Effectiveness of exercise interventions on physical function in community-dwelling frail older people: an umbrella review of systematic reviews

Jadczak, Agathe Daria; Makwana, Naresh; Luscombe-Marsh, Natalie D.; Visvanathan, Renuka; Schultz, Tim

doi:10.11124/jbisrir-2017-003551

Cited by 186 publications

(174 citation statements)

References 38 publications

Supporting

Mentioning

150

Contrasting

Unclassified

Order By: Relevance

“…Exercise training has been demonstrated to be beneficial in improving frailty symptoms and cognitive function, in addition to being cost effective (26,27). The evidence corroborates with the existing notion that exercise has the potential to reverse frailty by improving physical function (28).…”

Section: Components Of the Multi-domain Interventionsupporting

confidence: 73%

“…Thus, we developed a multicomponent exercise program based on the combination of the available evidence. Firstly, the components of aerobic exercise, progressive resistance training, balance and flexibility were selected as it addresses the frailty criterion of weakness, slow motor performance, low physical activity, and fatigability (26,37). Next, we benchmarked the evidence in an umbrella systematic review of systematic reviews (total of 58 RCTs) evaluating the effectiveness of exercise-based interventions among those with pre-frailty and frailty (26).…”

Section: Development and Selection Of Specific Interventionmentioning

confidence: 99%

“…Firstly, the components of aerobic exercise, progressive resistance training, balance and flexibility were selected as it addresses the frailty criterion of weakness, slow motor performance, low physical activity, and fatigability (26,37). Next, we benchmarked the evidence in an umbrella systematic review of systematic reviews (total of 58 RCTs) evaluating the effectiveness of exercise-based interventions among those with pre-frailty and frailty (26). In this review, it was concluded that multi-component exercise training was the most effective form of exercise-based intervention among prefrail and frail older persons as it improved physical performance, specifically muscle strength, gait speed, and balance (26).…”

Section: Development and Selection Of Specific Interventionmentioning

confidence: 99%

See 2 more Smart Citations

A Multi-Domain Intervention Protocol for the Potential Reversal of Cognitive Frailty: “WE-RISE” Randomized Controlled Trial

Murukesu

Singh

Shahar

et al. 2020

Front. Public Health

View full text Add to dashboard Cite

Following the rapid increase of the aging population, health promotion and prevention of physical disability and dementia in older persons are essential for healthy aging. For example, there may be a potential to prevent or reverse cognitive frailty, the coexistence of both physical frailty and cognitive impairment in older persons. However, evidence-based interventions targeting the prevention or potential reversibility of cognitive frailty among community dwelling older adults are scarce. In this paper, we described the rationale, development and delivery of a multi-domain intervention comprising multi-component physical exercise prescription, cognitive training, dietary counseling and promotion of psychosocial support, called the WE-RISE trial. The aim of WE-RISE intervention is to potentially reverse cognitive frailty. This is a two-armed, single blinded, randomized controlled trial conducted over a duration of 6 months, at senior citizen activity centers within the Klang Valley, Malaysia. Ambulating, community dwelling older adults aged 60 years and above with cognitive frailty are randomized into two groups; (1) intervention group: which receives an instructor based "WE-RISE" intervention for the first 3 months, and then a home-based "WE-RISE at Home" intervention for the following 3 months; (2) control group: usual care with no modifications to their daily routine. Primary outcome is cognitive frailty status and secondary outcome include physical function, cognitive performance, nutritional status, psychosocial status and quality of life which are obtained during baseline screening and subsequent follow ups at 3rd and 6th month. Description of the intervention is done using the template for intervention description and replication (TIDieR) checklist. This trial protocol has received approval from Research Ethics Committee of Universiti Kebangsaan Malaysia (UKM PPI/111/8/JEP-2018-558) and the Department of Social Welfare Malaysia (MyResearch Reference: JKMM 100/12/5/2: 2018/405). Trial registration number: ACTRN12619001055190.

show abstract

Section: Components Of the Multi-domain Interventionsupporting

confidence: 73%

Section: Development and Selection Of Specific Interventionmentioning

confidence: 99%

Section: Development and Selection Of Specific Interventionmentioning

confidence: 99%

See 1 more Smart Citation

A Multi-Domain Intervention Protocol for the Potential Reversal of Cognitive Frailty: “WE-RISE” Randomized Controlled Trial

