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Exercise, Frailty, and Functional Reserve: Concepts and Optimization 

Exercise, Frailty, and Functional Reserve: Concepts and Optimization
Chapter:
Exercise, Frailty, and Functional Reserve: Concepts and Optimization
Author(s):

Joseph P. Cleaver

, Alice Schmidt Kehaya

, and Mikhail Kogan

DOI:
10.1093/med/9780190466268.003.0003
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date: 22 October 2019

Regular exercise can increase the healthy lifespan of elderly patients. Despite this, most seniors are not getting enough exercise. This chapter summarizes the age-related declines in physical capacity, including loss of muscle power, decreased aerobic capacity (VO2max), sarcopenia, and increased adipose tissue, that can lead to inflammation and limitations of functional reserve. The concept of frailty is discussed. Clinicians are given practical techniques for evaluating risks in patients, providing an “exercise prescription” in an individually tailored manner, and measuring progress in their geriatric patients.

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