An observational cohort study of longitudinal impacts on frailty and well‐being of COVID‐19 lockdowns in older adults in England and Spain

Garner, Ian; Varey, Sandra; Navarro‐Pardo, Esperanza; Marr, Calum; Holland, Carol

doi:10.1111/hsc.13735

Cited by 23 publications

(27 citation statements)

References 51 publications

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“…Functional impairment is an important predictor of persistent depressive symptoms in older adults [ 22 , 23 ]. Emerging research has already indicated an increase in functional impairment and frailty among older adults during the COVID-19 pandemic, likely due to decreases in physical activity during periods of lockdown [ 24 , 25 ]. The physical functioning of older adults with asthma is an important determinant of quality of life including mental health within this population [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging

MacNeil

Jiang

et al. 2023

Respiratory Medicine

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Section: Discussionmentioning

confidence: 99%

Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging

MacNeil

Jiang

et al. 2023

Respiratory Medicine

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“…Social disconnection, especially in states with poor public health systems, often leads to reduced exercise and fewer physiotherapy sessions and puts additional burdens on patients with NDs which are comparable to traditional clinical risk factors [ 160 ]. Already there are early indications that these measures have a negative impact on various aspects of the life of the elderly, especially those with NDs [ 161 , 162 , 163 , 164 ]. These negative effects are enhanced for people with NDs because they need extensive care, physiotherapy, and regular activity to maintain their well-being.…”

Section: Discussionmentioning

confidence: 99%

A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders

Spanakis

Xylouri

Patelarou

et al. 2022

IJERPH

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Neurological physiotherapy adopts a problem-based approach for each patient as determined by a thorough evaluation of the patient’s physical and mental well-being. Τhis work aims to provide a literature review of physical therapy interventions in the elderly with neurological diseases (NDs) and discuss physiotherapy procedures and methods that utilize cutting-edge technologies for which clinical studies are available. Hence, the review focuses on acute NDs (stroke), deteriorating NDs (Parkinson’s disease), and age-related cognitive impairment. The most used physiotherapy procedures on which clinical data are available are balance and gait training (robot-assisted or not), occupational therapy, classical physiotherapy, walking and treadmill training, and upper limb robot-assisted therapy. Respectively, the most often-used equipment are types of treadmills, robotic-assisted equipment (Lokomat® and Gait Trainer GT1), and portable walkway systems (GAITRite®), along with state-of-the-art technologies of virtual reality, virtual assistants, and smartphones. The findings of this work summarize the core standard tools and procedures, but more importantly, provide a glimpse of the new era in physiotherapy with the utilization of innovative equipment tools for advanced patient monitoring and empowerment.

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Section: Discussionmentioning

confidence: 99%

“…43 This transition seemed to be associated with exacerbation of depressive symptoms, but not with physical and cognitive functions. 43 Moreover, in a prospective study conducted between May and October 2020 among older adults in England and Spain, it has been observed a reduction of frailty as the restriction measures become less stringent, 44 suggesting that such effect of pandemic on frailty status might be potentially reversible. 16 It has been questioned the role of greater biological and social vulnerability in older adults for higher predisposition to Sars-CoV-2 infection, 45 but few studies explored on a population-based level the risk associated to being frail during COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Frailty trajectories in community‐dwelling older adults during COVID‐19 pandemic: The PRESTIGE study

Custodero

Zora²,

Poli

et al. 2022

Eur J Clin Investigation

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Background Frailty has been recognized as potential surrogate of biological age and relevant risk factor for COVID‐19 severity. Thus, it is important to explore the frailty trajectories during COVID‐19 pandemic and understand how COVID‐19 directly and indirectly impacts on frailty condition. Methods We enrolled 217 community‐dwelling older adults with available information on frailty condition as assessed by multidimensional frailty model both at baseline and at one‐year follow‐up using Multidimensional Prognostic Index (MPI) tools. Pre‐frail/frail subjects were identified at baseline as those with MPI score >0.33 (MPI grades 2–3). Frailty worsening was defined by MPI difference between 12 months follow‐up and baseline ≥0.1. Multivariable logistic regression was modelled to identify predictors of worsening of frailty condition. Results Frailer subjects at baseline (MPI grades 2–3 = 48.4%) were older, more frequently female and had higher rates of hospitalization and Sars‐CoV‐2 infection compared to robust ones (MPI grade 1). Having MPI grades 2–3 at baseline was associated with higher risk of further worsening of frailty condition (adjusted odd ratio (aOR): 13.60, 95% confidence interval (CI): 4.01–46.09), independently by age, gender and Sars‐CoV‐2 infection. Specifically, frail subjects without COVID‐19 (aOR: 14.84, 95% CI: 4.26–51.74) as well as those with COVID‐19 (aOR: 12.77, 95% CI: 2.66–61.40, p = 0.001) had significantly higher risk of worsening of frailty condition. Conclusions Effects of COVID‐19 pandemic among community‐dwelling frailer individuals are far beyond the mere infection and disease, determining a significant deterioration of frailty status both in infected and non‐infected subjects.

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An observational cohort study of longitudinal impacts on frailty and well‐being of COVID‐19 lockdowns in older adults in England and Spain

Cited by 23 publications

References 51 publications

Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging

Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging

A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders

Frailty trajectories in community‐dwelling older adults during COVID‐19 pandemic: The PRESTIGE study

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