Physical exercise programs in the home of frail elderly people: an integrative review
DOI:
https://doi.org/10.33233/eb.v20i5.4747Keywords:
frail elderly; exercise; health promotion; home care services; nursing careAbstract
Introduction: Physical exercise has the potential to improve the health condition of frail elderly people. However, knowledge about physical exercise at home for this population is scarce. Objective: To investigate in the scientific literature physical exercise programs implemented in the home of frail elderly people with contributions to functional capacity. Methods: Integrative literature review between 2010 and 2020, in the Web of Science, Medline and Cinahl databases. Results: From 290 articles, we included 12 articles that revealed positive effects of physical exercise programs at home on the functional capacity of frail elderly people. Physical exercise programs included strength, balance, flexibility and endurance training. Conclusion: This review demonstrates the benefits of physical exercise in the home of frail elderly people, not only in functional capacity, but also in the participation in activities of daily living, incidence of falls, fear of falling, pain intensity, episodes of acute illness and quality of life.
References
Hoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. The Lancet 2019;394(10206):1365-75. doi: 10.1016/S0140-6736(19)31786-6
Del Pozo-Cruz B, Mañas A, Martín-García M, Marín-Puyalto J, García-García FJ, Rodriguez-Mañas L, et al. Frailty is associated with objectively assessed sedentary behaviour patterns in older adults: Evidence from the Toledo Study for Healthy Aging (TSHA). PloS One 2017;12(9):e0183911. doi: 10.1371/journal.pone.0183911
Lopes MA, Krug RR, Bonetti A, Mazo GZ. Barreiras que influenciaram a não-adoção de atividade física por longevas. Rev Bras Cienc Esporte 2016;38(1):76-83. doi: 10.1016/j.rbce.2015.10.011
Freiberger E, Kemmler W, Siegrist M, Sieber C. Frailty and exercise interventions: Evidence and barriers for exercise programs. Z Gerontol Geriat 2016;49(7):606-11. doi: 10.1007/s00391-016-1134-x
Aromataris E, Munn Z. JBI Manual for Evidence Synthesis. Version 2020. Austrália: Joanna Briggs Institute, 2020. [Internet] [cited 2021 Fev 20]. doi: 10.46658/JBIMES-20-01
Cameron ID, Fairhall N, Langron C, Lockwood K, Monaghan N, Aggar C, et al. A multifactorial interdisciplinary intervention reduces frailty in older people: randomized trial. BMC Med 2013;11(1):65. doi: 10.1186/1741-7015-11-65
Clegg A, Barber S, Young J, Iliffe S, Forster A. The Home-Based Older People's Exercise (HOPE) trial: a pilot randomized controlled trial of a home-based exercise intervention for older people with frailty. Age and Ageing 2014;43(5):687-95. doi: 10.1093/ageing/afu033
Danilovich M, Corcos D, Eisenstein A, Marquez D, Hughes S. The impact of strong for life on the physical functioning and health of older adults receiving home and community-based services. Aging Soc 2017;7(2):1-10. doi: 10.18848/2160-1909/cgp/v07i02/1-10
Geraedts HA, Zijlstra W, Zhang W, Spoorenberg SL, Báez M, Far IK, et al. Home based exercise program driven by tablet application and mobility monitoring for frail older adults: feasibility and practical implications. Prev Chronic Dis 2017. doi: 10.5888/pcd14.160227
Haider S, Dorner TE, Luger E, Kapan A, Titze S, Lackinger C, et al. 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. PLoS One 2017;12(1):e0169613. doi: 10.1371/journal.pone.0169613
Muramatsu N, Yin L, Berbaum ML, Marquez DX, Jurivich DA, Zanoni JP, et al. Promoting seniors' health with home care aides: a pilot. The Gerontologist 2018;58(4):779-88. doi: 10.1093/geront/gnx101
Saeterbakken A, Bardstu H, Brudeseth A, Andersen V. Effects of strength training on muscle properties, physical function, and physical activity among frail older people: a pilot study. J Aging Res 2018;8916274. doi: 10.1155/2018/8916274
Feng NC, Ryan E, Kidane M, Tusch ES, McFeeley BM, Carlsson R, et al. Feasibility of an at-home, web-based, interactive exercise program for older adults. Alzheimers Dement (N Y) 2019;5:825-33. doi: 10.1016/j.trci.2019.10.005
Henwood T, Hetherington S, Purss M, Rouse K, Morrow J, Smith M. active@home: Investigating the value of a home care worker-led exercise program for older adults with complex care needs. J Aging Phys Act 2019;27(2):284-9. doi: 10.1123/japa.2017-0443
Hsieh TJ, Su SC, Chen CW, Kang YW, Hu MH, Hsu LL, et al. Individualized home-based exercise and nutrition intervention improve frailty in older adults: a randomized controlled trial. Int J Behav Nutr Phys Act 2019;16(1):119. doi: 10.1186/s12966-019-0855-9
Pérez-Ros P, Vila-Candel R, Martínez-Arnau FM. A home-based exercise program focused on proprioception to reduce falls in frail and pre-frail community-dwelling older adults. Geriatric Nursing 2020;41(4):436-44. doi: 10.1016/j.gerinurse.2020.01.017
Suikkanen SA, Soukkio PK, Aartolahti EM, Kautiainen H, Kääriä SM, Hupli MT, et al. Effects of home-based physical exercise on days at home and cost-effectiveness in pre-frail and frail persons: randomized controlled trial. J Am Med Dir Assoc 2020;S1525-8610(20)30511-9. doi: 10.1016/j.jamda.2020.06.005
Corregidor-Sánchez AI, Segura-Fragoso A, Rodríguez-Hernández M. Can exergames contribute to improving walking capacity in older adults? A systematic review and meta-analysis. Maturitas 2020;132:40-48. doi: 10.1016/j.maturitas.2019.12.006
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020;54(24):1451. doi: 10.1136/bjsports-2020-102955
Brandão GS, Oliveira L, Brandao GS, Sampaio AAC, Andrade LD, Fonseca AL, et al. Home physical exercise improves functional mobility and quality of life in elderly. A Consort-prospective, randomized controlled clinical trial. Authorea 2020. doi: 10.22541/au.159183084.40962524
Ng CACM, Fairhall N, Wallbank G, Tiedemann A, Michaleff ZA, Sherrington C. Exercise for falls prevention in community-dwelling older adults: trial and participant characteristics, interventions and bias in clinical trials from a systematic review. BMJ Open SEM 2019;5(1):e000663. doi: 10.1136/bmjsem-2019-000663
Magna TS, Brandão AF, Fernandes PT. Intervenção por realidade virtual e exercício físico em idosos. J Health Inform [Internet]. 2020 [cited 2021 Oct 26];12(3):77-82. http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/727/391
Additional Files
Published
Issue
Section
License
Copyright (c) 2021 Ana da Conceição Alves Faria, Maria Manuela Ferreira Pereira da Silva Martins, José Alberto Laredo-Aguilera, Olga Maria Pimenta Lopes Ribeiro, Luciano José Moreira Ferreira
This work is licensed under a Creative Commons Attribution 4.0 International License.