Frailty syndrome – symptoms and diagnosis.

Paula Jankowska, Krzysztof Jankowski, Ewa Rudnicka-Drożak


Nowadays, systematic increase in the share of older people in the community around the world is described. In elderly some characteristic health problems are observed. One of them is frailty syndrome.
The objective of this work is to present symptoms of frailty syndrome and ways of its diagnosis.
There is an emerging evidence that such health problems as heart failure, chronic obstructive pulmonary disease and renal failure may contribute to frailty syndrome development. Most widely used definition of frailty, delineates it as a state of increased vulnerability from age-associated decline in reserve and function resulting in reduced ability to cope with everyday or acute stressors. According to consensus of medical societies, all persons aged 70 years and older should be involved in the group in which screening for frailty is performed by healthcare providers
With severe life-threatening consequences, frailty is considered as a condition that should be included in the elderly screening program. There are many instruments used for frailty screening. In primary healthcare clinical setting the most practical are brief and accurate tools, assessing multidirectional issue of frailty. These criteria are to the highest extend fulfilled by the Tilburg Frailty Index, the Groningen Frailty Indicator and the Gérontopôle Frailty Screening Tool.


Frailty, Elderly, General Practice

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Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc.2012;60(8):1487–92.

McNallan SM, Singh M, Chamberlain AM, Kane RL, Dunlay SM, Redfield MM, et al. Frailty and healthcare utilization among patients with heart failure in the community. JACC Heart Fail 2013;1(2):135-41.

Wilhelm-Leen ER, Hall YN, Tamura MK, Chertow GM. Frailty and chronic kidney disease: the third National Health and Nutrition Evaluation Survey.Am J Med 2009;122(7):664-71.e2.

Park SK, Richardson CR, Holleman RG, Larson JL. Frailty in people with COPD, using the National Health and Nutrition Evaluation Survey dataset (2003-2006). Heart Lung 2013;42(3):163-70.

Rockwood K., Fox R. A., et al. Frailty in elderly people: an evolving concept. Can Med Assoc J. 1994; 150 (4): 489- 495.

Fried LP, Tangen C, Walston J, et al. Frailty in older adults: evidence for a phenotype. J. Gerontol. Biol. Sci. Med. Sci. 2001; 56 (3): M 146-157.

Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. JAMDA 2013; 14(6): 392–397.

Sinclair A, Morley JE, Rodriguez-Mañas L, et al. Diabetes mellitus in older people: Position statement on behalf of the International Association of Gerontology and Geriatrics (IAGG), the European Diabetes Working Party for Older People (EDWPOP), and the International Task Force of Experts in Diabetes. J Am Med Dir Assoc. 2012;13:497–502.

Ruiz M, Reske T, Cefalu C, Estrada J. Management of elderly and frail elderly patients: The importance of comprehensive geriatrics assessment and the need for guidelines. Am J Med Sci. 2013 Jul;346(1):66-9.

Desquilbet L, Jacobson LP, Fried LP, et al. HIV-1 infection is associated with an earlier occurrence of a phenotype related to frailty. J Gerontol A Biol Sci Med Sci. 2007;62:1279–1286.

Partridge JS, Harari D, Dhesi JK. Frailty in the older surgical patient: A review. Age Ageing. 2012;41:142–147.

Espinoza S, Walston JD. Frailty in older adults: Insights and interventions. Cleve Clin J Med. 2005;72:1105–1112.

Singh NA, Quine S, Clemson LM, et al. Effects of high-intensity progressive resistance training and targeted multidisciplinary treatment of frailty on mortality and nursing home admissions after hip fracture: A randomized controlled trial. J Am Med Dir Assoc. 2012;13:24–30.

Yamada M, Arai H, Sonoda T, Aoyama T. Community-based exercise program is cost-effective by preventing care and disability in Japanese frail older adults. J Am Med Dir Assoc. 2012;13:507–511.

Neelemat F, Bosmans JE, Thijs A, et al. Post-discharge nutritional support in malnourished elderly individuals improves functional limitations. J Am Med Dir Assoc. 2011;12:295–301.

Rejnmark L, Avenell A, Masud T, et al. Vitamin D with calcium reduces mortality: Patient level pooled analysis of 70,528 patients from eight major vitamin D trials. J Clin Endocrinol Metab. 2012;97:2670–2681.

Merle L, Laroche ML, Dantoine T, Charmes JP. Predicting and preventing adverse drug reactions in the very old. Drugs Aging. 2006;22:375–392.

, Morley JE, Malmstrom TK, Miller DK. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging. 2012;16:601–608.

Fried LP, Tangen CM, Walston J, et al. Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56:M146–M156.

Orme J.G., Reis J., Herz E.J. Factorial and discriminate validity of the Center for Epidemiological Studies Depression (CES-D) scale. J. Clin. Psychol. 1986; 42: 28–33.

Taylor H.L., Jacobs D.R., Schucker B., Knudsen J., Leon A.S., Debacker G. A questionnaire for the assessment of leisure time physical activities. J. Chronic Dis. 1978; 31: 741–755.

Podsiadlo D., Richardson S. The timed “Up and Go”: a test of basic functional mobility for frail elderly persons. J. Am. Geriatr. Soc. 1991; 39: 142–148.

Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173:489–495.

Subra J, Gillette-Guyonnet S, Cesari M, et al. The integration of frailty into clinical practice: Preliminary results from the Gérontopôle. J Nutr Health Aging. 2012;16:714–720.

Stevernik N., Slaets J.P.L., Schuurmans H., van Lis M. Measu¬ring frailty: development and testing of the Groningen Frailty Indicator (GFI). Gerontologist 2001; 41: 236–237.

Gobbens RJ, van Assen MA, Luijkx KG, et al. Determinants of frailty. J Am Med Dir Assoc. 2010;11:356–364.



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