Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT
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...
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Springer International Publishing
2019
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Online Access: | http://urn.fi/URN:NBN:fi:jyu-201910084364 |
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ftjyvaeskylaenun:oai:jyx.jyu.fi:123456789/65788 2024-02-04T10:01:45+01:00 Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT Suikkanen, Sara Soukkio, Paula Pitkälä, Kaisu Kääriä, Sanna Kautiainen, Hannu Sipilä, Sarianna Kukkonen-Harjula, Katriina Hupli, Markku 2019 application/pdf 1419-1427 fulltext http://urn.fi/URN:NBN:fi:jyu-201910084364 eng eng Springer International Publishing Aging Clinical and Experimental Research 1594-0667 10 31 10.1007/s40520-019-01180-z Suikkanen, S., Soukkio, P., Pitkälä, K., Kääriä, S., Kautiainen, H., Sipilä, S., Kukkonen-Harjula, K., & Hupli, M. (2019). Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT. Aging Clinical and Experimental Research , 31 (10), 1419-1427. https://doi.org/10.1007/s40520-019-01180-z CONVID_29713307 TUTKAID_81141 URN:NBN:fi:jyu-201910084364 http://urn.fi/URN:NBN:fi:jyu-201910084364 In Copyright © Springer Nature Switzerland AG 2019 openAccess http://rightsstatements.org/page/InC/1.0/?language=en frailty exercise health-related quality-of-life community-dwelling older people vanhukset vammaisuus elämänlaatu liikuntahoito gerastenia kotihoito hyvinvointi (terveydellinen) article http://purl.org/eprint/type/JournalArticle http://purl.org/coar/resource_type/c_2df8fbb1 acceptedVersion A1 2019 ftjyvaeskylaenun 2024-01-11T00:03:26Z 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 Article in Journal/Newspaper karelia* JYX - Jyväskylä University Digital Archive Aging Clinical and Experimental Research 31 10 1419 1427 |
institution |
Open Polar |
collection |
JYX - Jyväskylä University Digital Archive |
op_collection_id |
ftjyvaeskylaenun |
language |
English |
topic |
frailty exercise health-related quality-of-life community-dwelling older people vanhukset vammaisuus elämänlaatu liikuntahoito gerastenia kotihoito hyvinvointi (terveydellinen) |
spellingShingle |
frailty exercise health-related quality-of-life community-dwelling older people vanhukset vammaisuus elämänlaatu liikuntahoito gerastenia kotihoito hyvinvointi (terveydellinen) Suikkanen, Sara Soukkio, Paula Pitkälä, Kaisu Kääriä, Sanna Kautiainen, Hannu Sipilä, Sarianna Kukkonen-Harjula, Katriina Hupli, Markku Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT |
topic_facet |
frailty exercise health-related quality-of-life community-dwelling older people vanhukset vammaisuus elämänlaatu liikuntahoito gerastenia kotihoito hyvinvointi (terveydellinen) |
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 |
format |
Article in Journal/Newspaper |
author |
Suikkanen, Sara Soukkio, Paula Pitkälä, Kaisu Kääriä, Sanna Kautiainen, Hannu Sipilä, Sarianna Kukkonen-Harjula, Katriina Hupli, Markku |
author_facet |
Suikkanen, Sara Soukkio, Paula Pitkälä, Kaisu Kääriä, Sanna Kautiainen, Hannu Sipilä, Sarianna Kukkonen-Harjula, Katriina Hupli, Markku |
author_sort |
Suikkanen, Sara |
title |
Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT |
title_short |
Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT |
title_full |
Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT |
title_fullStr |
Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT |
title_full_unstemmed |
Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT |
title_sort |
older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an rct |
publisher |
Springer International Publishing |
publishDate |
2019 |
url |
http://urn.fi/URN:NBN:fi:jyu-201910084364 |
genre |
karelia* |
genre_facet |
karelia* |
op_relation |
Aging Clinical and Experimental Research 1594-0667 10 31 10.1007/s40520-019-01180-z Suikkanen, S., Soukkio, P., Pitkälä, K., Kääriä, S., Kautiainen, H., Sipilä, S., Kukkonen-Harjula, K., & Hupli, M. (2019). Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT. Aging Clinical and Experimental Research , 31 (10), 1419-1427. https://doi.org/10.1007/s40520-019-01180-z CONVID_29713307 TUTKAID_81141 URN:NBN:fi:jyu-201910084364 http://urn.fi/URN:NBN:fi:jyu-201910084364 |
op_rights |
In Copyright © Springer Nature Switzerland AG 2019 openAccess http://rightsstatements.org/page/InC/1.0/?language=en |
container_title |
Aging Clinical and Experimental Research |
container_volume |
31 |
container_issue |
10 |
container_start_page |
1419 |
op_container_end_page |
1427 |
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1789967920947789824 |