Frailty is an age-related syndrome that can progress from nonfrailty (ie, robustness)
to prefrail, and then physical frailty.
1
With the rapidly expanding aging population, there has been a corresponding increase
in the number of older adults with frailty, which has placed a greater burden on the
health care system.
2
Therefore, developing effective strategies for preventing and managing frailty is
imperative. We read with interest the article by Liu et al
3
published in JAMDA that concluded through meta-analysis that exercise and/or nutritional interventions
significantly improved physical function in prefrail older adults. However, there
are some methodologic errors in this article, which we discuss here for the benefit
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References
- Frailty in older adults: evidence for a phenotype.J Gerontol A Biol Sci Med Sci. 2001; 56: M146-156
- Frailty: implications for clinical practice and public health.Lancet. 2019; 394: 1365-1375
- Exercise and nutritional intervention for physical function of the prefrail: a systematic review and meta-analysis.J Am Med Dir Assoc. 2022;
- Physical frailty: ICFSR international clinical practice guidelines for identification and management.J Nutr Health Aging. 2019; 23: 771-787
- Chapter 6: choosing effect measures and computing estimates of effect.in: Higgins J.P.T. Thomas J. Chandler J. Cochrane Handbook for Systematic Reviews of Interventions version 6.3 (updated February 2022). Cochrane, 2022
Article info
Publication history
Published online: December 30, 2022
Footnotes
The authors declare no conflicts of interest.
Identification
Copyright
© 2022 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
