Age-related deficit accumulation and the diseases of ageing
Open accessAbstract
With ageing, the potency of individual risk factors traditionally associated with common illnesses declines. Instead, it is becoming clear that the impact of a wide range of age-related deficits not traditionally considered as risk factors for these illnesses increases. These age-related deficits chiefly confer risk as a group, not individually. The many effects of age-related changes can be demonstrated epidemiologically, and in preclinical models, using a frailty index to distinguish between the contributions of traditional and non-traditional risk factors. Quantifying the contribution of age-related deficit accumulation in clinical and preclinical samples offers a powerful new tool for understanding mechanisms of age-related disease. It appears that a range of common late-life illnesses might be targeted by drugs aimed at ageing processes.
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Frailty is an important independent risk for common late-life illnesses, including heart disease, osteoporotic fracture and dementia.
“As noted there, in either guise, it is an important independent risk for common late-life illnesses, including heart disease, osteoporotic fracture and dementia.”
From Common risk factors for major noncommunicable disease, a systematic overview of reviews and commentary: the implied potential for targeted risk reduction (2019) · cites this paper as [109]
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Self-citationMcKenzie, K., Ouellette-Kuntz, H. M. J., & Martin, L. (2015) · BMC Geriatrics · doi:10.1186/s12877-015-0170-5 · Cited by 41 · see citing works
Social and Societal Implications of Frailty, Including Impact on Canadian Healthcare Systems
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Self-citationKelaiditi, E., Canevelli, M., Andrieu, S., del Campo, N., Soto, M. E., Vellas, B. J., Cesari, M., & the Impact of Cholinergic Treatment Use Study/DSA Group (2016) · Journal of the American Geriatrics Society · doi:10.1111/jgs.13956 · Cited by 40 · see citing works
Frailty as a risk predictor in cardiac surgery: Beyond the eyeball test
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Dynamical network model for age-related health deficits and mortality
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Self-citationHornsby, W., Sareini, M.-A., Golbus, J. R., Willer, C. J., McNamara, J. L., Konerman, M. C., & Hummel, S. L. (2018) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2018.09.002 · Cited by 38 · see citing works
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Self-citationAgeing: Develop models of frailty
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Self-citationTrebbastoni, A., Canevelli, M., D’Antonio, F., Imbriano, L., Podda, L., Rendace, L., Campanelli, A., Celano, V., Bruno, G., & de Lena, C. (2017) · Frontiers in Medicine · doi:10.3389/fmed.2017.00178 · Cited by 35 · see citing works
Ma, T., Lu, D., Zhu, Y., Chu, X., Wang, Y., Shi, G., Wang, Z., Li, Y., Jiang, X., & Wang, X. (2018) · Age and Ageing · doi:10.1093/ageing/afy007 · Cited by 34 · see citing works
Shi, S., Afilalo, J., Lipsitz, L. A., Popma, J. J., Khabbaz, K. R., Laham, R. J., Guibone, K., Grodstein, F., Lux, E., & Kim, D. H. (2018) · The Journals of Gerontology Series A · doi:10.1093/gerona/gly196 · Cited by 34 · see citing works
Hao, Q., Song, X., Yang, M. J., Dong, B., & Rockwood, K. J. (2016) · The journal of nutrition health & aging · doi:10.1007/s12603-016-0680-7 · Cited by 34 · see citing works
Self-citationThe potential use of physical resilience to predict healthy aging
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Wang, C., Ji, X., Wu, X., Tang, Z., Zhang, X., Guan, S., Liu, H., & Fang, X. (2016) · The journal of nutrition health & aging · doi:10.1007/s12603-016-0798-7 · Cited by 31 · see citing works
Promoting the Assessment of Frailty in the Clinical Approach to Cognitive Disorders
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Rodent models of frailty and their application in preclinical research
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Self-citationHao, Q., Sun, X., Yang, M. J., Dong, B., Dong, B., & Wei, Y. (2019) · Scientific Reports · doi:10.1038/s41598-018-36569-9 · Cited by 29 · see citing works
A Cumulative Deficit Laboratory Test–based Frailty Index: Personal and Neighborhood Associations
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Understanding frailty to predict and prevent dementia
Panza, F., Lozupone, M., & Logroscino, G. (2019) · The Lancet Neurology · doi:10.1016/s1474-4422(18)30446-0 · Cited by 27 · see citing works
Hao, Q., Song, X., Yang, M. J., Dong, B., & Rockwood, K. J. (2015) · The journal of nutrition health & aging · doi:10.1007/s12603-015-0553-5 · Cited by 25 · see citing works
Self-citationProbing the network structure of health deficits in human aging
Farrell, S. G., Mitnitski, A., Theou, O., Rockwood, K. J., & Rutenberg, A. D. (2018) · Physical review. E · doi:10.1103/physreve.98.032302 · Cited by 21 · see citing works
Self-citationResilience and frailty: Further steps, best taken together
