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Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA)

Author

Listed:
  • Giuseppe Liotta

    (Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy)

  • Silvia Ussai

    (International Healthcare Programs, Lombardy Region/LISPA, 20124 Milan, Italy)

  • Maddalena Illario

    (Unità Operativa Dipartimentale 14 Promozione e Potenziamento dei Programmi di Healths Innovation, Direzione Generale per la Tutela della Salute ed il Coordinamento del Sistema Sanitario Regionale, Regione Campania, 80143 Naples, Italy
    Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli Federico II, 80138 Naples, Italy)

  • Rónán O’Caoimh

    (Clinical Sciences Institute, National University of Ireland, Galway, Galway City, H91 TK33 Ireland)

  • Antonio Cano

    (Department of Pediatrics, Obstetrics and Gynecology, University of Valencia-INCLIVA, 46010 Valencia, Spain)

  • Carol Holland

    (Centre for Ageing Research, University of Lancaster, Lancaster, LA1 4YG, UK)

  • Regina Roller-Winsberger

    (Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria)

  • Alessandra Capanna

    (School of Specialization in Hygiene and Medicine Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy)

  • Chiara Grecuccio

    (School of Specialization in Hygiene and Medicine Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy)

  • Mariacarmela Ferraro

    (School of Specialization in Hygiene and Medicine Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy)

  • Francesca Paradiso

    (School of Specialization in Hygiene and Medicine Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy)

  • Cristina Ambrosone

    (School of Specialization in Hygiene and Medicine Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy)

  • Luca Morucci

    (School of Specialization in Hygiene and Medicine Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy)

  • Paola Scarcella

    (Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy)

  • Vincenzo De Luca

    (Unità Operativa Semplice Ricerca e Sviluppo, Azienda Ospedaliera Universitaria Federico II, 80138 Naples, Italy)

  • Leonardo Palombi

    (Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy
    On behalf of the A3 Action Group on Frailty and Functional Decline: Alberto Alves , Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University Institute of Maia—ISMAI, Portugal; Martina Amanzio , Department of Psychology, University of Turin, Via Verdi 10, 10124 Turin, Italy; Joao Luis Alves Apóstolo , Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Portugal; Fatima Baptista , Exercise and Health Lab, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal; Maurizio Bersani , Lombardy Region, DG Welfare, International Healthcare Projects, Italy; Dora Brites , Research Institute for Medicines (iMed.Ulisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal; Marta Burgos González , Asociacion Parkinson Madrid, Spain; Helena Canhão , CEDOC, EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa, Portugal; Filomena Carnide , Biomechanics and Functional Morphology Lab, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal; Carlotta Chiari , Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy; Oscar Coltell , Department of Computer Languages and Systems, Universitat Jaume I, Castellón, Spain, CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain; Dolores Corella , Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, Spain, CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain; Ana Coto-Montes , Morphology and Cell Biology Department, University of Oviedo, Spain; Antonio Cuesta-Vargas , Universidad de Malaga, Andalucia Tech, Instituto de Investigacion Biomédica de Malaga (IBIMA) Grupo de Clinimetria, Malaga, Spain; Armando Manuel de Mendonça Raimundo , Departamento de Desporto e Saúde, Escola de Ciências e Tecnologia, Universidade de Évora, Portugal; Livio De Nardi , Lombardy Region/LISPA, Strategy and Coordination for Regional Welfare, Italy; Manuela De Sario , Department of Epidemiology, Lazio Regional Health Service, ASL Rome 1, Italy; S. Dias , Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal; Bart Geurden , Faculty of Medicine and Health Sciences, University of Antwerp; Edwig Goossens , Center for Gastrology, Antwerp, Belgium; Leontios Hadjileontiadis , Department of Electrical and Computer Engineering, Aristotle University of Thessaloniki, GR 54124 Thessaloniki, Greece, Department of Electrical and Computer Engineering, Khalifa University of Science and Technology, PO BOX 127788, Abu Dhabi, UAE; Judith Haendeler, Medical Faculty , University of Duesseldorf, Germany; Harriet Jager-Wittenaar , Hanze University of Applied Sciences | Research Group Healthy Ageing, Allied Health Care and Nursing, The Netherlands; Christos Kleisiaris , Nursing Department, Technological Educational Institute of Crete, Greece; Tomasz Kostka , Medical University of Lodz, Poland; Marcello Maggio , Geriatric Clinic Unit University Hospital of Parma, Italy; Joao Malva , Faculty of Medicine, University of Coimbra and Ageing@Coimbra EIP on AHA Reference Site, Coimbra, Portugal; Mario Antonio Cardoso Marques , Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University Institute of Maia—ISMAI, Portugal; Sara Palermo , Department of Psychology, University of Turin, Via Verdi 10, 10124 Turin, Italy; Simeon Panagiotakis , Heraklion University Hospital, Crete, Greece; Oberdan Parodi , Institute of Clinical Physiology—CNR, Italy; Andrea Poscia , Active Ageing Working Group of the Italian Society of Hygiene (SItI)—Lazio Section, Italy; Armando Raimundo , Departamento de Desporto e Saúde Escola de Ciências e Tecnologia, Universidade de)

