Home-Based Physical Exercise Among Older Adults with Signs of Frailty: Emphasis on Days Lived at Home, Utilization of Social and Health Care Services, Quality of Life, Physical Functioning, and Severity of Frailty
Julkaistu sarjassa
JYU dissertationsTekijät
Päivämäärä
2022Tekijänoikeudet
© The Author & University of Jyväskylä
Physical frailty is a syndrome in older adults which decreases functional capacity and quality of life and increases health care costs and the risks of institutionalization and mortality. The aim of this thesis was to evaluate the effects of a 12-month physiotherapist-supervised, home-based physical exercise program among community-dwelling older adults with signs of frailty on days lived at home, the utilization and costs of social and health care services, quality of life, functioning, and the severity of frailty.
The participants (n=300) were recruited in South Karelia, Finland. They were pre-frail (61%) or frail (39%) according to the frailty phenotype criteria, mean age was 83 y., and 75% were women. Participants were randomized into groups of 12-month, home-based exercise for 60 minutes twice a week (n=150) or usual care (n=150). The primary outcome, days lived at home, and the secondary outcome, the utilization and costs of social and health care services were assessed over 24 months using register information. Other outcomes were assessed at baseline, three, six and 12 months, and included: quality of life, functional independence, instrumental activities of daily living, physical performance, and number of falls. The home-based exercise included strength, balance, functional, and flexibility exercises, and was supervised by a physiotherapist.
The 12-month physical exercise program did not increase the number of days lived at home over the 24 months. The exercise intervention was cost neutral in the frail subgroup over 24 months, but increased costs among the pre-frail. The exercise intervention maintained the quality of life, improved physical performance, slowed down the deterioration of functional independence, and decreased the number of falls per person-year in comparison to usual care. The exercise intervention did not cause any severe adverse effects.
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Julkaisija
Jyväskylän yliopistoISBN
978-951-39-9245-3ISSN Hae Julkaisufoorumista
2489-9003Julkaisuun sisältyy osajulkaisuja
- Artikkeli I: Suikkanen, S., Soukkio, P., Pitkälä, K., Kääriä, S., Kautiainen, H., Sipilä, S., Kukkonen-Harjula, K., & Hupli, M. (2019). Older persons with signs of frailty in a home-based physical exercise intervention: baseline characteristics of an RCT. Aging Clinical and Experimental Research, 31(10), 1419–1427. DOI: 10.1007/s40520-019-01180-z
- Artikkeli II: Suikkanen, S. A., Soukkio, P. K., Aartolahti, E. M., Kautiainen, H., Kääriä, S. M., Hupli, M. T., Sipilä, S., Pitkälä, K. H., & Kukkonen-Harjula, K. T. (2021). Effects of Home-Based Physical Exercise on Days at Home and Cost-Effectiveness in Pre-Frail and Frail Persons : Randomized Controlled Trial. Journal of the American Medical Directors Association, 22(4), 773-779. DOI: 10.1016/j.jamda.2020.06.005. JYX: jyx.jyu.fi/handle/123456789/74951
- Artikkeli III: Suikkanen, 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. Archives of Physical Medicine and Rehabilitation, 102(12), 2283-2290. DOI: 10.1016/j.apmr.2021.06.017. JYX: jyx.jyu.fi/handle/123456789/78895
- Artikkeli IV: Suikkanen, S., Soukkio, P., Kautiainen, H., Kääriä, S., Hupli, M. T., Sipilä, S., Pitkälä, K., Aartolahti, E., & Kukkonen-Harjula, K. (2022). Changes in the Severity of Frailty Among Older Adults After 12 Months of Supervised Home-Based Physical Exercise : A Randomized Clinical Trial. Journal of the American Medical Directors Association, 23(10), 1717.e9-1717.e15. DOI: 10.1016/j.jamda.2022.07.010
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Effects of Home-Based Physical Exercise on Days at Home and Cost-Effectiveness in Pre-Frail and Frail Persons : Randomized Controlled Trial
Suikkanen, Sara A.; Soukkio, Paula K.; Aartolahti, Eeva M.; Kautiainen, Hannu; Kääriä, Sanna M.; Hupli, Markku T.; Sipilä, Sarianna; Pitkälä, Kaisu H.; Kukkonen-Harjula, Katriina T. (Elsevier BV, 2021)Objectives Frailty increases the risks of hospitalization, institutionalization, and death. Our objective was to study the effects of home-based physical exercise on the number of days spent at home among pre-frail and ... -
Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT
Suikkanen, Sara; Soukkio, Paula; Pitkälä, Kaisu; Kääriä, Sanna; Kautiainen, Hannu; Sipilä, Sarianna; Kukkonen-Harjula, Katriina; Hupli, Markku (Springer International Publishing, 2019)Background Increasing the level of physical activity among persons with signs of frailty improves physical functioning. There is a lack of long-term supervised physical exercise intervention studies including a validated ... -
Changes in the Severity of Frailty Among Older Adults After 12 Months of Supervised Home-Based Physical Exercise : A Randomized Clinical Trial
Suikkanen, Sara; Soukkio, Paula; Kautiainen, Hannu; Kääriä, Sanna; Hupli, Markku T.; Sipilä, Sarianna; Pitkälä, Kaisu; Aartolahti, Eeva; Kukkonen-Harjula, Katriina (Elsevier BV, 2022)Objective To investigate the effects of 12 months of physiotherapist-supervised, home-based physical exercise on the severity of frailty and on the prevalence of the 5 frailty phenotype criteria, using secondary ... -
Investigating dose–response effects of multimodal exercise programs on health-related quality of life in older adults
Kaushal, Navin; Langlois, Francis; Desjardins-Crépeau, Laurence; Hagger, Martin; Bherer, Louis (Dove Press, 2019)Background: Older adults are at risk of multiple chronic diseases, most of which could be prevented by engaging in regular physical activity. Frailty is a state of increased vulnerability to diseases. Worsening symptoms ... -
Effects of home-based physical exercise on days at home, healthcare utilization and functional independence among patients with hip fractures : a randomized controlled trial
Soukkio, Paula K.; Suikkanen, Sara A.; Aartolahti, Eeva M.; Kautiainen, Hannu; Kääriä, Sanna M.; Hupli, Markku T.; Pitkälä, Kaisu H.; Sipilä, Sarianna; Kukkonen-Harjula, Katriina T. (Elsevier, 2021)Objective To evaluate the effects of a physical exercise program on days lived at home, the use and costs of healthcare and social services mortality and functional independence among patients with hip fractures. Des ...
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