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

Author

Listed:
  • Vincenzo De Luca

    (Dipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

  • Grazia Daniela Femminella

    (Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

  • Roberta Patalano

    (Dipartimento di Medicina Clinica e Chirurgia, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

  • Valeria Formosa

    (Specializzazione in Igiene e Medicina Preventiva, Università degli Studi di Roma Tor Vergata, 00133 Roma, Italy)

  • Grazia Lorusso

    (Specializzazione in Igiene e Medicina Preventiva, Università degli Studi di Roma Tor Vergata, 00133 Roma, Italy)

  • Cristiano Rivetta

    (Specializzazione in Igiene e Medicina Preventiva, Università degli Studi di Roma Tor Vergata, 00133 Roma, Italy)

  • Federica Di Lullo

    (Specializzazione in Igiene e Medicina Preventiva, Università degli Studi di Roma Tor Vergata, 00133 Roma, Italy)

  • Lorenzo Mercurio

    (Dipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

  • Teresa Rea

    (Dipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

  • Elena Salvatore

    (Dipartimento di Scienze Biomediche Avanzate, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

  • Nilufer Korkmaz Yaylagul

    (Faculty of Health Science, Akdeniz University, 07070 Antalya, Turkey)

  • Joao Apostolo

    (Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Avenida Bissaya Barreto, 3004-011 Coimbra, Portugal)

  • Rosa Carla Silva

    (Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Avenida Bissaya Barreto, 3004-011 Coimbra, Portugal)

  • Carina Dantas

    (SHINE 2Europe, 3030-163 Coimbra, Portugal)

  • Willeke H. van Staalduinen

    (AFEdemy—Academy on Age-Friendly Environments in Europe, 2806 ED Gouda, The Netherlands)

  • Giuseppe Liotta

    (Dipartimento di Biomedicina e Prevenzione, Università degli Studi di Roma Tor Vergata, 00133 Roma, Italy)

  • Guido Iaccarino

    (Dipartimento di Scienze Biomediche Avanzate, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

  • Maria Triassi

    (Dipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

  • Maddalena Illario

    (Dipartimento di Sanità Pubblica, Università degli Studi di Napoli Federico II, 80131 Napoli, Italy)

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.

Suggested Citation

  • Vincenzo De Luca & Grazia Daniela Femminella & Roberta Patalano & Valeria Formosa & Grazia Lorusso & Cristiano Rivetta & Federica Di Lullo & Lorenzo Mercurio & Teresa Rea & Elena Salvatore & Nilufer K, 2022. "Assessment Tools of Biopsychosocial Frailty Dimensions in Community-Dwelling Older Adults: A Narrative Review," IJERPH, MDPI, vol. 19(23), pages 1-32, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16050-:d:989666
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    References listed on IDEAS

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