Cargando…

The Frailty Syndrome: An Emergent Property of Parallel Dysregulation in Multiple Physiological Systems?

Despite its widespread presence in older adults, frailty etiology is still unclear, being associated with dysregulation in diverse physiological systems. Here, we show evidence that frailty emerges from broad loss of homeostasis integrated through complex systems dynamics. Using the NuAge and WHAS c...

Descripción completa

Detalles Bibliográficos
Autores principales: Cohen, Alan, Ghachem, Ahmed, Fried, Linda, Legault, Véronique, Bandeen-Roche, Karen, Presse, Nancy, Gaudreau, Pierrette
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8680250/
http://dx.doi.org/10.1093/geroni/igab046.1482
_version_ 1784616705874460672
author Cohen, Alan
Ghachem, Ahmed
Fried, Linda
Legault, Véronique
Bandeen-Roche, Karen
Presse, Nancy
Gaudreau, Pierrette
author_facet Cohen, Alan
Ghachem, Ahmed
Fried, Linda
Legault, Véronique
Bandeen-Roche, Karen
Presse, Nancy
Gaudreau, Pierrette
author_sort Cohen, Alan
collection PubMed
description Despite its widespread presence in older adults, frailty etiology is still unclear, being associated with dysregulation in diverse physiological systems. Here, we show evidence that frailty emerges from broad loss of homeostasis integrated through complex systems dynamics. Using the NuAge and WHAS cohorts, we calculated Mahalanobis distance-based physiological dysregulation in six systems and tested the breadth, diffuseness, and nonlinearity of associations between frailty and system-specific dysregulation. We found clear support for breadth of associations, but only partial support for diffuseness and nonlinearity: 1) physiological dysregulation is positively associated with frailty in many or all systems, depending on analyses; 2) the number of dysregulated systems or the total amount of dysregulation are more predictive than individual systems, but results only partially replicated across cohorts; 3) dysregulation trends are exponential, but not always significant. These results suggest, but do not fully prove, that frailty is an emergent property of complex systems dynamics.
format Online
Article
Text
id pubmed-8680250
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-86802502021-12-17 The Frailty Syndrome: An Emergent Property of Parallel Dysregulation in Multiple Physiological Systems? Cohen, Alan Ghachem, Ahmed Fried, Linda Legault, Véronique Bandeen-Roche, Karen Presse, Nancy Gaudreau, Pierrette Innov Aging Abstracts Despite its widespread presence in older adults, frailty etiology is still unclear, being associated with dysregulation in diverse physiological systems. Here, we show evidence that frailty emerges from broad loss of homeostasis integrated through complex systems dynamics. Using the NuAge and WHAS cohorts, we calculated Mahalanobis distance-based physiological dysregulation in six systems and tested the breadth, diffuseness, and nonlinearity of associations between frailty and system-specific dysregulation. We found clear support for breadth of associations, but only partial support for diffuseness and nonlinearity: 1) physiological dysregulation is positively associated with frailty in many or all systems, depending on analyses; 2) the number of dysregulated systems or the total amount of dysregulation are more predictive than individual systems, but results only partially replicated across cohorts; 3) dysregulation trends are exponential, but not always significant. These results suggest, but do not fully prove, that frailty is an emergent property of complex systems dynamics. Oxford University Press 2021-12-17 /pmc/articles/PMC8680250/ http://dx.doi.org/10.1093/geroni/igab046.1482 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Cohen, Alan
Ghachem, Ahmed
Fried, Linda
Legault, Véronique
Bandeen-Roche, Karen
Presse, Nancy
Gaudreau, Pierrette
The Frailty Syndrome: An Emergent Property of Parallel Dysregulation in Multiple Physiological Systems?
title The Frailty Syndrome: An Emergent Property of Parallel Dysregulation in Multiple Physiological Systems?
title_full The Frailty Syndrome: An Emergent Property of Parallel Dysregulation in Multiple Physiological Systems?
title_fullStr The Frailty Syndrome: An Emergent Property of Parallel Dysregulation in Multiple Physiological Systems?
title_full_unstemmed The Frailty Syndrome: An Emergent Property of Parallel Dysregulation in Multiple Physiological Systems?
title_short The Frailty Syndrome: An Emergent Property of Parallel Dysregulation in Multiple Physiological Systems?
title_sort frailty syndrome: an emergent property of parallel dysregulation in multiple physiological systems?
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8680250/
http://dx.doi.org/10.1093/geroni/igab046.1482
work_keys_str_mv AT cohenalan thefrailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT ghachemahmed thefrailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT friedlinda thefrailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT legaultveronique thefrailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT bandeenrochekaren thefrailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT pressenancy thefrailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT gaudreaupierrette thefrailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT cohenalan frailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT ghachemahmed frailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT friedlinda frailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT legaultveronique frailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT bandeenrochekaren frailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT pressenancy frailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems
AT gaudreaupierrette frailtysyndromeanemergentpropertyofparalleldysregulationinmultiplephysiologicalsystems