Exercise-based physiotherapeutic interventions in frailty syndrome: A systematic review and meta-analysis

被引：1
作者：
de Castro Silva, Laize Gabriele [1 ]
da Silva, Silvia Lanziotti Azevedo [2 ]
Freire, Julio Cesar Guimaraes [3 ]
dos Santos Nascimento, Emanoel [1 ]
de Andrade, Palloma Rodrigues [1 ]
Pereira, Daniele Sirineu [4 ]
Brito, Geraldo Eduardo Guedes [1 ]
机构：
[1] Fed Univ Paraiba UFPB, Postgrad Program Physiotherapy, Joao Pessoa, Brazil
[2] Fed Univ Juiz de Fora UFJF, Fac Med, Dept Collect Hlth, Juiz De Fora, Brazil
[3] Fed Univ Paraiba UFPB, Postgrad Program Family Hlth, Joao Pessoa, Brazil
[4] Fed Univ Minas Gerais UFMG, Phys Educ Physiotherapy & Occupat Therapy Ctr, Belo Horizonte, Brazil
来源：
PHYSIOTHERAPY RESEARCH INTERNATIONAL | 2024年 / 29卷 / 03期
关键词：
frailty; older adults; physical exercise; physiotherapy; systematic review; PHYSICAL-ACTIVITY; OLDER-ADULTS; TRANSITION;
D O I：
10.1002/pri.2092
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
ObjectiveTo identify the effect of exercise interventions on physical frailty in community-dwelling older adults.MethodsRelevant articles were searched in MEDLINE, LILACS, Scielo, Embase, and PEDro in November 2022, based on a protocol registered in PROSPERO and according to items prescribed in Report for Systematic Reviews and Meta-Analyses, using Health Sciences Descriptors (DeCS) and free terms for search strategy, with no language restrictions. The studies were considered if they had been published between January 2010 and November 2022, and were randomized clinical trials in which pre-frail and frail older community-dwelling adults had undergone exercise-based physical therapy.ResultsThe systematic review found 5360 citations; after screening, abstract, and full-text screening for eligibility, seven studies were included, involving 1304 participants overall. The exercise modalities differed substantially between studies. The meta-analysis identified a statistically significant difference in frailty between older adults who exercised compared with those who exercised with no or minimal intervention. No heterogeneity between articles was observed, and the risk of bias was considered low according to funnel plot visual inspection.ConclusionsThe results of this review suggest that physical therapy programs are effective in decreasing levels of physical frailty in community-dwelling older adults.
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页数：11
相关论文
共 37 条
[21]   TRANSITION PATTERNS OF FRAILTY SYNDROME IN COMMUNITY-DWELLING ELDERLY INDIVIDUALS: A LONGITUDINAL STUDY [J].
Lanziotti Azevedo da Silva, S. ;
Campos Cavalcanti Maciel, A. ;
de Sousa Maximo Pereira, L. ;
Domingues Dias, J. M. ;
Guimaraes de Assis, M. ;
Correa Dias, R. .
JOURNAL OF FRAILTY & AGING, 2015, 4 (02) :50-55
[22]   Effectiveness of Multimodal Training on Functional Capacity in Frail Older People: A Meta-Analysis of Randomized Controlled Trials [J].
Lopez, Pedro ;
Izquierdo, Mikel ;
Radaelli, Regis ;
Sbruzzi, Graciele ;
Grazioli, Rafael ;
Pinto, Ronei Silveira ;
Cadore, Eduardo Lusa .
JOURNAL OF AGING AND PHYSICAL ACTIVITY, 2018, 26 (03) :407-418
[23]  
Lourenco RA., 2018, Geriatr Gerontol Aging, V12, P121, DOI 10.5327/Z2447-211520181800023
[24]  
Macedo C., 2008, Arq Bras cienc saude, V33, P177
[25]   Reliability of the PEDro scale for rating quality of randomized controlled trials [J].
Maher, CG ;
Sherrington, C ;
Herbert, RD ;
Moseley, AM ;
Elkins, M .
PHYSICAL THERAPY, 2003, 83 (08) :713-721
[26]  
Moher D, 2009, PLOS MED, V6, DOI [10.1371/journal.pmed.1000097, 10.1016/j.ijsu.2010.02.007, 10.1136/bmj.b2535, 10.1136/bmj.b2700, 10.1136/bmj.i4086, 10.1016/j.ijsu.2010.07.299, 10.1186/2046-4053-4-1]
[27]   Evidence for physiotherapy practice: A survey of the Physiotherapy Evidence Database (PEDro) [J].
Moseley, AM ;
Herbert, RD ;
Sherrington, C ;
Maher, CG .
AUSTRALIAN JOURNAL OF PHYSIOTHERAPY, 2002, 48 (01) :43-49
[28]   Physical activity combined with resistance training reduces symptoms of frailty in older adults: A randomized controlled trial [J].
Nagai, Koutatsu ;
Miyamato, Toshiaki ;
Okamae, Akio ;
Tamaki, Akira ;
Fujioka, Hiroyuki ;
Wada, Yosuke ;
Uchiyama, Yuki ;
Shinmura, Ken ;
Domen, Kazuhisa .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2018, 76 :41-47
[29]  
Neves Ádila de Queiroz, 2018, Rev. bras. geriatr. gerontol., V21, P680, DOI 10.1590/1981-22562018021.180043
[30]   Nutritional, Physical, Cognitive, and Combination Interventions and Frailty Reversal Among Older Adults: A Randomized Controlled Trial [J].
Ng, Tze Pin ;
Feng, Liang ;
Nyunt, Ma Shwe Zin ;
Feng, Lei ;
Niti, Mathew ;
Tan, Boon Yeow ;
Chan, Gribson ;
Khoo, Sue Anne ;
Chan, Sue Mei ;
Yap, Philip ;
Yap, Keng Bee .
AMERICAN JOURNAL OF MEDICINE, 2015, 128 (11) :1225-+
1234