Skip to main content
Top
Published in: Journal of Public Health 4/2018

01-08-2018 | Comment

Dysmobility syndrome: is exercise a key component in its prevention and treatment?

Authors: Emerson Sebastião, Peter Chomentowski

Published in: Journal of Public Health | Issue 4/2018

Login to get access

Abstract

Aim

Dysmobility syndrome (DS) represents a cluster of six factors (some of them major public health problems) with a shared pathogenesis used to identify older adults at risk of a wide range of adverse health outcomes. This commentary discusses the role of exercise, a type of physical activity, in the prevention and treatment of this condition.

Subjects and methods

To accomplish the purpose of this commentary, we contextualize DS providing its definition, risk factors and recommended cutoff points for each factor. We further provide the current prevalence of DS and its impact on the health of older adults. This commentary also provides information on the benefits of exercise on  each of the recommended factors in isolation. We end the commentary with a brief research agenda that we believe will help establish exercise as a treatment approach for DS.

Results

The prevalence of DS is of great concern, and this condition has been found to be associated with a large array of adverse health outcomes including falls, a major public health problem. Based on the identified factors comprising DS, the current literature provides substantial evidence of the benefits of exercise to prevent this condition. However, to the best of our knowledge, no studies have been carried out to examine the effects of exercise on DS.

Conclusion

While the value of DS over and above other more established measures such as frailty may be questionable, the DS criteria at least provide a great opportunity for early identification of important deficits that can compromise independency and quality of life later in life.
Literature
go back to reference Binkley N, Krueger D, Buehring B (2013) What’s in a name revisited: should osteoporosis and sarcopenia be considered components of “dysmobility syndrome?”. Osteoporos Int 24:2955–2959CrossRefPubMed Binkley N, Krueger D, Buehring B (2013) What’s in a name revisited: should osteoporosis and sarcopenia be considered components of “dysmobility syndrome?”. Osteoporos Int 24:2955–2959CrossRefPubMed
go back to reference Chodzko-Zajko WJ, Proctor DN, Fiatarone-Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS (2009) American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 41:1510–1530CrossRefPubMed Chodzko-Zajko WJ, Proctor DN, Fiatarone-Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS (2009) American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 41:1510–1530CrossRefPubMed
go back to reference Clynes MA, Edwards MH, Buehring B, Dennison EM, Binkley N, Cooper C (2015) Definitions of sarcopenia: associations with previous falls and fracture in a population sample. Calcif Tissue Int 97:445–452CrossRefPubMedPubMedCentral Clynes MA, Edwards MH, Buehring B, Dennison EM, Binkley N, Cooper C (2015) Definitions of sarcopenia: associations with previous falls and fracture in a population sample. Calcif Tissue Int 97:445–452CrossRefPubMedPubMedCentral
go back to reference Evenson KR, Buchner DM, Morland KB (2012) Objective measurement of physical activity and sedentary behavior among US adults aged 60 years or older. Prev Chronic Dis 9:E26PubMed Evenson KR, Buchner DM, Morland KB (2012) Objective measurement of physical activity and sedentary behavior among US adults aged 60 years or older. Prev Chronic Dis 9:E26PubMed
go back to reference Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA (2001) Frailty in older adults: evidence for a phenotype. J Gerontol Ser A Biol Sci Med Sci 56:M146–M157CrossRef Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA (2001) Frailty in older adults: evidence for a phenotype. J Gerontol Ser A Biol Sci Med Sci 56:M146–M157CrossRef
go back to reference Haider S, Dorner TE, Luger E, Kapan A, Titze S, Lackinger C, Schindler KE (2017) Impact of a home-based physical and nutritional intervention program conducted by lay-volunteers on handgrip strength in prefrail and frail older adults: a randomized control trial. PLoS One 12(1):e0169613CrossRefPubMedPubMedCentral Haider S, Dorner TE, Luger E, Kapan A, Titze S, Lackinger C, Schindler KE (2017) Impact of a home-based physical and nutritional intervention program conducted by lay-volunteers on handgrip strength in prefrail and frail older adults: a randomized control trial. PLoS One 12(1):e0169613CrossRefPubMedPubMedCentral
go back to reference Hortobágyi T, Lesinski M, Gäbler M, VanSwearingen JM, Malatesta D, Granacher U (2015) Effects of three types of exercise interventions on healthy old adults’ gait speed: a systematic review and meta-analysis. Sport Med 45:1627–1643CrossRef Hortobágyi T, Lesinski M, Gäbler M, VanSwearingen JM, Malatesta D, Granacher U (2015) Effects of three types of exercise interventions on healthy old adults’ gait speed: a systematic review and meta-analysis. Sport Med 45:1627–1643CrossRef
go back to reference Iolascon G, Moretti A, Giamattei MT, Migliaccio S, Gimigliano F (2015) Prevalent fragility fractures as risk factor for skeletal muscle function deficit and dysmobility syndrome in post-menopausal women. Aging Clin Exp Res 27:11–16CrossRef Iolascon G, Moretti A, Giamattei MT, Migliaccio S, Gimigliano F (2015) Prevalent fragility fractures as risk factor for skeletal muscle function deficit and dysmobility syndrome in post-menopausal women. Aging Clin Exp Res 27:11–16CrossRef
go back to reference Lim EJ, Noh JH (2015) Physical function, cognitive function, and depressive symptoms in elderly women with dysmobility syndrome. Int J Bio-Science Bio-Technol 7:229–238CrossRef Lim EJ, Noh JH (2015) Physical function, cognitive function, and depressive symptoms in elderly women with dysmobility syndrome. Int J Bio-Science Bio-Technol 7:229–238CrossRef
go back to reference Marques EA, Mota J, Carvalho J (2012) Exercise effects on bone mineral density in older adults: a meta-analysis of randomized controlled trials. Age 34:1493–1515CrossRefPubMed Marques EA, Mota J, Carvalho J (2012) Exercise effects on bone mineral density in older adults: a meta-analysis of randomized controlled trials. Age 34:1493–1515CrossRefPubMed
go back to reference Ortman BJM, Velkoff VA, Hogan H (2014) An aging nation: the older population in the United States. Proc Econ Stat Adm US Dep Commer 1964:1–28 Ortman BJM, Velkoff VA, Hogan H (2014) An aging nation: the older population in the United States. Proc Econ Stat Adm US Dep Commer 1964:1–28
go back to reference Peterson MD, Rhea MR, Sen A, Gordon PM (2010) Resistance exercise for muscular strength in older adults: a meta-analysis. Ageing Res Rev 9(3):226–237CrossRefPubMedPubMedCentral Peterson MD, Rhea MR, Sen A, Gordon PM (2010) Resistance exercise for muscular strength in older adults: a meta-analysis. Ageing Res Rev 9(3):226–237CrossRefPubMedPubMedCentral
go back to reference Sherrington C, Michaleff ZA, Fairhall N, Paul SS, Tiedemann A, Whitney J, Cumming RG, Herbert RD, Close JCT, Lord SR (2016) Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. Br J Sports Med Online First: 04 October 2016 Sherrington C, Michaleff ZA, Fairhall N, Paul SS, Tiedemann A, Whitney J, Cumming RG, Herbert RD, Close JCT, Lord SR (2016) Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. Br J Sports Med Online First: 04 October 2016
go back to reference Willis LH, Slentz CA, Bateman LA, Shields AT, Piner LW, Bales CW, Houmard JA, Kraus WE (2012) Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. J Appl Physiol 113:1831–1837CrossRefPubMedPubMedCentral Willis LH, Slentz CA, Bateman LA, Shields AT, Piner LW, Bales CW, Houmard JA, Kraus WE (2012) Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. J Appl Physiol 113:1831–1837CrossRefPubMedPubMedCentral
Metadata
Title
Dysmobility syndrome: is exercise a key component in its prevention and treatment?
Authors
Emerson Sebastião
Peter Chomentowski
Publication date
01-08-2018
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 4/2018
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-017-0875-3

Other articles of this Issue 4/2018

Journal of Public Health 4/2018 Go to the issue