Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial
Background: There is increasing evidence suggesting that cognition and physical frailty interact within a cycle of decline associated with aging which has been called cognitive frailty. Exercise programs have demonstrated to be an effective tool to prevent functional and cognitive decline during agi...
| Autores: | , , , , , , , |
|---|---|
| Tipo de documento: | artigo |
| Data de publicação: | 2017 |
| País: | España |
| Recursos: | Universidad del País Vasco |
| Repositório: | Addi. Archivo Digital para la Docencia y la Investigación |
| OAI Identifier: | oai:addi.ehu.eus:10810/27669 |
| Acesso em linha: | http://hdl.handle.net/10810/27669 |
| Access Level: | Acceso aberto |
| Palavra-chave: | physical activity exercise older adults aging frailty cognitive frailty nursing-home quality-of-life lower-extremity function physical performance battery dwelling older-adults sedentary behavior cognitive impairment subsequent disability meaningful change elderly-patients walking speed |
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Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trialRodríguez Larrad, AnaArrieta Etxeberria, HaritzRezola Pardo, ChloeKortaxarena Rubio, MaiderYanguas Lezaun, José JavierIturburu Yarza, MirenGil Orozko, Susana MaríaIrazusta Astiazaran, Jonphysical activityexerciseolder adultsagingfrailtycognitive frailtynursing-homequality-of-lifelower-extremity functionphysical performance batterydwelling older-adultssedentary behaviorcognitive impairmentsubsequent disabilitymeaningful changeelderly-patientswalking speedBackground: There is increasing evidence suggesting that cognition and physical frailty interact within a cycle of decline associated with aging which has been called cognitive frailty. Exercise programs have demonstrated to be an effective tool to prevent functional and cognitive decline during aging, but little is known about their potential to restore or maintain functionality in individuals that require long-term nursing care. Besides, WHO has recently highlighted the importance of introducing systematic musculoskeletal health programs for older people living in residential care, as they represent a particularly vulnerable group for the development of noncommunicable diseases. Methods: This is a multicentre randomized controlled trial. 114 participants will be randomly allocated to a usual care group or to an intervention group. Inclusion criteria are as follows: >= 70 years, >= 50 on the Barthel Index, >= 20 on MEC-35 who are capable to stand up and walk independently for 10 m. Subjects in the intervention group will add to the activities scheduled for the control group the participation in a 6 months long multicomponent exercise program designed to improve strength, balance and walking retraining. Study assessments will be conducted at baseline and at 3 and 6 months. The primary outcome is change in function assessed by Short Physical Performance Battery and secondary outcomes include other measurements to assess all together the condition of frailty, which includes functionality, sedentary behaviors, cognitive and emotional status and biological markers. The present study has been approved by the Committee on Ethics in Research of the University of the Basque Country (Humans Committee Code M10/2016/105; Biological Samples Committee Code M30/2016/106). Discussion: Results from this research will show if ageing related functional and cognitive deterioration can be effectively prevented by physical exercise in institutionalized elders. It is expected that the results of this research will guide clinical practice in nursing home settings, so that clinicians and policymakers can provide more evidence-based practice for the management of institutionalized elder people.This research is supported by a grant from the Basque Government (ELKARTEK15/39; No. EXPT.: KK-2015/00106).Biomed Central201820182017info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/27669reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-017-0453-0info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/es/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.Atribución 3.0 Españaoai:addi.ehu.eus:10810/276692026-06-18T09:23:17Z |
| dc.title.none.fl_str_mv |
Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial |
| title |
Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial |
| spellingShingle |
Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial Rodríguez Larrad, Ana physical activity exercise older adults aging frailty cognitive frailty nursing-home quality-of-life lower-extremity function physical performance battery dwelling older-adults sedentary behavior cognitive impairment subsequent disability meaningful change elderly-patients walking speed |
| title_short |
Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial |
| title_full |
Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial |
| title_fullStr |
Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial |
| title_full_unstemmed |
Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial |
| title_sort |
Effectiveness of a multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: study protocol for a randomized clinical controlled trial |
| dc.creator.none.fl_str_mv |
Rodríguez Larrad, Ana Arrieta Etxeberria, Haritz Rezola Pardo, Chloe Kortaxarena Rubio, Maider Yanguas Lezaun, José Javier Iturburu Yarza, Miren Gil Orozko, Susana María Irazusta Astiazaran, Jon |
| author |
Rodríguez Larrad, Ana |
| author_facet |
Rodríguez Larrad, Ana Arrieta Etxeberria, Haritz Rezola Pardo, Chloe Kortaxarena Rubio, Maider Yanguas Lezaun, José Javier Iturburu Yarza, Miren Gil Orozko, Susana María Irazusta Astiazaran, Jon |
| author_role |
author |
| author2 |
Arrieta Etxeberria, Haritz Rezola Pardo, Chloe Kortaxarena Rubio, Maider Yanguas Lezaun, José Javier Iturburu Yarza, Miren Gil Orozko, Susana María Irazusta Astiazaran, Jon |
| author2_role |
author author author author author author author |
| dc.subject.none.fl_str_mv |
physical activity exercise older adults aging frailty cognitive frailty nursing-home quality-of-life lower-extremity function physical performance battery dwelling older-adults sedentary behavior cognitive impairment subsequent disability meaningful change elderly-patients walking speed |
| topic |
physical activity exercise older adults aging frailty cognitive frailty nursing-home quality-of-life lower-extremity function physical performance battery dwelling older-adults sedentary behavior cognitive impairment subsequent disability meaningful change elderly-patients walking speed |
| description |
Background: There is increasing evidence suggesting that cognition and physical frailty interact within a cycle of decline associated with aging which has been called cognitive frailty. Exercise programs have demonstrated to be an effective tool to prevent functional and cognitive decline during aging, but little is known about their potential to restore or maintain functionality in individuals that require long-term nursing care. Besides, WHO has recently highlighted the importance of introducing systematic musculoskeletal health programs for older people living in residential care, as they represent a particularly vulnerable group for the development of noncommunicable diseases. Methods: This is a multicentre randomized controlled trial. 114 participants will be randomly allocated to a usual care group or to an intervention group. Inclusion criteria are as follows: >= 70 years, >= 50 on the Barthel Index, >= 20 on MEC-35 who are capable to stand up and walk independently for 10 m. Subjects in the intervention group will add to the activities scheduled for the control group the participation in a 6 months long multicomponent exercise program designed to improve strength, balance and walking retraining. Study assessments will be conducted at baseline and at 3 and 6 months. The primary outcome is change in function assessed by Short Physical Performance Battery and secondary outcomes include other measurements to assess all together the condition of frailty, which includes functionality, sedentary behaviors, cognitive and emotional status and biological markers. The present study has been approved by the Committee on Ethics in Research of the University of the Basque Country (Humans Committee Code M10/2016/105; Biological Samples Committee Code M30/2016/106). Discussion: Results from this research will show if ageing related functional and cognitive deterioration can be effectively prevented by physical exercise in institutionalized elders. It is expected that the results of this research will guide clinical practice in nursing home settings, so that clinicians and policymakers can provide more evidence-based practice for the management of institutionalized elder people. |
| publishDate |
2017 |
| dc.date.none.fl_str_mv |
2017 2018 2018 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10810/27669 |
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http://hdl.handle.net/10810/27669 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-017-0453-0 |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/3.0/es/ Atribución 3.0 España |
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openAccess |
| rights_invalid_str_mv |
http://creativecommons.org/licenses/by/3.0/es/ Atribución 3.0 España |
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application/pdf |
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Biomed Central |
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Biomed Central |
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