Effects of physical exercise on physical function in older adults in residential care: a systematic review and network meta-analysis of randomised controlled trials

Saco-Ledo, Gonzalo; Morales, Javier S.; Gallardo-Gómez, Daniel; Morales-Palomo, Félix; López-Ortiz, Susana; Rivas-Baeza, Beatriz; Castillo‐García, Adrián; Jiménez-Pavón, David; Santos‐Lozano, Alejandro; Cruz, Borja del Pozo; Lucía, Alejandro

doi:10.1016/s2666-7568(23)00057-0

Cited by 28 publications

(8 citation statements)

References 50 publications

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“…Notably, interventions aimed at improving care involving BADLs have shown promising results [60,61], even reducing the number of falls [42]. Additionally, exercise and physical activity provide clinical benefits across a broad spectrum of both physical and cognitive capacities, effectively addressing various diseases and disabilities in older adults [62,63]. Therefore, it is imperative that the prescription of exercise becomes a mandatory component in the training of all healthcare professionals and is consistently promoted in long-term care facilities [62,63].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, exercise and physical activity provide clinical benefits across a broad spectrum of both physical and cognitive capacities, effectively addressing various diseases and disabilities in older adults [62,63]. Therefore, it is imperative that the prescription of exercise becomes a mandatory component in the training of all healthcare professionals and is consistently promoted in long-term care facilities [62,63]. Finally, access to a kitchen in NHs may significantly address malnutrition among residents who are dependent when eating, enabling meal adaptation based on factors like innate preferences, motivations, attitudes, hunger, personality traits, and values [50,53].…”

Section: Discussionmentioning

confidence: 99%

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Exploring Early, Middle, and Late Loss in Basic Activities of Daily Living among Nursing Home Residents: A Multicenter Observational Study

Moreno-Martin,

Minobes-Molina,

Carbó-Cardeña

et al. 2024

Healthcare

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Nursing home (NH) residents commonly face limitations in basic activities of daily living (BADLs), following a hierarchical decline. Understanding this hierarchy is crucial for personalized care. This study explores factors associated with early, middle, and late loss in BADLs among NH residents. A multicenter cross-sectional study was conducted in 30 NHs in Catalonia, Spain. Dependent variables were related to limitations in BADLs: early loss (self-care-related BADLs: personal hygiene, dressing, or bathing), middle loss (mobility-related BADLs: walking or wheelchair handling, toileting, and transferring), and late loss (eating). Independent variables were based on a comprehensive geriatric assessment and institutional factors. Logistic regression was used for the multivariate analyses. The study included 671 older adults. Early loss in BADLs was significantly associated with urinary incontinence, cognitive impairment, and falls. Middle loss in BADLs was linked to fecal incontinence, urinary incontinence, ulcers, and cognitive impairment. Late loss in BADLs was associated with fecal incontinence, the NH not owning a kitchen, neurological disease, cognitive impairment, dysphagia, polypharmacy, and weight loss. These findings highlight the need to address geriatric syndromes, especially cognitive impairment and bladder/bowel incontinence. Monitoring these syndromes could effectively anticipate care dependency. The presence of kitchens in NHs may help to address limitations to eating, allowing for potential personalized meal adaptation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exploring Early, Middle, and Late Loss in Basic Activities of Daily Living among Nursing Home Residents: A Multicenter Observational Study

Moreno-Martin,

Minobes-Molina,

Carbó-Cardeña

et al. 2024

Healthcare

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“…B. [ 27 ]) nahelegen. Eine moderne gerontologisch-geriatrische Präventionsforschung muss diese Datenbasis stärken und für verschiedene Gruppen älterer Menschen – v. a. für hochaltrige oder vulnerable Gruppen – ausbauen.…”

