The Effectiveness of Exercise Interventions for the Management of Frailty: A Systematic Review

By O. Theou, L. Stathokostas, K. Roland, J. Jakobi, Christopher J. Patterson, A. Vandervoort, Gareth R. Jones. Journal of Aging Research, 2011

610 citations recorded by the source corpus.

This systematic review examines the effectiveness of current exercise interventions for the management of frailty. Eight electronic databases were searched for randomized controlled trials that identified their participants as “frail” either in the title, abstract, and/or text and included exercise as an independent component of the intervention. Three of the 47 included studies utilized a validated definition of frailty to categorize participants. Emerging evidence suggests that exercise has a positive impact on some physical determinants and on all functional ability outcomes reported in this systematic review. Exercise programs that optimize the health of frail older adults seem to be different from those recommended for healthy older adults. There was a paucity of evidence to characterize the most beneficial exercise program for this population. However, multicomponent training interventions, of long duration (≥5 months), performed three times per week, for 30–45 minutes per session, generally had superior outcomes than other exercise programs. In conclusion, structured exercise training seems to have a positive impact on frail older adults and may be used for the management of frailty.

Subfields: Economics and Econometrics, Geriatrics and Gerontology, Physiology

View Paper: https://www.semanticscholar.org/paper/94219ad8077cffa7de0115c2d0f63e43f6ee7c03

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Economics and Econometrics

1. Kenneth Rockwood

In Geriatrics and Gerontology

1. Kenneth Rockwood
2. T. Malmstrom
3. L. Fried
4. J. Morley
5. S. Anker
6. Arnold Mitnitski
7. Xujiao Chen
8. Genxiang Mao

In Physiology

1. Kenneth Rockwood
2. F. Bull
3. T. Malmstrom
4. L. Fried
5. Douglas K. Miller
6. J. Morley
7. Adrian Bauman
8. S. Anker

Citations in the corpus

• A SIMPLE FRAILTY QUESTIONNAIRE (FRAIL) PREDICTS OUTCOMES IN MIDDLE AGED AFRICAN AMERICANS (2012, background): “There is evidence that exercise therapy (aerobic, resistance and balance) can slow the progression of the frailty syndrome (4, 28).”
• Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management (2019, neutral): “An additional concern is that systematic reviews of frailty have a tendency to combine frailty prevention trials with trials for the treatment of frailty/pre-frailty (57, 124-125).”
• Updating the Evidence for Physical Activity: Summative Reviews of the Epidemiological Evidence, Prevalence, and Interventions to Promote "Active Aging". (2016, background): “Many reviews and position statements support the benefits of PA for function, chronic disease outcomes, and mortality benefits in older adults, and these functional benefits extend to frail elders (Chou, Hwang, & Wu, 2012; de Labra, Guimaraes-Pinheiro, Maseda, Lorenzo, & MillanCalenti, 2015; Theou e”
• Frailty Consensus: A Call to Action (2013, positive): “Theou et al, 51 in a systematic review, found that 45 to 60 minutes of exercise 3 times a week seemed to have positive effects on frail older adults and may be used for the management of frailty.”
• Exercise standards for testing and training: a scientific statement from the American Heart Association. (2013, background): “A growing body of literature supports the use of exercise interventions to improve function in frail elders.(553) In a”