Why Frailty Should Be Assessed in Older Adults Affected by Leprosy and How the Use of Smartphones Could Enhance This Health Monitoring

Leprosy is endemic in many low-income countries, affecting mainly the poorest communities. The disease can lead to sensorimotor functional losses that can predispose patients to reduced independence. In older adults, these losses associated with leprosy are added to those already resulting from natural aging and associated comorbidities, which can contribute to the clinical picture of frailty syndrome in these older adults. Early detection of frailty can reduce several serious consequences for these individuals, preventing loss of quality of life and financial costs to patients and the health care system. Sensors built into smartphones have been proposed as low-cost, and highly sensitive tools for detecting motor loss and could help monitor the risk of some frailty features in older people affected by leprosy.