Abstract
Objective: To analyze the frail elderly syndrome and its prevention. Bibliographic review: The Brazilian age pyramid has changed in recent years with the aging process, which is a heterogeneous and progressive process, in which there are biopsychosocial and functional changes that culminate in the progressive reduction of the individual's ability to adapt to the environment. Frailty is the result of age-related physiological changes, based on a tripod of alterations: sarcopenia, neuroendocrine dysregulation and immune dysfunction whose risk factors are: advanced age, female gender, poor self-perception of health, low income and low education. Final considerations: The effective care of the elderly and the prevention of the syndrome are directly related to the adequate training of an adequate number of professionals and the existence of resources in order to provide special care to these individuals, in addition to longer intervention time, in addition to measures of public health that identify and act on risk factors such as social vulnerability in order to provide better care to frail patients.