Effects of Different Exercise Interventions on Risk of Falls, Gait Ability, and Balance in Physically Frail Older Adults: A Systematic Review

Cadore, Eduardo Lusa; Rodríguez‐Mañas, Leocadio; Sinclair, Alan J.; Izquierdo, Mikel

doi:10.1089/rej.2012.1397

Cited by 715 publications

(526 citation statements)

References 56 publications

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“…In addition, it has recently been shown that 4 weeks of high-speed resistance training combined with walking, cognitive, and balance exercises improved gait ability, balance, and muscle strength (15-30 %) and reduced the incidence of falls in frail patients with dementia after long-term physical restraint during nursing care. In this study, among the several comorbidities of these patients, the most typical comorbidity was type 2 diabetes (Cadore et al 2013b). Taken together, these results suggest that exercise intervention which includes resistance training may help to improve muscle functional capacity in elderly at a polypathological condition and severe functional decline, including those with diabetes complications.…”

Section: Effects Of Exercise Intervention On Diabetic Patients At Sevsupporting

confidence: 56%

“…In this case, because diabetes and associated comorbidities induce functional decline, poor quality of life, and increased risk of falls, physical exercise might be especially important because it improves functional status and quality of life of these individuals (Cadore et al 2013a(Cadore et al , 2013b. In fact, in frail elderly diabetics with severe functional decline, multicomponent exercise programs composed of resistance, endurance, balance, and gait retraining should be employed to increase functional capacity and quality of life and to avoid falls, institutionalization, and disability (Cadore et al 2014).…”

Section: Introductionmentioning

confidence: 99%

“…In fact, in frail elderly diabetics with severe functional decline, multicomponent exercise programs composed of resistance, endurance, balance, and gait retraining should be employed to increase functional capacity and quality of life and to avoid falls, institutionalization, and disability (Cadore et al 2014). Indeed, it has been recently reported that multicomponent exercise training including explosive resistance training improved neuromuscular function and functional outcomes in frail institutionalized nonagenarians (Cadore et al 2013a), as well as in frail polypathological patients (Cadore et al 2013b). Among the patients assessed in these studies, the most prevalent comorbidity was diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Exercise interventions in polypathological aging patients that coexist with diabetes mellitus: improving functional status and quality of life

Cadore

Izquierdo

2015

AGE

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In elderly populations, diabetes is associated with reduced muscle strength, poor muscle quality, and accelerated loss of muscle mass. In addition, diabetes mellitus increases risk for accelerated aging and for the development of frailty syndrome. This disease is also associated with a polypathological condition, and its complications progressively affect quality of life and survival. Exercise interventions, including resistance training, represent the cornerstones of diabetes management, especially in patients at severe functional decline. This review manuscript aimed to describe the beneficial effects of different exercise interventions on the functional capacity of elderly diabetics, including those at polypathological condition. The SciELO, Science Citation Index, MEDLINE, Scopus, SPORTDiscus, and ScienceDirect databases were searched from 1980 to 2015 for articles published from original scientific investigations. In addition to the beneficial effects of exercise interventions on glycemic control, and on the cardiovascular risk factors associated with diabetes, physical exercise is an effective intervention to improve muscle strength, power output, and aerobic power and functional capacity in elderly diabetic patients. Thus, a combination of resistance and endurance training is the most effective exercise intervention to promote overall physical fitness in these patients. In addition, in diabetic patients with frailty and severe functional decline, a multicomponent exercise program including strength and power training, balance exercises, and gait retraining may be an effective intervention to reduce falls and improve functional capacity and quality of life in these patients.

