Frailty is a clinical syndrome caused by multiple chronic conditions that makes it difficult to maintain homeostasis. In part, it is the result of the body’s inability to regulate normal inflammatory responses that lead to muscle loss, decrease in strength, and independence. Regular exercise helps to optimize physiological performance. It is a profound influence, especially in the presence of physical inactivity, where the lack of exercise leads to poor health and decreased longevity. Unfortunately, a high percentage of Americans fail to engage in daily exercise with the older population becoming increasingly frail, which is a syndrome characterized by declines in musculoskeletal and physiologic reserve and function. It has been documented that exercise is medicine and can be better than the effects induced by drugs. Exercise physiologists are healthcare professionals. They are key professionals in developing and applying an exercise medicine prescription for frail adults. Exercise Medicine for the Frailty Syndrome speaks to the benefits of exercise medicine as the best therapy to prevent or reverse the age-related muscle loss and functional deficits that are predictive of an increase in falls, hospitalization, institutionalization, and mortality. This book is a proactive step to help increase the functional independence of older frail adults. It highlights Board Certification by the American Society of Exercise Physiologists as the professional qualification to improve society’s understanding of the biological treatment and complexity of the frailty syndrome and is key reading for Exercise Physiologists.
The progressive growth in the number of older adults worldwide has led to a modification of the current healthcare scenario and a parallel increase in the use of public resources. In this book, we propose a conceptual framework within which aging, frailty, and care are analyzed through the lens of complexity medicine. Therefore, we present a multidimensional perspective that takes into account biomedical, (neuro)psychological, and socio-ecological vulnerability. The theses presented are the result of an inductive approach, based on many years of experience in the field, which has made it possible to identify strategies for frailty recognition and effective responses even in complicated clinical settings. The book is intended to be a tool of concrete and easy consultation, rich in reflections and suggestions.
This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
Exercise-based interventions emerged as the best alternative for treating frailty syndrome (FS). Recognized as a complex phenotype, the FS is a multifaceted aging expression determined by biologic, environment, and behaviors factors. The biological theories of human development perceive aging process as an accumulation of harmful biochemical changes, whose occurrence attends the course of life. The progressive losses of functional reserves that occur in the body systems are a hallmark of this negative process. Despite the biological effects of physical and cognitive decline, more contemporary studies have identified that the environmental and behavior factors such as malnutrition and negative psychological adjustment across the life span also contribute to the early appearance of FS. Notwithstanding the latest findings that consistently demonstrate an overall positive benefit of long-term-based exercise in the decrease and/or reversal of the FS with a substantial impact on their correlated outcomes, the focus of this chapter is to present strategies for designing exercise programs for this type of population, taking into account their practical application in the field.
Are you or a loved one struggling with frailty syndrome? This cookbook is designed specifically for older adults looking to manage their health through nutrition. Packed with mouth-watering recipes that are both healthy and delicious, this cookbook will help you stay strong and active in your golden years. Are you concerned about losing your independence as you age due to frailty syndrome? Do you want to live an active and fulfilling life, free from limitations? Look no further than "The Frailty Fighter" - a comprehensive guide to exercises designed to combat frailty syndrome in aging adults. This book provides a step-by-step program for building strength and balance, including easy-to-follow exercises that can be done at home or at a gym. With expert guidance and illustrations, you'll learn how to improve your mobility, reduce the risk of falls, and increase your overall quality of life. In "The Frailty Fighter," you'll discover: The science behind frailty syndrome and its impact on aging adults A complete exercise program, tailored to your needs and abilities Tips for incorporating physical activity into your daily routine Ways to track your progress and stay motivated Guidance for making healthy lifestyle choices that complement your exercise routine. Whether you're just starting out or looking to enhance your current fitness regimen, "The Frailty Fighter" is the perfect resource for anyone looking to stay strong, active, and independent as they age.
This book aims to clarify the potential association between frailty and cardiovascular disease in older people. Covering the biological as well as the clinical point of view, it allows researchers and clinicians to discover the significance of this topic. The contributions cover the most important aspects in the potential relationship between frailty and cardiovascular disease. In particular, authoritative authors in this field have clarified the definition and the epidemiology of frailty and cardiovascular disease in older people. A large part of the volume is dedicated to the biological mechanisms of frailty and cardiovascular disease, trying to find those in common between these two conditions. Since this book is dedicated to both researchers and clinicians, we have proposed some chapters to the importance of comprehensive geriatric assessment in the evaluation and treatment of cardiovascular diseases and frailty. In this regard, the importance of geriatric evaluation in cardiac surgery for older people is well covered. Finally, the importance of cardiac rehabilitation and physical exercise is summarized, being, actually, the most important treatments for both frailty and cardiovascular disease. Written by many well-known and widely published experts in their respective fields, this book will appeal to a wide readership such as researchers in the field and clinicians, especially suited in geriatric medicine and cardiology who, every day, face frail older patients.
