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Published in: BMC Geriatrics 1/2019

Open Access 01-12-2019 | Nutrition | Research article

What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials

Authors: Tara Kidd, Freda Mold, Claire Jones, Emma Ream, Wendy Grosvenor, Märtha Sund-Levander, Pia Tingström, Nicola Carey

Published in: BMC Geriatrics | Issue 1/2019

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Abstract

Background

With life expectancy continuing to rise in the United Kingdom there is an increasing public health focus on the maintenance of physical independence among all older adults. Identifying interventions that improve physical outcomes in pre-frail and frail older adults is imperative.

Methods

A systematic review of the literature 2000 to 2017 following PRISMA guidelines and registered with PROSPERO (no. CRD42016045325).

Results

Ten RCT trials fulfilled selection criteria and quality appraisal. The study quality was moderate to good. Interventions included physical activity; nutrition, physical activity combined with nutrition. Interventions that incorporated one or more physical activity components significantly improved physical outcomes in pre-frail and/or frail older adults.

Conclusions

Physical activity interventions are key to maintaining independence in pre-frail and frail older adults. A lack of consensus regarding the definition of frailty, and an absence of core measures to assess this means any attempt to create an optimal intervention will be impeded. This absence may ultimately impact on the ability of older and frail adults to live well and for longer in the community.
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Metadata
Title
What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials
Authors
Tara Kidd
Freda Mold
Claire Jones
Emma Ream
Wendy Grosvenor
Märtha Sund-Levander
Pia Tingström
Nicola Carey
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Nutrition
Published in
BMC Geriatrics / Issue 1/2019
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-019-1196-x

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