RT Book, Section A1 Kane, Robert L. A1 Ouslander, Joseph G. A1 Resnick, Barbara A1 Malone, Michael L. SR Print(0) ID 1149536784 T1 Decreased Vitality T2 Essentials of Clinical Geriatrics, 8e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259860515 LK accessmedicine.mhmedical.com/content.aspx?aid=1149536784 RD 2024/04/18 AB Older adults frequently report decreased vitality, which has a host of underlying causes. This chapter outlines metabolic factors that may lead to decreased energy in the older adults: endocrine disease, anemia, poor nutrition, and infection. Lack of exercise is discussed in Chapter 5. Although the topic of frailty is outlined in Chapter 1, this chapter will provide some essential clinical points to assist primary care providers at the bedside.