Frailty is considered a multisystem impairment that makes an individual vulnerable to external or internal stressors. Sarcopenia, the age-dependent loss of muscle mass and function, is proposed as the biological substrate and the pathway whereby the consequences of physical frailty develop. These syndromes are associated with a negative impact in quality of life and can lead to the occurrence of disability, institutionalization, and even mortality. The book focuses upon all the related aspects of frailty and sarcopenia and the new advancements in the related treatments including complex issues and research. It includes high-quality chapters in all related aspects for the syndromes of sarcopenia and frailty, which adversely affect the function and overall effectiveness of the musculoskeletal system and interventions to promote rehabilitation.
As the older adult population increases, so does the demand for fitness professionals who understand the capabilities and special needs of seniors with illnesses, disabilities, chronic disorders, and sedentary lifestyles. Exercise for Frail Elders, Second Edition, is the only exercise fitness guidebook that focuses on working with frail elders and adults with special conditions. It is an invaluable resource for improving functional fitness, maintaining aspects of independent living, and enhancing quality of life. With Exercise for Frail Elders, Second Edition, readers will gain a deeper understanding of 14 medical conditions common to older adults, how these conditions may affect participants’ ability to perform activities of daily living, and what exercises can help them maintain and increase functional fitness. This book focuses on special needs stemming from conditions including arthritis, cardiovascular disease, diabetes, hypertension, orthopedic issues, osteoporosis, Parkinson’s disease, and Alzheimer’s disease. The updated second edition provides a broader focus on balance, a critical component of any functional fitness program, to aid in designing classes that incorporate various stability exercises. Exercises that provide significant benefits to balance are indicated with a symbol to ensure effective program design. Additional features of this edition include the following: · Learning objectives at the beginning and review questions at the conclusion of each chapter provide a framework for understanding. · Reproducible forms provide readers with easy-to-use appraisals, questionnaires, and exercise logs for evaluating clients. · Checklists and reference charts highlight key areas of concern and consider specific needs when planning functional fitness programs for clients. · Guidelines and safety precautions for special conditions and how they apply to range-of-motion exercises, resistance training, aerobic exercise, and stretching have been updated. · Specific exercise instructions, including variations and progression options, show professionals how to add interest and challenge for participants. · Suggested resources encourage exercise leaders to continue their education. To enhance learning and program development, the text is divided into two parts. Part I covers planning an exercise program for frail elders or adults with special needs, including knowing the needs of class participants, motivating students to exercise, and keeping them safe while participating. It also offers strategies for success, including basic class structure creating a sense of fun and community. Part II covers implementation of a successful program, including course design, warm-up and cool-down, and exercises for range of motion, resistance training, aerobic training, and stretching, with their variations. Over 150 photos illustrate safe and effective execution of the exercises. Exercise for Frail Elders, Second Edition, is an easy-to-follow resource for working with elderly individuals in assisted living and nursing homes, rehabilitation facilities, hospitals, day centers, senior centers, recreation and community centers, and home health care environments. This unique guide has the hands-on information necessary for creating safe and effective exercise programs and understanding medical disorders, safety precautions for specific disorders, and implications for exercise. Readers will learn to design and teach a dynamic fitness program for older adults—and keep it fun, safe, and functional—with Exercise for Frail Elders.
This supplement to the journal, International Psychogeriatrics introduces the Canadian Study of Health and Aging, one of the largest epidemiologic studies of dementia conducted to date. A comprehensive description of the study methods and data sets as well as selected results are discussed.
The WHO World report on ageing and health is not for the book shelf it is a living breathing testament to all older people who have fought for their voice to be heard at all levels of government across disciplines and sectors. - Mr Bjarne Hastrup President International Federation on Ageing and CEO DaneAge This report outlines a framework for action to foster Healthy Ageing built around the new concept of functional ability. This will require a transformation of health systems away from disease based curative models and towards the provision of older-person-centred and integrated care. It will require the development sometimes from nothing of comprehensive systems of long term care. It will require a coordinated response from many other sectors and multiple levels of government. And it will need to draw on better ways of measuring and monitoring the health and functioning of older populations. These actions are likely to be a sound investment in society's future. A future that gives older people the freedom to live lives that previous generations might never have imagined. The World report on ageing and health responds to these challenges by recommending equally profound changes in the way health policies for ageing populations are formulated and services are provided. As the foundation for its recommendations the report looks at what the latest evidence has to say about the ageing process noting that many common perceptions and assumptions about older people are based on outdated stereotypes. The report's recommendations are anchored in the evidence comprehensive and forward-looking yet eminently practical. Throughout examples of experiences from different countries are used to illustrate how specific problems can be addressed through innovation solutions. Topics explored range from strategies to deliver comprehensive and person-centred services to older populations to policies that enable older people to live in comfort and safety to ways to correct the problems and injustices inherent in current systems for long-term care.
