Assessment and management of frailty in individuals living with dementia: expert recommendations for clinical practice

Frailty complicates the care of individuals with dementia, increasing their vulnerability to adverse outcomes. This Personal View presents expert recommendations for managing frailty in individuals with dementia, aimed at health-care providers, particularly those in primary care. We conducted a rapi...

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Autores: Borda-Borda, M.G. (Miguel German)|||/items/681ecdf1-0f23-4003-a702-417198fd228d, Landi, F. (Francesco)|||/items/fe74e467-d4db-4c5a-b160-8b756a0ea6f6, Cederholm, T. (Tommy)|||/items/b0b5ccee-b7a1-4cfc-80dd-2523d6fd342d, Vanegas-Sanabria, L.C. (Luis Carlos)|||/items/2848e8c9-fcde-44b2-9656-a3c9199af135, Duque, G. (Gustavo)|||/items/be10365b-0620-4d45-8661-abf8414e2ec0, Wakabayashi, H. (Hidetaka)|||/items/0824cbce-ca78-4735-a4ce-201adf9bf8fe, Barreto, G.E. (George E.)|||/items/94ee8a87-6e83-4dc4-8701-4bfb371e6a14, Rodriguez-Sánchez, A.I. (Ana Isabel)|||/items/5e78b79b-b1ac-43d5-8929-3e39a4d3f0d6, Canevelli, M. (Marco)|||/items/7113c985-1737-4034-a99f-f566696834b6, Cano-Gutiérrez, C.A. (Carlos Alberto)|||/items/34b96878-c46a-437b-a6c4-822bf3364ccb, Pérez-Zepeda, M.U. (Mario Ulises)|||/items/fd0c6e2f-d3fe-4434-9b2d-156fc1f553e8, Wallace, L. (Lindsay)|||/items/538d7b47-58f0-4c92-bf39-5ae1f162b9aa, Rockwood, K. (Kenneth)|||/items/e8d6abae-955c-4ff7-a1f3-5bf53d191e6c, Salas-Carrillo, M. (Mario)|||/items/2640f0c4-103b-4fc1-989e-b9afa4c4a94a, Gjestsen, M. (Martha)|||/items/971408d3-6c0d-4313-94b8-4a7279d9a758, Testad, I. (Ingelin)|||/items/0afb6362-9812-40fc-8346-8f4f35d6b3fb, Ballard, C. (Clive)|||/items/ed349040-79aa-496d-95dc-518d948a85cf, Aarsland, D. (Dag)|||/items/7f4024e7-2d11-43cf-8b41-29752ddf75e1
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/121775
Acceso en línea:https://hdl.handle.net/10171/121775
Access Level:acceso abierto
Palabra clave:dementia
frailty
Descripción
Sumario:Frailty complicates the care of individuals with dementia, increasing their vulnerability to adverse outcomes. This Personal View presents expert recommendations for managing frailty in individuals with dementia, aimed at health-care providers, particularly those in primary care. We conducted a rapid literature review followed by a consensus process involving 18 international experts on dementia and frailty. The experts identified key areas, including diagnosis of frailty, assessment of nutritional status and nutritional management, physical activity, prevention of falls, and polypharmacy management. The recommendations emphasise early identification of frailty and a comprehensive, interdisciplinary approach to care that aims to maintain the individual’s daily functioning, quality of life, and independence. The recommendations highlight the importance of tailored interventions, regular monitoring, and the integration of psychosocial support into the therapeutic approach. These recommendations address a crucial gap in existing clinical guidelines, offering practical guidance for clinicians managing frailty in individuals with dementia.

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