The podcast explores the concept of frailty and how it is often misunderstood. Frailty is a multifaceted issue that leaves individuals particularly vulnerable to even minor changes in their environment, leading to a significant decline in their independence. For example, a simple bladder infection, a vaccination, or a medication change can have severe effects on someone living with frailty, whereas these issues might be easily managed by healthier individuals. Frailty is not usually caused by a single event but rather a cascade of issues resulting from underlying vulnerability and a reduction in what is termed "intrinsic capacity." This intrinsic capacity includes all physical and mental abilities that an individual can draw upon, such as mobility, vitality, sensory functions, cognition, and psychological health. The better these capacities are maintained, the more resilient a person will be to illness and stressors.
In Australia, approximately 20% of individuals aged 65 and over experience frailty. Professor Ruth Hubbard from the University of Queensland considers frailty to be "the most significant challenge to ageing well in Australia." It is important to debunk the myth that frailty is a normal part of ageing; early recognition can lead to improvements and enhanced resilience.
Recognising the Signs of Frailty
Key signs and symptoms indicative of frailty include:
Persistent fatigue and exhaustion
Slowed walking speed
Weak grip strength, difficulty handling objects
Difficulty climbing stairs or rising from a chair
Unintentional weight loss of 5% or more over the past year
Experiencing at least three of these signs may suggest that an individual is living with frailty.
Improving Frailty
Research supports that improvements in health and quality of life are achievable through:
Engaging in a resistance exercise program twice weekly to build muscle mass and strength
Increasing dietary protein intake to around 1.5g per kilogram of body weight, utilising protein-rich foods like eggs, milk powder, and cheese, with supplements considered only if food intake is insufficient
Reviewing medications with a GP and pharmacist to identify any that may no longer be appropriate, as older age can alter medication side effects
Addressing underlying causes of fatigue, which could range from loss, grief, and isolation to unrecognised medical conditions or medication side effects
For those concerned about symptoms of frailty, consulting a GP is crucial. While reversing the aging process may not be possible, taking steps to enhance vitality and well-being is very much within reach.
Resources
Website: https://www.bollenhealth.com.au
Email: chris@bollenhealth.com.au
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