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Section: Effects Of Exercise Intervention On Diabetic Patients At Sevsupporting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exercise interventions in polypathological aging patients that coexist with diabetes mellitus: improving functional status and quality of life

Cadore

Izquierdo

2015

AGE

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“…[1][2][3] Nowadays, several strength training protocols have been tested in the search for systemic adaptations to more effectively reduce the negative changes that result from the human aging process.…”

Section: Introductionmentioning

confidence: 99%

Effects of Different Neuromuscular Training Protocols on the Functional Capacity of Elderly Women

Resende–Neto

Santos

Silva

et al. 2018

Rev Bras Med Esporte

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Introduction: Several strength training protocols have been tested in the search for systemic adaptations to improve functionality in the elderly. For this purpose, integrated exercises aimed at improving essential movements can be an interesting strategy to improve the performance of activities of the daily living. Objective: To compare the effects of eight weeks of functional training with traditional strength training on the physical fitness of sedentary elderly women. Methods: Thirty-two elderly women were divided into functional training group (FT, n=16) and traditional training group (TT, n=16). For the verification of functional responses, the Senior Fitness Test battery was used, as well as complementary tests of strength and muscular power. The data were analyzed using a 2x2 ANOVA with post hoc Sidak test to verify the differences between the groups. Results: At the end of eight weeks, when compared to TT group, the FT group showed significant increases in balance/ agility variables (p=0.01; +7.6%), lower limbs strength (p=0.04; +15.3%), upper limbs strength (p=0.05; +11.7%), and cardiorespiratory power (p=0.05; +10.7%). However, in relation to flexibility tests and conventional tests of maximum dynamic force and muscular strength, there were no statistically significant differences between the groups. Conclusions: Both interventions are efficient to improve physical fitness of sedentary elderly women; however, functional training induces better adaptive responses to functionality when compared with traditional training. Level of Evidence I; Randomized clinical trial.

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“…Dado que corrobora com a revisão de Cadore et.al, 2013 30 , a qual sugere que exercícios combinados melhoram equilíbrio e reduzem risco de quedas em idosos.…”

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Benefícios Do Treinamento Resistido Em Idosos Com Alzheimer: Revisão Narrativa De Literatura

Barbosa

Agner

2016

RPF

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Introdução: Com o crescente aumento da população de idosos cresce também as doenças neurológicas degenerativas, como a Doença de Alzheimer (DA). A DA acarreta declínios cognitivos, déficit de equilíbrio, perdas na força muscular e nas funções físicas, resultando em perda de qualidade de vida. Sabe-se atualmente que o exercício físico, na modalidade resistido, é uma intervenção que ameniza as perdas cognitivas e motoras no processo de envelhecimento. Objetivo: Verificar os possíveis benefícios do treinamento resistido em idosos com DA. Materiais e Métodos: Revisão narrativa de literatura, com busca nas bases de dados: Pubmed, Lilacs, e Bireme, com as palavras “strenght exercise”, “exercise training”, “resistance training”, “strength training” e “muscle strength associados a “Alzheimer”. Resultados: Foram encontrados 241 artigos, dos quais foram selecionados 10. Para as variáveis: Atividade de Vida Diária, Atividades Instrumentais de Vida Diária e Qualidade de Vida ainda são inconclusivos os benefícios do treinamento resistido. O treinamento combinado, contendo exercícios de força, caminhada, flexibilidade equilíbrio e agilidade, apresenta benefícios para o aumento na força muscular, melhoras no equilíbrio, função cognitiva e função física (capacidade de caminhar, subir e descer escadas, sentar e levantar) em idosos com DA. Conclusão: Estudos mais confiáveis, com metodologia sistemática e avaliação de risco de viés, precisam ser realizados para afirmar os benefícios descritos e padronizar intensidade, duração, volume de exercícios resistidos em idosos com DA.

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Effects of Different Exercise Interventions on Risk of Falls, Gait Ability, and Balance in Physically Frail Older Adults: A Systematic Review

Cited by 715 publications

References 56 publications

Exercise interventions in polypathological aging patients that coexist with diabetes mellitus: improving functional status and quality of life

Exercise interventions in polypathological aging patients that coexist with diabetes mellitus: improving functional status and quality of life

Effects of Different Neuromuscular Training Protocols on the Functional Capacity of Elderly Women

Benefícios Do Treinamento Resistido Em Idosos Com Alzheimer: Revisão Narrativa De Literatura

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