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Impact of Tailored Multicomponent Exercise for Preventing Weakness and Falls on Nursing Home Residents' Functional Capacity.
Courel-Ibáñez, Javier; Buendía-Romero, Ángel; Pallarés, Jesús G; García-Conesa, Silverio; Martínez-Cava, Alejandro; Izquierdo, Mikel.
  • Courel-Ibáñez J; Human Performance and Sports Science Laboratory, University of Murcia, Murcia, Spain. Electronic address: javier.courel.ibanez@gmail.com.
  • Buendía-Romero Á; Human Performance and Sports Science Laboratory, University of Murcia, Murcia, Spain. Electronic address: mikel.izquierdo@gmail.com.
  • Pallarés JG; Human Performance and Sports Science Laboratory, University of Murcia, Murcia, Spain.
  • García-Conesa S; Human Performance and Sports Science Laboratory, University of Murcia, Murcia, Spain.
  • Martínez-Cava A; Human Performance and Sports Science Laboratory, University of Murcia, Murcia, Spain.
  • Izquierdo M; Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Universidad Pública de Navarra (UPNA), IdiSNA, Pamplona, Spain; CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain. Electronic address: mikel.izquierdo@gmail.com.
J Am Med Dir Assoc ; 23(1): 98-104.e3, 2022 01.
Article in English | MEDLINE | ID: covidwho-1290228
ABSTRACT

OBJECTIVES:

We aimed to determine whether the benefits of long (24 weeks) and short (4 weeks) training programs persisted after short (6 weeks) and long (14 weeks) periods of inactivity in older adult nursing home residents with sarcopenia.

DESIGN:

Multicenter randomized trial. INTERVENTION The Vivifrail tailored, multicomponent exercise program (http//vivifrail.com) was conducted to individually prescribe exercise for frail older adults, depending on their functional capacity. The training included 4 levels combining strength and power, balance, flexibility, and cardiovascular endurance exercises. SETTING AND

PARTICIPANTS:

Twenty-four institutionalized older adults (87.1 ± 7.1 years, 58.3% women) diagnosed with sarcopenia were allocated into 2 groups the Long Training-Short Detraining (LT-SD) group completed 24 weeks of supervised Vivifrail training followed by 6 weeks of detraining; the Short Training-Long Detraining (ST-LD) group completed 4 weeks of training and 14 weeks of detraining.

MEASURES:

Changes in functional capacity and strength were evaluated at baseline, and after short and long training and detraining periods.

RESULTS:

Benefits after short and long exercise interventions persisted when compared with baseline. Vivifrail training was highly effective in the short term (4 weeks) in increasing functional and strength performance (effect size = 0.32-1.44, P < .044) with the exception of handgrip strength. Continued training during 24 weeks produced 10% to 20% additional improvements (P < .036). Frailty status was reversed in 36% of participants, with 59% achieving high self-autonomy. Detraining resulted in a 10% to 25% loss of strength and functional capacity even after 24 weeks of training (effects size = 0.24-0.92, P < .039). CONCLUSIONS AND IMPLICATIONS Intermittent strategies such as 4 weeks of supervised exercise 3 times yearly with no more than 14 weeks of inactivity between exercise periods appears as an efficient solution to the global challenge of maintaining functional capacity and can even reverse frailty in vulnerable institutionalized older adults.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Frailty Type of study: Experimental Studies / Randomized controlled trials Limits: Aged / Female / Humans / Male Language: English Journal: J Am Med Dir Assoc Journal subject: History of Medicine / Medicine Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Frailty Type of study: Experimental Studies / Randomized controlled trials Limits: Aged / Female / Humans / Male Language: English Journal: J Am Med Dir Assoc Journal subject: History of Medicine / Medicine Year: 2022 Document Type: Article