Show simple item record

dc.contributor.authorSuikkanen, Sara
dc.contributor.authorSoukkio, Paula
dc.contributor.authorKautiainen, Hannu
dc.contributor.authorKääriä, Sanna
dc.contributor.authorHupli, Markku T.
dc.contributor.authorSipilä, Sarianna
dc.contributor.authorPitkälä, Kaisu
dc.contributor.authorAartolahti, Eeva
dc.contributor.authorKukkonen-Harjula, Katriina
dc.date.accessioned2023-03-29T09:07:28Z
dc.date.available2023-03-29T09:07:28Z
dc.date.issued2022
dc.identifier.citationSuikkanen, 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. <i>Journal of the American Medical Directors Association</i>, <i>23</i>(10), 1717.e9-1717.e15. <a href="https://doi.org/10.1016/j.jamda.2022.07.010" target="_blank">https://doi.org/10.1016/j.jamda.2022.07.010</a>
dc.identifier.otherCONVID_151754672
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/86169
dc.description.abstractObjective 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 analyses. Design Randomized clinical trial, with 1:1 allocation into 12-month home-based physical exercise, or usual care. The multicomponent exercise sessions (60 minutes) were supervised by the physiotherapist and included strength, balance, functional, and flexibility exercises twice a week at participants' homes. Setting and Participants Home-dwelling older adults aged ≥65 years who were frail (meeting 3-5 criteria) or prefrail (1-2 criteria) according to frailty phenotype criteria. Methods The severity of frailty (nonfrail, prefrail, or frail) was assessed using frailty phenotype criteria, and the prevalence of each frailty criterion (weight loss, low physical activity, exhaustion, weakness, and slowness) were assessed at baseline and at 12 months. Results Two hundred ninety-nine persons were included in the analyses, of whom 184 were prefrail and 115 were frail at baseline. Their mean age was 82.5 (SD 6.3) years, and 75% were women. There was a significant difference between the exercise and usual care groups' transitions to different frailty states from baseline to 12 months among those who at baseline were prefrail (P = .032) and frail (P = .009). At 12 months, the mean number of frailty criteria had decreased in the exercise group (−0.27, 95% CI –0.47, −0.08) and remained unchanged in the usual care group (0.01, 95% CI –0.16, 0.18; P = .042). The prevalence of the exhaustion (P = .009) and the low physical activity (P < .001) criteria were lower at 12 months in the exercise group than in the usual care group. Conclusions and Implications The severity of frailty can be reduced through 12-month supervised home-based exercise training. Exercise should be included in the care of older adults with signs of frailty.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherElsevier BV
dc.relation.ispartofseriesJournal of the American Medical Directors Association
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherfrailty
dc.subject.otherolder adults
dc.subject.otherphysical exercise
dc.subject.otherrehabilitation
dc.titleChanges in the Severity of Frailty Among Older Adults After 12 Months of Supervised Home-Based Physical Exercise : A Randomized Clinical Trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202303292309
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiainePhysiotherapyen
dc.contributor.oppiaineGerontology and Public Healthen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1717.e9-1717.e15
dc.relation.issn1538-9375
dc.relation.numberinseries10
dc.relation.volume23
dc.type.versionacceptedVersion
dc.rights.copyright© 2022 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
dc.rights.accesslevelopenAccessfi
dc.subject.ysosuorituskyky
dc.subject.ysoharjoitteet
dc.subject.ysotoimintakyky
dc.subject.ysofysioterapia
dc.subject.ysofyysinen aktiivisuus
dc.subject.ysoliikuntahoito
dc.subject.ysokotikuntoutus
dc.subject.ysokuntoutus
dc.subject.ysoikääntyneet
dc.subject.ysogerastenia
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p14041
jyx.subject.urihttp://www.yso.fi/onto/yso/p24969
jyx.subject.urihttp://www.yso.fi/onto/yso/p10213
jyx.subject.urihttp://www.yso.fi/onto/yso/p10515
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
jyx.subject.urihttp://www.yso.fi/onto/yso/p7811
jyx.subject.urihttp://www.yso.fi/onto/yso/p28977
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p28376
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.jamda.2022.07.010
jyx.fundinginformationThis work was supported by South Karelia Social and Health Care District (register number 1236/00.01.05.01/2013); the Social Insurance Institution of Finland (grant numbers 94/331/2013, 17/26/2019); and State Research Funding for Academic Health Research (Ministry of Social Affairs and Health, Finland), through Helsinki University Hospital (HUS) (grant numbers HUS 2016, HUS/2931/2017, HUS/2571/2017, HUS/2631/2019, and 864/2020).
dc.type.okmA1


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

CC BY-NC-ND 4.0
Except where otherwise noted, this item's license is described as CC BY-NC-ND 4.0