A Biol Sci Med Sci. 2013 Nov; 68(11): 1433–8.CrossRefGoogle ScholarPubMed
Schoeni, R. F., Freedman, V. A., Martin, L. G. Why is late-life disability declining? Milbank Q. 2008 Mar; 86(1): 4789.CrossRefGoogle ScholarPubMed
Song, X., Mitnitski, A., Rockwood, K. Prevalence and 10-year outcomes of frailty in older adults in relation to deficit accumulation. J Am Geriatr Soc. 2010 Apr; 58(4): 681–7.CrossRefGoogle ScholarPubMed
Sternberg, S. A., Wershof Schwartz, A., Karunananthan, S., Bergman, H., Mark Clarfield, A. The identification of frailty: a systematic literature review. J Am Geriatr Soc. 2011 Nov; 59(11): 2129–38.CrossRefGoogle ScholarPubMed
Stuck, A. E., Iliffe, S. Comprehensive geriatric assessment for older adults. BMJ. 2011; 343: d6799.CrossRefGoogle ScholarPubMed
Sugawara, J., Miyachi, M., Moreau, K. L., et al. Age-related reductions in appendicular skeletal muscle mass: association with habitual aerobic exercise status. Clin Physiol Funct Imaging. 2002 May; 22(3): 169–72.CrossRefGoogle ScholarPubMed
Syddall, H., Roberts, H. C., Evandrou, M., et al. Prevalence and correlates of frailty among community-dwelling older men and women: findings from the Hertfordshire Cohort Study. Age Ageing. 2010 Mar; 39(2): 197203.CrossRefGoogle ScholarPubMed
Tavassoli, N., Guyonnet, S., Abellan Van Kan, G., et al. Description of 1,108 older patients referred by their physician to the “Geriatric Frailty Clinic (G.F.C) for Assessment of Frailty and Prevention of Disability” at the gerontopole. J Nutr Health Aging. 2014 May; 18(5): 457–64.CrossRefGoogle Scholar
Theou, O., Stathokostas, L., Roland, K. P., et al. The effectiveness of exercise interventions for the management of frailty: a systematic review. J Aging Res. 2011; 2011: 569194.CrossRefGoogle ScholarPubMed
United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2015 [Internet]. 2015. Available from: http://un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdfGoogle Scholar
Volkert, D. The role of nutrition in the prevention of sarcopenia. Wien Med Wochenschr 1946. 2011 Sep; 161(17–18): 409–15.Google ScholarPubMed
Walston, J., Hadley, E. C., Ferrucci, L., et al. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc. 2006 Jun; 54(6): 9911001.CrossRefGoogle Scholar
Walston, J., McBurnie, M. A., Newman, A., et al. Frailty and activation of the inflammation and coagulation systems with and without clinical comorbidities: results from the Cardiovascular Health Study. Arch Intern Med. 2002 Nov 11; 162(20): 2333–41.CrossRefGoogle ScholarPubMed
Weening-Dijksterhuis, E., de Greef, M. H. G., Scherder, E. J. A., Slaets, J. P. J., van der Schans, C. P. Frail institutionalized older persons: a comprehensive review on physical exercise, physical fitness, activities of daily living, and quality-of-life. Am J Phys Med Rehabil Assoc Acad Physiatr. 2011 Feb; 90(2): 156–68.Google Scholar
Wolf, D. A., Hunt, K., Knickman, J. Perspectives on the recent decline in disability at older ages. Milbank Q. 2005; 83(3): 365–95.CrossRefGoogle ScholarPubMed
Woods, N. F., LaCroix, A. Z., Gray, S. L., et al. Frailty: emergence and consequences in women aged 65 and older in the Women's Health Initiative Observational Study. J Am Geriatr Soc. 2005 Aug; 53(8): 1321–30.Google ScholarPubMed
World Health Organization. Prevention and Control of Noncommunicable Diseases: Guidelines for Primary Health Care in Low Resource Settings [Internet]. Geneva: World Health Organization; 2012 [cited 2016 Sep 14]. (WHO Guidelines Approved by the Guidelines Review Committee). Available from: http://ncbi.nlm.nih.gov/books/NBK148622/Google Scholar
World Health Organization. Global Action Plan for the Prevention and Control of NCDs 2013–2020 [Internet]. WHO. [cited 2016 Sep 14]. Available from: http://who.int/nmh/events/ncd_action_plan/en/Google Scholar
World Health Organization. Preventing Chronic Diseases: A Vital Investment [Internet]. WHO. [cited 2016 Sep 14]. Available from: http://who.int/chp/chronic_disease_report/contents/en/Google Scholar

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