Exercise to Prevent and Manage Frailty and Fragility Fractures

Current Osteoporosis Reports, Год журнала: 2023, Номер 21(2), С. 205 - 215

Опубликована: Март 28, 2023

This review identifies exercise-based recommendations to prevent and manage frailty fragility fractures from current clinical practice guidelines. We also critically assess recently published literature in relation exercise interventions mitigate fractures.

Язык: Английский

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Are Dietary Patterns Relevant for Reducing the Risk of Fractures and Sarcopenia?

Current Osteoporosis Reports, Год журнала: 2025, Номер 23(1)

Опубликована: Янв. 23, 2025

Язык: Английский

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Trajectories, Transitions, and Trends in Frailty among Older Adults: A Review

Annals of Geriatric Medicine and Research, Год журнала: 2022, Номер 26(4), С. 289 - 295

Опубликована: Дек. 12, 2022

Frailty is an age-related clinical state associated with deterioration across multiple physiological systems and a leading cause of morbidity mortality later in life. To understand how frailty develops what causes its progression, longitudinal data repeated measurements are required. This review summarizes evidence from studies on trajectories, transitions, trends. We identified several consistent findings: increases aging dynamic condition, more recent generations older adults have higher levels. These findings both public health relevance, including the provision healthcare aged care services coming years. Further required, particularly those conducted low- middle-income countries investigating factors changes frailty. The latter may help develop better-targeted interventions to reverse or slow progression

Язык: Английский

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Imaging modalities for measuring body composition in patients with cancer: opportunities and challenges

JNCI Monographs, Год журнала: 2023, Номер 2023(61), С. 56 - 67

Опубликована: Май 4, 2023

Abstract Body composition assessment (ie, the measurement of muscle and adiposity) impacts several cancer-related outcomes including treatment-related toxicities, treatment responses, complications, prognosis. Traditional modalities for body include mass index, circumference, skinfold thickness, bioelectrical impedance analysis; advanced imaging dual energy x-ray absorptiometry, computerized tomography, magnetic resonance imaging, positron emission tomography. Each modality has its advantages disadvantages, thus requiring an individualized approach in identifying most appropriate measure specific clinical or research situations. Advancements approaches have led to abundance available data, however, lack standardized thresholds classification abnormal adiposity been a barrier adopting these measurements widely care. In this review, we discuss different detail provide guidance on their unique opportunities challenges.

Язык: Английский

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A Critical Review of Current Worldwide Definitions of Sarcopenia

Calcified Tissue International, Год журнала: 2023, Номер 114(1), С. 74 - 81

Опубликована: Дек. 3, 2023

Язык: Английский

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Individualized Hospital to Home, Exercise-Nutrition Self-Managed Intervention for Pre-Frail and Frail Hospitalized Older Adults: The INDEPENDENCE Randomized Controlled Pilot Trial

Clinical Interventions in Aging, Год журнала: 2023, Номер Volume 18, С. 809 - 825

Опубликована: Май 1, 2023

Purpose: Pre-frailty and frailty in older adults are associated with poor health outcomes increase health-care costs, further worsening during hospitalization. This study aimed to examine the effect of an individualized hospital home, exercise-nutrition self-managed intervention for pre-frail frail hospitalized adults. Patients Methods: Older admitted acute medical unit a tertiary South Australia who were or recruited from September 2020 June 2021, randomized either control group followed up at 3 6 months. The outcome variables program adherence, status by Edmonton Frail Scale (EFS) score, lower extremity physical function, handgrip strength, nutritional status, cognition, mood, health-related quality life, risk functional decline, unplanned readmissions. Results: Participants 79.2 ± 6.6 years old, 63% female, mostly (67%), EFS 8.6± 1.9. Adherence inpatient home visits/telehealth high (91± 13% 92± 21%, respectively). Intention-to-treat analysis using linear regression models showed that participants had significantly greater reduction (− 3.0; 95% CI: − 4.8 3.0) months 2.5; 3.8 1.0, P < 0.001 both) compared group; particularly performance component. There also improvements overall Short Physical Performance Battery score (4.0; 1.3 6.6) (3.9; 1.0 6.9, 0.05 both), mini-mental state examination (2.6; 0.3– 4.8, =0.029) strength (3.7; 0.2– 7.1, =0.039) Geriatric Depression Scale, 2.2; 4.1 0.30, =0.026) as control. Conclusion: provided evidence acceptability patient may benefit alleviate pre-frailty hospitalised Keywords: frailty, self-management, exercise, nutrition therapy

