Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) - PubMed (original) (raw)

Review

. 2018 Dec 13;15(12):2843.

doi: 10.3390/ijerph15122843.

Silvia Ussai 2, Maddalena Illario 3 4, Rónán O'Caoimh 5, Antonio Cano 6, Carol Holland 7, Regina Roller-Wirnsberger 8, Alessandra Capanna [ 9](#full-view-affiliation-9 "School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. capannalessandra@gmail.com."), Chiara Grecuccio [ 10](#full-view-affiliation-10 "School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. chiara.grecuccio@gmail.com."), Mariacarmela Ferraro [ 11](#full-view-affiliation-11 "School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. ferraro.mariacarmela@hotmail.it."), Francesca Paradiso [ 12](#full-view-affiliation-12 "School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. francescaparad@gmail.com."), Cristina Ambrosone [ 13](#full-view-affiliation-13 "School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. cristinambrosone@gmail.com."), Luca Morucci [ 14](#full-view-affiliation-14 "School of Specialization in Hygiene and Medicine Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. lucamorucci88@gmail.com."), Paola Scarcella [ 15](#full-view-affiliation-15 "Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. paola.scarcella@uniroma2.it."), Vincenzo De Luca 16, Leonardo Palombi [ 17](#full-view-affiliation-17 "Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. leonardo.palombi@gmail.com.")

Affiliations

Review

Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA)

Giuseppe Liotta et al. Int J Environ Res Public Health. 2018.

Abstract

Background: The prevalence of frailty at population-level is expected to increase in Europe, changing the focus of Public Health. Here, we report on the activities of the A3 Action Group, focusing on managing frailty and supporting healthy ageing at community level. Methods: A three-phased search strategy was used to select papers published between January 2016 and May 2018. In the third phase, the first manuscript draft was sent to all A3-Action Group members who were invited to suggest additional contributions to be included in the narrative review process. Results: A total of 56 papers were included in this report. The A3 Action Group developed three multidimensional tools predicting short⁻medium term adverse outcomes. Multiple factors were highlighted by the group as useful for healthcare planning: malnutrition, polypharmacy, impairment of physical function and social isolation were targeted to mitigate frailty and its consequences. Studies focused on the management of frailty highlighted that tailored interventions can improve physical performance and reduce adverse outcomes. Conclusions: This review shows the importance of taking a multifaceted approach when addressing frailty at community level. From a Public Health perspective, it is vital to identify factors that contribute to successful health and social care interventions and to the health systems sustainability.

Keywords: community care; frailty; healthcare planning; narrative review; older adults; public health.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1

Figure 1

The structure of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA).

Figure 2

Figure 2

Flow chart of the search method.

References

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