Rockwood, K. J., & Mitnitski, A. (2015) · European Geriatric Medicine · doi:10.1016/j.eurger.2015.06.001 · Cited by 19 · see citing works
Self-citationModelling physical resilience in ageing mice
Schosserer, M., Banks, G. T., Doğan, S., Dungel, P., Fernandes, A. M. A., Marolt, D., Matheu, A., Osuchowski, M. F., Potter, P. K., Sanfeliu, C., et al. (2018) · Mechanisms of Ageing and Development · doi:10.1016/j.mad.2018.10.001 · Cited by 19 · see citing works
Theou, O., WIJEYARATNE, L., PIANTADOSI, C., LANGE, K., Naganathan, V., Hunter, P., Cameron, I. D., Rockwood, K. J., Visvanathan, R., & Chapman, I. (2016) · The Journal of Frailty & Aging · doi:10.14283/jfa.2016.108 · Cited by 16 · see citing works
Self-citationFranconi, I., Theou, O., Wallace, L. M. K., Malagoli, A., Mussini, C., Rockwood, K. J., & Guaraldi, G. (2018) · PLoS ONE · doi:10.1371/journal.pone.0201394 · Cited by 13 · see citing works
Self-citationDementia Research: Populations, Progress, Problems, and Predictions
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Kim, D. H., & Shi, S. (2018) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2018.11.002 · Cited by 1 · see citing works
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- Armstrong, J., Mitnitski, A., Andrew, M., Launer, L., White, L., Rockwood, K., 2015c. Cumulative impact of health deficits, social vulnerabilities, and protective factors on cognitive dynamics in late life: a multistate modeling approach. Alzheimers Res. Ther. 7 (1). https://doi.org/10.1186/s13195-015-0120-7. · DOI · Paper page
- Farrell, S.G., Mitnitski, A., Theou, O., Rockwood, K., Rutenberg, A., 2018b. Probing the network structure of health deficits in human aging. Phys. Rev. E 9893, 032302. https://doi.org/10.1103/PhysRevE.98.032302. · DOI
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Using the Clinical Frailty Scale in Allocating Scarce Health Care Resources
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Self-citationFrailty and Physical Fitness in Elderly People: A Systematic Review and Meta-analysis
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Age related weight loss in female 5xFAD mice from 3 to 12 months of age
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New horizons in understanding oral health and swallowing function within the context of frailty
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Considering Frailty in SARS-CoV-2 Vaccine Development: How Geriatricians Can Assist
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Self-citationThe Molecular Role of Polyamines in Age-Related Diseases: An Update
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The Influence of Lifestyle Behaviors on the Incidence of Frailty
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Self-citationSex Moderates the Association between Frailty and Mild Behavioral Impairment
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Wilkowska, W., Offermann, J., Laurentius, T., Bollheimer, L. C., & Ziefle, M. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.653931 · Cited by 24 · see citing works
Early-Life War Exposure and Later-Life Frailty Among Older Adults in Vietnam: Does War Hasten Aging?
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Muscle Steatosis and Fibrosis in Older Adults, From the AJR Special Series on Imaging of Fibrosis
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Education, wealth, and duration of life expected in various degrees of frailty
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Foessl, I., Bassett, J. H. D., Bjørnerem, Å., Busse, B., Calado, Â., Chavassieux, P., Christou, M., Douni, E. K., Fiedler, I. A. K., Fonseca, J. E., et al. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.720728 · Cited by 22 · see citing works
Frailty in Parkinson's disease and its association with early dementia: A longitudinal study
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Self-citationFrailty in geriatric psychiatry inpatients: a retrospective cohort study
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Comparative lifespan and healthspan of nonhuman primate species common to biomedical research
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- Authors
- Rockwood, K., & Howlett, S. E.
- Affiliations
- Dalhousie University (CA)
- Corresponding author
- Rockwood, Kenneth
- Venue
- Mechanisms of Ageing and Development
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 180
- Pages
- 107-116
- ISSN
- 0047-6374 (ISSN-L)
- OpenAlex
- W2939945403
- Cited by
- 198
- References
- 125
- Citations by year
- 2026: 13 · 2025: 20 · 2024: 28 · 2023: 41 · 2022: 24 · 2021: 43 · 2020: 25 · 2019: 4
- FWCI
- 2.91
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Mechanisms of Ageing and Development (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health ResearchCanadian Institutes of Health Research (CIHR) (156114, 155961, 162462)
- Fountain Family Innovation Fund of the Queen Elizabeth II Health Sciences Foundation
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- age-related deficits, deficit accumulation, frailty index, risk factors, preclinical models, age-related decline
- MeSH terms
- Aged, Aging, Humans, Models, Biological, Risk Factors
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