Beyond multidimensionality: a systematic review of recurrent frailty archetypes in community-dwelling older adults.
Yu Liang Lim, Hua Wang Tan, Daniel Hengyi Tang et al.
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In 30 seconds
This systematic review examined recurrent frailty archetypes in community-dwelling older adults by analyzing 14 reports from 12 datasets across eight countries. Six frailty configurations were identified, with the minimally impaired reference and mobility-physical configurations recurring across different measurement methods. The study highlights the measurement-dependent nature of these configurations.
Key findings
- Six frailty configurations were identified: minimally impaired reference, mobility-physical, nutritional-metabolic, cognitive-predominant, combined cognitive-physical, and psychosocial/mood-predominant.
- The minimally impaired reference and mobility-physical configurations recurred across physical-only and multidomain indicator sets.
- The cognitive-predominant configuration was weakly replicated, supported by only one independent dataset.
Why it matters
Understanding frailty configurations can enhance the assessment and management of frailty in older adults, potentially leading to more tailored interventions. This systematic review underscores the importance of measurement methods in identifying these configurations.