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ワカバヤシ ヒデタカ
WAKABAYASHI Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 総説 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Assessment and management of frailty in individuals living with dementia: expert recommendations for clinical practice. |
| 掲載誌名 | 正式名：The lancet. Healthy longevity 略 称：Lancet Healthy Longev ISSNコード：26667568/26667568 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 6(1),pp.100666 |
| 著者・共著者 | Borda Miguel Germán, Landi Francesco, Cederholm Tommy, Venegas-Sanabria Luis Carlos, Duque Gustavo, Wakabayashi Hidetaka, Barreto George E, Rodriguez-Sanchez Isabel, Canevelli Marco, Cano-Gutierrez Carlos, Pérez-Zepeda Mario Ulises, Wallace Lindsay, Rockwood Kenneth, Salas-Carrillo Mario, Gjestsen Martha, Testad Ingelin, Ballard Clive, Aarsland Dag, |
| 発行年月 | 2025/01 |
| 概要 | Frailty complicates the care of individuals with dementia, increasing their vulnerability to adverse outcomes. This Personal View presents expert recommendations for managing frailty in individuals with dementia, aimed at health-care providers, particularly those in primary care. We conducted a rapid literature review followed by a consensus process involving 18 international experts on dementia and frailty. The experts identified key areas, including diagnosis of frailty, assessment of nutritional status and nutritional management, physical activity, prevention of falls, and polypharmacy management. The recommendations emphasise early identification of frailty and a comprehensive, interdisciplinary approach to care that aims to maintain the individual's daily functioning, quality of life, and independence. The recommendations highlight the importance of tailored interventions, regular monitoring, and the integration of psychosocial support into the therapeutic approach. These recommendations address a crucial gap in existing clinical guidelines, offering practical guidance for clinicians managing frailty in individuals with dementia. |
| DOI | 10.1016/j.lanhl.2024.100666 |
| PMID | 39736268 |