Cited by 412Frailty in Older AdultsNutrition and Health in AgingCardiac Health and Mental Health

The DOI matches its Crossref record, with a small difference in title or year; 110 of the 112 references it cites were found in a registry or an index.

Interventions for Frailty Among Older Adults With Cardiovascular Disease

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Abstract

With the aging of the world's population, a large proportion of patients seen in cardiovascular practice are older adults, but many patients also exhibit signs of physical frailty. Cardiovascular disease and frailty are interdependent and have the same physiological underpinning that predisposes to the progression of both disease processes. Frailty can be defined as a phenomenon of increased vulnerability to stressors due to decreased physiological reserves in older patients and thus leads to poor clinical outcomes after cardiovascular insults. There are various pathophysiologic mechanisms for the development of frailty: cognitive decline, physical inactivity, poor nutrition, and lack of social supports; these risk factors provide opportunity for various types of interventions that aim to prevent, improve, or reverse the development of frailty syndrome in the context of cardiovascular disease. There is no compelling study demonstrating a successful intervention to improve a global measure of frailty. Emerging data from patients admitted with heart failure indicate that interventions associated with positive outcomes on frailty and physical function are multidimensional and include tailored cardiac rehabilitation. Contemporary cardiovascular practice should actively identify patients with physical frailty who could benefit from frailty interventions and aim to deliver these therapies in a patient-centered model to optimize quality of life, particularly after cardiovascular interventions.

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Crossref · 10.1016/j.jacc.2021.11.029

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  1. 1997, Proceedings from the conference. May 16-18 1996, Med Care, 35, JS1

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Metadata

Authors
Ijaz, N., Buta, B., Xue, Q.-L., Mohess, D. T., Bushan, A., Tran, H., Batchelor, W., deFilippi, C. R., Walston, J. D., Bandeen-Roche, K., Forman, D. E., Resar, J. R., O’Connor, C. M., Gerstenblith, G., & Damluji, A. A.
Affiliations
  • Inova Health System (US)
  • Johns Hopkins University (US)
  • University of Pittsburgh (US)
Corresponding author
Damluji, Abdulla A.
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2022-02
Volume
79
Issue
5
Pages
482-503
ISSN
0735-1097 (ISSN-L)
OpenAlex
W4210642841
Cited by
412
References
112
Citations by year
2026: 87 · 2025: 126 · 2024: 105 · 2023: 66 · 2022: 28
FWCI
11.62
Type
journal article
Language
en
Open access
Locations
  • Journal of the American College of Cardiology (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (P30AG021334)
  • National Heart, Lung, and Blood Institute (K23HL153771)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords
frailty, older adults, cardiovascular disease, frailty interventions, heart failure, cardiac rehabilitation, physical function, cognitive decline, physical inactivity, nutrition, social support, frailty prevention, quality of life
MeSH terms
Cardiac Rehabilitation, Frailty, Aged, Aging, Cardiovascular Diseases, Humans, Quality of Life, Risk Factors, Frail Elderly

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