**4.1 What is a locomotive-frailty outpatient clinic?**

To properly assess and improve the holistic health of older individuals with or at risk of frailty, our hospital has been providing a comprehensive medical service since 2016, when we established the world's first locomotive-frailty outpatient clinic. In this clinic, a multidisciplinary team of geriatricians, orthopedic surgeons, and rehabilitation physicians, as well as physical therapists, dietitians, pharmacists, and social workers, conduct evaluations to determine an appropriate treatment plan for patients and propose and implement intervention methods. For example, dietitians provide dietary and nutritional guidance to patients with malnutrition and obesity problems, and physical therapists provide exercise guidance to patients with decreased muscle strength and balance. The prevalence of frailty among the patients seen in our clinic was found to be 30.9%, which is higher than the 6.1% and 11.3% [8] reported in a survey of older adults living in the community.
