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)

Giuseppe Liotta, Silvia Ussai, Maddalena Illario, Rónán O’Caoimh, Antonio Cano, Carol Holland, Regina Roller-Winsberger, Alessandra Capanna, Chiara Grecuccio, Mariacarmela Ferraro, Francesca Paradiso, Cristina Ambrosone, Luca Morucci, Paola Scarcella, Vincenzo De Luca and Leonardo Palombi
Additional contact information
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
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

IJERPH, 2018, vol. 15, issue 12, 1-26

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.

Keywords: frailty; public health; community care; older adults; healthcare planning; narrative review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (9)

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