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Updated on November 6, 2020

Management of Frailty and Sarcopenia at Home

Frailty is a lack of physiological reserve making the person vulnerable to poor health. It varies in severity and the degree of frailty in a person is not static.  Older people living with frailty is at risk of dramatic deterioration in health after an apparent small incident such as a fall or infection.

A central feature of frailty is the loss of skeletal muscle mass and function (known as sarcopenia).  It has been shown that Nutritional Intervention as well as Regular Exercise results in improvement in both mobility and functional ability.

Do get a Comprehensive Geriatric Assessment (CGA) by your doctor so that you can get a more personalised management plan based on nutrition, exercise, reducing pill burden and mental health care.

1. Nutritional Intervention

Malnutrition increases the risk of frailty.  Older people needs protein supplementation containing 20-40 gm taken twice daily in the usual diet (Note that normal Protein requirement in and adult is 1.0 to 1.3 gm/kg/day)

What does 30 gm of protein look like?

2. Physical Training

Older people are recommended to have 30 minutes exercise 2-3 times a week (note normal healthy adults are recommended to have at least 50 minutes exercise a week).  These exercises should include resistance, strength, endurance and balance training

Regular physical activity can

  • Increase your muscle and bone strength
  • Maintain (or even improve) your posture
  • Improve your balance
  • Relieve some pain symptoms
  • Improve self esteem and feeling more positive

If you are not able to go out to the park or your neighbourhood to do the exercises, you can follow this video to learn how to perform the exercises either in a sitting or standing position.

Click to view HASfit video on video for your daily 30 minutes exercise

Discuss with your Doctor, Geriatrician or Dietician for a Complete Geriatric Assessment and Personalised Treatment Plan

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Disclaimer. TELEME blog posts contains general information about health conditions and treatments. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. The information is not advice and should not be treated as such. 

If you think you may be suffering from any medical condition, you should seek immediate medical attention from your doctor or other professional healthcare providers. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

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