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.

Liotta, G., Ussai, S., Illario, M., O'Caoimh, R., Cano, A., Holland, C., et al. (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). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 15(12), 2843 [10.3390/ijerph15122843].

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)

Liotta G.;Cano A.;Scarcella P.;Palombi L.
Membro del Collaboration Group
2018-01-01

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.
2018
Pubblicato
Rilevanza internazionale
Recensione
Esperti anonimi
Settore MED/42 - IGIENE GENERALE E APPLICATA
English
Con Impact Factor ISI
community care; frailty; healthcare planning; narrative review; older adults; public health; Community Health Planning; Europe; Frailty; Humans; International Cooperation; Public Health; Risk; Healthy Aging
community care; frailty; healthcare planning; narrative review; older adults; public health; Community Health Planning; Europe; Frailty; Humans; International Cooperation; Public Health; Risk; Healthy Aging
Liotta, G., Ussai, S., Illario, M., O'Caoimh, R., Cano, A., Holland, C., et al. (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). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 15(12), 2843 [10.3390/ijerph15122843].
Liotta, G; Ussai, S; Illario, M; O'Caoimh, R; Cano, A; Holland, C; Roller-Winsberger, R; Capanna, A; Grecuccio, C; Ferraro, M; Paradiso, F; Ambrosone, C; Morucci, L; Scarcella, P; De Luca, V; Palombi, L
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/231748
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