Open access peer-reviewed Edited Volume

Frailty in the Elderly - Physical, Cognitive and Emotional Domains

Sara Palermo

University of Turin


Ageing Frailty Frailty comorbidity and disability Distinction between being and feeling frail Comprehensive Geriatric Assessment Cognitive Emotional and Social Frailty Ageing brain Social vulnerability Dementia Daily-living functioning Physical activity Cognitive exercise Nutrition Affective relationships International policies on frailty

Register your interest in contributing to this book

Collaborate with our community and contribute your knowledge.

About the book

The world’s population is ageing. This is the most significant global transformations of the 21st century, with implications for nearly all sectors of society. By 2050, one in six people in the world will be over age 65 (16%), up from one in 11 in 2019 (9%). By 2050, one in four persons living in Europe and Northern America could be aged 65 or over. In 2018, for the first time in history, persons aged 65 or above outnumbered children under five years of age globally. The number of persons aged 80 years or over is projected to triple, from 143 million in 2019 to 426 million in 2050.
There is no single way of ageing, but as many different ageing processes as the elderly. Each elder reflects a singular event and requires personalized attention, evaluation and availability. Frailty in the elderly can be defined as a condition of marked vulnerability to adverse outcomes resulting from age or disease-associated decreased functional reserves in multiple physiologic systems. Cognitive decline and impaired global cognition have been generally linked to frailty. The cognitive frailty concept refers to the co-occurrence of mild cognitive impairment and physical frailty in the absence of a detected major neurocognitive disorder. There are numerous longitudinal studies that analyze the determinants that influence cognitive fragility - as a reduced "functional reserve" - without disabling consequences in everyday life. On the psychological level, the concept of frailty indicates a condition inherent to the human being, an intrinsic part of life.

The importance of a multidimensional evaluation of the elderly is now universally recognized to determine the real state of psychophysical well-being. A reliable evaluation cannot be separated from the analysis of the affective and relational components. Indeed, the cognitive, affective-behavioral and social aspects closely interact with the biomedical ones.

The strong impulse given to research on this topic has produced in recent years a large literature that documents the high level of complexity of the issue, for which it is necessary a reasoned multidimensional analysis able to integrate expertise of different disciplines.

Publishing process

Book initiated and editor appointed

Date completed: November 18th 2019

Applications to edit the book are assessed and a suitable editor is selected, at which point the process begins.

Chapter proposals submitted and reviewed

Deadline for chapter proposals: December 9th 2019

Potential authors submit chapter proposals ready for review by the academic editor and our publishing review team.

Register for the book

Approved chapters written in full and submitted

Deadline for full chapters: February 7th 2020

Once approved by the academic editor and publishing review team, chapters are written and submitted according to pre-agreed parameters

Full chapters peer reviewed

Review results due: April 27th 2020

Full chapter manuscripts are screened for plagiarism and undergo a Main Editor Peer Review. Results are sent to authors within 30 days of submission, with suggestions for rounds of revisions.

Book compiled, published and promoted

Expected publication date: June 26th 2020

All chapters are copy-checked and typesetted before being published. IntechOpen regularly submits its books to major databases for evaluation and coverage, including the Clarivate Analytics Book Citation Index in the Web of ScienceTM Core Collection. Other discipline-specific databases are also targeted, such as Web of Science's BIOSIS Previews.

About the editor

Sara Palermo

University of Turin

Sara Palermo is a MSc in Clinical Psychology and a PhD in Experimental Neuroscience. Moreover, she obtained the National Scientific Enabling Certificate for Associate Professorship in April 2017 (ASN-2017). She is an expert in experimental neuroscience, clinical neuropsychology and advance neuropsychological testing. Moreover, she performs multidimensional geriatric evaluation and basic neurological symptomatology detection in patients with neurodegenerative disorders. She is also engaged in Activation Likelihood Estimation meta-analysis of neuroimaging studies. She worked as a postdoc research fellow at the Department of Neuroscience 'Rita Levi Montalcini” in Turin until July 2017. Since then she works as research fellow at the Department of Psychology in Turin. To date, she owns three research Group memberships at the University of Turin (Italy). She is a member of the 'Center for the Study of Movement Disorders” (research area: Neurology) and the 'Placebo Responses Mapping Group” (research area: Physiology) at the Department of Neuroscience, and a member of the 'Neuropsychology of cognitive impairment and central nervous system degenerative diseases Group” at the Department of Psychology (Research Area: Psychobiology and physiological psychology). The main topics of her research are the study of awareness of illness, metacognitive-executive deficits in neuropsychiatric and neurological disorders, physical and cognitive frailty in the elderly, and placebo/nocebo phenomena. Interestingly, all of them may represent appealing perspectives from which to study how neuropsychological abnormalities can be explained in terms of brain activities and with the use of neuropsychiatric and neuropsychological batteries considering a neurocognitive approach. Given her research interests and scientific publications, she has been an ordinary member of the Italian Society of Neuropsychology (SINP), of the Italian Association of Psychogeriatrics (AIP), of the Italian Society of Neurology for Dementia (SiNdem), and – finally – of the international Society for Interdisciplinary Placebo Studies (SIPS). Importantly, she is a member of the European Innovation Partnership on Active and Healthy Aging (EIP on AHA), for which she is involved in the Action Group A3 Functional decline and frailty. Sara Palermo is Panel Editor for 'EC Psychology and Psychiatry'. She was recently appointed as Specialty Chief Editor for 'Frontiers in Psychology - Neuropsychology'.

View profile

Book chapters authored 3

Books edited 1

Introducing your Author Service Manager

Ms. Sara Debeuc

As an Author Service Manager my responsibilities include monitoring and facilitating all publishing activities for authors and editors. From chapter submission and review, to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully commit and concentrate on the chapters they are writing, editing, or reviewing. I assist authors in the preparation of their full chapter submissions and track important deadlines and ensure they are met. I help to coordinate internal processes such as linguistic review, and monitor the technical aspects of the process. As an ASM I am also involved in the acquisition of editors. Whether that be identifying an exceptional author and proposing an editorship collaboration, or contacting researchers who would like the opportunity to work with IntechOpen, I establish and help manage author and editor acquisition and contact.

Ask a question

Book will be abstracted and indexed in