A multicomponent exercise program improves physical function in long-term nursing home residents: A randomized controlled trial

Arrieta, Haritz; Rezola-Pardo, Chloe; Zarrazquin, Idoia; Echeverria, Iñaki; Yanguas, José Javier; Iturburu, Miren; Gil, Susana María; Rodríguez-Larrad, Ana; Irazusta, Jon

doi:10.1016/j.exger.2018.01.008

Cited by 69 publications

(109 citation statements)

References 34 publications

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“…We previously described the effects of the intervention on anthropometric, physical fitness, habitual physical activity parameters, and myostatin levels in LTNH residents. 13,27,30 Frailty was assessed at baseline and at 6 months with the Fried's frailty phenotype, 1 Short Physical Performance Battery (SPPB), 31 Study of Osteoporotic Fractures frailty (SOF) index, 32 and Tilburg Frailty Indicator (TFI). 33 Frailty defined by the Fried's frailty phenotype was identified by the presence of three or more of the following signs/symptoms: unintended weight loss, exhaustion, weakness, slow gait speed, and low physical activity.…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…However, little is known about the capacity of these interventions to tackle frailty among LTNH residents, a complex population in terms of physical and cognitive functions . Recent studies show that implementation of physical exercise programs in LTNH settings is effective for improving strength, gait ability, and balance . Considering that clinical frailty scales include components such as strength and gait ability, exercise programs could also be effective to reduce frailty in this population.…”

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confidence: 99%

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Effects of Multicomponent Exercise on Frailty in Long‐Term Nursing Homes: A Randomized Controlled Trial

Arrieta

Rezola-Pardo

Gil

et al. 2019

J American Geriatrics Society

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OBJECTIVES To determine the effect of multicomponent exercise on frailty and related adverse outcomes in residents of long‐term nursing homes (LTNHs). DESIGN A single‐blind randomized controlled trial. SETTING Ten LTNHs in Gipuzkoa, Spain. PARTICIPANTS The study sample comprised 112 men and women aged 70 years or older who scored 50 or higher on the Barthel Index, 20 or higher on the MEC‐35 test (an adapted and validated version of the Mini‐Mental State Examination in Spanish), and who were capable of standing up and walking independently for at least 10 m. INTERVENTION Subjects in the control group (CG) participated in routine activities. The intervention group (IG) participated in a 6‐month program of individualized and progressive multicomponent exercise at moderate intensity. MEASUREMENTS Frailty was assessed by four different scales at baseline and at 6 months. The Barthel Index was measured at baseline and at 12 months. Frailty‐related adverse outcomes were recorded from 12 months before to 12 months after starting the intervention. RESULTS A lower prevalence of frailty was observed in the IG compared with the CG according to Fried's frailty phenotype, Short Physical Performance Battery, and Tilburg Frailty Indicator after 6 months (p < .05). There was a decline in the CG on the Barthel Index after 12 months (p < .05), whereas score was maintained in the IG. Both groups experienced a similar number of falls before and after the intervention (p > .05), but during the 6‐month intervention period, fewer falls were observed in the IG than the CG (p < .05). Lower overall mortality was observed 12 months after starting the intervention for the IG than the CG (1 vs 6, respectively; p = .05). CONCLUSION Individualized and progressive multicomponent exercise at moderate intensity seems to be effective to prevent falls and reduce frailty and mortality.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Effects of Multicomponent Exercise on Frailty in Long‐Term Nursing Homes: A Randomized Controlled Trial

Arrieta

Rezola-Pardo

Gil

et al. 2019

J American Geriatrics Society

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“…The interventions of the PROfit program combine components of exercise programs that have been proven to yield health benefits for nursing home residents [ 51 , 93 , 98 , 99 ]. Especially the physical outcomes, e.g., walking capacity, muscle strength, and balance capacity have been shown to be improved by multicomponent interventions as conducted within the PROfit approach [ 91 , 93 , 100 ].…”

Section: Discussionmentioning

confidence: 99%

“…Exercise sessions will be administered by at least one certified exercise scientist or physiotherapist. The program follows the International Association of Gerontology and Geriatrics (IAGG) guidelines and combines previously published exercises that have proven to be beneficial for cognitive-motor performance in older people in the community and need of care [ 91 , 92 ].…”

Section: Methods/study Designmentioning

confidence: 99%

A three-armed cognitive-motor exercise intervention to increase spatial orientation and life-space mobility in nursing home residents: study protocol of a randomized controlled trial in the PROfit project

et al. 2020

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Background In nursing home residents, the combination of decreasing mobility and declining cognitive abilities, including spatial orientation, often leads to reduced physical activity (PA) and life-space (LS) mobility. As a consequence of sedentary behavior, there is a lack of social interaction and cognitive stimulation, resulting in low quality of life. It has not yet been examined whether cognitive-motor training including spatial cognitive tasks is suitable to improve spatial orientation and, as a consequence, to enlarge LS mobility, and increase well-being and general cognitive-motor functioning. Therefore, the overall goal of this multicentric randomized controlled trial (RCT) is to compare the effect of three different intervention approaches including functional exercise and orientation tasks on PA, LS and spatial orientation in nursing home residents. Methods A three-arm single-blinded multicenter RCT with a wait-list control group will be conducted in a sample of 513 individuals (needed according to power analysis) in three different regions in Germany. In each nursing home, one of three different intervention approaches will be delivered to participating residents for 12 weeks, twice a week for 45 min each: The PROfit basic group will perform functional strength, balance, flexibility, and walking exercises always at the same location, whereas the PROfit plus group changes the location three times while performing similar/the same exercises as the PROfit basic group. The PROfit orientation group receives navigation tasks in addition to the relocation during the intervention. Physical and cognitive functioning as well as psychological measures will be assessed in all study groups at baseline. Participants will then be randomized into either the intervention group or the wait-list control group. After 12 weeks, and after 24 weeks the measures will be repeated. Discussion This study evaluates whether the three different interventions are feasible to reduce the decline of or even improve PA, LS, and spatial orientation in nursing home residents. By adding different training locations in PROfit plus, the program is expected to be superior to PROfit basic in increasing physical and cognitive parameters. Moreover, we expect the PROfit orientation intervention to be most effective in terms of PA, LS, and spatial orientation due to two mechanisms: (1) increased physical and cognitive activity will enhance cognitive-motor capacity and (2) the spatial training will help to build up cognitive strategies to compensate for age-related loss of spatial orientation abilities and related limitations. Trial registration The trial was prospectively registered at DRKS.de with registration number DRKS00021423 on April 16, 2020 and was granted permission by the Technical University Berlin local ethics committee (No. GR_14_20191217).

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Feasibility Assessment of Muscle Force Estimation Using the Myo Armband During Arm Curl Training

Amilibia

Hadjadje

Cortés

et al. 2021

Biosystems &Amp; Biorobotics

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A multicomponent exercise program improves physical function in long-term nursing home residents: A randomized controlled trial

Cited by 69 publications

References 34 publications

Effects of Multicomponent Exercise on Frailty in Long‐Term Nursing Homes: A Randomized Controlled Trial

Effects of Multicomponent Exercise on Frailty in Long‐Term Nursing Homes: A Randomized Controlled Trial

A three-armed cognitive-motor exercise intervention to increase spatial orientation and life-space mobility in nursing home residents: study protocol of a randomized controlled trial in the PROfit project

Feasibility Assessment of Muscle Force Estimation Using the Myo Armband During Arm Curl Training

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