MULTICOMPONENT EXERCISE PROGRAM EFFECTS ON FUNCTIONAL CAPACITY IN FRAIL HOSPITALIZED PATIENTS

• Published in: Innovation in aging 2017-07, Vol.1 (suppl_1), p.701-701
• Main Authors: Casas Herrero, A., Martinez-Velilla, N., Zambom Ferraresi, F., López-Sáez de Asteasu, M., Alonso Renedo, F., Izquierdo, M.
• Format: Article
• Language: English
• Subjects: Abstracts
• ISSN: 2399-5300; 2399-5300
• DOI: 10.1093/geroni/igx004.2510

Randomized clinical trial conducted in 193 patients admitted in a Geriatrics Acute Unit Hospitalized patients who met inclusion criteria (75 years and older, medical stable, frail or prefrail – SPPB 4–9-, previous ability to walk, able to communicate) were randomly assigned to the intervention or control group. The intervention consisted of a multicomponent exercise training programme, composed of supervised progressive resistance exercise training at low-moderate intensities, balance-training, and walking for 5–7 consecutive days. Evaluations of functional capacity (SPPB, Usual Gait velocity and under dual task conditions, Barthel index), strength and power assessments were conducted at admission and previous to discharge in the control and intervention group. 193 completed pre/post evaluations (control group (CG) n= 83, intervention group (IG) n=81). 29 drop-out due to medical reasons. Mean age 87.10.In the IG, significant improvements were observed after the intervention in all strength and power assessments (knee extension, hip flexion, maximal power) and functional capacity parameters (SPPB, hand grip, Gait velocity, gait velocity with dual task conditions and Barthel index) In contrast, in the CG, no significant improvements after evaluations were detected in any of the strength, power or other functional parameters studied. A multicomponent exercise program, with special emphasis in progressive resistance training, is an effective therapy to improve functional capacity in frail patients during hospitalizations. Individualized an planed exercise programs should be prescribed routinely in all frail patients admitted to hospitals, as same as other medical treatments, in order to prevent functional impairment