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2017 ; 17
(1
): 60
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English Wikipedia
Effectiveness of a multicomponent exercise program in the attenuation of frailty
in long-term nursing home residents: study protocol for a randomized clinical
controlled trial
#MMPMID28231827
Rodriguez-Larrad A
; Arrieta H
; Rezola C
; Kortajarena M
; Yanguas JJ
; Iturburu M
; Susana MG
; Irazusta J
BMC Geriatr
2017[Feb]; 17
(1
): 60
PMID28231827
show ga
BACKGROUND: There is increasing evidence suggesting that cognition and physical
frailty interact within a cycle of decline associated with aging which has been
called cognitive frailty. Exercise programs have demonstrated to be an effective
tool to prevent functional and cognitive decline during aging, but little is
known about their potential to restore or maintain functionality in individuals
that require long-term nursing care. Besides, WHO has recently highlighted the
importance of introducing systematic musculoskeletal health programs for older
people living in residential care, as they represent a particularly vulnerable
group for the development of noncommunicable diseases. METHODS: This is a
multicentre randomized controlled trial. 114 participants will be randomly
allocated to a usual care group or to an intervention group. Inclusion criteria
are as follows: ? 70 years, ? 50 on the Barthel Index, ? 20 on MEC-35 who are
capable to stand up and walk independently for 10 m. Subjects in the intervention
group will add to the activities scheduled for the control group the
participation in a 6 months long multicomponent exercise program designed to
improve strength, balance and walking retraining. Study assessments will be
conducted at baseline and at 3 and 6 months. The primary outcome is change in
function assessed by Short Physical Performance Battery and secondary outcomes
include other measurements to assess all together the condition of frailty, which
includes functionality, sedentary behaviors, cognitive and emotional status and
biological markers. The present study has been approved by the Committee on
Ethics in Research of the University of the Basque Country (Humans Committee Code
M10/2016/105; Biological Samples Committee Code M30/2016/106). DISCUSSION:
Results from this research will show if ageing related functional and cognitive
deterioration can be effectively prevented by physical exercise in
institutionalized elders. It is expected that the results of this research will
guide clinical practice in nursing home settings, so that clinicians and
policymakers can provide more evidence-based practice for the management of
institutionalized elder people. TRIAL REGISTRATION: The protocol has been
registered under the Australian and New Zealand Clinical Trials Registry (ANZCTR)
with the identifier: ACTRN12616001044415 .
free
free
free
