Changes in muscle power after usual care or early structured exercise intervention in acutely hospitalized older adults.

Journal of Cachexia, Sarcopenia and Muscle
Mikel L Sáez de AsteasuMikel Izquierdo

Abstract

A classic consequence of short-term bed rest in older adults is the significant loss in skeletal muscle mass and muscle strength that underlies the accelerated physical performance deficits. Structured exercise programmes applied during acute hospitalization can prevent muscle function deterioration. A single-blind randomized clinical trial conducted in an acute care for elders unit in a tertiary public hospital in Navarre (Spain). Three hundred seventy hospitalized patients [56.5% female patients; mean age (standard deviation) 87.3 (4.9) years] were randomly allocated to an exercise intervention (n = 185) or a control (n = 185) group (usual care). The intervention consisted of a multicomponent exercise training programme performed during 5-7 consecutive days (2 sessions/day). The usual-care group received habitual hospital care, which included physical rehabilitation when needed. The main endpoints were change in maximal dynamic strength (i.e. leg-press, chest-press, and knee extension exercises) and maximal isometric knee extensors and hip flexors strength from baseline to discharge. Changes in muscle power output at submaximal and maximal loads were also measured after the intervention. The physical exercise programme provid...Continue Reading

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Citations

Sep 20, 2020·European Journal of Heart Failure·Agata Bielecka-DabrowaStephan von Haehling
Jan 12, 2021·Journal of the American Medical Directors Association·Jesse J AardenUNKNOWN Hospital-ADL study group
Feb 13, 2021·The Journal of Nutrition, Health & Aging·J E Morley
Feb 16, 2021·Aging Clinical and Experimental Research·Hélio José Coelho-JúniorEmanuele Marzetti
Jun 3, 2021·International Journal of Environmental Research and Public Health·Amaya Jimeno-AlmazánJavier Courel-Ibáñez
Jul 2, 2021·Journal of the American Medical Directors Association·Javier Courel-IbáñezMikel Izquierdo
Jul 16, 2021·Journal of the American Medical Directors Association·Mikel IzquierdoLeocadio Rodríguez-Mañas

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Clinical Trials Mentioned

NCT02300896

Software Mentioned

SPSS
Vivifrail

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