Ann Geriatr Med Res.  2021 Dec;25(4):237-244. 10.4235/agmr.21.0072.

Development of Guidelines on the Primary Prevention of Frailty in Community-Dwelling Older Adults

Affiliations
  • 1Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon, Korea
  • 2Home Doctor Preventive Medicine Clinic, Suwon, Korea
  • 3Institute on Aging, Ajou University Medical Center, Suwon, Korea
  • 4Department of Family Medicine, Kyung Hee University, Seoul, Korea
  • 5Department of Biomedical Science and Technology, East-West Medical Research Institute, Kyung Hee University College of Medicine, Seoul, Korea
  • 6Institute of Social Welfare, Sungkonghoe University, Seoul, Korea
  • 7Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 8Department of Health Care Science, Dong-A University, Busan, Korea
  • 9Korea Institute of Sport Science, Seoul, Korea
  • 10Major of Food and Nutrition, Seoul Women's University, Seoul, Korea
  • 11Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea
  • 12Department of Food Science and Nutrition, Dankook University, Cheonan, Korea
  • 13Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea

Abstract

Background
Despite the increasing number of older adults as the population ages, there is a lack of frailty prevention guidelines for community-dwelling older adults. The Korean Frailty and Aging Cohort Study conducted systematic review on contributors to frailty and developed guidelines on the primary prevention of frailty in community-dwelling older adults.
Methods
This study updated a previous systematic review of contributors to frailty by adding the most recent articles. Based on this updated systematic review, experts in geriatrics and gerontology developed guidelines for preventing frailty using the Delphi method.
Results
These guidelines categorized the recommendations into physical activity, resilience, oral health, management of non-communicable diseases, involvement in society, smoking cessation, and eating various kinds of food.
Conclusion
Unlike previous frailty-related guidelines, this study developed evidence-based frailty prevention guidelines based on a systematic review. The guidelines are expected to contribute to the healthy aging of community-dwelling older adults by the primary prevention of frailty.

Keyword

Frailty; Primary prevention; Guideline; Aged; Independent living
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