Prevalence, Determinants and Natural History of Frailty and Pre-frailty in Elderly People
This study examines frailty, a condition where older adults lose strength and resilience, making it harder to recover from illness or stress. Researchers are studying how common frailty is, what causes it, and how it develops over time in elderly people.
Key Objective: This trial aims to better understand frailty in older adults so that doctors can identify and help prevent this serious condition earlier.
Who to Consider: Elderly individuals interested in contributing to research that could improve how doctors recognize and treat age-related frailty should consider enrolling.
Trial Parameters
Brief Summary
Frailty syndrome (i.e. frailty) is a geriatric syndrome which relies on the reduction of multisystem reserve capacity. Frail people have a lower potential to respond to external stressors and various life incidents as well as they present a weak prognosis particularly in cardiovascular diseases. Yet, frailty is not only a set of physical deficits, but it also concerns psychological and social dimensions of human functioning. Hence, an approach to frailty should be multidimensional because such a concept more adequately reflects a functional degradation in the elderly. Frailty is usually associated with the impaired condition of circulatory system, and therefore, an identification of subclinical cardiovascular abnormalities is paramount in the frailty prevention and treatment. Another potential mechanism which may predispose to frailty is a dysfunction of the autonomic nervous system. This system plays a crucial role in the response to internal or external stressors such as diseases and activities of daily living. An impairment of the autonomic nervous system function may maintain or accelerate the frailty process. In this scientific project, a comprehensive echocardiography will investigate cardiac function with a particular attention to features which typically change with age, like flow parameters and chambers sizes. The activity of the autonomic nervous system will be explored with the analysis of heart rate, blood pressure and respiratory signals. The study participants will also undergo routine medical examination and a number of additional tests, including: assessment of cognitive function, psychological condition, nutrition status, activities of daily living, and risk of falls. The study group will comprise community dwelling elderly individuals over the age of 65 years who get around by themselves. After 2 years, the participants will be re-examined for their frailty and independence status, as well as their survival will be checked with the National Health Found electronic system. The aim of this project is to seek for factors determining frailty and to explore the frailty impact on the elderly people survival. Particular attention will be paid to the multidimensional frailty which is a new concept of the functional decline in the elderly. In addition, the prevalence of different modes of frailty in Polish community will be investigated. The results of this research should help to establish preventative and therapeutic strategies against frailty.
Eligibility Criteria
Inclusion Criteria: * Community dwelling elderly individuals over the age of 65 years who get around by themselves. Exclusion Criteria: * Institutionalization * Inability to move around * Terminal diseases with an anticipated survival of less than 1 year.