Effects of an educational intervention on frailty status, physical function, physical activity, sleep patterns, and nutritional status of older adults with frailty or pre-frailty: the FRAGSALUD study
IntroductionThe prevalence of frailty is increasing worldwide, emphasizing the importance of prioritizing healthy ageing. To address this, cost-effective and minimally supervised interventions are being sought. This study aimed to assess the impact of an educational program on frailty status, physic...
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1267666/full |
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| author | Cristina Casals Laura Ávila-Cabeza-de-Vaca Andrea González-Mariscal Alberto Marín-Galindo Manuel Costilla Jesus G. Ponce-Gonzalez María Ángeles Vázquez-Sánchez Juan Corral-Pérez |
| author_facet | Cristina Casals Laura Ávila-Cabeza-de-Vaca Andrea González-Mariscal Alberto Marín-Galindo Manuel Costilla Jesus G. Ponce-Gonzalez María Ángeles Vázquez-Sánchez Juan Corral-Pérez |
| author_sort | Cristina Casals |
| collection | DOAJ |
| description | IntroductionThe prevalence of frailty is increasing worldwide, emphasizing the importance of prioritizing healthy ageing. To address this, cost-effective and minimally supervised interventions are being sought. This study aimed to assess the impact of an educational program on frailty status, physical function, physical activity, sleep patterns, and nutritional status in community-dwelling older adults with at least 1 Fried’s frailty criteria.MethodsA 6-month multicentre randomized controlled trial was conducted from March 2022 to February 2023 in 14 health centres located in Cadiz and Malaga, Spain. The educational intervention consisted of 4 group sessions and 6 follow-up phone calls spread over 6 months. The program focused on educating participants about frailty and its impact on health, providing guidelines for physical activity, healthy dietary habits, cognitive training, psychological well-being and social activities. A total of 163 participants, divided into control (n = 80) and educational groups (n = 83) were assessed before and after the intervention.ResultsThe results showed a significant group-time interaction in the physical function evaluated with a large effect on Short Physical Performance Battery score (η2p = 0.179, −0.1 [−1.2–1.0] points for control group vs. 1.0 [0.0–3.0] points for educational group, p < 0.001), and an effect on the 4-meter gait test ((η2p = 0.122, 0.5 [0.1–0.0] s for control group vs. –0.4 [−0.5– −0.3] s for educational group, p < 0.001), and the 5-repetition sit-to-stand test (η2p = 0.136, 1.0 [0.0–1.2] s for control group vs. −4.3 [−7.0– −2.3] for educational group, p < 0.001). Additionally, the use of accelerometers to assess physical activity, inactivity, and sleep patterns revealed a significant small effect in the number of awakenings at night ((η2p = 0.040, 1.1 [−0.5–3.4] awakenings for control group vs. 0.0 [−2.2–0.0] awakenings for educational group, p = 0.009). The findings also highlighted a significant medium effect regarding malnutrition risk, which was assessed using the Mini-Nutritional Assessment score (η2p = 0.088, −0.7 [−2.3–1.5] points for control group vs. 1.5 [−0.5–3.0] points for educational group, p < 0.001).DiscussionThus, the 6-month educational program effectively improved physical function, sleep patterns, and nutritional status compared to usual healthcare attendance in community-dwelling older adults with frailty or pre-frailty. These findings underscore the potential of minimally supervised interventions in promoting a healthy lifestyle in this vulnerable population. |
| first_indexed | 2024-03-09T10:48:23Z |
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| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-09T10:48:23Z |
| publishDate | 2023-11-01 |
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| series | Frontiers in Public Health |
| spelling | doaj.art-610db2f0e5604d7487a8c70ca1771b292023-12-01T09:37:21ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-11-011110.3389/fpubh.2023.12676661267666Effects of an educational intervention on frailty status, physical function, physical activity, sleep patterns, and nutritional status of older adults with frailty or pre-frailty: the FRAGSALUD studyCristina Casals0Laura Ávila-Cabeza-de-Vaca1Andrea González-Mariscal2Alberto Marín-Galindo3Manuel Costilla4Jesus G. Ponce-Gonzalez5María Ángeles Vázquez-Sánchez6Juan Corral-Pérez7ExPhy Research Group, Department of Physical Education, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, Cádiz, SpainExPhy Research Group, Department of Physical Education, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, Cádiz, SpainExPhy Research Group, Department of Physical Education, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, Cádiz, SpainExPhy Research Group, Department of Physical Education, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, Cádiz, SpainExPhy Research Group, Department of Physical Education, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, Cádiz, SpainExPhy Research Group, Department of Physical