Physical activity and sedentary behaviour interventions for people living with both frailty and multiple long-term conditions and their informal carers: a scoping review and stakeholder consultation.

Autor:	Young HML; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; Therapy Department, University of Hospitals of Leicester NHS Trust, Leicester, UK.; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK., Henson J; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK., Dempsey PC; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge University, Cambridge Biomedical Campus, Cambridge, UK.; Baker Heart and Diabetes Institute, Physical activity and behavioural epidemiology laboratory, Melbourne, Australia.; Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia., Willis SA; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK.; National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK., Billany RE; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK.; Department of Cardiovascular Sciences, University of Leicester, Leicester, UK., Curtis F; Liverpool Reviews & Implementation Group (LRiG), University of Liverpool, Liverpool, UK., Gray L; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK.; Department of Population Health Sciences, University of Leicester, Leicester, UK., Greenwood S; Department of Renal Medicine, King's College Hospital NHS Trust, London, UK.; Renal Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK., Herring LY; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK., Highton P; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; NIHR Applied Research Collaboration East Midlands, Leicester General Hospital, Leicester, UK., Kelsey RJ; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK., Lock S; Library Research Services, University of Leicester, Leicester, UK., March DS; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK.; Department of Cardiovascular Sciences, University of Leicester, Leicester, UK., Patel K; Centre for Ethnic Health Research, University Hospitals of Leicester NHS Trust, Leicester, UK., Sargeant J; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK., Sathanapally H; NIHR Applied Research Collaboration East Midlands, Leicester General Hospital, Leicester, UK., Sayer AA; AGE Research Group, NIHR Newcastle Biomedical Research Centre, Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University and Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle-Upon-Tyne, UK., Thomas M; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK., Vadaszy N; Department of Population Health Sciences, University of Leicester, Leicester, UK., Watson E; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK.; Department of Cardiovascular Sciences, University of Leicester, Leicester, UK., Yates T; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK., Davies M; Leicester Diabetes Centre, College of Life Sciences, University of Leicester, Leicester, UK.; NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK.
Jazyk:	angličtina
Zdroj:	Age and ageing [Age Ageing] 2024 Nov 04; Vol. 53 (11).
DOI:	10.1093/ageing/afae255
Abstrakt:	Introduction: This scoping review mapped evidence on physical activity (including structured exercise) and sedentary behaviour interventions (interventions to reduce sedentary behaviour) in people living with both frailty and multiple long-term conditions (MLTCs) and their informal carers. Methods: Ten databases and grey literature were searched from 2000 to October 2023. Two reviewers screened studies and one extracted data. Results were shared with three stakeholder groups (n = 21) in a consultation phase. Results: After screening, 155 papers from 144 studies (1 ongoing) were retained. The majority were randomised controlled trials (86, 55%). Participants' mean age was 73 ± 12 years, and 73% were of White ethnicity. MLTC and frailty measurement varied widely. Most participants were pre-to-moderately frail. Physical health conditions predominated over mental health conditions.Interventions focused on structured exercise (83 studies, 60%) or combined interventions (55 studies, 39%). Two (1%) and one (0.7%) focused solely on habitual physical activity or sedentary behaviour. Adherence was 81% (interquartile range 62%-89%) with goal setting, monitoring and support important to adherence. Carers were only involved in 15 (11%) studies. Most interventions reported positive outcomes, primarily focusing on body functions and structures. Conclusions: A modest volume of evidence exists on multicomponent structured exercise interventions, with less focus on habitual physical activity and sedentary behaviour. Interventions report largely positive effects, but an updated systematic review is required. The field could be advanced by more rigorous characterisation of MLTCs, socioeconomic status and ethnicity, increased informal carer involvement and further evaluation of habitual physical activity and sedentary behaviour interventions. (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society.)
Databáze:	MEDLINE
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