Ruby Yu1, Cecilia Tong2, Florence Ho3, Jean Woo4. 1. Jockey Club Institute of Ageing, Chinese University of Hong Kong, Hong Kong SAR, China; Department of Medicine and Therapeutics, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China. Electronic address: rubyyu@cuhk.edu.hk. 2. Jockey Club Institute of Ageing, Chinese University of Hong Kong, Hong Kong SAR, China. 3. Jockey Club Cadenza Hub, Hong Kong SAR, China. 4. Jockey Club Institute of Ageing, Chinese University of Hong Kong, Hong Kong SAR, China; Department of Medicine and Therapeutics, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China.
Abstract
OBJECTIVE: To examine the effects of a multicomponent frailty prevention program in community-dwelling older persons with prefrailty. DESIGN: A randomized controlled trial. SETTING:A community elderly center in Hong Kong. PARTICIPANTS: Persons aged ≥50 years who scored 1-2 on a simple frailty questionnaire (FRAIL) METHODS:Participants (n = 127) were randomly assigned to a 12-week multicomponent frailty prevention program (exercise, cognitive training, board game activities) or to a wait-list control group. The primary outcomes were FRAIL scores, frailty status, and a combined frailty measure including subjective (FRAIL total score) and objective (grip strength, muscle endurance, balance, gait speed) measures. The secondary outcomes were verbal fluency assessed by dual-task gait speed, attention and memory assessed by digit span task, executive function assessed by the Frontal Assessment Battery, self-rated health, and life satisfaction. Assessments were conducted at baseline and at week 12. RESULTS:The mean age of the participants was 62.2 years, and 88.2% were women. At week 12, the FRAIL score had decreased in the intervention group (-1.3, P < .001) but had increased in the control group (0.3, P < .01) (between-group differences P < .001). In addition, 83.3% and 1.6% of the intervention and control groups, respectively, had reversed from prefrailty to robust phenotype (between-group differences P < .001). Participants in the intervention group also had a greater reduction in the combined frailty score and greater improvements in muscle endurance, balance, verbal fluency, attention and memory, executive function, and self-rated health than those in the control group (all P < .05). There were no significant differences between the groups with respect to grip strength, gait speed, and life satisfaction. CONCLUSIONS AND IMPLICATIONS: The multicomponent frailty prevention program reduced frailty and improved physical and cognitive functions, and self-rated health in community-dwelling older persons with prefrailty. Findings can provide insights into the consideration of incorporating frailty prevention programs into the routine practice of community elderly services.
RCT Entities:
OBJECTIVE: To examine the effects of a multicomponent frailty prevention program in community-dwelling older persons with prefrailty. DESIGN: A randomized controlled trial. SETTING: A community elderly center in Hong Kong. PARTICIPANTS: Persons aged ≥50 years who scored 1-2 on a simple frailty questionnaire (FRAIL) METHODS:Participants (n = 127) were randomly assigned to a 12-week multicomponent frailty prevention program (exercise, cognitive training, board game activities) or to a wait-list control group. The primary outcomes were FRAIL scores, frailty status, and a combined frailty measure including subjective (FRAIL total score) and objective (grip strength, muscle endurance, balance, gait speed) measures. The secondary outcomes were verbal fluency assessed by dual-task gait speed, attention and memory assessed by digit span task, executive function assessed by the Frontal Assessment Battery, self-rated health, and life satisfaction. Assessments were conducted at baseline and at week 12. RESULTS: The mean age of the participants was 62.2 years, and 88.2% were women. At week 12, the FRAIL score had decreased in the intervention group (-1.3, P < .001) but had increased in the control group (0.3, P < .01) (between-group differences P < .001). In addition, 83.3% and 1.6% of the intervention and control groups, respectively, had reversed from prefrailty to robust phenotype (between-group differences P < .001). Participants in the intervention group also had a greater reduction in the combined frailty score and greater improvements in muscle endurance, balance, verbal fluency, attention and memory, executive function, and self-rated health than those in the control group (all P < .05). There were no significant differences between the groups with respect to grip strength, gait speed, and life satisfaction. CONCLUSIONS AND IMPLICATIONS: The multicomponent frailty prevention program reduced frailty and improved physical and cognitive functions, and self-rated health in community-dwelling older persons with prefrailty. Findings can provide insights into the consideration of incorporating frailty prevention programs into the routine practice of community elderly services.
Authors: Robert Briggs; Anna McDonough; Graham Ellis; Kathleen Bennett; Desmond O'Neill; David Robinson Journal: Cochrane Database Syst Rev Date: 2022-05-06
Authors: Reshma Aziz Merchant; Yiong Huak Chan; Richard Jor Yeong Hui; Jia Yi Lim; Sing Cheer Kwek; Santhosh K Seetharaman; Lydia Shu Yi Au; John E Morley Journal: Front Med (Lausanne) Date: 2021-04-16
Authors: Neildja Maria da Silva; Monalisa Silva de França; Dellis Kariny Freitas Holanda de Almeida; Evelin Suyany Guedes de Lima; Vinícius Hugley Brito Dos Santos; João Victor de Araújo Souza; Ana Rodriguez Larrad; Débora de Almeida Aloise; Núbia Maria Freire Vieira Lima Journal: J Aging Res Date: 2021-06-03