Cited by 111Frailty in Older AdultsGeriatric Care and Nursing HomesNutrition and Health in Aging

Effects of Multicomponent Exercise on Frailty in Long-Term Nursing Homes: A Randomized Controlled Trial

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Arrieta, Haritz, Rezola‐Pardo, Chloe, Gil, Susana M., Virgala, Janire, Iturburu, Miren, Antón, Iván, González‐Templado, Vanesa, Irazusta, Jon +1 more·2019·Journal of the American Geriatrics Society

Abstract

OBJECTIVES: To determine the effect of multicomponent exercise on frailty and related adverse outcomes in residents of long‐term nursing homes (LTNHs). DESIGN: A single‐blind randomized controlled trial. SETTING: Ten LTNHs in Gipuzkoa, Spain. PARTICIPANTS: The study sample comprised 112 men and women aged 70 years or older who scored 50 or higher on the Barthel Index, 20 or higher on the MEC‐35 test (an adapted and validated version of the Mini‐Mental State Examination in Spanish), and who were capable of standing up and walking independently for at least 10 m. INTERVENTION: Subjects in the control group (CG) participated in routine activities. The intervention group (IG) participated in a 6‐month program of individualized and progressive multicomponent exercise at moderate intensity. MEASUREMENTS: Frailty was assessed by four different scales at baseline and at 6 months. The Barthel Index was measured at baseline and at 12 months. Frailty‐related adverse outcomes were recorded from 12 months before to 12 months after starting the intervention. RESULTS: A lower prevalence of frailty was observed in the IG compared with the CG according to Fried's frailty phenotype, Short Physical Performance Battery, and Tilburg Frailty Indicator after 6 months ( p < .05). There was a decline in the CG on the Barthel Index after 12 months ( p < .05), whereas score was maintained in the IG. Both groups experienced a similar number of falls before and after the intervention ( p > .05), but during the 6‐month intervention period, fewer falls were observed in the IG than the CG ( p < .05). Lower overall mortality was observed 12 months after starting the intervention for the IG than the CG (1 vs 6, respectively; p = .05). CONCLUSION: Individualized and progressive multicomponent exercise at moderate intensity seems to be effective to prevent falls and reduce frailty and mortality.

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Crossref · 10.1111/jgs.15824

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Authors
Arrieta, H., Rezola‐Pardo, C., Gil, S. M., Virgala, J., Iturburu, M., Antón, I., González‐Templado, V., Irazusta, J., & Rodriguez‐Larrad, A.
Affiliations
  • University of the Basque Country (ES)
  • Matia Fundazioa (ES)
  • Caser Betharram Hondarribia Spain
Corresponding author
Arrieta, Haritz
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
2019-03-19
Volume
67
Issue
6
Pages
1145-1151
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
OpenAlex
W2924538529
Cited by
111
References
46
Citations by year
2026: 10 · 2025: 17 · 2024: 33 · 2023: 9 · 2022: 17 · 2021: 16 · 2020: 4 · 2019: 5
FWCI
5.53
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
  • Communities in ADDI (University of the Basque Country) (submittedVersion, other-oa)
  • Hispana (submittedVersion, other-oa)
Funders
Eusko Jaurlaritza (ELKARTEK16/57, ELKARTEK17/61, RIS16/07, SAN17/11)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
Keywords
multicomponent exercise, frailty, nursing home residents, older adults, fall prevention, mortality, functional decline, individualized exercise program, exercise intensity, Fried frailty phenotype
MeSH terms
Accidental Falls, Aged, Female, Humans, Male, Mortality, Nursing Homes, Surveys and Questionnaires, Spain, Exercise, Single-Blind Method, Frail Elderly

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