Frailty and multimorbidity: Two related yet different concepts

被引:102
作者
Villacampa-Fernandez, Patricia [1 ]
Navarro-Pardo, Esperanza [1 ]
Tarin, Juan J. [2 ]
Cano, Antonio [3 ,4 ]
机构
[1] Univ Valencia, Dept Dev & Educ Psychol, Valencia, Spain
[2] Univ Valencia, Fac Biol Sci, Dept Funct Biol & Phys Anthropol, Valencia, Spain
[3] Univ Valencia, Dept Pediat Obstet & Gynecol, Valencia, Spain
[4] INCLIVA, Serv Obstet & Gynecol, Valencia, Spain
关键词
Ageing; Frailty; Non-communicable disease; Chronic disease; Multimorbidity; Comorbidity; DEFICIT ACCUMULATION; HEALTH; COMORBIDITY; DEFINITION; PREVALENCE; CONSENSUS; MEDICINE; IMPACT; CARE;
D O I
10.1016/j.maturitas.2016.10.008
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The extension of life expectancy is a global phenomenon. The growth in the ageing population has created a new health scenario in which there is a higher prevalence of frailty and multimorbidity. The attention received by both conditions derives from their strong association with disability, hospitalization, and death. The aim of the present paper is to conceptualize and differentiate these terms and to discuss their interrelations. We conclude that, yet related, they represent two different clinical conditions. Frailty identifies the increased vulnerability to stressors due to a dynamic, non-linear, and multidimensional depletion of physiological reserve and redundancy, whereas multimorbidity refers to the coexistence of two or more clinically manifest chronic diseases. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:31 / 35
页数:5
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