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What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials
Liverpool John Moores Univ, England.
Univ Surrey, England.
Univ Surrey, England.
Univ Surrey, England.
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2019 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, article id 184Article, review/survey (Refereed) Published
Abstract [en]

BackgroundWith life expectancy continuing to rise in the United Kingdom there is an increasing public health focus on the maintenance of physical independence among all older adults. Identifying interventions that improve physical outcomes in pre-frail and frail older adults is imperative.MethodsA systematic review of the literature 2000 to 2017 following PRISMA guidelines and registered with PROSPERO (no. CRD42016045325).ResultsTen RCT trials fulfilled selection criteria and quality appraisal. The study quality was moderate to good. Interventions included physical activity; nutrition, physical activity combined with nutrition. Interventions that incorporated one or more physical activity components significantly improved physical outcomes in pre-frail and/or frail older adults.ConclusionsPhysical activity interventions are key to maintaining independence in pre-frail and frail older adults. A lack of consensus regarding the definition of frailty, and an absence of core measures to assess this means any attempt to create an optimal intervention will be impeded. This absence may ultimately impact on the ability of older and frail adults to live well and for longer in the community.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 19, article id 184
Keywords [en]
Frailty; Successful aging; Physical activity; Nutrition; Intervention
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-159142DOI: 10.1186/s12877-019-1196-xISI: 000475532400001PubMedID: 31291884OAI: oai:DiVA.org:liu-159142DiVA, id: diva2:1339661
Note

Funding Agencies|Kent, Surrey and Sussex Academic Health Science Network (KSS AHSN)

Available from: 2019-07-30 Created: 2019-07-30 Last updated: 2019-11-14

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