Education, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, Cádiz, SpainDepartment of Nursing, PASOS Research Group, Faculty of Health Sciences, UMA REDIAS Network of Law and Artificial Intelligence Applied to Health and Biotechnology, University of Malaga, Málaga, SpainExPhy Research Group, Department of Physical Education, Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Universidad de Cádiz, Cádiz, SpainIntroductionThe prevalence of frailty is increasing worldwide, emphasizing the importance of prioritizing healthy ageing. To address this, cost-effective and minimally supervised interventions are being sought. This study aimed to assess the impact of an educational program on frailty status, physical function, physical activity, sleep patterns, and nutritional status in community-dwelling older adults with at least 1 Fried’s frailty criteria.MethodsA 6-month multicentre randomized controlled trial was conducted from March 2022 to February 2023 in 14 health centres located in Cadiz and Malaga, Spain. The educational intervention consisted of 4 group sessions and 6 follow-up phone calls spread over 6 months. The program focused on educating participants about frailty and its impact on health, providing guidelines for physical activity, healthy dietary habits, cognitive training, psychological well-being and social activities. A total of 163 participants, divided into control (n = 80) and educational groups (n = 83) were assessed before and after the intervention.ResultsThe results showed a significant group-time interaction in the physical function evaluated with a large effect on Short Physical Performance Battery score (η2p = 0.179, −0.1 [−1.2–1.0] points for control group vs. 1.0 [0.0–3.0] points for educational group, p < 0.001), and an effect on the 4-meter gait test ((η2p = 0.122, 0.5 [0.1–0.0] s for control group vs. –0.4 [−0.5– −0.3] s for educational group, p < 0.001), and the 5-repetition sit-to-stand test (η2p = 0.136, 1.0 [0.0–1.2] s for control group vs. −4.3 [−7.0– −2.3] for educational group, p < 0.001). Additionally, the use of accelerometers to assess physical activity, inactivity, and sleep patterns revealed a significant small effect in the number of awakenings at night ((η2p = 0.040, 1.1 [−0.5–3.4] awakenings for control group vs. 0.0 [−2.2–0.0] awakenings for educational group, p = 0.009). The findings also highlighted a significant medium effect regarding malnutrition risk, which was assessed using the Mini-Nutritional Assessment score (η2p = 0.088, −0.7 [−2.3–1.5] points for control group vs. 1.5 [−0.5–3.0] points for educational group, p < 0.001).DiscussionThus, the 6-month educational program effectively improved physical function, sleep patterns, and nutritional status compared to usual healthcare attendance in community-dwelling older adults with frailty or pre-frailty. These findings underscore the potential of minimally supervised interventions in promoting a healthy lifestyle in this vulnerable population.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1267666/fullfunctional capacityeducational programcommunity-dwellingfrailaccelerometry |
| spellingShingle | Cristina Casals Laura Ávila-Cabeza-de-Vaca Andrea González-Mariscal Alberto Marín-Galindo Manuel Costilla Jesus G. Ponce-Gonzalez María Ángeles Vázquez-Sánchez Juan Corral-Pérez Effects of an educational intervention on frailty status, physical function, physical activity, sleep patterns, and nutritional status of older adults with frailty or pre-frailty: the FRAGSALUD study Frontiers in Public Health functional capacity educational program community-dwelling frail accelerometry |
| title | Effects of an educational intervention on frailty status, physical function, physical activity, sleep patterns, and nutritional status of older adults with frailty or pre-frailty: the FRAGSALUD study |
| title_full | Effects of an educational intervention on frailty status, physical function, physical activity, sleep patterns, and nutritional status of older adults with frailty or pre-frailty: the FRAGSALUD study |
| title_fullStr | Effects of an educational intervention on frailty status, physical function, physical activity, sleep patterns, and nutritional status of older adults with frailty or pre-frailty: the FRAGSALUD study |
| title_full_unstemmed | Effects of an educational intervention on frailty status, physical function, physical activity, sleep patterns, and nutritional status of older adults with frailty or pre-frailty: the FRAGSALUD study |
| title_short | Effects of an educational intervention on frailty status, physical function, physical activity, sleep patterns, and nutritional status of older adults with frailty or pre-frailty: the FRAGSALUD study |
| title_sort | effects of an educational intervention on frailty status physical function physical activity sleep patterns and nutritional status of older adults with frailty or pre frailty the fragsalud study |
| topic | functional capacity educational program community-dwelling frail accelerometry |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1267666/full |
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