Abstract

Background: The prevalence of frailty at population-level is expected to increase in Europe, changing the focus of Public Health. Here, we report on the activities of the A3 Action Group, focusing on managing frailty and supporting healthy ageing at community level. Methods: A three-phased search strategy was used to select papers published between January 2016 and May 2018. In the third phase, the first manuscript draft was sent to all A3-Action Group members who were invited to suggest additional contributions to be included in the narrative review process. Results: A total of 56 papers were included in this report. The A3 Action Group developed three multidimensional tools predicting short–medium term adverse outcomes. Multiple factors were highlighted by the group as useful for healthcare planning: malnutrition, polypharmacy, impairment of physical function and social isolation were targeted to mitigate frailty and its consequences. Studies focused on the management of frailty highlighted that tailored interventions can improve physical performance and reduce adverse outcomes. Conclusions: This review shows the importance of taking a multifaceted approach when addressing frailty at community level. From a Public Health perspective, it is vital to identify factors that contribute to successful health and social care interventions and to the health systems sustainability.

Suggested Citation

  • Giuseppe Liotta & Silvia Ussai & Maddalena Illario & Rónán O’Caoimh & Antonio Cano & Carol Holland & Regina Roller-Winsberger & Alessandra Capanna & Chiara Grecuccio & Mariacarmela Ferraro & Francesca, 2018. "Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA)," IJERPH, MDPI, vol. 15(12), pages 1-26, December.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2843-:d:190269
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    References listed on IDEAS

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    1. Giuseppe Liotta & Maria Chiara Inzerilli & Leonardo Palombi & Olga Madaro & Stefano Orlando & Paola Scarcella & Daniela Betti & Maria Cristina Marazzi, 2018. "Social Interventions to Prevent Heat-Related Mortality in the Older Adult in Rome, Italy: A Quasi-Experimental Study," IJERPH, MDPI, vol. 15(4), pages 1-13, April.
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    Cited by:

    1. Eduarda Oliosi & Federico Guede-Fernández & Ana Londral, 2022. "Machine Learning Approaches for the Frailty Screening: A Narrative Review," IJERPH, MDPI, vol. 19(14), pages 1-11, July.
    2. Vincenzo De Luca & Grazia Daniela Femminella & Roberta Patalano & Valeria Formosa & Grazia Lorusso & Cristiano Rivetta & Federica Di Lullo & Lorenzo Mercurio & Teresa Rea & Elena Salvatore & Nilufer K, 2022. "Assessment Tools of Biopsychosocial Frailty Dimensions in Community-Dwelling Older Adults: A Narrative Review," IJERPH, MDPI, vol. 19(23), pages 1-32, November.
    3. Rónán O’Caoimh, 2023. "Validation of the Risk Instrument for Screening in the Community ( RISC ) among Older Adults in the Emergency Department," IJERPH, MDPI, vol. 20(4), pages 1-17, February.
    4. Giuseppe Liotta & Grazia Lorusso & Olga Madaro & Valeria Formosa & Leonardo Emberti Gialloreti & Clara Donnoli & Fabio Riccardi & Stefano Orlando & Paola Scarcella & Joao Apostolo & Rosa Silva & Carin, 2023. "Exploratory Factor Analysis (EFA) of the Short Functional Geriatric Evaluation (SFGE) to Assess the Multidimensionality of Frailty in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 20(5), pages 1-9, February.
    5. Mark O’Donovan & Duygu Sezgin & Zubair Kabir & Aaron Liew & Rónán O’Caoimh, 2020. "Assessing Global Frailty Scores: Development of a Global Burden of Disease-Frailty Index (GBD-FI)," IJERPH, MDPI, vol. 17(16), pages 1-17, August.
    6. Rónán O’Caoimh & Maria Costello & Cliona Small & Lynn Spooner & Antoinette Flannery & Liam O’Reilly & Laura Heffernan & Edel Mannion & Anna Maughan & Alma Joyce & D. William Molloy & John O’Donnell, 2019. "Comparison of Frailty Screening Instruments in the Emergency Department," IJERPH, MDPI, vol. 16(19), pages 1-13, September.
    7. Rónán O’Caoimh & Laura Morrison & Maria Costello & Antoinette Flannery & Cliona Small & Liam O’Reilly & Laura Heffernan & Edel Mannion & Ruairi Waters & Shaun O’Keeffe, 2024. "Frailty in an Adult Acute Hospital Population: Predictors, Prevalence, and Outcomes," IJERPH, MDPI, vol. 21(3), pages 1-13, February.
    8. Roberta Patalano & Vincenzo De Luca & Jess Vogt & Strahil Birov & Lucia Giovannelli & Giuseppe Carruba & Claudia Pivonello & Veli Stroetmann & Maria Triassi & Annamaria Colao & Maddalena Illario, 2021. "An Innovative Approach to Designing Digital Health Solutions Addressing the Unmet Needs of Obese Patients in Europe," IJERPH, MDPI, vol. 18(2), pages 1-16, January.
    9. Irene Monsonís-Payá & Tomás Gómez-Navarro & Mónica García-Melón, 2020. "Anticipating Environmental Burdens in Research and Innovation Projects—Application to the Case of Active and Healthy Ageing," IJERPH, MDPI, vol. 17(10), pages 1-20, May.

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