Frailty consensus: A call to action

John E. Morley, Bruno Vellas, G. Abellan van Kan, Stefan D. Anker, Juergen M. Bauer, Roberto Bernabei, Matteo Cesari, W. C. Chumlea, Wolfram Doehner, Jonathan Evans, Linda P. Fried, Jack M. Guralnik, Paul R. Katz, Theodore K. Malmstrom, Roger J. McCarter, Luis M. Gutierrez Robledo, Ken Rockwood, Stephan von Haehling, Maurits F. Vandewoude, Jeremy Walston

Research output: Contribution to journalArticle

Abstract

Frailty is a clinical state in which there is an increase in an individual's vulnerability for developing increased dependency and/or mortality when exposed to a stressor. Frailty can occur as the result of a range of diseases and medical conditions. A consensus group consisting of delegates from 6 major international, European, and US societies created 4 major consensus points on a specific form of frailty: physical frailty.1.Physical frailty is an important medical syndrome. The group defined physical frailty as "a medical syndrome with multiple causes and contributors that is characterized by diminished strength, endurance, and reduced physiologic function that increases an individual's vulnerability for developing increased dependency and/or death." 2.Physical frailty can potentially be prevented or treated with specific modalities, such as exercise, protein-calorie supplementation, vitamin D, and reduction of polypharmacy.3.Simple, rapid screening tests have been developed and validated, such as the simple FRAIL scale, to allow physicians to objectively recognize frail persons.4.For the purposes of optimally managing individuals with physical frailty, all persons older than 70 years and all individuals with significant weight loss (≥5%) due to chronic disease should be screened for frailty.

Original languageEnglish (US)
Pages (from-to)392-397
Number of pages6
JournalJournal of the American Medical Directors Association
Volume14
Issue number6
DOIs
StatePublished - Jun 2013

Keywords

  • Comorbidities
  • Frailty
  • Physical frailty
  • Rapid screening tests
  • Weight loss

ASJC Scopus subject areas

  • Nursing(all)
  • Health Policy
  • Geriatrics and Gerontology

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  • Cite this

    Morley, J. E., Vellas, B., Abellan van Kan, G., Anker, S. D., Bauer, J. M., Bernabei, R., Cesari, M., Chumlea, W. C., Doehner, W., Evans, J., Fried, L. P., Guralnik, J. M., Katz, P. R., Malmstrom, T. K., McCarter, R. J., Gutierrez Robledo, L. M., Rockwood, K., von Haehling, S., Vandewoude, M. F., & Walston, J. (2013). Frailty consensus: A call to action. Journal of the American Medical Directors Association, 14(6), 392-397. https://doi.org/10.1016/j.jamda.2013.03.022