Murukesu

Singh

Shahar

et al. 2020

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…An assessment of PF provides a basis for an early evaluation of functional decline in older persons, whose PF ranges from vigorous to frail, and can guide geriatric treatment strategies (2). Furthermore, as an outcome measure, PF is a vital component of studies comparing groups or evaluating the effect of different interventions on functional status in older adults (3,4).…”

Section: Introductionmentioning

confidence: 99%

Normative Values for the Short Physical Performance Battery (SPPB) and Their Association With Anthropometric Variables in Older Colombian Adults. The SABE Study, 2015

et al. 2020

View full text Add to dashboard Cite

Background: The short physical performance battery (SPPB) is a physical performance test of lower extremity function designed for non-disabled older adults. We aimed to establish reference values for community-dwelling Colombian adults aged 60 years or older in terms of (1) the total score; (2) the three subtest scores (walking speed, standing balance performance, and five times sit-to-stand test); and (3) the time to complete the five times sit-to-stand test, s and the walking speed test. Additionally, we sought to explore how much of the variance in the SPPB subtest scores could be explained by anthropometric variables (age, body mass, height, body mass index, and calf circumference).Methods: Participants were men and women aged 60 years or older who participated in the Health and Well-being and Aging Survey in Colombia, 2015. A sample of 4,211 participants (57.3% women) completed the SPPB test, and their anthropometric variables were evaluated. Age-specific percentiles were calculated using the LMS method (3rd, 10th, 25th, 50th, 75th, 90th, and 97th percentiles).Results: The mean SPPB total score for the entire sample was 8.73 (2.0) points. On average, the total SPPB score was 0.85 points greater in men than in women (p < 0.001). Significant sex differences were observed in all three age groups tested (60-69, 70-79, and 80+ years). In the full sample, our findings suggested that age, body mass, height, body mass index, and calf circumference are significant contributors to walking speed (p < 0.001) after controlling for confounding factors, including ethnicity, socioeconomic status, and urbanicity.Ramírez-Vélez et al. Physical Performance in Older AdultsConclusions: Percentile values are of interest to identify target populations for primary prevention and to estimate the proportion of high or low values for SPPB measures in community-dwelling Colombians aged at least 60 years.

show abstract

“…The majority of previous studies are based on short-term interventions among either healthy older adults or among older adults undergoing rehabilitation for specific clinical conditions [10,12]. More recently, the evidence on the effectiveness of SBT on community-dwelling frail population has been strengthening [15,16]. Nonetheless, among the longterm interventions, the intervention length only seldom has exceeded 1 year [9].…”

Section: Introductionmentioning

confidence: 99%

Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults

et al. 2019

View full text Add to dashboard Cite

Background Reductions in muscle strength and poor balance may lead to mobility limitations in older age. Aims We assessed the effects of long-term once-weekly strength and balance training (SBT) on muscle strength and physical functioning in a community-based sample of older adults. Methods 182 individuals [130 women and 52 men, mean age 80 (SD ± 3.9) years] underwent supervised SBT as part of the Geriatric Multidisciplinary Strategy for the Good Care of the Elderly study. Training was offered once a week for 2.3 years. Isometric knee extension and flexion strength, chair rise, maximal walking speed, timed up and go (TUG) and Berg Balance Scale (BBS) were measured at baseline, after 2-year training and at post intervention follow-up. A linear mixed model was used to examine the change in physical functioning over time. Results During the intervention, both women (2.5 s, p < 0.001) and men (1.4 s, p = 0.013) improved their chair rise capacity. Women's knee extension and flexion strength improved by 14.1 N (p = 0.003) and 16.3 N (p < 0.001), respectively. Their maximal walking speed also improved by 0.08 m/s (p < 0.001). In men, no changes in muscle strength or walking speed occurred during training or follow-up. No changes in BBS and TUG were observed at the end of the intervention, but decrease in BBS was observed at post-intervention follow-up in men. Conclusions In community-dwelling older adults with variety in health and functioning supervised strength and balance training once a week may help to prevent age-related decline in mobility and muscle strength.

show abstract

Effectiveness of exercise interventions on physical function in community-dwelling frail older people: an umbrella review of systematic reviews

Cited by 186 publications

References 38 publications

A Multi-Domain Intervention Protocol for the Potential Reversal of Cognitive Frailty: “WE-RISE” Randomized Controlled Trial

A Multi-Domain Intervention Protocol for the Potential Reversal of Cognitive Frailty: “WE-RISE” Randomized Controlled Trial

Normative Values for the Short Physical Performance Battery (SPPB) and Their Association With Anthropometric Variables in Older Colombian Adults. The SABE Study, 2015

Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults

Contact Info

Product

Resources

About