Transitions and trajectories in frailty states over time: A systematic review of the European Joint Action ADVANTAGE

Work Package 5 of the Joint Action ADVANTAGE

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction. Frailty is a dynamic syndrome and may be reversible. Despite this, little is known about trajectories or transitions between different stages of frailty. Methods. A systematic review was conducted, selecting studies reporting frailty trajectories or transition states for adults in any settings in European ADVANTAGE Joint Action Member States. Results. Only three papers were included. Data were from longitudinal community-based cohorts in the United Kingdom, Netherlands and Italy. The English study investigated the effect of physical activity on the progression of frailty over a 10-year period. Two presented data on the proportion of participants experiencing at least one frailty transition over time (32.6% in the Italian sample aged ≥ 65 years followed for 4.4 years; 34.3% in the Dutch sample aged 65-75 years, followed for 2 years). Conclusions. Data on frailty trajectories and transition states were limited and heterogeneous. Well-designed prospective studies and harmonized approaches to data collection are now needed.

Original languageEnglish
Pages (from-to)246-252
Number of pages7
JournalAnnali dell'Istituto Superiore di Sanita
Volume54
Issue number3
DOIs
Publication statusPublished - Jan 1 2018

Keywords

  • ADVANTAGE JA
  • European Union
  • Frailty
  • Systematic review
  • Trajectories
  • Transitions

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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