Supervised Exercise (Vivifrail) Protects Institutionalized Older Adults Against Severe Functional Decline After 14 Weeks of COVID Confinement

Courel-Ibáñez, Javier; García-Conesa, Silverio; Buendía-Romero, Ángel; Martínez-Cava, Alejandro; Izquierdo, Mikel

doi:10.1016/j.jamda.2020.11.007

Cited by 39 publications

(48 citation statements)

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“…Generally, exercise interventions can decrease the prevalence of frailty and sarcopenia and are also effective in reducing the severity of these syndromes [12]. Our results are consistent with previous studies supporting that resistance training is beneficial for the muscular strength and physical function in older adults with frailty or sarcopenia [10,22,24], but they do not combine both syndromes (sarcopenia and frailty) and if they do, they examine the effect of exercise overall [23].…”

Section: Body Compositionsupporting

confidence: 89%

“…Frailty can lead to common healthcare issues, such as decrease of strength, immobility, falls, undernutrition, incontinence, depression and anxiety [9]. In addition to healthy lifestyle behaviours, frailty may be prevented and even reversed with proper exercise training [10][11][12]. Among frail older adults, exercise is particularly important to maintain physical functioning and self-autonomy, reducing the risk of falls, acute hospital and care home admission [13,14].…”

Section: Introductionmentioning

confidence: 99%

“…On this matter, supervised exercise is proposed as an effective strategy to treat sarcopenia and physical frailty [12,14]. Chiefly, resistance training interventions might be particularly beneficial to delay and reduce the causes (e.g., loss of muscle mass) and consequences (e.g., loss of muscular strength or functionality) that both syndromes usually produce, even at early stages [15,16].…”

Section: Introductionmentioning

confidence: 99%

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Benefits of Resistance Training in Early and Late Stages of Frailty and Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies

Talar

Hernández-Belmonte

Vetrovsky

et al. 2021

JCM

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Sarcopenia and frailty are age-related syndromes with negative effects on the quality of life of older people and on public health costs. Although extensive research has been carried out on the effects of physical exercise and physical syndromes, there is a knowledge gap when it comes to the effect of resistance training on muscular strength, physical performance, and body composition at early (prevention) and late (treatment) stages in both syndromes combined. We conducted this systematic review and meta-analysis (CRD42019138253) to gather the evidence of randomized controlled trials examining the effects of resistance training programs lasting ≥ 8 weeks on strength, physical function, and body composition of adults ≥65 years old diagnosed with pre-sarcopenia, sarcopenia, pre-frailty, or frailty. A search from the earliest record up to and including December 2020 was carried out using the PubMed, Scopus, Web of Science, and Cochrane Library databases. A total of 25 studies (n = 2267 participants) were included. Meta-analysis showed significant changes in favour of resistance training for handgrip (ES = 0.51, p = 0.001) and lower-limb strength (ES = 0.93, p < 0.001), agility (ES = 0.78, p = 0.003), gait speed (ES = 0.75, p < 0.001), postural stability (ES = 0.68, p = 0.007), functional performance (ES = 0.76, p < 0.001), fat mass (ES = 0.41, p = 0.001), and muscle mass (ES = 0.29, p = 0.002). Resistance training during early stages had positive effects in all variables during early stages (ES > 0.12), being particularly effective in improving gait speed (ES = 0.63, p = 0.016) and functional strength (ES = 0.53, p = 0.011). Based on these results, resistance training should be considered as a highly effective preventive strategy to delay and attenuate the negative effects of sarcopenia and frailty in both early and late stages.

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Section: Body Compositionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Benefits of Resistance Training in Early and Late Stages of Frailty and Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies

Talar

Hernández-Belmonte

Vetrovsky

et al. 2021

JCM

Self Cite

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“…A 10-year community-based multicomponent interventions (physical, nutrition and social encompassing group-based activities) in Kusatsu (Japan) improved functional status, reduced annual disability incidence, and prolonged active life expectancy at age 70 (36). Exercise interventions in nursing homes and longterm care facilities improve muscle strength and function (34,35,(37)(38)(39). These benefits are lost after training cessation (35), especially in frail elderly patients with dementia after long-term physical restraint.…”

mentioning

confidence: 99%

“…These benefits are lost after training cessation (35), especially in frail elderly patients with dementia after long-term physical restraint. In a recent study (38) on older adults (<75 years) living in nursing homes the Vivifrail multicomponent tailored exercise program (http://vivifrail.com/resources/) was very effective in the short-term (4 weeks) and prevented severe functional decline and strength loss in institutionalized older (i.e. physical frailty reversion and recovery of autonomy).…”

mentioning

confidence: 99%