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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

Kidd, Tara, Mold, Freda, Jones, Claire, Ream, Emma, Grosvenor, Wendy, Sund-Levander, Märtha, Tingström, Pia and Carey, Nicola (2019) 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, 19 (184).

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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.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Kidd, Tara
Mold, FredaFreda.mold@surrey.ac.uk
Jones, Claireclaire.jones@surrey.ac.uk
Ream, Emmae.ream@surrey.ac.uk
Grosvenor, Wendyw.grosvenor@surrey.ac.uk
Sund-Levander, Märtha
Tingström, Pia
Carey, NicolaN.Carey@surrey.ac.uk
Date : 11 July 2019
DOI : 10.1186/s12877-019-1196-x
Copyright Disclaimer : © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Uncontrolled Keywords : Frailty; Successful aging; Physical activity; Nutrition; Intervention
Depositing User : Diane Maxfield
Date Deposited : 11 Nov 2019 14:29
Last Modified : 11 Nov 2019 14:29
URI: http://epubs.surrey.ac.uk/id/eprint/853105

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