Management of frailty at individual level: Narrative review of physical activity from the European perspective of joint action on frailty – JA advantage

Vojko Strojnik; Branko Gabrovec

doi:10.2478/sjph-2019-0011

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Management of frailty at individual level: Narrative review of physical activity from the European perspective of joint action on frailty – JA advantage

Slovenian Journal of Public Health

Volume 58 (2019): Issue 2 (June 2019)

By: Vojko Strojnik and Branko Gabrovec

Open Access

|Mar 2019

Abstract

Introduction

This paper aimed to review the effect of physical activity and exercise in frail older persons. As the process which leads to frailty and disability can be slowed down or even completely reversed, it can be appropriate for early interventions.

Methodology

A literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published from 2002 to 2017. From 620,043 initial hits, 25 publications were selected.

Results

Physical activity and exercise in frail elderly are effective and relatively safe and may reverse frailty.

Conclusion

Different exercise interventions in frail elderly persons can increase strength and power, improve balance and reduce fall incidence resulting in greater quality of life. From this perspective, physical exercise interventions should become daily routine in frail elderly persons.

References

Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2:1143–211. doi: 10.1002/cphy. c110025.
Open DOI Search in Google Scholar Back to article
Rezende LFM de, Rey-López JP, Matsudo VKR, Luiz O do C. Sedentary behavior and health outcomes among older adults: a systematic review. BMC Public Health. 2014;14:333. doi: 10.1186/1471-2458-14-333.
Open DOI Search in Google Scholar Back to article
Booth FW, Laye MJ, Roberts MD. Lifetime sedentary living accelerates some aspects of secondary aging. J Appl Physiol. 2011;111:1497–504. doi: 10.1152/japplphysiol.00420.2011.
Open DOI Search in Google Scholar Back to article
Davis MG, Fox KR, Hillsdon M, Sharp DJ, Coulson JC, Thompson JL. Objectively measured physical activity in a diverse sample of older urban UK adults. Med Sci Sport Exerc. 2011;43:647–54. doi: 10.1249/MSS.0b013e3181f36196.
Open DOI Search in Google Scholar Back to article
Kehler DS, Ferguson T, Stammers AN, Bohm C, Arora RC, Duhamel TA, et al. Prevalence of frailty in Canadians 18-79 years old in the Canadian Health Measures Survey. BMC Geriatr. 2017;17:28. doi: 10.1186/s12877-017-0423-6.
Open DOI Search in Google Scholar Back to article
Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT, Schols JM. Toward a conceptual definition of frail community dwelling older people. Nurs Outlook. 2010;58:76–86. doi: 10.1016/j.outlook.2009.09.005.
Open DOI Search in Google Scholar Back to article
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 ;56:M146-56.
Search in Google Scholar Back to article
Veninšek G, Gabrovec B. Management of frailty at individual level - clinical management: systematic literature review. Zdr Varst. 2018;57:106–15. doi: 10.2478/sjph-2018-0014.
Open DOI Search in Google Scholar Back to article
Roubenoff R. Sarcopenia: a major modifiable cause of frailty in the elderly. J Nutr Health Aging. 2000;4:140–2.
Search in Google Scholar Back to article
Narici M V, Maganaris CN. Adaptability of elderly human muscles and tendons to increased loading. J Anat. 2006;208:433–43. doi: 10.1111/j.1469-7580.2006.00548.x.
Open DOI Search in Google Scholar Back to article
Gill TM, Gahbauer EA, Allore HG, Han L. transitions between frailty states among community-living older persons. Arch Intern Med. 2006;166:418. doi: 10.1001/archinte.166.4.418.
Open DOI Search in Google Scholar Back to article
Hardy SE, Gill TM. Recovery from disability among community-dwelling older persons. JAMA. 2004;291:1596. doi: 10.1001/jama.291.13.1596.
Open DOI Search in Google Scholar Back to article
Gill TM, Kurland BF. Prognostic effect of prior disability episodes among nondisabled community-living older persons. Am J Epidemiol. 2003;158:1090–6. doi: 10.1093/aje/kwg237.
Open DOI Search in Google Scholar Back to article
Rogers NT, Marshall A, Roberts CH, Demakakos P, Steptoe A, Scholes S. Physical activity and trajectories of frailty among older adults: evidence from the English longitudinal study of ageing. PLoS One. 2017;12:e0170878. doi: 10.1371/journal.pone.0170878.
Open DOI Search in Google Scholar Back to article
Feldman DI, Al-Mallah MH, Keteyian SJ, Brawner CA, Feldman T, Blumenthal RS, et al. No evidence of an upper threshold for mortality benefit at high levels of cardiorespiratory fitness. J Am Coll Cardiol. 2015;65(6):629-30. doi: 10.1016/j.jacc.2014.11.030.
