6533b830fe1ef96bd129718a

RESEARCH PRODUCT

Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT

Markku HupliKaisu H. PitkäläSara SuikkanenPaula K. SoukkioHannu KautiainenKatriina Kukkonen-harjulaSarianna SipiläSanna Kääriä

subject

MaleAgingvanhuksetelämänlaatulaw.invention0302 clinical medicineQuality of lifeRandomized controlled trialDESIGNlawQUALITY-OF-LIFEMedicine030212 general & internal medicine10. No inequalityFinlandAged 80 and overgerasteniaFrailtyexerciseFunctional Independence Measure3142 Public health care science environmental and occupational healthExercise TherapyBaseline characteristicsCommunity-dwelling older peopleFemalehealth-related quality-of-lifeliikuntahoitomedicine.medical_specialtyhyvinvointi (terveydellinen)RandomizationFrail ElderlykotihoitoPhysical exercisefrailtyHealth-related quality-of-life03 medical and health sciencesMORBIDITYvammaisuusPEOPLEIntervention (counseling)HumansDisabled PersonsExerciseAgedDisabilitybusiness.industryADULTSHome basedPhysical therapyQuality of LifeGeriatrics and Gerontologybusinesscommunity-dwelling older peoplehuman activities030217 neurology & neurosurgery

description

Background Increasing the level of physical activity among persons with signs of frailty improves physical functioning. There is a lack of long-term supervised physical exercise intervention studies including a validated definition of frailty. Aims To present baseline characteristics of persons with signs of frailty participating in a randomized long-term home-based physical exercise trial (HIPFRA), and to study associations between the severity of frailty, functional independence and health-related quality-of-life (HRQoL). Methods Three hundred persons, ≥ 65 years old and with signs of frailty (assessed by Fried´s phenotype criteria) were recruited from South Karelia, Finland and randomized to a 12-month physiotherapist-supervised home-based physical exercise program (n = 150), and usual care (n = 150). Assessments at the participants’ homes at baseline, and after 3, 6 and 12 months included the Short Physical Performance Battery (SPPB), the Functional Independence Measure (FIM), HRQoL (15D) and the Mini-Mental State Examination (MMSE). Results Eligibility was screened among 520 persons; 300 met the inclusion criteria and were randomized. One person withdrew consent after randomization. A majority (75%) were women, 182 were pre-frail and 117 frail. The mean age was 82.5 (SD 6.3) years, SPPB 6.2 (2.6), FIM 108.8 (10.6) and MMSE 24.4 (3.1) points, with no significant differences between the study groups. Inverse associations between the severity of frailty vs. FIM scores and HRQoL (p < 0.001 for both) were found. Conclusions Our participants showed marked physical frailty without major disabilities. The severity of frailty seems to be associated with impaired functional independence and HRQoL. peerReviewed

yearjournalcountryeditionlanguage
2019-04-02
http://urn.fi/URN:NBN:fi:jyu-201910084364