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Interventions for promoting mobility in community-dwelling older adults
Hye A Yeom1, Colleen Keller, Julie Fleury
1College of Nursing & Healthcare Innovation, Arizona State University, 500 N. 3rd Street, Phoenix, AZ 85004, USA. hye.yeom@asu.edu
Journal of the American Academy of Nurse Practitioners
|February 21, 2009
Summary
Regular physical activity, including walking, aerobic exercise, and resistance training, effectively enhances mobility in older adults. Interventions lasting at least 12 weeks show significant benefits, with group settings proving particularly effective.
Area of Science:
- Gerontology
- Exercise Science
- Rehabilitation Medicine
Background:
- Mobility decline is a significant concern for older adults, impacting independence and quality of life.
- Identifying effective interventions to maintain and improve mobility is crucial for healthy aging.
Purpose of the Study:
- To review intervention studies aimed at enhancing mobility in older adults.
- To discuss the strengths, limitations, and practical implications of current mobility intervention research.
Main Methods:
- Systematic literature search of Medline, CINAHL, and PsychInfo databases.
- Inclusion of original research articles on interventions for community-dwelling older adults.
Main Results:
- Effective interventions include walking, aerobic exercise, and resistance training (strength, balance, flexibility).
- Group-based programs and a minimum duration of 12 weeks yield significant mobility improvements.
- Clinical trials benefit from varied interventions and control groups, but face challenges in dose specificity and cultural adaptation.
Conclusions:
- Physical activity prescriptions (aerobic and resistance training) in primary care can mitigate mobility impairment progression.
- Recommended physical activity: 20-60 minutes of aerobic activity, three times weekly.
- Adherence can be monitored via interviews or tools like exercise diaries.
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