| Author/Editor | Skela-Savič, Brigita; Gabrovec, Branko | |
| Title | Management of frailty at individual level - Frailty prevention | |
| Translated title | Management krhkosti na ravni posameznika - Preventiva pred krhkostjo | |
| Type | članek | |
| Vol. and No. | Letnik 52, št. 4 | |
| Publication year | 2018 | |
| Volume | str. 252-263 | |
| ISSN | 1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije | |
| Language | eng | |
| Abstract | Introduction: Frailty is a geriatric syndrome characterized by a diminished physiological reserve of multiple organs, which leads to greater risks of adverse outcomes in the elderly. As the process which leads to frailty can be decelerated or even completely reversed, early prevention interventions are crucial. The purpose of the study was to present the results of a narrative literature review and data analysis on prevention of frailty at the individual level. Methods: A literature search was conducted in the following databases: PubMed, Cochrane, Embase, CINAHL and UpToDate. The criterion applied in literature search was that articles were published from 2002 to 2017. From 391,910 initial hits, 30 publications were selected.Results: Early diagnosis of frailty and functional decline are considered effective measures against age-related comorbidities. Interventions have a significant impact on preventing the progression of frailty and the negative consequences of frailty. Lifestyle, including physical activity (particularly resistance exercise) and nutrition (higher protein intake and vitamin D supplement), is a good measure for preventing disorders associated with age. Discussion and conclusion: Targeted interventions have a significant modifiable influence on frailty prevention. Frailty management and early intervention require a comprehensive and multidisciplinary approach including clinical management with physical activity, diet and medicine.Uvod: Krhkost je geriatrični sindrom in se kaže kot rezultat podpražnega zmanjšanja zmogljivosti številnih fizioloških sistemov, ki vodi v stanje visokega tveganja za neugodne zdravstvene izide. Ker se lahko proces, ki vodi do starostne krhkosti in oslabljenosti, upočasni ali celo popolnoma zavre, so zgodnje intervencije in morebitno zdravljenje ključnega pomena. Namen raziskave je bil predstaviti rezultate pregleda literature in analize podatkov preventive pred krhkostjo na ravni posameznika.Metode: Za to raziskavo je bil izveden pregled literature v naslednjih bazah: PubMed, Cochrane, Embase, CINAHL in UpToDate. Vključitveni kriterij je bil izbor literature, objavljene v zadnjih petnajstih letih, od leta 2002 do leta 2017. Od 391.910 zadetkov je bilo izbranih 30 publikacij.Rezultati: Zgodnje odkrivanje krhkosti in telesnega upada veljata za učinkovito ukrepanje proti s starostjo povezano komorbidnostjo. Intervencije imajo pomemben vpliv na preventivo, napredovanje krhkosti in tveganje za neugodne zdravstvene izide. Med pomembne in učinkovite preventivne ukrepe sodi življenjski slog z vključeno telesno aktivnostjo (vztrajnostna vadba) in prehrano (večji vnos beljakovin in dodajanje vitamina D).Diskusija in zaključek: Ciljne intervencije imajo pomemben vpliv na preventivo pred krhkostjo. Upravljanje s krhkostjo in zgodnje intervencije zahtevajo širok in multidisciplinaren pristop, kar vključuje klinično obravnavo s telesno aktivnostjo, prehrano in zdravili. | |
| Keywords | elderly prevention nutrition physical activity starostniki preventiva prehrana intervencija telesna aktivnost |