New perspectives on frailty in light of the Global Leadership Initiative on Malnutrition, the Global Leadership Initiative on Sarcopenia, and the WHO's concept of intrinsic capacity: A narrative review
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- dc.contributor.author Muñoz Redondo, Elena
- dc.contributor.author Morgado Pérez, Andrea
- dc.contributor.author Pérez-Sáez, María José
- dc.contributor.author Pascual Santos, Julio
- dc.contributor.author Tejero Sánchez, Marta
- dc.contributor.author Curbelo Peña, Yulibeth
- dc.contributor.author Terradellas Fernández, Marc
- dc.contributor.author Meza Valderrama, Delky
- dc.contributor.author Vázquez Ibar, Olga
- dc.contributor.author Annweiler, Cédric
- dc.contributor.author Sánchez-Rodríguez, María Dolores
- dc.contributor.author Marco Navarro, Ester
- dc.date.accessioned 2024-06-05T14:18:42Z
- dc.date.issued 2023
- dc.description.abstract This review gathered the evidence on the epidemiology of frailty, as well as on screening and diagnostic tools, and new perspectives, in light of the latest global frameworks in malnutrition, sarcopenia, and the World Health Organization's concept of intrinsic capacity. Frailty is a worldwide health challenge and highly prevalent in older adults and the population with chronic diseases independent of age. Regardless of the particular concept of frailty, many screening and diagnostic tools are able to identify frailty in older people, but none of them has shown superiority in every population and healthcare setting. Physical, cognitive, and social components are part of the larger context of frailty. The latest evidence-based initiatives on frailty recommend the use of validated tools to identify frailty's different components, tailored to the needs of specific populations and healthcare systems. Unintentional weight loss is a shared criterion between physical frailty and malnutrition according to the Global Leadership Initiative on Malnutrition criteria. A new definition of sarcopenia by the Global Leadership Initiative on Sarcopenia is awaited, but at present physical frailty shares with sarcopenia the criteria of low muscle function and physical performance (severity grading) according to the revised consensus of the European Working Group on Sarcopenia in Older People (EWGSOP2). The EWGSOP2 includes both muscle mass and function, with most scientific groups agreeing that function is a key hallmark of sarcopenia. The concept of intrinsic capacity features the reserves and positive aspects of aging, and responds to ageism by addressing the deficit model approach. Intrinsic capacity is an emerging, person-centered and public health indicator, aimed at preserving health at mid-life and beyond, to move towards a better aging process in the Decade of Healthy Aging 2020-2030.
- dc.format.mimetype application/pdf
- dc.identifier.citation Muñoz-Redondo E, Morgado-Pérez A, Pérez-Sáez MJ, Pascual J, Tejero-Sánchez M, Curbelo YG, et al. New perspectives on frailty in light of the Global Leadership Initiative on Malnutrition, the Global Leadership Initiative on Sarcopenia, and the WHO's concept of intrinsic capacity: A narrative review. Maturitas. 2023 Nov;177:107799. DOI: 10.1016/j.maturitas.2023.107799
- dc.identifier.doi http://dx.doi.org/10.1016/j.maturitas.2023.107799
- dc.identifier.issn 0378-5122
- dc.identifier.uri http://hdl.handle.net/10230/60360
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Maturitas. 2023 Nov;177:107799
- dc.rights © Elsevier http://dx.doi.org/10.1016/j.maturitas.2023.107799
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword EWGSOP2
- dc.subject.keyword Frailty
- dc.subject.keyword GLIM criteria
- dc.subject.keyword Intrinsic capacity
- dc.subject.keyword Older people
- dc.subject.keyword Sarcopenia
- dc.title New perspectives on frailty in light of the Global Leadership Initiative on Malnutrition, the Global Leadership Initiative on Sarcopenia, and the WHO's concept of intrinsic capacity: A narrative review
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion