Real-Life Outcomes of a Multicomponent Exercise Intervention in Community-Dwelling Frail Older Adults and Its Association with Nutritional-Related Factors.
Fernando Millan-DomingoFrancisco José Tarazona SantabalbinaAitor CarreteroGloria OlasoJosé ViñaMarie-Carmen Gomez-CabreraPublished in: Nutrients (2022)
Most of the studies on physical exercise in older adults have been conducted through randomized clinical trials performed under tight experimental conditions. Data regarding Real-Life physical exercise intervention programs in older adults with different conditions and in different settings, are lacking. This is an interventional, prospective and pragmatic Real-Life study in which fifty sedentary and frail individuals were enrolled. We aimed at determining if a Real-Life exercise intervention outweighs previously reported improvements in a Clinical Trial (NCT02331459). We found higher improvements in the Real-Life exercise intervention vs. the Clinical Trial in functional parameters, such as Fried's frailty criteria, Tinetti, Barthel and Lawton & Brody scales. Similar results were found in the dietary habits, emotional and social networking outcomes determined through the Short-MNA, Yesavage, EuroQol and Duke scales. The Real-Life intervention led to a significant reduction in the number of falls, visits to the primary care centers and emergency visits when compared to the results of our previously published Clinical Trial. The implementation of a Real-Life exercise intervention is feasible and should be a major priority to improve health-span in the older population.
Keyphrases
- community dwelling
- physical activity
- randomized controlled trial
- clinical trial
- primary care
- healthcare
- high intensity
- study protocol
- public health
- emergency department
- open label
- phase ii
- double blind
- type diabetes
- metabolic syndrome
- electronic health record
- big data
- phase iii
- glycemic control
- machine learning
- middle aged
- general practice
- meta analyses