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Media type:
E-Article
Title:
Do home-based exercise interventions improve outcomes for frail older people? Findings from a systematic review
Contributor:
Clegg, Andrew P;
Barber, Sally E;
Young, John B;
Forster, Anne;
Iliffe, Steve J
imprint:
Cambridge University Press (CUP), 2012
Published in:Reviews in Clinical Gerontology
Language:
English
DOI:
10.1017/s0959259811000165
ISSN:
0959-2598;
1469-9036
Origination:
Footnote:
Description:
<jats:title>Summary</jats:title><jats:p>Frailty is common in older age, and is associated with important adverse health outcomes, including increased risk of disability and long-term care admission.</jats:p><jats:p>This study aims to evaluate whether home-based exercise interventions improve outcomes for frail older people.</jats:p><jats:p>We searched systematically for randomized controlled trials (RCTs) and cluster RCTs, with literature searching to February 2010.</jats:p><jats:p>All trials that evaluated home-based exercise interventions for frail older people were eligible. Primary outcomes were mobility, quality of life and daily living activities. Secondary outcomes included long-term care admission and hospitalization.</jats:p><jats:p>Six RCTs involving 987 participants met the inclusion criteria. Four trials were considered of high quality. One high-quality trial reported improved disability in those with moderate but not severe frailty. Meta-analysis of long-term care admission rates identified a trend towards reduced risk. Inconsistent effects on other primary and secondary outcomes were reported in the other studies.</jats:p><jats:p>There is preliminary evidence that home-based exercise interventions may improve disability in older people with moderate, but not severe, frailty. There is considerable uncertainty regarding effects on important outcomes including quality of life and long-term care admission. Home-based exercises are a potentially simple, safe and widely applicable intervention to prevent dependency decline for frail older people.</jats:p>