Common Characteristics Between Frailty and Myotonic Dystrophy Type 1: A Narrative Review

Myotonic dystrophy type 1 (DM1) is an inherited neuromuscular disorder often considered a model of accelerated aging due to the early appearance of certain age-related clinical manifestations and cellular and molecular aging markers. Frailty, a state of vulnerability related to aging, has been recen...

Descripción completa

Detalles Bibliográficos
Autores: Garmendia Zaldua, Joana, Labayru Isusquiza, Garazi, De Souto Barreto, Philipe, Vergara Micheltorena, María Iciar, López de Munain Arregui, Adolfo José, Sistiaga Berrondo, Andone
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/75135
Acceso en línea:http://hdl.handle.net/10810/75135
Access Level:acceso abierto
Palabra clave:Steinert’s disease
Fried’s frailty phenotype
accelerated aging
disease-related frailty
senescence, psychosocial factors
Descripción
Sumario:Myotonic dystrophy type 1 (DM1) is an inherited neuromuscular disorder often considered a model of accelerated aging due to the early appearance of certain age-related clinical manifestations and cellular and molecular aging markers. Frailty, a state of vulnerability related to aging, has been recently studied in neurological conditions but has received considerably less attention in neuromuscular disorders. This narrative review aims to describe 1) the common characteristics between Fried’s frailty phenotype criteria (muscular weakness, slow gait speed, weight loss, exhaustion/fatigue, and low physical activity) and DM1, and 2) the psychological and social factors potentially contributing to frailty in DM1. This review gathered evidence suggesting that DM1 patients meet four of the five frailty phenotype criteria. Additionally, longitudinal studies report the deterioration of these criteria over time in DM1. Patients also exhibit psychological/cognitive and social factors that might contribute to frailty. Monitoring frailty criteria in the DM1 population could help to implement timely preventions and interventions to reduce the disease burden and severity of frailty symptoms.