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Becoming frail: a major turning point in patients' life course

E. Escourrou, M. Herault, S. Gdoura, et al.

Fam Pract. 2018 May 24. doi: 10.1093/fampra/cmy043. [Epub ahead of print]

Becoming frail is a major turning point in patients' life course. Coordinated multiprofessional management that takes account of patients' perceptions could help in negotiating a feasible care plan adapted to the patient's needs.  

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What is the duration of life expectancy in the state of frailty? Estimates in the SIPAF study

M. Herr, J.J. Arvieu, J. Ankri, et al.

Eur J Ageing. 2017;15(2):165-173

This study aimed to estimate the time spent in the state of frailty in men and women using the Sullivan method.

In conclusion, frailty is a transition state that is relatively limited in time compared to pre-frailty that may represent a larger time window for prevention.  

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The frail older person does not exist: development of frailty profiles with latent class analysis

W.M. Looman, I.N. Fabbricotti, J.W. Blom, et al.

BMC Geriatr. 2018;18(1):84

The heterogeneous population of frail older people has differing needs and faces different health issues that should be considered to tailor care interventions.

Evaluation research of these interventions should acknowledge the heterogeneity of frailty by profiling.  

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Effect of low-intensity versus high-intensity resistance training on the functioning of the institutionalized frail elderly

U.K. Sahin, N. Kirdi, E. Bozoglu, et al.

Int J Rehabil Res. 2018 Apr 3. doi: 10.1097/MRR.0000000000000285. [Epub ahead of print]

The study showed that low-intensity exercise was as effective as high-intensity  exercise for most parameters tested. Exercise training is useful for the prevention or treatment of frailty, as it improves functioning by contributing positively to muscle strength, gait, balance and quality of life.  

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Dynapenia and Sarcopenia as a Risk Factor for Disability in a Falls and Fractures Clinic in Older Persons

A.M. Benjumea, C.L. Curcio, G. Duque, et al.

Open Access Maced J Med Sci. 2018;6(2):344-349

Sarcopenia was associated with mobility, ADL and IADL disability. Dynapenia was not associated with disability in this high - risk population. Systematic assessment of sarcopenia should be implemented in falls and fractures clinics to identify sarcopenia and develop interventions to prevent functional decline among elderly individuals.

 

 

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Association between Sarcopenia and Metabolic Syndrome in Middle-Aged and Older Non-Obese Adults: A Systematic Review and Meta-Analysis

H. Zhang, S. Lin, T. Gao, et al.

Nutrients. 2018 Mar 16;10(3). pii: E364. doi: 10.3390/nu10030364

Our study revealed that a higher proportion of metabolic syndrome (MetS) in middle-aged and older non-obese people with sarcopenia.

Moreover, sarcopenia was positively associated with MetS in this population. Further large-scale prospective cohort studies are needed to investigate the causality between sarcopenia and MetS.

 

 

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Sarcopenia and hospital-related outcomes in the old people: a systematic review and meta-analysis

Y. Zhao, Y. Zhang, Q. Hao, et al.

Aging Clin Exp Res. 2018 Mar 16. doi: 10.1007/s40520-018-0931-z. [Epub ahead of print]

This systematic review demonstrates that sarcopenia is a significant predictor of readmission in old inpatients, but not associated with hospitalization or length of stay in community-dwelling old adults.

 

 

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Association of sarcopenia with depressive symptoms and functional status among ambulatory community-dwelling elderly

A. Kilavuz, R. Meseri, S. Savas, et al.

Arch Gerontol Geriatr. 2018;76:196-201

Sarcopenia in ambulatory community-dwelling elderly is significantly associated with depressive symptoms and functional disability. Elderly people at high risk of sarcopenia should be screened for functional disability and depression. Appropriate interventions should also be implemented.

 

 

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Severity of sarcopenia is associated with postural balance and risk of falls in community-dwelling older women

A.B. Gadelha, S.G.R. Neri, R.J. Oliveira, et al.

Exp Aging Res. 2018;44(3):258-269

Sarcopenia negatively affects balance, and both risk and fear of falling in community-dwelling older women. Moreover, this study provides evidence that sarcopenia severity is further associated to reduced balance and imposes an even greater risk of falls in the elderly.

 

 

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