Fragilidad en el adulto mayor: detección, intervención en la comunidad y toma de decisiones en el manejo de enfermedades crónicas / Frailty in older adults: detection, community-based intervention, and decision-making in the management of chronic illnesses
Rev. peru. med. exp. salud publica
; 33(2): 328-334, abr.-jun. 2016. tab, graf
Article
in Spanish
| LILACS, LIPECS
| ID: lil-795402
Responsible library:
BR1.1
RESUMEN
RESUMEN La fragilidad física constituye "un síndrome médico con múltiples causas y factores que contribuyen a su desarrollo, caracterizado por la disminución de la fuerza, resistencia y funciones fisiológicas reducidas, que aumentan la vulnerabilidad de un individuo en el desarrollo de la dependencia funcional y/o su muerte". Existen diferentes procesos fisiopatológicos multisistémicos involucrados en la patogénesis del síndrome de fragilidad, siendo uno de los más importantes la pérdida de masa muscular asociada al envejecimiento o sarcopenia. Diversos estudios indican que la fragilidad física se incrementa con la edad. El ejercicio físico constituye la mejor forma de intervención en la prevención y tratamiento de la fragilidad. En el adulto mayor con enfermedades crónicas identificar la fragilidad es muy importante para la toma de decisiones, individualizando el manejo y considerando sus valores y preferencias de cuidado.
ABSTRACT
Physical fragility is defined as "a medical syndrome with multiple causes and factors that contribute to its development and that is characterized by decreased strength and resistance as well as reduced physiological functioning, which increase an individual's vulnerability to functional dependence or death." Different multi-systemic pathophysiological processes are involved in the pathogenesis of frailty syndrome, one of the most important being the loss of muscle mass associated with aging or sarcopenia. Several studies have demonstrated that physical frailty increases with age. Physical exercise is the best form of intervention for preventing and treating frailty. In older adults with chronic illnesses, identifying frailty is very important for decision-making, individualizing management, and considering their values and care preferences.
Full text:
Available
Collection:
National databases
/
Peru
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
LILACS
/
LIPECS
Main subject:
Chronic Disease
/
Frail Elderly
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Aged
/
Aged, 80 and over
/
Humans
Language:
Spanish
Journal:
Rev. peru. med. exp. salud publica
Year:
2016
Document type:
Article
Institution/Affiliation country:
Universidad Peruana Cayetano Heredia/PE