Assessment Tools of Biopsychosocial Frailty Dimensions in Community-Dwelling Older Adults: A Narrative Review

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2022 Dec 11

PMID 36498125

Authors

Vincenzo De Luca

Grazia Daniela Femminella

Roberta Patalano

Valeria Formosa

Grazia Lorusso

Cristiano Rivetta

Federica Di Lullo

Lorenzo Mercurio

Teresa Rea

Elena Salvatore

Nilufer Korkmaz Yaylagul

Joao Apostolo

Rosa Carla Silva

Carina Dantas

Willeke H van Staalduinen

Giuseppe Liotta

Guido Iaccarino

Maria Triassi

Maddalena Illario

Affiliations

Soon will be listed here.

Abstract

Frailty is a complex interplay between several factors, including physiological changes in ageing, multimorbidities, malnutrition, living environment, genetics, and lifestyle. Early screening for frailty risk factors in community-dwelling older people allows for preventive interventions on the clinical and social determinants of frailty, which allows adverse events to be avoided. By conducting a narrative review of the literature employing the International Narrative Systematic Assessment tool, the authors aimed to develop an updated framework for the main measurement tools to assess frailty risks in older adults, paying attention to use in the community and primary care settings. This search focused on the biopsychosocial domains of frailty that are covered in the SUNFRAIL tool. The study selected 178 reviews (polypharmacy: 20; nutrition: 13; physical activity: 74; medical visits: 0; falls: 39; cognitive decline: 12; loneliness: 15; social support: 5; economic constraints: 0) published between January 2010 and December 2021. Within the selected reviews, 123 assessment tools were identified (polypharmacy: 15; nutrition: 15; physical activity: 25; medical visits: 0; falls: 26; cognitive decline: 18; loneliness: 9; social support: 15; economic constraints: 0). The narrative review allowed us to evaluate assessment tools of frailty domains to be adopted for multidimensional health promotion and prevention interventions in community and primary care.

Citing Articles

Relationship Between Chronic Pain Types (Nociceptive and Neuropathic-Like Symptoms) and Frailty in Community-Dwelling Japanese Older Adults: A Cross-Sectional Study.

Saito T, Liu X, Yatsugi H, Chu T, Yokote T, Kishimoto H J Pain Res. 2023; 16:2675-2684.

PMID: 37545692 PMC: 10404036. DOI: 10.2147/JPR.S402002.

Digital Health Service for Identification of Frailty Risk Factors in Community-Dwelling Older Adults: The SUNFRAIL+ Study Protocol.

De Luca V, Femminella G, Leonardini L, Patumi L, Palummeri E, Roba I Int J Environ Res Public Health. 2023; 20(5).

PMID: 36900872 PMC: 10001419. DOI: 10.3390/ijerph20053861.

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