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Centre for Policy on Ageing | |
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Interventions to prevent or reduce the level of frailty in community-dwelling older adults
— a scoping review of the literature and international policies | | Author(s) | Martine T E Puts, Samar Toubasi, Melissa K Andrew |
| Journal title | Age and Ageing, vol 46, no 3, May 2017 |
| Publisher | Oxford University Press, May 2017 |
| Pages | pp 383-392 |
| Source | https://academic.oup.com/ageing |
| Keywords | Physical capacity ; Ill health ; Preventative medicine ; Reduction ; Therapeutics ; Exercise ; Nutrition ; Policy ; International ; Literature reviews. |
| Annotation | Frailty impacts older adults' ability to recover from an acute illness, injuries and other stresses. Currently a systematic synthesis of available interventions to prevent or reduce frailty does not exist. The present study conducted a scoping review of interventions and international policies designed to prevent or reduce the level of frailty in community-dwelling older adults. Following a scoping review and literature search 14 relevant studies were identified that included 12 randomised controlled trials and 2 cohort studies, with most research conducted in the USA and Japan. The study quality was moderate to good. The interventions included physical activity; physical activity combined with nutrition; physical activity plus nutrition plus memory training; home modifications; prehabilitation (physical therapy plus exercise plus home modifications) and comprehensive geriatric assessment (CGA). The review showed that the interventions that significantly reduced the number of frailty markers present or the prevalence of frailty included the physical activity interventions (all types and combinations), and prehabilitation. The CGA studies had mixed findings. Overall, nine of the 14 studies reported that the intervention reduced the level of frailty. The results need to be interpreted with caution, as only 14 studies using six different definitions of frailty were retained. Future research could combine interventions targeting more frailty markers including cognitive or psychosocial well-being. (JL). |
| Accession Number | CPA-170519201 A |
| Classmark | BI: CH: LK2: 5YD: LL: CEA: CF: QAD: 72: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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