Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: A meta-analysis

Vries, Nienke M. de; Ravensberg, C.D. van; Hobbelen, Hans; Rikkert, Marcel G M Olde; Staal, J. Bart; Sanden, Maria W. G. Nijhuis-van der

doi:10.1016/j.arr.2011.11.002

Cited by 314 publications

(259 citation statements)

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“…Exercise therapy, 33 nutritional supplementation with micronutrients, 34 calcium and vitamin D 35,36 and multidisciplinary management 37 may be beneficial. Consensus definitions of malnutrition and frailty are needed so that comparable intervention trials can be designed to study the effect of interventions on outcomes.…”

Section: Discussionmentioning

confidence: 99%

Prognostic value of simple frailty and malnutrition screening tools in patients with acute heart failure due to left ventricular systolic dysfunction

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Prognostic value of simple frailty and malnutrition screening tools in patients with acute heart failure due to left ventricular systolic dysfunction

et al. 2017

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“…Early identification and treatment of frailty and prefrailty is important for attenuating the progression of complications or preventing the exacerbation of conditions (Fried et al 2004;Walston et al 2002). Interventions for preventing or minimizing the effects of frailty in older adults include physical activity, nutrition, and lifestyle changes (Artaza-Artabe et al 2016;Cadore et al 2013;Chou et al 2012;Daniels et al 2008;de Vries et al 2012). The pre-frail population may benefit from treatment, yet are often excluded from interventions comparing frail to nonfrail participants (Fernández-Garridoa et al 2014).…”

Section: Health Implications Of Frailtymentioning

confidence: 99%

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Laur

McNicholl

Valaitis

et al. 2017

Appl. Physiol. Nutr. Metab.

123

116

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Abstract:There is increasing awareness of the detrimental health impact of frailty on older adults and of the high prevalence of malnutrition in this segment of the population. Experts in these 2 arenas need to be cognizant of the overlap in constructs, diagnosis, and treatment of frailty and malnutrition. There is a lack of consensus regarding the definition of malnutrition and how it should be assessed. While there is consensus on the definition of frailty, there is no agreement on how it should be measured. Separate assessment tools exist for both malnutrition and frailty; however, there is intersection between concepts and measures. This narrative review highlights some of the intersections within these screening/assessment tools, including weight loss/decreased body mass, functional capacity, and weakness (handgrip strength). The potential for identification of a minimal set of objective measures to identify, or at least consider risk for both conditions, is proposed. Frailty and malnutrition have also been shown to result in similar negative health outcomes and consequently common treatment strategies have been studied, including oral nutritional supplements. While many of the outcomes of treatment relate to both concepts of frailty and malnutrition, research questions are typically focused on the frailty concept, leading to possible gaps or missed opportunities in understanding the effect of complementary interventions on malnutrition. A better understanding of how these conditions overlap may improve treatment strategies for frail, malnourished, older adults.Key words: frailty, malnutrition, screening, assessment, diagnosis, handgrip strength, oral nutritional supplements, older adult.Résumé : Les effets néfastes de la fragilité des personnes âgées sur leur santé ainsi que la forte prévalence de malnutrition dans cette strate de la population suscitent une prise de conscience grandissante. Les experts dans ces deux domaines doivent être au fait du chevauchement des construits, du diagnostic et du traitement de la fragilité et de la malnutrition. Il n'y a pas encore de consensus au sujet de la définition de la malnutrition et de son évaluation. Concernant la fragilité, on s'entend sur sa définition, mais pas sur sa mesure. Il existe pourtant des outils distincts de mesure de la malnutrition et de la fragilité et, d'ailleurs, les concepts et mesures présentent une intersection. Cette revue narrative souligne les intersections entre les outils de dépistage et d'évaluation comme la perte de poids/diminution de la masse corporelle, de la capacité fonctionnelle et la faiblesse (force de préhension manuelle). En guise de tentative, on propose un ensemble minimal de mesures objectives pour la détermination ou, à tout le moins, l'identification d'un risque dans les deux conditions. La fragilité et la malnutrition aboutissent, études à l'appui, à des problèmes de santé similaires justifiant des stratégies communes de traitement tels les suppléments nutritionnels oraux. Alors que plusieurs résultats du traitement c...

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“…Clinical trials among community-dwelling older adults showed that regular physical exercise increases mobility (de Vries et al, 2012;Gill et al, 2004;Mulrow et al, 1994), balance (Miller, Magel, & Hayes, 2010;Olson, Chen, & Wang, 2011;Simons & Andel, 2006), aerobic capacity (Buchner, Beresford, Larson, LaCroix, & Wagner, 1992;xxxx et al, xxxx[AUQ3]), walking speed (Fiatarone et al, 1994;Taguchi, Higaki, Inoue, Kimura, & Tanaka, 2010), muscle strength (Cress et al, 1999;Lovell, Cuneo, & Gass, 2010;Penninx et al, 2001), and muscle flexibility (Hallage et al, 2010), and also helps maintain a greater degree of autonomy. All these elements are closely related to a better perception of quality of life ([QOL]; Dechamps et al, 2010;Lobo, Santos, Carvalho, & Mota, 2008).…”

mentioning

confidence: 99%

A Multicomponent Exercise Program for Older Adults Living in Residential Care Facilities: Direct and Indirect Effects on Physical Functioning

Mulasso¹,

Roppolo²,

Liubicich³

et al. 2015

Journal of Aging and Physical Activity

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The aim of this study was to assess the direct and indirect effects of a multicomponent exercise (MCE) program on mobility and balance in institutionalized older people. One hundred and twelve subjects (85 women; 83.0 years on average; SD = 7.5) were included in the study, and divided into a MCE-group (MCE-G) and a control group (CG) according to matching techniques. The MCE-G consisted of a 9-month program featuring range-of-motion, strength, and balance exercises performed in small groups. The CG received routine medical and nursing care. The timed up-and-go test and Tinetti Performance-Oriented Mobility Assessment balance subscale were administered at baseline and postintervention. After controlling for physical baseline value, age, sex, residential care facilities, and body mass index, the MCE-G showed positive effects both on mobility (p < .001) and balance (p = .001). The role of balance as mediator in the relationship between participation to the MCE program and mobility was demonstrated.

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Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: A meta-analysis

Cited by 314 publications

References 50 publications

Prognostic value of simple frailty and malnutrition screening tools in patients with acute heart failure due to left ventricular systolic dysfunction

Prognostic value of simple frailty and malnutrition screening tools in patients with acute heart failure due to left ventricular systolic dysfunction

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

A Multicomponent Exercise Program for Older Adults Living in Residential Care Facilities: Direct and Indirect Effects on Physical Functioning

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