Evidence map›Paper›PMID 34900836›Full record

ReviewJournal of diabetes and metabolic disorders2021

The conceptual and practical definitions of frailty in older adults: a systematic review.

Ameneh Sobhani, Reza Fadayevatan, Farshad Sharifi, Ahmadali Akbari Kamrani, Hanieh-Sadat Ejtahed, Raziye Sadat Hosseini, Shamaneh Mohamadi, Alireza Fadayevatan, Sara Mortazavi

Abstract readReview
In one paragraph

Review in Journal of diabetes and metabolic disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Prehabilitation for muscle wasting in cancer: do definitions matter?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  8. Perceptions of Frailty in Long-Term Care.Canadian geriatrics journal : CGJ · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ameneh SobhaniDepartment of Gerontology, The University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
Reza FadayevatanIranian Research Center on Ageing, The University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
Farshad SharifiElderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-2035-6587
Ahmadali Akbari KamraniAgeing Medicine Fellowship, The University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
Hanieh-Sadat EjtahedObesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Raziye Sadat HosseiniDepartment of Community Health and Geriatrics, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Shamaneh MohamadiNursing Department, The University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.
Alireza FadayevatanDental School, The University of Leeds, Leeds, UK.
Sara MortazaviDepartment of Geriatrics, The University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to review and extract all publications containing concepts related to definitions of frailty and categorize them.

methodsA total of six electronic databases (PubMed, Ovid web, Web of Science, Scopus, Embase, Cochrane Library, and ProQuest) were searched to identify studies that introduced a definition of frailty up to October 2018. No language restrictions were imposed.

resultsTotally, 104,370 papers were found in the initial search and finally 68 papers were included. Of these, 21 studies provided a conceptual definition and 50 original articles also 9 review articles provided a practical definition. Moreover, 12 papers had both definitions of frailty. Of them, 62 were published in English, 2 in Portuguese, 1 in Japanese, 2 in Korean, and 1 in German languages.

conclusionMany screening tools have been developed but neither of them can cover a wide range of parameters at the same time, nor do they have simplicity in the execution. It is important to note that although a more or less general consensus on one single definition might be expected, we believe that the elderly population is too heterogeneous to allow a tool to address it as a whole, and such a definition may even be impossible. Therefore, in the absence of a "Gold Standard" definition, it is suggested to seek accurate knowledge of the strengths and weaknesses of each definition and choose the most appropriate definition and the most effective evaluation tool according to the purpose of the research and the characteristics of the older population.

Indexed as

AgedFrailtySystematic review

Identifiers

PMID34900836
PMCPMC8630240

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.