The importance of physical function as a clinical outcome: Assessment and enhancement

The burgeoning population of older adults is intrinsically prone to cardiovascular disease (CVD) in a context of multimorbidity and geriatric syndromes. Risks include high susceptibility to functional decline, with many older adults tipping towards patterns of sedentary behavior and to downstream ef...

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Veröffentlicht in:Clinical cardiology (Mahwah, N.J.) Jg. 43; H. 2; S. 108 - 117
Hauptverfasser: O'Neill, Deirdre, Forman, Daniel E.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: New York Wiley Periodicals, Inc 01.02.2020
John Wiley & Sons, Inc
Schlagworte:
Age
Age Factors
Aged
Aged, 80 and over
Aging
Bicycling
Cardiorespiratory Fitness
Cardiovascular disease
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - physiopathology
Cardiovascular Diseases - prevention & control
Clinical outcomes
Diabetes
Dyspnea
Exercise
Exercise Therapy
Fitness equipment
Frail Elderly
Frailty
Frailty - diagnosis
Frailty - epidemiology
Frailty - physiopathology
Frailty - prevention & control
Gait
Geriatric Assessment
geriatric cardiology
Health care
Healthy Lifestyle
Heart failure
Humans
Kidney diseases
Metabolism
Mortality
Muscle Strength
Older people
Patients
Physical fitness
Physiology
Population
Postural Balance
Predictive Value of Tests
Prognosis
Protective Factors
Review
Reviews
Risk Assessment
Risk Factors
Risk Reduction Behavior
Sedentary behavior
Walking
geriatric cardiology
ISSN:0160-9289, 1932-8737, 1932-8737
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Abstract The burgeoning population of older adults is intrinsically prone to cardiovascular disease (CVD) in a context of multimorbidity and geriatric syndromes. Risks include high susceptibility to functional decline, with many older adults tipping towards patterns of sedentary behavior and to downstream effects of frailty, falls, disability, poor quality of life, as well as increased morbidity and mortality even if the incident CVD was treated perfectly. While physical activity has been shown to moderate these patterns both as primary or secondary preventive medical care, the majority of older adults fail to meet physical activity recommendations. Clinicians of all specialities, including CVD medicine, can benefit from greater proficiency in functional assessments for their older adults, as well as from insights how to initiate effective functional enhancing approaches even in older adults who may be frail, deconditioned, and medically complex. Pertinent functional assessments include traditional cardiovascular metrics of cardiorespiratory fitness, as well as strength and balance. This review summarizes the components of a wide‐ranging functional assessment that can be used to enhance care for older adults with CVD, as well as interventions to improve physical function.
AbstractList The burgeoning population of older adults is intrinsically prone to cardiovascular disease (CVD) in a context of multimorbidity and geriatric syndromes. Risks include high susceptibility to functional decline, with many older adults tipping towards patterns of sedentary behavior and to downstream effects of frailty, falls, disability, poor quality of life, as well as increased morbidity and mortality even if the incident CVD was treated perfectly. While physical activity has been shown to moderate these patterns both as primary or secondary preventive medical care, the majority of older adults fail to meet physical activity recommendations. Clinicians of all specialities, including CVD medicine, can benefit from greater proficiency in functional assessments for their older adults, as well as from insights how to initiate effective functional enhancing approaches even in older adults who may be frail, deconditioned, and medically complex. Pertinent functional assessments include traditional cardiovascular metrics of cardiorespiratory fitness, as well as strength and balance. This review summarizes the components of a wide‐ranging functional assessment that can be used to enhance care for older adults with CVD, as well as interventions to improve physical function.
The burgeoning population of older adults is intrinsically prone to cardiovascular disease (CVD) in a context of multimorbidity and geriatric syndromes. Risks include high susceptibility to functional decline, with many older adults tipping towards patterns of sedentary behavior and to downstream effects of frailty, falls, disability, poor quality of life, as well as increased morbidity and mortality even if the incident CVD was treated perfectly. While physical activity has been shown to moderate these patterns both as primary or secondary preventive medical care, the majority of older adults fail to meet physical activity recommendations. Clinicians of all specialities, including CVD medicine, can benefit from greater proficiency in functional assessments for their older adults, as well as from insights how to initiate effective functional enhancing approaches even in older adults who may be frail, deconditioned, and medically complex. Pertinent functional assessments include traditional cardiovascular metrics of cardiorespiratory fitness, as well as strength and balance. This review summarizes the components of a wide-ranging functional assessment that can be used to enhance care for older adults with CVD, as well as interventions to improve physical function.The burgeoning population of older adults is intrinsically prone to cardiovascular disease (CVD) in a context of multimorbidity and geriatric syndromes. Risks include high susceptibility to functional decline, with many older adults tipping towards patterns of sedentary behavior and to downstream effects of frailty, falls, disability, poor quality of life, as well as increased morbidity and mortality even if the incident CVD was treated perfectly. While physical activity has been shown to moderate these patterns both as primary or secondary preventive medical care, the majority of older adults fail to meet physical activity recommendations. Clinicians of all specialities, including CVD medicine, can benefit from greater proficiency in functional assessments for their older adults, as well as from insights how to initiate effective functional enhancing approaches even in older adults who may be frail, deconditioned, and medically complex. Pertinent functional assessments include traditional cardiovascular metrics of cardiorespiratory fitness, as well as strength and balance. This review summarizes the components of a wide-ranging functional assessment that can be used to enhance care for older adults with CVD, as well as interventions to improve physical function.
Author Forman, Daniel E.
O'Neill, Deirdre
AuthorAffiliation 1 University of Alberta Hospital Edmonton Alberta Canada
2 Professor of Medicine University of Pittsburgh University of Pittsburgh Medical Center and VA Pittsburgh Healthcare System Pittsburgh Pennsylvania
AuthorAffiliation_xml – name: 1 University of Alberta Hospital Edmonton Alberta Canada
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  surname: Forman
  fullname: Forman, Daniel E.
  email: formand@pitt.edu
  organization: University of Pittsburgh University of Pittsburgh Medical Center and VA Pittsburgh Healthcare System
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31825137$$D View this record in MEDLINE/PubMed
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Issue 2
Keywords geriatric cardiology
Language English
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Snippet The burgeoning population of older adults is intrinsically prone to cardiovascular disease (CVD) in a context of multimorbidity and geriatric syndromes. Risks...
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SubjectTerms Age
Age Factors
Aged
Aged, 80 and over
Aging
Bicycling
Cardiorespiratory Fitness
Cardiovascular disease
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - physiopathology
Cardiovascular Diseases - prevention & control
Clinical outcomes
Diabetes
Dyspnea
Exercise
Exercise Therapy
Fitness equipment
Frail Elderly
Frailty
Frailty - diagnosis
Frailty - epidemiology
Frailty - physiopathology
Frailty - prevention & control
Gait
Geriatric Assessment
geriatric cardiology
Health care
Healthy Lifestyle
Heart failure
Humans
Kidney diseases
Metabolism
Mortality
Muscle Strength
Older people
Patients
Physical fitness
Physiology
Population
Postural Balance
Predictive Value of Tests
Prognosis
Protective Factors
Review
Reviews
Risk Assessment
Risk Factors
Risk Reduction Behavior
Sedentary behavior
Walking
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Title The importance of physical function as a clinical outcome: Assessment and enhancement
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