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Physical Exercise for Frailty and Cardiovascular Diseases
Natalia Aquaroni Ricci1, Ana Izabel Lopes Cunha2
1Universidade Cidade de São Paulo-UNICID, São Paulo, Brazil. natalia_ricci@hotmail.com.
Advances in Experimental Medicine and Biology
|January 3, 2020
Summary
Successful aging requires addressing cardiovascular diseases (CVD) and frailty. Multicomponent exercise programs, including aerobic and strength training, are recommended for older adults with CVD and frailty to improve independence.
Area of Science:
- Gerontology
- Cardiology
- Physical Therapy
Background:
- Cardiovascular diseases (CVD) and frailty syndrome are significant challenges to successful aging in older adults.
- These conditions share biological pathways, symptoms, and negative health impacts, notably reducing aerobic capacity and muscle strength essential for daily independence.
- Physical activity and exercise are recognized for their preventive and therapeutic roles in managing CVD and frailty.
Purpose of the Study:
- To explore the role of physical activity and exercise in managing cardiovascular diseases (CVD) and frailty syndrome in older adults.
- To highlight the need for tailored exercise prescriptions considering aging physiology, frailty, and CVD-specific changes.
- To emphasize the importance of multicomponent exercise programs and lifestyle modifications for improving outcomes.
Main Methods:
- Review of existing evidence and recommendations regarding physical activity for older adults with CVD and frailty.
- Analysis of the shared physiological impacts of CVD and frailty on functional capacity.
- Consideration of aging-related physiological alterations and disease-specific changes in exercise program design.
Main Results:
- The optimal exercise dose-response (type, intensity, duration) for this population remains uncertain.
- A multicomponent exercise program combining aerobic and strength training is suggested to be beneficial.
- Lifestyle changes promoting increased daily activity and reduced sedentary behavior are crucial for long-term results.
Conclusions:
- Older adults with frailty and CVD can safely engage in physical activities; it is not a contraindication.
- Multicomponent exercise programs are desirable for improving functional capacity and independence in this demographic.
- Addressing both CVD and frailty through exercise and lifestyle changes is key for promoting successful aging.
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