Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/53864
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Type: Journal article
Title: The I.A.N.A. task force on frailty assessment of older people in clinical practice
Author: Abellan Van Kan, G.
Rolland, Y.
Bergman, H.
Morley, J.
Kritchevsky, S.
Vellas, B.
Citation: Journal of Nutrition, Health and Aging, 2008; 12(1):29-37
Publisher: SERDI Publisher
Issue Date: 2008
ISSN: 1279-7707
1760-4788
Statement of
Responsibility: 
G. Abellan Van Kan, Y. Rolland, H. Bergman, J. E. Morley, S. B. Kritchevsky, B. Vellas and On Behalf of the Geriatric Advisory Panel
Abstract: Frailty is a commonly used term indicating older persons at increased risk for adverse outcomes such as onset of disability, morbidity, institutionalisation or mortality or who experience a failure to integrate adequate responses in the face of stress. Although most physicians caring for older people recognize the importance of frailty, there is still a lack of both consensus definition and consensual clinical assessment tools. The aim of the present manuscript was to perform a comprehensive review of the definitions and assessment tools on frailty in clinical practice and research, combining evidence derived from a systematic review of literature along with an expert opinion of a European, Canadian and American Geriatric Advisory Panel (GAP). There was no consensus on a definition of frailty but there was agreement to consider frailty as a pre-disability stage. Being disability a consequence rather than the cause of frailty, frail older people do not necessary need to be disabled. The GAP considered that disability (as a consequence of frailty) should not be included in frailty definitions and assessment tools. Although no consensual assessment tool could be proposed, gait speed could represent the most suitable instrument to be implemented both in research and clinical evaluation of older people, as assessment of gait speed at usual pace is a quick, inexpensive and highly reliable measure of frailty.
Keywords: Humans; Disability Evaluation; Gait; Activities of Daily Living; Geriatric Assessment; Consensus; Cognition Disorders; Aged, 80 and over; Frail Elderly; Female; Male; Mobility Limitation; Terminology as Topic
RMID: 0020084629
DOI: 10.1007/BF02982161
Published version: http://www.springerlink.com/content/x0037v6446n22472/
Appears in Collections:Medicine publications

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