Volume 23 Issue 9
Sep.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(9): 1466-1469
YANG Lin, SHU Jing, LI Mengying, CAO Lizhen. Advances in multidimensional frailty assessment research in community-dwelling older adults[J]. Chinese Journal of General Practice, 2025, 23(9): 1466-1469. doi: 10.16766/j.cnki.issn.1674-4152.004156
Citation: YANG Lin, SHU Jing, LI Mengying, CAO Lizhen. Advances in multidimensional frailty assessment research in community-dwelling older adults[J]. Chinese Journal of General Practice, 2025, 23(9): 1466-1469. doi: 10.16766/j.cnki.issn.1674-4152.004156
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Advances in multidimensional frailty assessment research in community-dwelling older adults

doi: 10.16766/j.cnki.issn.1674-4152.004156
  • 1.

    School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei 430065, China

Funds:

 B2023095

  • Received Date: 2024-11-14
    Available Online: 2025-11-17
    Abstract
  • As aging deepens, frailty, as a dynamic and reversible state of healthy aging and disability, has become an important topic affecting clinical practice and public health. As research has progressed and deepened, the academic perception of frailty has gradually expanded from a single somatic dimension to an integration of psychological, social, and somatic dimensions. Studies have shown that assessing frailty in community-dwelling older adults can predict adverse health outcomes such as decreased quality of life, disability, and death, and that timely assessment and intervention of frailty in older adults can positively respond to population aging. As a key component of health management for older adults, home-based community care has unique advantages in early identification and intervention of frailty, which can help to slow down or even reverse the process of frailty in older adults and reduce the occurrence of adverse outcomes. Medical personnel can provide comprehensive health services from multiple dimensions, including physical, psychological, and social, according to the outcome of frailty assessment. Current clinical practice relies on multidimensional frailty assessment tools to support individualized care plans, but the following problems still exist in this area: (1) the concept of frailty is widely used, but no agreement has been reached at home and abroad on a standardized assessment tool for multidimensional frailty, and there are differences in the reliability, applicability scenarios, and cultural adaptability of the existing assessment tools; (2) most of the early scales lacked frailty grading and cognitive screening modules, and the later improved versions expanded the dimensions, but the complexity of the entries limited their wide application; (3) the domestic studies were mainly based on the importation of Chinese language tools, and there is a lack of localized and original tools, which is in urgent need of improvement. This article reviews the content, dimensions, reliability, strengths, and weaknesses of widely used multidimensional frailty assessment tools for community-dwelling older adults, with the aim of providing a reference for domestic healthcare professionals in identifying early-stage frailty, improving poor outcomes, and developing personalized care.

     

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