Open DOI Search in Google Scholar Back to article
Binder EF, Schechtman KB, Ehsani AA, Steger-May K, Brown M, Sinacore DR, et al. Effects of exercise training on frailty in community-dwelling older adults: results of a randomized, controlled trial. J Am Geriatr Soc. 2002;50:1921–8. doi: 10.1046/j.1532-5415.2002.50601.x.
Open DOI Search in Google Scholar Back to article
Binder EF, Yarasheski KE, Steger-May K, Sinacore DR, Brown M, Schechtman KB, et al. Effects of progressive resistance training on body composition in frail older adults: results of a randomized, controlled trial. J Gerontol A Biol Sci Med Sci. 2005;60:1425–31.
Search in Google Scholar Back to article
LIFE Study Investigators, Pahor M, Blair SN, Espeland M, Fielding R, Gill TM, et al. Effects of a physical activity intervention on measures of physical performance: results of the lifestyle interventions and independence for Elders Pilot (LIFE-P) study. J Gerontol A Biol Sci Med Sci. 2006;61:1157–65.
Search in Google Scholar Back to article
King MB, Whipple RH, Gruman CA, Judge JO, Schmidt JA, Wolfson LI. The Performance Enhancement Project: improving physical performance in older persons. Arch Phys Med Rehabil. 2002;83:1060–9.
Search in Google Scholar Back to article
Clemson L, Fiatarone Singh MA, Bundy A, Cumming RG, Manollaras K, O’Loughlin P, et al. Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. BMJ. 2012;345 :e4547. doi: 10.1136/bmj.e4547.
Open DOI Search in Google Scholar Back to article
Lustosa LP, Silva JP, Coelho FM, Pereira DS, Parentoni AN, Pereira LSM. Impact of resistance exercise program on functional capacity and muscular strength of knee extensor in pre-frail community-dwelling older women: a randomized crossover trial. Rev Bras Fisioter. 2011;15:318–24.
Search in Google Scholar Back to article
Faber MJ, Bosscher RJ, Chin A Paw MJ, van Wieringen PC. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: a multicenter randomized controlled trial. Arch Phys Med Rehabil. 2006;87:885–96. doi: 10.1016/j.apmr.2006.04.005.
Open DOI Search in Google Scholar Back to article
Siegrist M, Freiberger E, Geilhof B, Salb J, Hentschke C, Landendoerfer P, et al. Fall prevention in a primary care setting. Dtsch Arztebl Int. 2016;113:365–72. doi: 10.3238/arztebl.2016.0365.
Open DOI Search in Google Scholar Back to article
Taylor D, Hale L, Schluter P, Waters DL, Binns EE, McCracken H, et al. Effectiveness of tai chi as a community-based falls prevention intervention: a randomized controlled trial. J Am Geriatr Soc. 2012;60:841–8. doi: 10.1111/j.1532-5415.2012.03928.x.
Open DOI Search in Google Scholar Back to article
Harridge SD, Kryger A, Stensgaard A. Knee extensor strength, activation, and size in very elderly people following strength training. Muscle Nerve. 1999;22:831–9.
Search in Google Scholar Back to article
Cannon J, Kay D, Tarpenning KM, Marino FE. Comparative effects of resistance training on peak isometric torque, muscle hypertrophy, voluntary activation and surface EMG between young and elderly women. Clin Physiol Funct Imaging. 2007;27:91–100. doi: 10.1111/j.1475-097X.2007.00719.x.
Open DOI Search in Google Scholar Back to article
Steib S, Schoene D, Pfeifer K. Dose-response relationship of resistance training in older adults. Med Sci Sport Exerc. 2010;42:902–14. doi: 10.1249/MSS.0b013e3181c34465.
Open DOI Search in Google Scholar Back to article
Serra-Rexach JA, Bustamante-Ara N, Hierro Villarán M, González Gil P, Sanz Ibáñez MJ, Blanco Sanz N, et al. Short-term, light- to moderate-intensity exercise training improves leg muscle strength in the oldest old: a randomized controlled trial. J Am Geriatr Soc. 2011;59:594–602. doi: 10.1111/j.1532-5415.2011.03356.x.
Open DOI Search in Google Scholar Back to article
Finger D, Goltz FR, Umpierre D, Meyer E, Rosa LHT, Schneider CD. Effects of protein supplementation in older adults undergoing resistance training: a systematic review and meta-analysis. Sport Med. 2015;45:245–55. doi: 10.1007/s40279-014-0269-4.
Open DOI Search in Google Scholar Back to article
Kim HK, Suzuki T, Saito K, Yoshida H, Kobayashi H, Kato H, et al. Effects of exercise and amino acid supplementation on body composition and physical function in community-dwelling elderly Japanese sarcopenic women: a randomized controlled trial. J Am Geriatr Soc. 2012;60:16– 23. doi: 10.1111/j.1532-5415.2011.03776.x.
Open DOI Search in Google Scholar Back to article
