Recommendations on Physical Activity and Exercise for Older Adults Living in Long-Term Care Facilities: A Taskforce Report

被引：178

作者：

Barreto, Philipe de Souto ^{[1
,2
]}

Morley, John E. ^{[3
,4
]}

Chodzko-Zajko, Wojtek ^{[5
]}

Pitkala, Kaisu H. ^{[6
,7
]}

Weening-Djiksterhuis, Elizabeth ^{[8
]}

Rodriguez-Manas, Leocadio ^{[9
]}

Barbagallo, Mario ^{[10
,11
]}

Rosendahl, Erik ^{[12
]}

Sinclair, Alan ^{[13
]}

Landi, Francesco ^{[14
]}

Izquierdo, Mikel ^{[15
]}

Vellas, Bruno ^{[1
,2
]}

Rolland, Yves ^{[1
,2
]}

机构：

[1] Univ Hosp Toulouse CHU Toulouse, Gerontopole Toulouse, Toulouse, France

[2] Univ Toulouse 3, INSERM, UMR 1027, F-31062 Toulouse, France

[3] St Louis Univ, Sch Med, Div Geriatr Med, St Louis, MO USA

[4] St Louis Univ, Sch Med, Div Endocrinol, St Louis, MO USA

[5] Univ Illinois, Grad Coll, Champaign, IL 61820 USA

[6] Univ Helsinki, Dept Gen Practice, Unit Primary Hlth Care, Helsinki, Finland

[7] Univ Helsinki, Helsinki Univ Hosp, Helsinki, Finland

[8] Hanze Univ, Sch Hlth Care Studies, Lectoraat Hlth Aging Allied Hlth Care & Nursing, Groningen, Netherlands

[9] Getafe Univ Hosp, Serv Geriatr, Madrid, Spain

[10] Int Assoc Gerontol & Geriatr European Reg, Chair Clin Sect, Palermo, Italy

[11] Univ Palermo, Palermo, Italy

[12] Umea Univ, Dept Community Med & Rehabil, Physiotherapy, Umea, Sweden

[13] Univ Aston & Diabet Frail, Birmingham, W Midlands, England

[14] Univ Cattolica Sacro Cuore, Dept Geriatr Neurosci & Orthoped, I-00168 Rome, Italy

[15] Univ Publ Navarra, Dept Hlth Sci, Pamplona, Spain

来源：

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2016年 / 17卷 / 05期

关键词：

Physical activity; exercise; elderly; long-term care; nursing home; functional ability; NURSING-HOME RESIDENTS; RANDOMIZED CONTROLLED-TRIAL; QUALITY-OF-LIFE; OCCUPATIONAL-THERAPY INTERVENTION; ALL-CAUSE MORTALITY; DEPRESSIVE SYMPTOMS; ELDERLY-PEOPLE; RISK-FACTORS; MUSCLE MASS; TOO FIT;

D O I：

10.1016/j.jamda.2016.01.021

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

A taskforce, under the auspices of The International Association of Gerontology and Geriatrics-Global Aging Research Network (IAGG-GARN) and the IAGG European Region Clinical Section, composed of experts from the fields of exercise science and geriatrics, met in Toulouse, in December 2015, with the aim of establishing recommendations of physical activity and exercise for older adults living in long-term care facilities (LTCFs). Due to the high heterogeneity in terms of functional ability and cognitive function that characterizes older adults living in LTCFs, taskforce members established 2 sets of recommendations: recommendations for reducing sedentary behaviors for all LTCF residents and recommendations for defining specific, evidence-based guidelines for exercise training for subgroups of LTCF residents. To promote a successful implementation of recommendations, taskforce experts highlighted the importance of promoting residents' motivation and pleasure, the key factors that can be increased when taking into account residents' desires, preferences, beliefs, and attitudes toward physical activity and exercise. The importance of organizational factors related to LTCFs and health care systems were recognized by the experts. In conclusion, this taskforce report proposes standards for the elaboration of strategies to increase physical activity as well as to prescribe exercise programs for older adults living in LTCFs. This report should be used as a guide for professionals working in LTCF settings. (C) 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

引用

页码：381 / 392

页数：12

共 111 条

[41] Exercise Training in Patients with Heart Disease: Review of Beneficial Effects and Clinical Recommendations [J].