Effectiveness of an intervention to prevent frailty in pre-frail community-dwelling older people consulting in primary care: a randomised controlled trial
Por:
Serra-Prat, M, Sist, X, Domenich, R, Jurado, L, Saiz, A, Roces, A, Palomera, E, Tarradelles, M and Papiol, M
Publicada:
1 may 2017
Resumen:
Background: evidence on the effectiveness of interventions to prevent frailty is scarce.
to assess the effect of an intervention in preventing frailty progression in pre-frail older people.
a randomised, open label, controlled trial with two parallel arms.
community-dwelling pre-frail older people (a parts per thousand 70 years) consulting in primary care.
nutritional assessment (and derivation to a Nutritional Unit for usual care in the event of nutritional risk) and a physical activity programme including aerobic exercise and a set of mixed strengthening, balance and coordination exercises
patients receiving the usual care.
prevalence of frailty (Fried criteria) at 12 months.
functional capacity (Barthel index), falls and nutritional status (Short-Form Mini Nutritional Assessment) on follow-up at 12 months.
one hundred and seventy-two participants were recruited and randomised (mean age: 78.3 years; mean number of Fried criteria: 1.45). Thirty-nine participants (22.6%) were dropped out during the study. At follow-up, 4.9% of the intervention group and 15.3% of the control group had evolved to frailty, for a crude odds ratio (OR) of 0.29 (95% confidence interval [CI]: 0.08-1.08; P = 0.052) and an adjusted (by age, gender and number of co-morbidities) OR of 0.19 (95% CI: 0.04-0.95; P = 0.044). Intervention group showed a higher outdoors walking hour per day (0.97 versus 0.73; P = 0.019) but no difference was observed in muscle strength, gait speed or other functional indicators.
an intervention focused on physical exercise and maintaining good nutritional status may be effective in preventing frailty in community-dwelling pre-frail older individuals.
Filiaciones:
Serra-Prat, M:
Consorci Sanitari Maresme, Res Unit, Barcelona, Spain
ISCIII, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Madrid, Spain
Sist, X:
Consorci Sanitari Maresme, Res Unit, Barcelona, Spain
Domenich, R:
Consorci Sanitari Maresme, ABS Mataro Ctr, Barcelona, Spain
Jurado, L:
Consorci Sanitari Maresme, ABS Cirera Molins, Barcelona, Spain
Saiz, A:
Consorci Sanitari Maresme, ABS Mataro Ctr, Barcelona, Spain
Roces, A:
Consorci Sanitari Maresme, ABS Cirera Molins, Barcelona, Spain
:
Consorci Sanitari Maresme, Res Unit, Barcelona, Spain
Tarradelles, M:
Consorci Sanitari Maresme, Res Unit, Barcelona, Spain
Papiol, M:
Consorci Sanitari Maresme, ABS Argentona, Barcelona, Spain
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