The concept landscape of frailty has evolved from a single dimension which emphasising predominantly physical frailty into a multidimensional concept encompassing physical,psychological and social frailty.Conducting researches on multidimensional frailty armong community-dwelling older adults is an important way to address the current fragmentation of community-based elderly care services and enhance the comprehensive health of this population.In this paper,firstly,we review the evolution of the concept of multidimensional frailty;secondly,classify and describe the multidi.mensional frailty assessment tools that can be applied to community-dwelling older adults;thirdly,analysis the influencing factors of multidimensional frailty in community-dwelling older adults as well as the interactions between the dimensions of frailty,finally,assess the predictive value of multidimensional frailty in community-dwelling older adults in relation to health outcomes.Existing evidences suggest that the multidimensional frailty is found to be the result of a combination of physiological,psychological,and social factors,and that assessing multidimensional frailty in community-dwelling older adults can predict a variety of health outcomes such as disability,disease risk,and mortality,and that the different dimensions of frailty are correlated and interact with each others.However,there is no a standardized tool for evaluating multidimensional frailty in the community-dwelling older adults,and the underlying mechanisms of its occurrence and development have not been clarified.So,the follow-up studies could explore the developmental trajectory of multidimensional debility based on large prospective cohort studies,in order to provide a referable basis for the development of intervention strategies to reverse or delay the frail process in community-dwelling older adults.
FrailtyAgedAssessment toolCommunity populationMultidimensional frailtyRoot cause analysisReview
国家科技期刊平台
NSTL
万方数据
