National Center for Biotechnology Information pmc articles Community based group physical activity and or nutrition Jun 29 2022 Group based physical activity interventions that combine aerobic and resistance general PA and mind body exercise can improve measures of mobility in community dwelling
Springer article 10 Update on Interventions to Prevent or Reduce Frailty in Characteristics of Included Studies Quality of The Included Studies Interventions Studied Effect of Interventions on Frailty Nutritional Interventions and Interventions Effect on Quality of Life Adherence and Adverse Events Dissemination Or Implementation of Interventions and Population Strategies Stakeholder Consultation In this review 2385 abstracts were retrieved After removal of duplicates 1652 abstracts were each independently reviewed by two authors Sixteen papers were selected for full text assessment of eligibility and 10 papers were eventually included in qualitative synthesis Fig 1 Seven studies employed randomized controlled trials RCTs 22 23 24 25 26 27 28 two were single arm feasibility studies 29 30 and one employed a cluster non randomized controlled approach Tables 1 2 and 3 Appendix B Five studies were conducted in Asia 23 26 27 29 31 four in Europe 22 24 25 28 and one in Canada The number of participants in the single arm studies was nine and 51 respectively Among the other eight studies the number of participants ranged from 41 to 459 with a mean of 183 participants and a total of 1461 participants The study mean median age ranged from 71 6 to 86 years and percentage women study ranged between 31 2 See full list on link springer com The quality assessment results are presented in Appendix B Table C The quality was moderate to good for all the studies although the information about the target population and attempts to achieve the population representativeness were not clearly described in three non RCTs 29 30 31 The randomization method was not reported for one RCT and a relatively small control group size in another RCT Additionally outcome assessors were not blinded in two of the RCTs 26 28 and not reported in two RCTs 24 25 Adherence to the intervention sessions was lower than 80 in three studies 23 24 28 See full list on link springer com Frailty definitions and characteristics of the participants are listed in Table 1 Eight distinct assessments for frailty were used across 10 studies with two studies 23 30 that used two distinct frailty assessments each Other than the most commonly used Fried physical phenotype by four studies 23 24 26 28 the other studies have adopted frailty definition assessment that also included cognition and or social dimensions 22 27 30 and or checklist questionnaire type assessment 27 29 31 with less need of measurement instruments e g grip strength and gait speed for easy screening and identification Four studies 22 27 30 31 used multi dimensional frailty definitions with corresponding multi domain 27 31 or multi disciplinary 22 30 interventions The characteristics of interventions are detailed in Table 2 Two studies comprised of physical education alone 26 29 while the remaining eight studies were multi domain in nature including i physic See full list on link springer com Overall 9 of the 10 studies 23 24 25 26 27 28 29 30 31 reported reduction in the level of frailty with intervention While there was no difference in frailty status a multi domain intervention that included resistance exercise training reported significant improvement in frailty components of strength and gait speed compared to a single education session control Nagai et al reported greater increase in lower limb strength and daily steps with significant reductions in frailty scores in the intervention than control group However preventive home visits or senior group meetings involving health and social information and education were not effective in reducing frailty as measured by sum of frailty indicators even though tiredness in daily activities was reduced Although Luger et al reported no between group differences both groups experienced reduced SHARE FI frailty score Reduction in frailty scores was identified in both single arm studies 29 30 See full list on link springer com Six studies employed nutrition related interventions 23 24 25 27 28 31 and seven measured interventions effect on quality of life QoL 22 23 24 26 27 28 31 The nutritional interventions employed included nutrition assessment group nutrition education 23 24 27 31 individual counseling and recipe guide and or practical sessions 25 27 Three 24 25 28 of four 24 25 27 28 studies that reported outcomes on nutritional status employed the mini nutrition assessment In these three studies 24 25 28 there was no difference between groups for change in nutritional status even though there may have been increased adherence to prescribed diet This could be due to ceiling effect as 50 70 of the participants were well nourished at baseline Seino et al reported that nutrition education and practical sessions improved quality and quantity