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Healthy aging

Staying strong as you age: Understanding frailty and how to prevent it

Frailty is a common age-related condition that can increase the risk of falls, hospitalization and loss of independence. However, frailty is not an inevitable part of aging. Staying physically active, eating nutritious foods, maintaining social connections and attending regular medical checkups can help older adults reduce their risk and stay strong longer.

Growing older doesn't have to mean becoming weak or losing your independence. While our bodies naturally change with age, frailty is not a normal or unavoidable part of aging. In many cases, it can be prevented — or even slowed — through healthy lifestyle habits.

Whether you're an older adult looking to stay active or a caregiver supporting a loved one, learning about frailty is one of the best ways to protect long-term health and independence.

What is frailty and why does it matter?

Frailty is a condition in which the body becomes less able to recover from physical stress, such as an illness, fall, surgery or hospitalization. As we age, it's normal to lose some muscle strength and recover more slowly than we did in our younger years. However, frailty occurs when these changes become significant enough to interfere with everyday life.

People living with frailty are at greater risk for:

  • Falls and injuries
  • Broken bones
  • Hospitalizations
  • Disability
  • Loss of independence
  • Longer recovery after illness or surgery

Early signs of frailty to watch for

Frailty often starts with small changes that are easy to overlook. Paying attention to these early symptoms can help you address problems before they become more serious.

Common signs include:

  • Unintentional weight loss
  • Feeling tired or exhausted most days
  • Weaker grip strength, making it harder to open jars or carry groceries
  • Walking more slowly than you used to
  • Becoming less physically active because daily tasks feel more difficult

Physical activity can help prevent frailty

One of the most effective ways to prevent frailty is regular physical activity. You don't need expensive equipment or a gym membership to stay healthy. Small amounts of movement each day can make a big difference.

Ways to stay active include:

  • Taking a daily walk
  • Gardening
  • Dancing
  • Climbing stairs
  • Performing gentle strength exercises at home
  • Practicing balance exercises, such as tai chi or standing on one foot while holding onto a sturdy countertop

If you're unsure where to start, a physical therapist can design an exercise program that's safe, effective and tailored to your needs.

Nutrition and protein support overall health

Healthy eating plays a major role in maintaining muscle strength and energy as we age. Our bodies need enough protein to help preserve muscle mass and support recovery.

Try incorporating protein-rich foods throughout the day, such as:

  • Eggs
  • Chicken or turkey
  • Fish
  • Yogurt and cheese
  • Beans and lentils
  • Nut butters, nuts and seeds

Social connection for healthy aging

Good health isn't just physical — it's social, too. Staying connected with family, friends and your community helps support emotional well-being and often encourages you to stay active as you age.

Simple ways to stay engaged include:

  • Visiting family or friends
  • Attending church or community events
  • Volunteering
  • Joining a senior center
  • Participating in hobbies or clubs
  • Meeting a friend for coffee or a neighborhood walk

How routine checkups help reduce frailty risk

Regular visits with your healthcare provider are an important part of healthy aging. Routine appointments allow small concerns to be identified before they become bigger problems.

Your provider can:

  • Review your medications
  • Evaluate your strength and balance
  • Screen for nutrition concerns
  • Recommend exercise or therapy if needed

Caregivers should also watch for changes in a loved one's walking speed, appetite, energy level or ability to complete everyday activities. Addressing these changes early can make a meaningful difference.

Small daily habits that build strength over time

The best part about preventing frailty is that it's never too late to start. You don't have to overhaul your lifestyle overnight. Instead, focus on small, consistent habits that build strength over time. Try starting with one or two simple goals:

  • Take a 15- to 30-minute walk after dinner
  • Add protein to your breakfast
  • Practice a few balance exercises each day
  • Call a friend or family member
  • Spend time doing an activity you enjoy

Healthy aging isn't about avoiding every challenge. It's about giving your body and mind the best opportunity to stay resilient. By staying active, eating well, maintaining social connections and keeping up with regular medical care, you can reduce your risk of frailty and continue enjoying the activities that matter most for years to come.

References

  1. Fried LP, Tangen CM, Walston J, et al. Frailty in Older Adults: Evidence for a Phenotype. Journal of Gerontology: Medical Sciences. 2001;56(3):M146-M156.
  2. Kojima G, Liljas A, Iliffe S. Frailty: Evaluation and Management. American Family Physician. 2021;103(4):219-226.
  3. Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of Frailty in Community-Dwelling Older Persons: A Systematic Review. Journal of the American Geriatrics Society. 2012;60(8):1487-1492.
  4. Cleveland Clinic. What Is Frailty? Updated February 3, 2026.
  5. Dent E, Martin FC, Bergman H, et al. Management of Frailty: Opportunities, Challenges, and Future Directions. Maturitas. 2019;121:42-48.
  6. Racey M, O'Brien C, Douglas S, et al. Effectiveness of Nutrition Interventions and Combined Nutrition and Physical Activity Interventions in Older Adults with Frailty or Prefrailty: A Systematic Review and Meta-analysis. CMAJ Open.
  7. 2021;9(3):E744-E756.
  8. Lorenzo-López L, Maseda A, de Labra C, Regueiro-Folgueira L, Rodríguez-Villamil JL, Millán-Calenti JC. Nutritional Determinants of Frailty in Older Adults: A Systematic Review. BMC Geriatrics. 2017;17:108.

Mary Evelyn Brown August

PT, DPT
Physical therapist

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