Successful Aging and Frailty: A Systematic Review

The terms successful aging (SA) and frailty appear to have much in common, both in terms of overlapping constructs and common challenges with consensus and operationalization. The aim of this review is to summarize existing literature that defines that relationship. Primary and secondary source arti...

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Main Author: Darryl Rolfson
Format: Article
Language:English
Published: MDPI AG 2018-11-01
Series:Geriatrics
Subjects:
Online Access:https://www.mdpi.com/2308-3417/3/4/79
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author Darryl Rolfson
author_facet Darryl Rolfson
author_sort Darryl Rolfson
collection DOAJ
description The terms successful aging (SA) and frailty appear to have much in common, both in terms of overlapping constructs and common challenges with consensus and operationalization. The aim of this review is to summarize existing literature that defines that relationship. Primary and secondary source articles that used either term in the title or abstract were systematically reviewed for relevance to the study objective. Of 61 articles that met these criteria, 30 were secondary source, and of these four were highly relevant. Four of the remaining 31 original research articles were selected, and the prevalence of frailty and SA in populations with different characteristics were described and compared. The same model of frailty was used in all primary studies, but definitions for successful aging were heterogeneous. The prevalence of frailty ranged from 11.8% to 44.0% and that of SA ranged from 10.4% to 47.2%. The definitions used for each, especially the extent of multidimensionality, appeared to reflect the degree of overlap between SA and frailty. Whether frailty and SA are part of the same or different constructs, there is a pressing need for an ordered taxonomy to advance research that translates into clinical practice.
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spelling doaj.art-d17674a7b5ab4b2a95dcb04455b8b60e2022-12-21T20:29:10ZengMDPI AGGeriatrics2308-34172018-11-01347910.3390/geriatrics3040079geriatrics3040079Successful Aging and Frailty: A Systematic ReviewDarryl Rolfson0Division of Geriatric Medicine, Department of Medicine, University of Alberta, Edmonton, AB T6G 2P4, CanadaThe terms successful aging (SA) and frailty appear to have much in common, both in terms of overlapping constructs and common challenges with consensus and operationalization. The aim of this review is to summarize existing literature that defines that relationship. Primary and secondary source articles that used either term in the title or abstract were systematically reviewed for relevance to the study objective. Of 61 articles that met these criteria, 30 were secondary source, and of these four were highly relevant. Four of the remaining 31 original research articles were selected, and the prevalence of frailty and SA in populations with different characteristics were described and compared. The same model of frailty was used in all primary studies, but definitions for successful aging were heterogeneous. The prevalence of frailty ranged from 11.8% to 44.0% and that of SA ranged from 10.4% to 47.2%. The definitions used for each, especially the extent of multidimensionality, appeared to reflect the degree of overlap between SA and frailty. Whether frailty and SA are part of the same or different constructs, there is a pressing need for an ordered taxonomy to advance research that translates into clinical practice.https://www.mdpi.com/2308-3417/3/4/79frailtysuccessful agingmultidimensionalitydefinitionsresiliencehealthy agingfitnessintrinsic capacity
spellingShingle Darryl Rolfson
Successful Aging and Frailty: A Systematic Review
Geriatrics
frailty
successful aging
multidimensionality
definitions
resilience
healthy aging
fitness
intrinsic capacity
title Successful Aging and Frailty: A Systematic Review
title_full Successful Aging and Frailty: A Systematic Review
title_fullStr Successful Aging and Frailty: A Systematic Review
title_full_unstemmed Successful Aging and Frailty: A Systematic Review
title_short Successful Aging and Frailty: A Systematic Review
title_sort successful aging and frailty a systematic review
topic frailty
successful aging
multidimensionality
definitions
resilience
healthy aging
fitness
intrinsic capacity
url https://www.mdpi.com/2308-3417/3/4/79
work_keys_str_mv AT darrylrolfson successfulagingandfrailtyasystematicreview