Management of Frailty at Individual Level: Narrative Review of Physical Activity from the European Perspective of Joint Action on Frailty - JA Advantage

Zdr Varst. 2019 Mar 26;58(2):84-90. doi: 10.2478/sjph-2019-0011. eCollection 2019 Mar.

Abstract

Introduction: This paper aimed to review the effect of physical activity and exercise in frail older persons. As the process which leads to frailty and disability can be slowed down or even completely reversed, it can be appropriate for early interventions.

Methodology: A literature search was conducted in the following databases: PubMed, Cochrane, Embase, Cinahl and UpToDate. The criterion in selecting the literature was that articles were published from 2002 to 2017. From 620,043 initial hits, 25 publications were selected.

Results: Physical activity and exercise in frail elderly are effective and relatively safe and may reverse frailty.

Conclusion: Different exercise interventions in frail elderly persons can increase strength and power, improve balance and reduce fall incidence resulting in greater quality of life. From this perspective, physical exercise interventions should become daily routine in frail elderly persons.

Uvod: Namen tega prispevka je pregledati učinek fizične aktivnosti in telovadbe pri krhkih starostnikih. Ker se lahko proces, ki vodi h krhkosti in odvisnosti od drugih upočasni ali popolnoma zavre, je primeren za zgodnje intervencije.

Metode: Za to raziskavo je bil uporabljen pregled literature v naslednjih podatkovnih bazah: PubMed, Cochrane, Embase, Cinahl in UpToDate. Vključitveni kriterij je bil objava člankov v letih 2002 do 2017. Od 620.043 zadetkov je bilo izbranih 25 publikacij.

Rezultati: Fizična aktivnost in vadba starejših krhkih oseb je učinkovita in relativno varna ter lahko odpravlja krhkost.

Zaključki: Različne vadbene intervencije pri krhkih starejših osebah lahko povečajo telesno moč, izboljšajo ravnotežje in zmanjšujejo nevarnost padcev, kar izboljšuje kakovost življenja. Iz te perspektive naj intervencije telesne aktivnosti postanejo del dnevne rutine starejših oseb.

Keywords: exercise; frailty; physical activity.