Section: Ergebnisseunclassified

Prävention und Gesundheitsförderung im und für das Alter stärken

Gellert,

Brandenburg,

Franke

et al. 2023

Z Gerontol Geriat

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Zusammenfassung Hintergrund Prävention von Erkrankungen und Gesundheitsförderung im und für das Alter haben an Bedeutung gewonnen. Dennoch bedarf es mehr (nationaler) Forschung und Umsetzung in der Praxis, wie der internationale Vergleich zeigt. Ziel der Arbeit Leitgedanken für Forschung und Praxis zu Prävention und Gesundheitsförderung im und für das Alter entwickeln. Material und Methoden Im Rahmen eines iterativen Prozesses kamen Mitglieder der Deutschen Gesellschaft für Gerontologie und Geriatrie in Workshops und Symposien zusammen, um wesentliche Leitgedanken und Handlungsfelder zu Prävention und Gesundheitsförderung zu formulieren. Ergebnisse Herausgearbeitet wurden: 1. Prävention und Gesundheitsförderung sind bis ins hohe Alter sinnvoll und möglich, 2. Prävention und Gesundheitsförderung für das Alter sollten früh beginnen, 3. Prävention und Gesundheitsförderung müssen die Diversität und Heterogenität der Lebenslagen alter Menschen aufgreifen, 4. Prävention und Gesundheitsförderung fördern und fordern Selbstbestimmung und Partizipation, 5. Prävention von Mehrfacherkrankungen gilt es, stärker in den Blick zu nehmen, 6. Prävention von Pflegebedürftigkeit und Prävention in der Pflege sind gleichrangig zu behandeln, 7. Prävention und Gesundheitsförderung müssen lebensweltlich und sektorenübergreifend gedacht werden, dabei sind v. a. Aspekte der sozialen Ungleichheit und eine Ressourcenorientierung mitzubeachten, 8. Prävention und Gesundheitsförderung und die Forschung dazu sind inter- und transdisziplinär und auf unterschiedlichen Ebenen anzulegen, von molekular bis gesellschaftlich. Diskussion Die Leitgedanken spannen Schwerpunkte einer zukunftsgerichteten Alterns‑, Gesundheits- und Versorgungsforschung auf und öffnen Handlungsfelder, aber auch Grenzen dieses Zugangs für politische Entscheidungstragende, Forschende und Praktiker:innen.

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“…A Social Welfare Corporation and the authors are conducting a "study of functional training-type nursing care services from the perspective of horticultural therapy for nursing care [7]. This research is underway on the benefits of passive horticultural therapy, including visual stimulation of the gardening environment and horticultural works and the benefits of hand care treatment plus brain rejuvenation aroma [8].…”

Section: Introductionmentioning

confidence: 99%

Influences of Horticultural Therapy and Functional Recovery Training at a Day-Care Center for the Elderly and Text Mining of Care Records by AI

Koura,

Matsutani,

Nagao

et al. 2024

OJTR

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Background: In Japan, due to the COVID-19 pandemic, various behavioral restrictions were implemented from March 2020, resulting in an increased number of elderly people with reduced participation in care and rehabilitation. As a result, the decline in motor and cognitive functions became more pronounced. Purpose: The study examined how activities combining passive horticultural therapy, which is always introduced, with active functional recovery training, which is used in the functional recovery training of patients with hemiplegia, influence the behavior of elder people using the facility. Methods: 36 elder people with care need 1 or 2 who regularly used the day-care facilities after the pandemic ended and who agreed to participate in the study was included. The assessment data were every three months from December 2021 to December 2023 after the COVID-19 pandemic, the MMSE and Moca-J, TMIG-Index, and GDS15. AI-based text mining was used to compare changes in visit reports before and after the introduction of the Posture Chart and Red Code, and the relationship between the language used. Results: The results of MMSE and Moca-J were both significantly higher in Group B and C than in Group A. TIMG assessment, was significantly higher in Group B and C than in Group A, and Group C was significantly higher than Group B. The GDS, an assessment of depression in old age, tended to be significantly higher in Group A than in Groups B and C. In the "Co-Occurrence Network Analysis" shown after the introduction of the latest functional recovery training equipment such as the Red Cord, its results showed a high association between the words Bathing and CARE and words such as POSTURE, Red-Code,

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Effects of physical exercise on physical function in older adults in residential care: a systematic review and network meta-analysis of randomised controlled trials

Cited by 28 publications

References 50 publications

Exploring Early, Middle, and Late Loss in Basic Activities of Daily Living among Nursing Home Residents: A Multicenter Observational Study

Exploring Early, Middle, and Late Loss in Basic Activities of Daily Living among Nursing Home Residents: A Multicenter Observational Study

Prävention und Gesundheitsförderung im und für das Alter stärken

Influences of Horticultural Therapy and Functional Recovery Training at a Day-Care Center for the Elderly and Text Mining of Care Records by AI

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