Cost-Consequences Analysis Following Different Exercise Interventions in Institutionalized Oldest Old: A Pilot Study of a Randomized Clinical Trial

Objectives To investigate the effects of two different exercise interventions on cost of care, functional capacity, falls occurrence, muscle strength, and executive function in institutionalized oldest old. Design A pilot study of a randomized clinical trial investigating 12 months of two exercise i...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2023-11, Vol.27 (11), p.1091-1099
Main Authors: Bays-Moneo, A. B., Izquierdo, M., Antón, M. M., Cadore, E. L.
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aging
Clinical trials
Cognition
Exercise
Exercise Therapy
Geriatrics/Gerontology
Hand Strength
Humans
Institutionalization
Intervention
Medicine
Medicine & Public Health
Muscle strength
Neurosciences
Nutrition
Oldest old people
Original Research
Physical Therapy Modalities
Pilot Projects
Primary Care Medicine
Quality of Life Research
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Summary:Objectives To investigate the effects of two different exercise interventions on cost of care, functional capacity, falls occurrence, muscle strength, and executive function in institutionalized oldest old. Design A pilot study of a randomized clinical trial investigating 12 months of two exercise interventions compared to a usual care group in oldest old residents of a nursing home. Setting and Participants 69 older patients (mean age 89.4 ± 5.1 years) completed the full baseline and post intervention measurements. Participants were randomly allocated into multicomponent exercise group (MG, n=23), calisthenics group (CALG, n = 23), and usual care group (UCG, n=23). Methods Primary outcome was individual cost of care, and secondary outcomes included different physical and cognitive functioning tests, as well as number of falls. Results MG reduced the cost of care compared to the pre-intervention period, with the greatest difference from baseline achieved in month 12 [mean change 95% confidence interval (CI)=−330.43 (−527.06, −133.80), P=0.006], while UCG increased this outcome, with the greatest difference from baseline observed in month 12 [mean change (95%CI)=300.00 (170.27, 429.72), P=0.013]. In addition, MG significantly improved SPPB score [mean change (95% CI) = 1.21 (0.55, 1.88), P
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-023-2002-1