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The physical frailty syndrome as a transition from homeostatic symphony to cacophony
by
Xue, Qian-Li
, Bandeen-Roche, Karen
, Fried, Linda P.
, Walston, Jeremy
, Cohen, Alan A.
, Varadhan, Ravi
in
631/136/1425
/ 631/443/7
/ 631/553/2393
/ 631/553/2699
/ 692/699/2743
/ Aged
/ Aging
/ Aging - physiology
/ Biomedical and Life Sciences
/ Dynamical systems
/ Frail Elderly
/ Frailty
/ Frailty - therapy
/ Homeostasis
/ Humans
/ Life Sciences
/ Perspective
/ Phenotype
2021
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The physical frailty syndrome as a transition from homeostatic symphony to cacophony
by
Xue, Qian-Li
, Bandeen-Roche, Karen
, Fried, Linda P.
, Walston, Jeremy
, Cohen, Alan A.
, Varadhan, Ravi
in
631/136/1425
/ 631/443/7
/ 631/553/2393
/ 631/553/2699
/ 692/699/2743
/ Aged
/ Aging
/ Aging - physiology
/ Biomedical and Life Sciences
/ Dynamical systems
/ Frail Elderly
/ Frailty
/ Frailty - therapy
/ Homeostasis
/ Humans
/ Life Sciences
/ Perspective
/ Phenotype
2021
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Do you wish to request the book?
The physical frailty syndrome as a transition from homeostatic symphony to cacophony
by
Xue, Qian-Li
, Bandeen-Roche, Karen
, Fried, Linda P.
, Walston, Jeremy
, Cohen, Alan A.
, Varadhan, Ravi
in
631/136/1425
/ 631/443/7
/ 631/553/2393
/ 631/553/2699
/ 692/699/2743
/ Aged
/ Aging
/ Aging - physiology
/ Biomedical and Life Sciences
/ Dynamical systems
/ Frail Elderly
/ Frailty
/ Frailty - therapy
/ Homeostasis
/ Humans
/ Life Sciences
/ Perspective
/ Phenotype
2021
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The physical frailty syndrome as a transition from homeostatic symphony to cacophony
Journal Article
The physical frailty syndrome as a transition from homeostatic symphony to cacophony
2021
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Overview
Frailty in aging marks a state of decreased reserves resulting in increased vulnerability to adverse outcomes when exposed to stressors. This Perspective synthesizes the evidence on the aging-related pathophysiology underpinning the clinical presentation of physical frailty as a phenotype of a clinical syndrome that is distinct from the cumulative-deficit-based frailty index. We focus on integrating the converging evidence on the conceptualization of physical frailty as a state, largely independent of chronic diseases, that emerges when the dysregulation of multiple interconnected physiological and biological systems crosses a threshold to critical dysfunction, severely compromising homeostasis. Our exegesis posits that the physiology underlying frailty is a critically dysregulated complex dynamical system. This conceptual framework implies that interventions such as physical activity that have multisystem effects are more promising to remedy frailty than interventions targeted at replenishing single systems. We then consider how this framework can drive future research to further understanding, prevention and treatment of frailty, which will likely preserve health and resilience in aging populations.
Linda Fried and colleagues argue that physical frailty reflects the dysregulation of a complex dynamical system underpinning health and resilience, and discuss the implications for new prevention and treatment approaches.
Publisher
Nature Publishing Group US,Nature Publishing Group
Subject
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