Impact of a Home-Based Physical and Nutritional Intervention Program Conducted by Lay-Volunteers on Handgrip Strength in Prefrail and Frail Older Adults: A Randomized Control Trial
| Autor: | Karin Schindler, Sandra Haider, E Luger, Sylvia Titze, A Kapan, Christian Lackinger, Thomas Dorner |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Volunteers lcsh:Medicine law.invention 0302 clinical medicine Elderly Quality of life Randomized controlled trial law Early Intervention Educational Medicine and Health Sciences Biomechanics Public and Occupational Health 030212 general & internal medicine lcsh:Science Musculoskeletal System Aged 80 and over Multidisciplinary Physical Education and Training Hand Strength Frailty Muscles Middle Aged Home Care Services Sports Science Exercise Therapy Strength Training Female Anatomy Research Article Adult medicine.medical_specialty Strength training Frail Elderly Nutritional Status 03 medical and health sciences Social support Intervention (counseling) Hand strength medicine Humans Muscle Strength Sports and Exercise Medicine Geriatric Assessment Exercise Aged Nutrition Intervention program business.industry lcsh:R Malnutrition Biology and Life Sciences Physical Activity medicine.disease Skeletal Muscles Physical Fitness Age Groups Geriatrics People and Places Physical therapy Quality of Life lcsh:Q Population Groupings business 030217 neurology & neurosurgery |
| Zdroj: | PLoS ONE PLoS ONE, Vol 12, Iss 1, p e0169613 (2017) |
| ISSN: | 1932-6203 |
| Popis: | A randomized controlled trial was performed to compare the effects of a home-based physical and nutritional intervention program carried out by lay-volunteers to home visits with social support alone. Buddies visited 80 prefrail or frail older persons at home twice a week for 12 weeks. The physical training and nutrition group (PTN, n = 39) performed two sets of six strength exercises, discussed nutritional topics and received social support. The social support group (SoSu, n = 41) received home visits with social support only. In the PTN group, handgrip strength increased significantly by 2.4 kg (95% CI: 1.0-3.8). In the SoSu group we did not see a significant improvement. However, no significant between-group difference was found. Physical performance increased in both groups, although with a higher increase of 1.0 point (95% CI: 0.1-2.0) in the PTN group. In none of the groups muscle mass changed. Further results showed that frail individuals benefit more from the intervention than prefrail individuals (OR: 2.78; 95% CI: 1.01-7.66). Handgrip strength in the intervention group increased by a clinically relevant value and this effect is comparable to that obtained by health-care professionals. Therefore, home visits with a physical training and nutritional program could offer a new perspective in the care of community-dwelling prefrail and frail older persons. |
| Databáze: | OpenAIRE |
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