I. Nieto Fernández, C.A. Colato López, T. Pareja Sierra, L.M. Boscán Guevara, L.D. Pascual Bojorque, M.C. de Aguilar Caro
{"title":"Protocolo de intervención para la prevención de las caídas y la fragilidad en el adulto mayor","authors":"I. Nieto Fernández, C.A. Colato López, T. Pareja Sierra, L.M. Boscán Guevara, L.D. Pascual Bojorque, M.C. de Aguilar Caro","doi":"10.1016/j.med.2026.09.005","DOIUrl":null,"url":null,"abstract":"<div><div>Falls and frailty are closely related geriatric syndromes and are associated with an increased risk of functional decline, institutionalization, and mortality which justifies an integrated, evidence-based preventive approach. This protocol, designed for geriatric clinical practice to facilitate the early detection, prevention, and management of falls and frailty in older adults, is based on international guidelines and consensus statements and incorporates an interdisciplinary approach.</div><div>Personalized, multidomain interventions are proposed, with special emphasis on multicomponent physical exercise as the most effective strategy along with medication optimization, nutritional intervention, and adaptation of the environment. The systematic implementation of this protocol helps reduce adverse events, preserve independence, and improve the quality of life of older adults, constituting a reproducible model applicable in various care settings.</div></div>","PeriodicalId":100912,"journal":{"name":"Medicine - Programa de Formación Médica Continuada Acreditado","volume":"14 62","pages":"Pages 3856-3861"},"PeriodicalIF":0.0000,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicine - Programa de Formación Médica Continuada Acreditado","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0304541226002192","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/9/30 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Falls and frailty are closely related geriatric syndromes and are associated with an increased risk of functional decline, institutionalization, and mortality which justifies an integrated, evidence-based preventive approach. This protocol, designed for geriatric clinical practice to facilitate the early detection, prevention, and management of falls and frailty in older adults, is based on international guidelines and consensus statements and incorporates an interdisciplinary approach.
Personalized, multidomain interventions are proposed, with special emphasis on multicomponent physical exercise as the most effective strategy along with medication optimization, nutritional intervention, and adaptation of the environment. The systematic implementation of this protocol helps reduce adverse events, preserve independence, and improve the quality of life of older adults, constituting a reproducible model applicable in various care settings.