Weitere Artikel dieser Ausgabe durch Wischen aufrufen
Due to the worldwide demographic transition healthcare systems are facing new demands and are increasingly confronted with an older population with specific medical needs related to multiple chronic disorders. The majority of older persons have an increased risk of frailty. In addition to pharmaceutical interventions another beneficial approach for counteracting frailty might be exercise or physical activity intervention.
The first goal was to narratively investigate the state of the art effective exercise interventions for frail older persons and briefly discuss the importance of exercise intervention for frailty. The second goal was to give recommendations to overcome barriers in the recruitment process and how to increase adherence of frail older persons in exercise programs.
Several systematic reviews came to the same conclusion that exercise has beneficial effects in frail older persons although uncertainty exists on the optimal exercise program with regard to frequency, type of exercise and duration. Furthermore, all reviews demonstrated the superior nature of multicomponent exercise programs as opposed to single component exercise programs. With regard to barriers different levels have to be taken into account and addressed: older persons themselves with self-efficacy and attitudes, the healthcare personnel involved and the provider of the intervention program.
Exercise seems a promising approach to counteract frailty but including frail older persons in research programs is challenging. Researchers have to be aware of the different levels of possible barriers ranging from older frail persons and medical personnel to researchers.
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten
Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:
Montero-Fernandez N, Serra-Rexach JA (2013) Role of exercise on sarcopenia in the elderly. Eur J Phys Rehabil Med 49(1):131–143 PubMed
Chin A, Paw MJM, van Uffelen JGZ, Riphagen I, van Mechelen W (2008) The functional effects of physical exercise training in frail older people: A systematic review. Sports Med 38(9):781–793 CrossRef
de Vries NM, van Ravensberg CD, Hobbelen JSM, Olde Rikkert MGM, Staal JB, Nijhuis-van der Sanden MWG (2012) 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. Ageing Res Rev 11(1):136–149 PubMedCrossRef
Giné-Garriga M, Roqué-Fíguls M, Coll-Planas L, Sitjà-Rabert M, Salvà A (2014) Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: A systematic review and meta-analysis. Arch Phys Med Rehabil 95(4):753–769 PubMedCrossRef
Campbell MK, Snowdon C, Francis D, Elbourne D, McDonald AM, Knight R et al (2007) Recruitment to randomised trials: strategies for trial enrollment and participation study. The STEPS study. Health Technol Assess 11(48):iii–105 CrossRef
Freiberger E, Vreede P (2011) Falls recall-limitations of the most used inclusion criteria. Eur Rev Aging Phys Act 8(7):105–108 CrossRef
Freiberger E, Blank WA, Salb J, Geilhof B, Hentschke C, Landendoerfer P, Halle M, Siegrist M (2013) Physiological and psychological effects of a multi-modal intervention on fall risk: A cluster randomized controlled trial in the general practitioner setting [PreFalls NCT01032252]. Clin Interv Aging 8:1079–1108 PubMedPubMedCentralCrossRef
Bleijenberg N, Ten Dam VH, Steunenberg B, Drubbel I, Numans ME, De Wit NJ et al (2013) Exploring the expectations, needs and experiences of general practitioners and nurses towards a proactive and structured care programme for frail older patients: a mixed-methods study. J Adv Nurs 69(10):2262–2273 PubMedCrossRef
Frailty and exercise interventions
Evidence and barriers for exercise programs
PD Dr. E. Freiberger
- Springer Medizin