of food intake which was maintained 3 months post intervention Lastly while the intervention by Yu See full list on link springer com Adherence rates to the interventions ranging from 47 5 to 90 4 were reported in 7 of the 10 studies 23 24 25 26 27 28 29 Table 2 Home based interventions by Chan et al reported that only 67 of participants attended at least 50 of the intervention program while 47 5 of participants in another study completed 70 of the recommended exercise sessions Contrarily the addition of social support as part of the intervention attained better adherences between 70 and 90 4 No adverse event related to study interventions was reported See full list on link springer com The World Report on Aging and Health by WHO defines healthy aging as the process of developing and maintaining the functional ability that enables well being in older age Puts et al 6 reported diverse policies in Europe to prevent or reduce frailty including i a large clinical trial SPRINTT ii the use of SHARE FI to identify frailty at primary care and iii European Commission initiative towards a systematic and integrated approach for routine screening and management of frailty through multi modal interventions European Scaling up Strategy in Active and Healthy Aging More recently the European Union further launched the ADVANTAGE Joint Action where member states disseminated a common directive to combat frailty There have been some policy and funding efforts in Singapore to translate research to wider health and social service practice and programs to systematically screen for and prevent delay frailty The appreciation by Sin See full list on link springer com While there has been an increase in the number of frailty related studies over the last 10 years with a comprehensive clinical practice guideline published recently gray literature search revealed very limited large scale dissemination and implementation of the evidence The short questionnaire conducted with six leading researchers in the field highlighted several gaps Across six different regions China France Hong Kong Spain Taiwan and USA there was a lack of comprehensive efforts policies to address the challenges of frailty on health and social services provision and financing the promotion of relevant changes towards efficient and sustainable health and social model of care and implementing frailty screening and high risk population identification Nonetheless fellow research experts from Spain and China responded that their governments have launched more projects to support frailty research and developed a working group on frailty and falls and training of See full list on link springer com Author Xiao Liu Daniella Hui Min Ng Jean Wei Ting Seah Yasmin Lynda Munro Shiou Liang Wee Publish Year 2019
PubMed 30941525 Effects of physical activity interventions in frail and Background Frailty is a geriatric syndrome which is highly prevalent in community dwelling older adults and is associated with a variety of unwanted health outcomes
BMC Geriatrics articles 10 Community based exercises improve health status in pre frail Jul 10 2024 This review aims to better understand the effects of community based exercise on physical function cognition quality of life and frailty status in community dwelling
ScienceDirect science article Effectiveness of interventions to prevent or reverse pre Aug 1 2024 In older adults 65 effective interventions for pre frailty and frailty are well established Apóstolo et al 2018 conducted a comprehensive review of 33
Community Based Exercises Improve Health Status In Pre Frail
PubMed 38987690 Community based exercises improve health status in pre frail Jul 10 2024 This review aims to better understand the effects of community based exercise on physical function cognition quality of life and frailty status in community dwelling
Springer content pdf Community based exercises improve health status in pre frail Over the past decade public health inter ventions such as community based exercises to target pre frailty have been increasingly studied However the efects of
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Community Based Exercises Improve Health Status In Pre Frail
ScienceDirect science article Effectiveness of a theory underpinning exercise intervention A 12 week exercise intervention based on the integration of Health Belief Model Theory of Planned Behavior and Health Action Process Approach was implemented among 149
National Center for Biotechnology Information pmc articles Effects of physical activity interventions in frail and Apr 2 2019 Physical activity PA interventions may be of great importance in frail people to improve the frailty status muscle strength physical performance and muscle mass A
ResearchGate publication 385191729 Effectiveness Effectiveness of a theory underpinning exercise intervention Oct 1 2024 This review aims to better understand the effects of community based exercise on physical function cognition quality of life and frailty status in community dwelling People also search for