Язык: Английский

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The rising tsunami of poor muscle health and sarcopenia in Asia-Pacific: Time for focused attention and targeted interventions

Archives of Gerontology and Geriatrics, Год журнала: 2023, Номер 117, С. 105275 - 105275

Опубликована: Ноя. 12, 2023

Язык: Английский

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High Sarcopenia Awareness Contrasts a Lack of Clinical Implementation Among Geriatric Rehabilitation Health Care Professionals in the Netherlands: EMPOWER-GR

Journal of Geriatric Physical Therapy, Год журнала: 2023, Номер 47(2), С. 67 - 76

Опубликована: Фев. 24, 2023

Background and Purpose: Despite being associated with serious adverse outcomes, such as mortality, sarcopenia remains largely undiagnosed in older individuals. This study aimed to assess the awareness, practices, barriers enablers clinical implementation of diagnosis treatment among geriatric rehabilitation health care professionals Netherlands. Methods: As part EMPOWER-GR, a cross-sectional survey working Netherlands was undertaken between September 23, 2020, January 28, 2021. Professionals were recruited via provider, professional associations, networks research team, social media. Descriptive statistics used outcomes. Results Discussion: Of 501 professionals, 12.2% physicians, 23.0% physical therapist/occupational therapists, 30.3% dietitians, 19.6% nurses, 11.0% assistants. The concept known by 83.8% participants, 92.5% correctly identified low muscle mass strength (and performance), 73.8% very important management adults admitted for rehabilitation. Although 26.2% 18.9% participants reported screening diagnosing sarcopenia, respectively, their current practice, only 3.0% adequately (revised) definition European Working Group on Sarcopenia Older People. When has been diagnosed, 65.0% initiating consisting resistance exercise training (78.7%), food fortification/high-energy or protein diet (85.4%), oral nutritional supplements (70.4%). Most lack knowledge, access tools, equipment time, while protocol implementation, training, clear responsibilities. Conclusions: awareness is high Netherlands, but adequate almost nonexistent which hampers interventions. Better responsibilities, tools protocols, well prioritization, are needed be diagnosed treated

Язык: Английский

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Omega-3 polyunsatured fatty acids and physical performance across the lifespan: a narrative review

Frontiers in Nutrition, Год журнала: 2024, Номер 11

Опубликована: Июнь 20, 2024

Background and Aims Physical performance is a major contributor of mobility independence during older life. Despite progressive decline in musculoskeletal function starts from middle age, several factors acting the life-course can negatively influence functional capacities. Lifestyle interventions incorporating nutrition physical exercise help maximizing muscle capacities early life as well preserving them later Among various dietary compounds, omega-3 polyunsaturated fatty acids (PUFAs) are gaining growing attention for their potential effects on membrane composition function. Indeed, pathways enhanced, such an attenuation pro-inflammatory oxidative stress, mitochondrial function, activation mammalian target rapamycin (mTOR) signaling reduction insulin resistance. Methods We performed narrative review to explore existing literature relationship between PUFAs across life-course. Results Growing evidence randomized controlled trials (RCTs) suggests beneficial including parameters mid On other hand, despite direct association not available literature, some mechanisms by which may contribute improved adult could be hypothesized. Conclusion Omega-3 positive effect parameters. The integration measures future studies would great interest whether starting extending throughout lifespan. However, larger high-quality RCTs needed fully elucidate supplementation mass

Язык: Английский

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Association of Bioelectrical Impedance Phase Angle with Physical Performance and Nutrient Intake of Older Adults

Nutrients, Год журнала: 2023, Номер 15(6), С. 1458 - 1458

Опубликована: Март 17, 2023

In recent years, the phase angle (PhA) as a raw bioelectrical impedance analysis variable has gained attention to assess cell integrity and its association physical performance in either sports-related or clinical settings. However, data on healthy older adults are scarce. Therefore, body composition, macronutrient intake from (n = 326, 59.2% women, 75.2 ± 7.2 years) were retrospectively analyzed. Physical was evaluated by Senior Fitness Test battery, gait speed, timed up go handgrip strength. Body composition determined BIA dual-energy X-ray absorptiometry (from subgroup of n 51). The PhA negatively associated with test age (r −0.312 −0.537, p < 0.001), positively 6 min walk test, 30 s chair stand, strength, speed score 0.170–0.554, 0.05), but not protein 0.050, 0.386). Hierarchical multiple regression showed that especially age, sex, BMI, also predicted outcomes. conclusion, seems be an interesting contributor performance, sex- age-specific norm values still need determined.

Язык: Английский

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