Effects of a Multicomponent Exercise Program on Prevalence and Severity of the Frailty Syndrome in a Sample of Italian Community-Dwelling Older Adults

Background: Frailty is a well-known condition that leads to a lack of resilience, with a reduced homeostatic capacity and a consequent higher risk of suffering adverse health outcomes. This study investigated the effectiveness of an exercise program to improve and reverse physical frailty amongst It...

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Main Authors: Anna Mulasso, Mattia Roppolo, Alberto Rainoldi, Emanuela Rabaglietti
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/5/911
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author Anna Mulasso
Mattia Roppolo
Alberto Rainoldi
Emanuela Rabaglietti
author_facet Anna Mulasso
Mattia Roppolo
Alberto Rainoldi
Emanuela Rabaglietti
author_sort Anna Mulasso
collection DOAJ
description Background: Frailty is a well-known condition that leads to a lack of resilience, with a reduced homeostatic capacity and a consequent higher risk of suffering adverse health outcomes. This study investigated the effectiveness of an exercise program to improve and reverse physical frailty amongst Italian older adults. Methods: One hundred and twenty-three community dwelling older adults (mean age 74 years, SD = 6; 64% women) were involved in an experimental (EG; <i>n</i> = 62) and a control (CG; <i>n</i> = 61) group. Frailty was assessed at baseline and after the intervention using an adapted version of the frailty phenotype. The EG took part in a 16-week exercise program, consisting of endurance, strength, balance and flexibility exercises, while the CG maintained the same routine. Results: After the exercise program, the EG was more robust than the CG (F = 43.51, <i>p</i> < 0.001). Within the EG, 46% of pre-frail and 50% of frail people reached the robust and pre-frail levels, respectively. Effects of training were higher in frail and pre-frail people (reduction of frailty of 0.67 and 0.76 points, respectively) compared to robust ones (who frailty levels increased by 0.23 points; F = 11.32, <i>p</i> < 0.001). Conclusions: A multicomponent exercise program may be effective at improving and reverting frailty, specifically for frail and pre-frail people.
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spelling doaj.art-30c6bfe60a234686873b744aaad93bef2023-11-23T11:14:59ZengMDPI AGHealthcare2227-90322022-05-0110591110.3390/healthcare10050911Effects of a Multicomponent Exercise Program on Prevalence and Severity of the Frailty Syndrome in a Sample of Italian Community-Dwelling Older AdultsAnna Mulasso0Mattia Roppolo1Alberto Rainoldi2Emanuela Rabaglietti3Neuromuscular Function Research Group, Department of Medical Sciences, School of Exercise and Sport Sciences, University of Torino, 10143 Torino, ItalyDepartment of Psychology, University of Torino, 10124 Torino, ItalyNeuromuscular Function Research Group, Department of Medical Sciences, School of Exercise and Sport Sciences, University of Torino, 10143 Torino, ItalyDepartment of Psychology, University of Torino, 10124 Torino, ItalyBackground: Frailty is a well-known condition that leads to a lack of resilience, with a reduced homeostatic capacity and a consequent higher risk of suffering adverse health outcomes. This study investigated the effectiveness of an exercise program to improve and reverse physical frailty amongst Italian older adults. Methods: One hundred and twenty-three community dwelling older adults (mean age 74 years, SD = 6; 64% women) were involved in an experimental (EG; <i>n</i> = 62) and a control (CG; <i>n</i> = 61) group. Frailty was assessed at baseline and after the intervention using an adapted version of the frailty phenotype. The EG took part in a 16-week exercise program, consisting of endurance, strength, balance and flexibility exercises, while the CG maintained the same routine. Results: After the exercise program, the EG was more robust than the CG (F = 43.51, <i>p</i> < 0.001). Within the EG, 46% of pre-frail and 50% of frail people reached the robust and pre-frail levels, respectively. Effects of training were higher in frail and pre-frail people (reduction of frailty of 0.67 and 0.76 points, respectively) compared to robust ones (who frailty levels increased by 0.23 points; F = 11.32, <i>p</i> < 0.001). Conclusions: A multicomponent exercise program may be effective at improving and reverting frailty, specifically for frail and pre-frail people.https://www.mdpi.com/2227-9032/10/5/911physical frailtyfrailty preventionphysical exercise programlongitudinal studyItalian community-dwelling older adultshealth promotion interventions
spellingShingle Anna Mulasso
Mattia Roppolo
Alberto Rainoldi
Emanuela Rabaglietti
Effects of a Multicomponent Exercise Program on Prevalence and Severity of the Frailty Syndrome in a Sample of Italian Community-Dwelling Older Adults
Healthcare
physical frailty
frailty prevention
physical exercise program
longitudinal study
Italian community-dwelling older adults
health promotion interventions
title Effects of a Multicomponent Exercise Program on Prevalence and Severity of the Frailty Syndrome in a Sample of Italian Community-Dwelling Older Adults
title_full Effects of a Multicomponent Exercise Program on Prevalence and Severity of the Frailty Syndrome in a Sample of Italian Community-Dwelling Older Adults
title_fullStr Effects of a Multicomponent Exercise Program on Prevalence and Severity of the Frailty Syndrome in a Sample of Italian Community-Dwelling Older Adults
title_full_unstemmed Effects of a Multicomponent Exercise Program on Prevalence and Severity of the Frailty Syndrome in a Sample of Italian Community-Dwelling Older Adults
title_short Effects of a Multicomponent Exercise Program on Prevalence and Severity of the Frailty Syndrome in a Sample of Italian Community-Dwelling Older Adults
title_sort effects of a multicomponent exercise program on prevalence and severity of the frailty syndrome in a sample of italian community dwelling older adults
topic physical frailty
frailty prevention
physical exercise program
longitudinal study
Italian community-dwelling older adults
health promotion interventions
url https://www.mdpi.com/2227-9032/10/5/911
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