Presentación    
GROUP 27.
AGING AND FRAGILITY IN THE ELDERLY
Composition
Name
Position
Institution
Ángel Otero Puime
Profesor Titular Medicina Preventiva y Salud Pública.
Médico Adjunto Medicina Preventiva
Universidad Autónoma de Madrid.
Hospital Universitario La Paz
María Teresa Alarcón Alarcón
Jefe de Sección en Geriatría
Hospital Universitario La Paz
María Victoria Castell Alcalá
Especialista en Medicina de Familia
Área Única de Atención Primaria
Araceli Garrido Barral
Especialista en Medicina de Familia
Área Única de Atención Primaria
Juan Ignacio González Montalvo
Jefe de Servicio en Geriatría. Profesor Asociado
Hospital Universitario La Paz.
Universidad Autónoma de Madrid
Summary
The current group of researchers at HULP and the Single Primary Care Area integrated into this subline of research was formed from the last phase of the longitudinal study
“Envejecer en Leganes” (Aging in Leganes). This was a cohort study implemented in 1993 and consisted of 1699 people over the age of 65 years representative of that
the city of Leganes, who were followed over six waves between 1993 and 2008. Given the attrition of the Aging in Leganes cohort, which by the end of 2007 had lost
70% of the individuals to death or a change in residence, a new cohort was launched in 2008 representative of people over 65 years of age in the Peñagrande area. This
cohort belonged to area 5 of the Primary Care of Madrid whose reference hospital is HULP, which represents a new opportunity for the continuation and updating of
the original objectives. In 2011, the first wave of followup was performed and incorporated the acquisition of samples deposited in the Biobank of IdiPAZ (serum and
DNA) for future studies. The group’s strategic objective is to focus on the study of factors associated with the onset of frailty in the elderly and the possibilities for early
detection and prevention. In this context, the group has been a part of the Red de Investigación Cooperativa sobre Envejecimiento y Fragilidad (Cooperative Research
Network on Ageing and Frailty, RETICEF) since 2007.
Lines of research
• Biopsychosocial factors: what determines the onset of frailty and its progression to dependency. Differences in gender and health of the elderly, Comorbidity and
frailty; Physical activity and exercise in the elderly.
• Intervention strategies for the prevention and functional reintegration of frail
patients. Definition of subjects at risk, biomarkers of frailty, management of
geriatric patients with fractures from falls, especially hip fractures in nonagenarians, the role of primary care in the early detection and prevention of frailty, the promotion of physical exercise in the elderly.