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08.02.2022 | Original Research

The Effects of an Integrated Exercise Intervention on the Attenuation of Frailty in Elderly Nursing Homes: A Cluster Randomized Controlled Trail

verfasst von: T. Liu, C. Wang, J. Sun, W. Chen, L. Meng, J. Li, M. Cao, Q. Liu, Chen Chen

Erschienen in: The journal of nutrition, health & aging | Ausgabe 3/2022

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Abstract

Objectives

The frail elderly have an increased risk of frailty because of reduced physical activity, cognitive ability and quality of life. This study aims to evaluate the effects of integrated exercise intervention on the attenuation of frailty in elderly nursing home residents.

Design

This study was a cluster randomized controlled trial. SETTING AND PARTICIPANTS: 146 elderly frailty people from 8 elderly nursing homes in Harbin, China, were randomly assigned into the intervention group and control group after obtaining their informed consent.

Intervention

The intervention group performed integrated exercise interventions for 12 months, while the control group only continued with their daily activities.

Measurements

Sociodemographic, health-related data, frailty levels, gait parameters, cognition, and quality of life were evaluated.

Results

The mean age of participants was 80.74± 2.89 years, and 70.37% (n=95) were female. The Difference-in-difference regression showed that, compared with the control group, phenotypic frailty score (β3 =−1.40, p < 0.001) and stride time (β3 = −0.38, p < 0.001) decreased significantly in the intervention group, stride velocity (β3 = 0.24, p < 0.001), step length (β3 = 0.08, p <0.001), cadence (β3 = 17.79, p < 0.001), MMSE total score (β3 = 1.90, p < 0.001) and QOL total score (β3 = 11.84, p < 0.001) increased significantly in the intervention group.

Conclusion

The integrated exercise intervention can effectively improve the attenuation of frailty, gait parameters, cognitive function, and quality of life in elderly nursing homes. We can use the findings of this study as a reference for the design of activities for the elderly nursing home residents, to provide them with appropriate exercises, improve their physical functions, and improve or delay their frailty level, which is principally important for developing countries in east Asia where rehabilitation resources are generally scarce.
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Metadaten
Titel
The Effects of an Integrated Exercise Intervention on the Attenuation of Frailty in Elderly Nursing Homes: A Cluster Randomized Controlled Trail
verfasst von
T. Liu
C. Wang
J. Sun
W. Chen
L. Meng
J. Li
M. Cao
Q. Liu
Chen Chen
Publikationsdatum
08.02.2022
Verlag
Springer Paris
Erschienen in
The journal of nutrition, health & aging / Ausgabe 3/2022
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-022-1745-4

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