Multi-Component Exercise Program and Improving Physical Performances in Older Inpatients: Results from A Pilot Interventional Study
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 14, Issue 1
Abstract
Objectives: To assess the feasibility and the effects on physical performances of a multi-component exercise program (MCETP) in older inpatients. Design and Setting: The training program included 3 components, endurance, balance, and resistance training. It consisted in 3 sessions per week during 3 months. Specifically, devoted strength-building machines were designed to properly fulfill the physical abilities of older people. Participants: The program was proposed to 51 older hospitalized patients. Measurements: Feasibility was assessed by recording the number of sessions the patients achieved, the occurrence of adverse events, the emotional response to training and subjective feeling of exertion-intensity, all items were recorded after each session. Physical performance changes were measured using the gait speed, the TUG and the chair rising ability Results: The 21 patients who refused the training had a significant lower MMSE than those who accepted. The body mass index of the 13 patients who completed a single session only was significantly higher. A total of 17 patients completed the entire training program. With the training, patients improved chair standing of 29%, TUG of 33% and gait speed of 50%. No adverse effect or medical complication occurred. Patients completed 83% of the program. The causes for which sessions were missed were mainly due to simultaneous conventional hospital care or shortcomings. Sessions were perceived as hard for 0.3% of them, moderate for 33% and light for 67%. 98 % sessions were reported as pleasant. Conclusion: In this preliminary study, a MCETP significantly improved physical performances of older inpatients after 12 weeks. These results have to be confirmed in a prospective, randomized controlled trial to follow. Abbreviations: MCETP: Multi-Component Exercise Training Program; EWGOS: European Working Group on Sarcopenia; GA: Geriatric Assessment; CIRSG: Cumulative Illness Rating Scale Geriatric. Frailty is an excess vulnerability to stressors, with a reduced ability to maintain or regain homeostasis after a destabilizing event, leading to poor outcomes: early death, disability, unplanned hospitalization and falls [1,2]. Frailty is a dynamic process, poten tially reversible with a targeted geriatric intervention [3]. One of the main geriatric interventions is probably physical rehabilitation with exercises. The American College of Sports Medicine (ACSM) position states that participation in regular physical activities elic-its a number of favorable responses that contribute to healthy aging and reduce the risk of frailty [4]. Indeed, exercise has consistently been found to improve physical function, sarcopenia, cognitive performance, and mood, which all are significant components of frailty [5-10]. Optimized exercise training has been proposed on a multi-component basis, including endurance, balance, and resistance training [11], to which recently released guidelines added a greater emphasis on high intensity exercise including muscle strengthening activities [12]. In a recent meta-analysis involving 18 interventional studies (n=2517 participants with age at inclusion ranged from 60 to 85 years) published from 1998 to 2009, the authors showed that a multi-component exercise program was more effective in limiting or reducing sarcopenia than low intensity interventions [6], and, in turn, to limit adverse associated outcomes, including falls, fractures, frailty, and mortality [13-18]. But, most of interventional studies concerned in-home participants. Few studies were devoted to inpatients and the feasibility of multi-component exercise program remains unclear in this population. We aimed to assess the feasibility and the effects on extremity physical performances of a multi-component exercise program in older inpatients.
Authors and Affiliations
V François, F Pamoukdjian, C Bloch Queyrat, M Boubaya, JJ Monsuez
Keywords
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- EP ID EP584661
- DOI 10.26717/BJSTR.2019.14.002558
- Views 172
- Downloads 0
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