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dc.contributor.authorSuikkanen, Sara
dc.contributor.authorSoukkio, Paula
dc.contributor.authorAartolahti, Eeva
dc.contributor.authorKääriä, Sanna
dc.contributor.authorKautiainen, Hannu
dc.contributor.authorHupli, Markku T.
dc.contributor.authorPitkälä, Kaisu
dc.contributor.authorSipilä, Sarianna
dc.contributor.authorKukkonen-Harjula, Katriina
dc.date.accessioned2021-12-07T09:42:22Z
dc.date.available2021-12-07T09:42:22Z
dc.date.issued2021
dc.identifier.citationSuikkanen, S., Soukkio, P., Aartolahti, E., Kääriä, S., Kautiainen, H., Hupli, M. T., Pitkälä, K., Sipilä, S., & Kukkonen-Harjula, K. (2021). Effect of 12-month supervised, home-based physical exercise on functioning among persons with signs of frailty : Randomized Controlled Trial. <i>Archives of Physical Medicine and Rehabilitation</i>, <i>102</i>(12), 2283-2290. <a href="https://doi.org/10.1016/j.apmr.2021.06.017" target="_blank">https://doi.org/10.1016/j.apmr.2021.06.017</a>
dc.identifier.otherCONVID_99045712
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/78895
dc.description.abstractObjectives To investigate the effects of a 12-month home-based exercise program on functioning and falls among persons with signs of frailty. Design A randomized controlled trial with a 1:1 allocation Setting Home-based Participants Home-dwelling persons aged ≥65 years meeting at least one frailty phenotype criteria (n=300). Intervention 12-month, individually tailored, progressive and physiotherapist-supervised, physical exercise twice a week (n=150) vs. usual care (n=149). Main outcome Measures Functional Independence Measure (FIM), Short Physical Performance Battery (SPPB), handgrip strength, instrumental activities of daily living (IADL), and self-reported falls and physical activity (other than intervention). Assessed four times at home over 12 months. Results The mean age of the participants was 82.2 (SD 6.3), 75% were women, 61% met 1–2 frailty criteria and 39% ≥3 criteria. FIM deteriorated in both groups over 12 months, -4.1 points (95% CI: -5.6 to -2.5) in the exercise group and -6.9 (-8.4 to -2.3) in the usual care group (group p=0.014, time p<0.001, interaction p=0.56). The mean improvement in SPPB was significantly greater in the exercise group [1.6 (1.3 to 2.0)] than in the usual care group [0.01 (-0.3 to 0.3)] (group p<0.001, time p=0.11, interaction p=0.027). The exercise group reported significantly fewer falls per person-year compared to the usual care group (incidence rate ratio, IRR 0.47 [95% CI 0.40 to 0.55]; p<0.001). There was no significant difference between the groups over 12 months in terms of handgrip strength, IADL function or self-reported physical activity. Conclusions One year of physical exercise improved physical performance and decreased the number of falls among people with signs of frailty. FIM differed between the groups at 12 months, but exercise did not prevent deterioration of FIM, IADL or handgrip strength.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherElsevier BV
dc.relation.ispartofseriesArchives of Physical Medicine and Rehabilitation
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherphysical therapy
dc.subject.otherphysical functional performance
dc.subject.otherfunctional status
dc.subject.otheraging
dc.titleEffect of 12-month supervised, home-based physical exercise on functioning among persons with signs of frailty : Randomized Controlled Trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202112075886
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.format.pagerange2283-2290
dc.relation.issn0003-9993
dc.relation.numberinseries12
dc.relation.volume102
dc.type.versionacceptedVersion
dc.rights.copyright© 2021 The American Congress of Rehabilitation Medicine
dc.rights.accesslevelembargoedAccessfi
dc.subject.ysoliikunta
dc.subject.ysofyysinen kunto
dc.subject.ysofyysinen aktiivisuus
dc.subject.ysotoimintakyky
dc.subject.ysoikääntyminen
dc.subject.ysosuorituskyky
dc.subject.ysofysioterapia
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p916
jyx.subject.urihttp://www.yso.fi/onto/yso/p7384
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
jyx.subject.urihttp://www.yso.fi/onto/yso/p10213
jyx.subject.urihttp://www.yso.fi/onto/yso/p5056
jyx.subject.urihttp://www.yso.fi/onto/yso/p14041
jyx.subject.urihttp://www.yso.fi/onto/yso/p10515
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.apmr.2021.06.017
jyx.fundinginformationThis work was supported by the South Karelia Social and Health Care District (Eksote; register number 1236/00.01.05.01/2013); The Social Insurance Institution of Finland (SII; register number 94/331/2013); and the Finland State Research Funding for Academic Health Research (Ministry of Social Affairs and Health). The funders played no role in the design, collection, analysis, or interpretation of the data, nor in writing the manuscript.


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