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Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA)
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1
Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy
2
International Healthcare Programs, Lombardy Region/LISPA, 20124 Milan, Italy
3
Unità Operativa Dipartimentale 14 Promozione e Potenziamento dei Programmi di Healths Innovation, Direzione Generale per la Tutela della Salute ed il Coordinamento del Sistema Sanitario Regionale, Regione Campania, 80143 Naples, Italy
4
Dipartimento di Scienze Mediche Traslazionali, Università degli Studi di Napoli Federico II, 80138 Naples, Italy
5
Clinical Sciences Institute, National University of Ireland, Galway, Galway City, H91 TK33 Ireland
6
Department of Pediatrics, Obstetrics and Gynecology, University of Valencia-INCLIVA, 46010 Valencia, Spain
7
Centre for Ageing Research, University of Lancaster, Lancaster, LA1 4YG, UK
8
Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria
9
School of Specialization in Hygiene and Medicine Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy
10
Unità Operativa Semplice Ricerca e Sviluppo, Azienda Ospedaliera Universitaria Federico II, 80138 Naples, Italy
*
Author to whom correspondence should be addressed.
†
On behalf of the A3 Action Group on Frailty and Functional Decline: Alberto Alves, Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University Institute of Maia—ISMAI, Portugal; Martina Amanzio, Department of Psychology, University of Turin, Via Verdi 10, 10124 Turin, Italy; Joao Luis Alves Apóstolo, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Portugal; Fatima Baptista, Exercise and Health Lab, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal; Maurizio Bersani, Lombardy Region, DG Welfare, International Healthcare Projects, Italy; Dora Brites, Research Institute for Medicines (iMed.Ulisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal; Marta Burgos González, Asociacion Parkinson Madrid, Spain; Helena Canhão, CEDOC, EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa, Portugal; Filomena Carnide, Biomechanics and Functional Morphology Lab, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal; Carlotta Chiari, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy; Oscar Coltell, Department of Computer Languages and Systems, Universitat Jaume I, Castellón, Spain, CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain; Dolores Corella, Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, Spain, CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain; Ana Coto-Montes, Morphology and Cell Biology Department, University of Oviedo, Spain; Antonio Cuesta-Vargas, Universidad de Malaga, Andalucia Tech, Instituto de Investigacion Biomédica de Malaga (IBIMA) Grupo de Clinimetria, Malaga, Spain; Armando Manuel de Mendonça Raimundo, Departamento de Desporto e Saúde, Escola de Ciências e Tecnologia, Universidade de Évora, Portugal; Livio De Nardi, Lombardy Region/LISPA, Strategy and Coordination for Regional Welfare, Italy; Manuela De Sario, Department of Epidemiology, Lazio Regional Health Service, ASL Rome 1, Italy; S. Dias, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal; Bart Geurden, Faculty of Medicine and Health Sciences, University of Antwerp; Edwig Goossens, Center for Gastrology, Antwerp, Belgium; Leontios Hadjileontiadis, Department of Electrical and Computer Engineering, Aristotle University of Thessaloniki, GR 54124 Thessaloniki, Greece, Department of Electrical and Computer Engineering, Khalifa University of Science and Technology, PO BOX 127788, Abu Dhabi, UAE; Judith Haendeler, Medical Faculty, University of Duesseldorf, Germany; Harriet Jager-Wittenaar, Hanze University of Applied Sciences | Research Group Healthy Ageing, Allied Health Care and Nursing, The Netherlands; Christos Kleisiaris, Nursing Department, Technological Educational Institute of Crete, Greece; Tomasz Kostka, Medical University of Lodz, Poland; Marcello Maggio, Geriatric Clinic Unit University Hospital of Parma, Italy; Joao Malva, Faculty of Medicine, University of Coimbra and Ageing@Coimbra EIP on AHA Reference Site, Coimbra, Portugal; Mario Antonio Cardoso Marques, Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University Institute of Maia—ISMAI, Portugal; Sara Palermo, Department of Psychology, University of Turin, Via Verdi 10, 10124 Turin, Italy; Simeon Panagiotakis, Heraklion University Hospital, Crete, Greece; Oberdan Parodi, Institute of Clinical Physiology—CNR, Italy; Andrea Poscia, Active Ageing Working Group of the Italian Society of Hygiene (SItI)—Lazio Section, Italy; Armando Raimundo, Departamento de Desporto e Saúde Escola de Ciências e Tecnologia, Universidade de
Int. J. Environ. Res. Public Health 2018, 15(12), 2843; https://doi.org/10.3390/ijerph15122843
Received: 20 November 2018 / Revised: 6 December 2018 / Accepted: 9 December 2018 / Published: 13 December 2018
(This article belongs to the Section Health Care Sciences & Services)
Background: The prevalence of frailty at population-level is expected to increase in Europe, changing the focus of Public Health. Here, we report on the activities of the A3 Action Group, focusing on managing frailty and supporting healthy ageing at community level. Methods: A three-phased search strategy was used to select papers published between January 2016 and May 2018. In the third phase, the first manuscript draft was sent to all A3-Action Group members who were invited to suggest additional contributions to be included in the narrative review process. Results: A total of 56 papers were included in this report. The A3 Action Group developed three multidimensional tools predicting short–medium term adverse outcomes. Multiple factors were highlighted by the group as useful for healthcare planning: malnutrition, polypharmacy, impairment of physical function and social isolation were targeted to mitigate frailty and its consequences. Studies focused on the management of frailty highlighted that tailored interventions can improve physical performance and reduce adverse outcomes. Conclusions: This review shows the importance of taking a multifaceted approach when addressing frailty at community level. From a Public Health perspective, it is vital to identify factors that contribute to successful health and social care interventions and to the health systems sustainability.
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Keywords:
frailty; public health; community care; older adults; healthcare planning; narrative review
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MDPI and ACS Style
Liotta, G.; Ussai, S.; Illario, M.; O’Caoimh, R.; Cano, A.; Holland, C.; Roller-Winsberger, R.; Capanna, A.; Grecuccio, C.; Ferraro, M.; Paradiso, F.; Ambrosone, C.; Morucci, L.; Scarcella, P.; De Luca, V.; Palombi, L. Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). Int. J. Environ. Res. Public Health 2018, 15, 2843. https://doi.org/10.3390/ijerph15122843
AMA Style
Liotta G, Ussai S, Illario M, O’Caoimh R, Cano A, Holland C, Roller-Winsberger R, Capanna A, Grecuccio C, Ferraro M, Paradiso F, Ambrosone C, Morucci L, Scarcella P, De Luca V, Palombi L. Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). International Journal of Environmental Research and Public Health. 2018; 15(12):2843. https://doi.org/10.3390/ijerph15122843
Chicago/Turabian StyleLiotta, Giuseppe; Ussai, Silvia; Illario, Maddalena; O’Caoimh, Rónán; Cano, Antonio; Holland, Carol; Roller-Winsberger, Regina; Capanna, Alessandra; Grecuccio, Chiara; Ferraro, Mariacarmela; Paradiso, Francesca; Ambrosone, Cristina; Morucci, Luca; Scarcella, Paola; De Luca, Vincenzo; Palombi, Leonardo. 2018. "Frailty as the Future Core Business of Public Health: Report of the Activities of the A3 Action Group of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA)" Int. J. Environ. Res. Public Health 15, no. 12: 2843. https://doi.org/10.3390/ijerph15122843
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