Effects of exercise interventions on physical function, mobility, frailty status and strength in the pre-frail population: a review of the evidence base for practice

Lewis, Felicity J.; Stewart, Heather Christine; Roddam, Hazel

doi:10.1080/21679169.2019.1645882

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…The large number of frailty trajectories suggests that older adults in late life should be assessed regularly for signs and symptoms of deterioration, so that interventions can be implemented to prevent further deterioration. Interventions such as exercise and muscle strength training have been shown to be effective to delay or reverse frailty ( 33 , 34 ). Our study had some limitations.…”

Section: Discussionmentioning

confidence: 99%

Frailty trajectory over one year among residential aged care (nursing home) residents

Lim

Kelly²,

Andrade³

et al. 2022

Front. Med.

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ObjectivesLarge population-based studies examining frailty trajectory found a linear increase in frailty over time. The pattern in which frailty changes over time for an individual person is less well-described. We examined the frailty trajectory of older adults living in aged-care in Australia.Materials and methodsThis secondary study used data from a randomised controlled trial involving 39 aged-care facilities in Australia. The trial intervention was an on-going pharmacist-led intervention occurring every 8 weeks over 12 months aimed at preventing medicine-induced deterioration and adverse reactions. Frailty was assessed using the Frailty Index. Participants were categorised as non-frail, pre-frail and frail. Individual frailty trajectory over 12 months was visualised using the alluvial plot. Case notes were examined to explore reasons for any rapid transitions in frailty status.ResultsA total of 248 participants was included. At baseline, 40.3% were non-frail and 59.7% were pre-frail. The proportion of participants who were non-frail and pre-frail decreased over time; 15.7% were frail at 6 months and 23.4% were frail at 12 months. Overall, twenty different combinations of frailty transitions were identified over 12 months. Retrospective analysis of case notes suggest that death or transition from non-frail to frail was often preceded by hospitalisation, falls, medication change or clinically significant deterioration in grip strength or cognition.ConclusionThe degree of frailty increased over time, but there were variations in the individual trajectories. Regular monitoring of events that precede changes in frailty status is needed to identify strategies to prevent further deterioration in residents’ conditions.

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Section: Discussionmentioning

confidence: 99%

Frailty trajectory over one year among residential aged care (nursing home) residents

Lim

Kelly²,

Andrade³

et al. 2022

Front. Med.

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“…An aging population and shift in demographic composition, increases the social and economic burden of ill-health, chronic disability, and disease, with the number of healthy years lost to disability, also increasing (3) . Regular physical activity, has consistently been found to be protective for older adults facing declines in the domains of physical and cognitive function, self-reported health and vitality, mental health, and mortality (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) , with vigorous exercise performed for longer periods providing the greatest benefits (15,16) . Older adults however, are the least active age group in society (17) , with over 70% of Australian adults aged over 65, insufficiently active (2) .…”

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confidence: 99%

“If somebody had told me I’d feel like I do now, I wouldn’t have believed them…” Older adults’ experiences of the BELL trial: a qualitative study

Meigh

Davidson

Keogh

et al. 2021

Preprint

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Objectives: This study examined older adults′ experiences of participating in the BELL trial, involving 12-weeks of group-based hardstyle kettlebell training. Methods: In the BELL trial, 28 insufficiently active older adults (15 women, 13 men, 59-79 years) completed 6 weeks of face-to-face group training, and 6 weeks of home-based training. In-depth semi-structured interviews were audio recorded and transcribed, inductively coded, with themes constructed thematically from patterns of shared meaning. Results: Four higher-order themes were developed that reflect older adults' experiences participating in a group-exercise program of hardstyle kettlebell training. These included: (1) It's one of the best things we've done - enjoying the physical and psychosocial benefits, (2) It's improved it tremendously! - change in a long-term health condition, (3) It put me on a better course - overcoming challenges, (4) I wasn't just a number - feeling part of a group/community. Discussion: Findings highlight the perceived physical and psychological benefits of participating in hardstyle group kettlebell training, the value attributed to being part of an age-matched community of like-minded people engaged in group-exercise, as well as the challenges participants faced, and the sense of achievement in overcoming them. Implications for program design and delivery, and future research are discussed.

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Brika,

Maguet,

Desramault

et al. 2024

EMC - Medicina Riabilitativa

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Effects of exercise interventions on physical function, mobility, frailty status and strength in the pre-frail population: a review of the evidence base for practice

Cited by 6 publications

References 21 publications

Frailty trajectory over one year among residential aged care (nursing home) residents

Frailty trajectory over one year among residential aged care (nursing home) residents

“If somebody had told me I’d feel like I do now, I wouldn’t have believed them…” Older adults’ experiences of the BELL trial: a qualitative study

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