Management of frailty at individual level – Frailty prevention: narrative literature review from the perspective of the European Joint Action on frailty – ADVANTAGE JA

Brigita Skela-Savič; Branko Gabrovec

doi:10.14528/snr.2018.52.4.228

Avtorji

Brigita Skela-Savič Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija https://orcid.org/0000-0002-1028-5383
Branko Gabrovec Nacionalni inštitut za javno zdravje, Trubarjeva 2, 1000, Ljubljana, Slovenija https://orcid.org/0000-0002-3885-1308

DOI:

https://doi.org/10.14528/snr.2018.52.4.228

Ključne besede:

starostniki, preventiva, prehrana, intervencija, telesna aktivnost

Povzetek

Uvod: Krhkost je geriatrični sindrom in se kaže kot rezultat pod-pražnega zmanjšanja zmogljivosti številnih fizioloških sistemov, ki vodi v stanje visokega tveganja za neugodne zdravstvene izide. Ker se lahko proces, ki vodi do starostne krhkosti in oslabljenosti upočasni ali celo popolnoma zavre, so zgodnje intervencije in morebitno zdravljenje ključnega pomena.

Metoda: Za to raziskavo je bil izveden sistematičen pregled literature v naslednjih bazah: PubMed, Cochrane, Embase, Cinahl in UpToDate. Vključitveni kriterij je bil izbor literature objavljene v zadnjih 15 letih, od leta 2002 do leta 2017. Od 391910 zadetkov je bilo izbranih 31 publikacij.

Rezultati: Zgodnje odkrivanje krhkosti in telesnega upada veljata za učinkovito ukrepanje zoper s starostjo povezanih komorbidnosti. Ciljne intervencije imajo pomemben vpliv na preventivo, napredovanje krhkosti in tveganje za neugodne zdravstvene izide. Med pomembne in učinkovite preventivne ukrepe sodi življenjski slog z vključeno telesno aktivnostjo (vztrajnostna vadba) in prehrano (večji vnos beljakovin in dodajanje vitamin D).

Zaključek: Ciljne intervencije imajo pomemben vpliv na preventive krhkosti. Upravljanje s krhkostjo in zgodnje intervencije zahtevajo širok in multidisciplinaren pristop, ki vključujejo klinično obravnavo z telesno aktivnostjo, prehrano in zdravili.

Prenosi

Podatki o prenosih še niso na voljo.

Metrike

Nalaganej metrik....

Biografije avtorja

Brigita Skela-Savič, Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija

izr. prof. dr., viš. med. ses., univ. dipl. org., znan. svet.

Branko Gabrovec, Nacionalni inštitut za javno zdravje, Trubarjeva 2, 1000, Ljubljana, Slovenija

doc. dr., mag. ing. log.

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