Differences in the effect of exercise interventions between prefrail older adults and older adults without frailty: A pilot study

Takano, Eiko; Teranishi, Toshio; Watanabe, Toyoaki; Ohno, Kensuke; Kitaji, Shiko; Sawa, Shunji; Kanada, Yoshikiyo; Toba, Kenji; Kondo, Izumi

doi:10.1111/ggi.12853

Cited by 19 publications

(32 citation statements)

References 15 publications

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“…In general, our results are comparable with those of previous studies. However, contrary 11 to other studies, Takano et al showed that the implementation of 4-month exercise interventions did not significantly affect frailty status (38).…”

Section: Discussionmentioning

confidence: 75%

The Impact of the Otago Exercise Program on Frailty and Empowerment in Older Nursing Home Residents: A Randomized Controlled Trial

Şahin

Aykar²,

Yıldırım

et al. 2022

Ann Geriatr Med Res

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Ethical approval:The study protocol was approved by the Ethics Committee of Ege University Faculty of Medicine (Number 70198063-050.06.04). All procedures performed in studies involving human participants were in accordance with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards .Informed consent: All of the patients were informed of the study protocols in detail and provided their informed written consent .

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Section: Discussionmentioning

confidence: 75%

The Impact of the Otago Exercise Program on Frailty and Empowerment in Older Nursing Home Residents: A Randomized Controlled Trial

Şahin

Aykar²,

Yıldırım

et al. 2022

Ann Geriatr Med Res

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“…Similar to a previous study (Uchmanowicz et al, 2020), frailty is associated with the increase in the hazard of hospitalization across clinical contexts in CHF patients. The guidelines of CHF management indicated that exercise could improve physical function and quality of life, and decrease rehospitalization and mortality (Takano et al, 2017). The participants with exercise (≥30 minutes one time) at least three times a week show a low prevalence of frailty in our findings.…”

Section: Discussionmentioning

confidence: 99%

Frailty Affects Self-Care Behavior in Congestive Heart Failure

Han

Luo

et al. 2022

Clin Nurs Res

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To explore the association between frailty and self-care in older adults with congestive heart failure and analyze their influencing factors. The cross-sectional study was conducted at the department of cardiology of a hospital in China from March 2018 to November 2018. A total of 165 participants were recruited. Frailty and self-care were measured by the Tilburg Frailty Indicator, and the Self-care of Heart Failure Index (V6). The physical, psychological, and social frailty exerted a significant negative association with self-care. Exercise, income, comorbidities, and times of congestive heart failure-related hospitalizations were independent risk factors for frailty; surgical treatment, comorbidities, and income were independent risk factors for self-care. These findings help to fill the need for new approaches to identify the high risk of frailty individuals in the acute care setting for targeted intervention and tailored transitions in care to promote optimal patient quality care and biopsychosocial well-being.

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“…2 Nutrition or protein supplementation regimes described in studies included appropriate dietary emphasis on daily milk, eggs, tuna, chicken, plant-based protein, or, where preferred, 2 × 200 mL of formula per day (containing 25 g protein, 400 kcal energy, 9.4 g essential amino acids, and 400 mL water). 34 Several studies found that participation rates in physical exercise activities remained as high as 90%, [66][67][68] though some dipped to 50%. 54 A differentiator appears to have been the level of periodic encouragement to continue participation by practising medical professionals.…”

Section: Implications For Research and Practicementioning

confidence: 99%

Delaying and reversing frailty: a systematic review of primary care interventions

et al. 2018

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BackgroundRecommendations for routine frailty screening in general practice are increasing as frailty prevalence grows. In England, frailty identification became a contractual requirement in 2017. However, there is little guidance on the most effective and practical interventions once frailty has been identified.AimTo assess the comparative effectiveness and ease of implementation of frailty interventions in primary care.Design and settingA systematic review of frailty interventions in primary care.MethodScientific databases were searched from inception to May 2017 for randomised controlled trials or cohort studies with control groups on primary care frailty interventions. Screening methods, interventions, and outcomes were analysed in included studies. Effectiveness was scored in terms of change of frailty status or frailty indicators and ease of implementation in terms of human resources, marginal costs, and time requirements.ResultsA total of 925 studies satisfied search criteria and 46 were included. There were 15 690 participants (median study size was 160 participants). Studies reflected a broad heterogeneity. There were 17 different frailty screening methods. Of the frailty interventions, 23 involved physical activity and other interventions involved health education, nutrition supplementation, home visits, hormone supplementation, and counselling. A significant improvement of frailty status was demonstrated in 71% (n = 10) of studies and of frailty indicators in 69% (n=22) of studies where measured. Interventions with both muscle strength training and protein supplementation were consistently placed highest for effectiveness and ease of implementation.ConclusionA combination of muscle strength training and protein supplementation was the most effective intervention to delay or reverse frailty and the easiest to implement in primary care. A map of interventions was created that can be used to inform choices for managing frailty.

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Differences in the effect of exercise interventions between prefrail older adults and older adults without frailty: A pilot study

Cited by 19 publications

References 15 publications

The Impact of the Otago Exercise Program on Frailty and Empowerment in Older Nursing Home Residents: A Randomized Controlled Trial

The Impact of the Otago Exercise Program on Frailty and Empowerment in Older Nursing Home Residents: A Randomized Controlled Trial

Frailty Affects Self-Care Behavior in Congestive Heart Failure

Delaying and reversing frailty: a systematic review of primary care interventions

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