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The Asia-Pacific Clinical Practice Guidelines for the Management of Frailty.

Journal of the American Medical Directors Association
January 1, 1970
Elsa Dent et al. (25 authors)
Journal ArticlePractice GuidelineHuman StudyClinical
Study Details

Study Goal

To develop Clinical Practice Guidelines for the management of frailty in older adults, including recommendations on resistance training.

Results Summary

The study strongly recommends prescribing physical activity with a resistance training component for managing frailty in older adults, indicating its effectiveness as part of a broader intervention strategy.

Population

Older adults with frailty in the Asia Pacific region.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
physical activity with a resistance training component
decrease
frailty
older adults with frailty
-
prescribe
#1
reducing or deprescribing any inappropriate/superfluous medications
decrease
polypharmacy
older adults with frailty
-
address
#2
food fortification and protein/caloric supplementation
decrease
unintentional weight loss
persons exhibiting unintentional weight loss
-
consider
#3
vitamin D
decrease
vitamin D deficiency
individuals deficient in vitamin D
-
prescribe
#4
Abstract

OBJECTIVE: To develop Clinical Practice Guidelines for the screening, assessment and management of the geriatric condition of frailty. METHODS: An adapted Grading of Recommendations, Assessment, Development, and Evaluation approach was used to develop the guidelines. This process involved detailed evaluation of the current scientific evidence paired with expert panel interpretation. Three categories of Clinical Practice Guidelines recommendations were developed: strong, conditional, and no recommendation. RECOMMENDATIONS: Strong recommendations were (1) use a validated measurement tool to identify frailty; (2) prescribe physical activity with a resistance training component; and (3) address polypharmacy by reducing or deprescribing any inappropriate/superfluous medications. Conditional recommendations were (1) screen for, and address modifiable causes of fatigue; (2) for persons exhibiting unintentional weight loss, screen for reversible causes and consider food fortification and protein/caloric supplementation; and (3) prescribe vitamin D for individuals deficient in vitamin D. No recommendation was given regarding the provision of a patient support and education plan. CONCLUSIONS: The recommendations provided herein are intended for use by healthcare providers in their management of older adults with frailty in the Asia Pacific region. It is proposed that regional guideline support committees be formed to help provide regular updates to these evidence-based guidelines.

Medical Subject Headings (MeSH)
AgedAsiaDisease ManagementEvidence-Based MedicineFemaleFrail ElderlyFrailtyGeriatric AssessmentHumansMaleMiddle AgedPatient Care Planning
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations390
Citations/Year48.8
Relative Citation Ratio19.57
NIH Percentile99.4%
Research Impact Scores
APT Score0.95
Weight Score2.30
Normalized Score0.72
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