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Editorial| Volume 19, ISSUE 1, P4-5, January 2018

The Pathophysiology of Frailty: Why Sex Is So Important

Published:November 10, 2017DOI:https://doi.org/10.1016/j.jamda.2017.10.009
      Although a decade has passed since the elegant theory of “inflammaging” was proposed,
      • Franceschi C.
      • Capri M.
      • Monti D.
      • et al.
      Inflammaging and anti-inflammaging: A systemic perspective on aging and longevity emerged from studies in humans.
      the precise pathophysiological pathways that lead to frailty, as opposed to “healthy” aging, remain elusive. Elevated inflammatory markers have been associated with frailty in cross-sectional studies of older adults.
      • Soysal P.
      • Stubbs B.
      • Lucato P.
      • et al.
      Inflammation and frailty in the elderly: A systematic review and meta-analysis,.
      A leading hypothesis is that persistent low-grade inflammation causes frailty via catabolic effects of proinflammatory cytokines on muscle.
      • Hubbard R.
      • Woodhouse K.
      Frailty, inflammation and the elderly.
      The inflammatory milieu is also thought to influence the progression of age-related diseases, which in turn contribute to the development of frailty.
      • Fulop T.
      • Larbi A.
      • Witkowski J.
      • et al.
      Aging, frailty and age-related diseases.
      However, longitudinal data regarding inflammation and frailty are limited, and studies have so far generated inconsistent results.
      • Soysal P.
      • Stubbs B.
      • Lucato P.
      • et al.
      Inflammation and frailty in the elderly: A systematic review and meta-analysis,.
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