Kim I-Y, Schutzler S, Schrader A, Spencer H, Kortebein P, Deutz NEP, et al. Quantity of dietary protein intake, but not pattern of intake, affects net protein balance primarily through differences in protein synthesis in older adults. Am J Physiol Endocrinol Metab. 2015;308:E21-8. doi: 10.1152/ajpendo.00382.2014.
Open DOI Search in Google Scholar Back to article
Latham NK, Anderson CS, Lee A, Bennett DA, Moseley A, Cameron ID, et al. A randomized, controlled trial of quadriceps resistance exercise and vitamin D in frail older people: the Frailty Interventions Trial in Elderly Subjects (FITNESS). J Am Geriatr Soc. 2003;51:291–9.
Search in Google Scholar Back to article
Ng TP, Feng L, Nyunt MSZ, Feng L, Niti M, Tan BY, et al. Nutritional, physical, cognitive, and combination interventions and frailty reversal among older adults: a randomized controlled trial. Am J Med. 2015;128:1225–36.e1. doi: 10.1016/j.amjmed.2015.06.017.
Open DOI Search in Google Scholar Back to article
Fleg JL, Lakatta EG. Role of muscle loss in the age-associated reduction in VO2 max. J Appl Physiol. 1988;65:1147–51. doi: 10.1152/jappl.1988.65.3.1147.
Open DOI Search in Google Scholar Back to article
Ogawa T, Spina RJ, Martin WH, Kohrt WM, Schechtman KB, Holloszy JO, et al. Effects of aging, sex, and physical training on cardiovascular responses to exercise. Circulation. 1992;86:494–503.
Search in Google Scholar Back to article
Ehsani AA, Spina RJ, Peterson LR, Rinder MR, Glover KL, Villareal DT, et al. Attenuation of cardiovascular adaptations to exercise in frail octogenarians. J Appl Physiol. 2003;95:1781–8. doi: 10.1152/japplphysiol.00194.2003.
Open DOI Search in Google Scholar Back to article
El-Khoury F, Cassou B, Charles M-A, Dargent-Molina P. The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f6234. doi: 10.1136/bmj.f6234.
Open DOI Search in Google Scholar Back to article
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012;(9):CD007146. doi: 10.1002/14651858.CD007146.pub3.
Open DOI Search in Google Scholar Back to article
El-Khoury F, Cassou B, Latouche A, Aegerter P, Charles M-A, Dargent-Molina P. Effectiveness of two year balance training programme on prevention of fall induced injuries in at risk women aged 75-85 living in community: Ossébo randomised controlled trial. BMJ. 2015;351:h3830. doi: 10.1136/bmj.h3830.
Open DOI Search in Google Scholar Back to article
Lord SR, Castell S, Corcoran J, Dayhew J, Matters B, Shan A, et al. The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: a randomized, controlled trial. J Am Geriatr Soc. 2003;51:1685–92.
Search in Google Scholar Back to article
Giné-Garriga M, Guerra M, Unnithan VB. The effect of functional circuit training on self-reported fear of falling and health status in a group of physically frail older individuals: a randomized controlled trial. Aging Clin Exp Res. 2013;25:329–36. doi: 10.1007/s40520-013-0048-3.
Open DOI Search in Google Scholar Back to article
Freiberger E, Häberle L, Spirduso WW, Rixt Zijlstra GA. Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: a randomized controlled trial. J Am Geriatr Soc. 2012;60:437–46. doi: 10.1111/j.1532-5415.2011.03859.x.
Open DOI Search in Google Scholar Back to article
Giné-Garriga M, Guerra M, Pagès E, Manini TM, Jiménez R, Unnithan VB. The effect of functional circuit training on physical frailty in frail older adults: a randomized controlled trial. J Aging Phys Act. 2010;18:401–24.
Search in Google Scholar Back to article
Cadore EL, Casas-Herrero A, Zambom-Ferraresi F, Idoate F, Millor N, Gómez M, et al. Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age (Omaha). 2014;36:773–85. doi: 10.1007/s11357-013-9586-z.
Open DOI Search in Google Scholar Back to article
Fairhall N, Sherrington C, Lord SR, Kurrle SE, Langron C, Lockwood K, et al. Effect of a multifactorial, interdisciplinary intervention on risk factors for falls and fall rate in frail older people: a randomised controlled trial. Age Ageing. 2014;43:616–22. doi:10.1093/ageing/aft204.
Open DOI Search in Google Scholar Back to article
Global recommendations on physical activity for health. Copenhagen: World Health Organisation, 2015.
Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.2478/sjph-2019-0011 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026

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Language: English

Page range: 84 - 90

Submitted on: Mar 12, 2018

Accepted on: Feb 6, 2019

Published on: Mar 26, 2019

Published by: National Institute of Public Health, Slovenia

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

Related subjects:

Hygiene and environmental medicine

© 2019 Vojko Strojnik, Branko Gabrovec, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Volume 58 (2019): Issue 2 (June 2019)