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Home Exercise Interventions in Frail Older Adults
Alyssa D Stookey1,2, Leslie I Katzel1,2
1Department of Veterans Affairs and Veterans Affairs Medical Center, Geriatric Research, Education and Clinical Center (GRECC), Baltimore, MD, USA.
Current Geriatrics Reports
|June 4, 2021
Summary
Home-based exercise programs are feasible and effective for improving frailty, function, and reducing falls in older adults. Further research is needed to optimize program components and delivery for maximum benefits.
Area of Science:
- Gerontology
- Exercise Science
- Public Health
Background:
- Frailty in older adults is linked to reduced physiological reserve and increased risks of falls, disability, and mortality.
- Center-based exercise interventions are common but pose accessibility challenges for frail individuals.
- Home-based exercise offers a potential solution for this demographic.
Purpose of the Study:
- To review recent home-based exercise interventions for frail older adults living independently.
- To summarize the effectiveness of these interventions on various health outcomes.
Main Methods:
- Systematic review of eight published manuscripts.
- Analysis of interventions including strength, flexibility, balance, and endurance exercises.
- Examination of varied durations (12 weeks to 6 months) and delivery methods (volunteer-led, videos, manuals).
Main Results:
- Home-based exercise interventions demonstrated feasibility and effectiveness in improving frailty status and physical performance.
- Positive impacts were observed on nutritional status and reducing the incidence of falls.
- Conflicting results were noted for mental health outcomes, with no significant effects on skeletal or lean body mass.
Conclusions:
- Home-based exercise is a viable strategy to enhance the health and functional capacity of frail older adults.
- Optimal exercise program components and delivery methods require further investigation.
- Future research should focus on maximizing benefits and addressing limitations identified in current literature.
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