What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials
Abstract Background With 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....
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doaj-189b0e939cfb4ca38defd6019450f5322020-11-25T03:17:08ZengBMCBMC Geriatrics1471-23182019-07-0119111110.1186/s12877-019-1196-xWhat are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trialsTara Kidd0Freda Mold1Claire Jones2Emma Ream3Wendy Grosvenor4Märtha Sund-Levander5Pia Tingström6Nicola Carey7School of Natural Sciences and Psychology, Liverpool John Moores UniversitySchool of Health Science, University of SurreySchool of Health Science, University of SurreySchool of Health Science, University of SurreySchool of Health Science, University of SurreyDepartment of Medical and Health Sciences, Linköping UniversityDepartment of Medical and Health Sciences, Linköping UniversitySchool of Health Science, University of SurreyAbstract Background With 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. Methods A systematic review of the literature 2000 to 2017 following PRISMA guidelines and registered with PROSPERO (no. CRD42016045325). Results Ten 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. Conclusions Physical 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.http://link.springer.com/article/10.1186/s12877-019-1196-xFrailtySuccessful agingPhysical activityNutritionIntervention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tara Kidd Freda Mold Claire Jones Emma Ream Wendy Grosvenor Märtha Sund-Levander Pia Tingström Nicola Carey |
spellingShingle |
Tara Kidd Freda Mold Claire Jones Emma Ream Wendy Grosvenor Märtha Sund-Levander Pia Tingström Nicola Carey What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials BMC Geriatrics Frailty Successful aging Physical activity Nutrition Intervention |
author_facet |
Tara Kidd Freda Mold Claire Jones Emma Ream Wendy Grosvenor Märtha Sund-Levander Pia Tingström Nicola Carey |
author_sort |
Tara Kidd |
title |
What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials |
title_short |
What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials |
title_full |
What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials |
title_fullStr |
What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials |
title_full_unstemmed |
What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials |
title_sort |
what are the most effective interventions to improve physical performance in pre-frail and frail adults? a systematic review of randomised control trials |
publisher |
BMC |
series |
BMC Geriatrics |
issn |
1471-2318 |
publishDate |
2019-07-01 |
description |
Abstract Background With 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. Methods A systematic review of the literature 2000 to 2017 following PRISMA guidelines and registered with PROSPERO (no. CRD42016045325). Results Ten 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. Conclusions Physical 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. |
topic |
Frailty Successful aging Physical activity Nutrition Intervention |
url |
http://link.springer.com/article/10.1186/s12877-019-1196-x |
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