Nutrition Publication

NNIW83 - Frailty Pathophysiology, Phenotype, and Patient Care

Editor(s): R.A. Fielding, C. Sieber, B. Vellas. Clinical Nutrition Series 83

Worldwide, the population aged 65 years and more is expected to grow fromnear 500 million people in 2004 to an estimated 2 billion people by 2050. Thegeriatric syndrome of frailty is likely to affect a large number of elderly living inthe community, as approximately 14% of those are frail and 43% are prefrailbased on findings of the Survey of Health, Aging and Retirement in Europe(SHARE) conducted in 10 major European countries.In a frail state, older adults are at greater risk for adverse outcomes, includingfalls and admissions to hospitals and nursing homes. Early action is warrantedin vulnerable inpiduals because frailty is a predisabled condition, disability iscostly, and initiating intervention may modify the frailty trajectory. Yet, today itis more common for older adults to progress to a worsened level of frailty thanto transition to an improvement. The development and application of evolvingscience is important for better patient-centric health care.

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