Bruna da Silva Capanema, Universidade do Estado de Santa Catarina, Florianópolis, Santa Catarina, Brazil, E-mail:
J Frailty Aging. 2024;13(4):369-383. doi: 10.14283/jfa.2024.41.
With the significant increase in the number of long-lived elderly people living at home, the development of effective physical exercise interventions at home becomes essential to preserve their independence and delay institutionalization and hospitalizations.
to map and describe home exercise programs for elderly people aged 80 or over with physical frailty.
The scoping review allowed the inclusion of several methodologies and varied perspectives, maintaining rigor in accordance with the methodological steps of the Joanna Briggs Institute (JBI). The systematic search covered studies available until May 2023 in five databases and gray literature. Frailty was assessed according to the criteria of Fried et al. (2001), physical performance scale (SPPB), such as gait and mobility, and the authors' assessment of reduced physical function were considered. The study followed the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines and is publicly available in the Open Science Framework (OSF) repository.
Twenty studies were identified that met the inclusion criteria. The total number of elderly people investigated in the study was 1,796. The most important physical interventions were muscular strength training, mainly of the lower limbs, together with flexibility, balance, aerobic and functional training. These home interventions have demonstrated potential, safety and effectiveness in preventing and alleviating physical frailty. These home interventions demonstrated potential, safety and effectiveness in preventing and alleviating physical frailty, adherence in most studies varied between 72% and 89%.
This study will allow us to design home-based exercise interventions, potentially providing practical solutions and assisting healthcare professionals in home-based interventions to reduce and mitigate physical frailty in the growing population of older adults. It will also help fill the existing knowledge gap and provide recommendations for future research.
随着在家中生活的长寿老人数量的显著增加，开发有效的家庭锻炼干预措施对于保持他们的独立性、延缓机构化和住院化变得至关重要。
绘制并描述针对 80 岁及以上身体虚弱的老年人的家庭锻炼计划。
该范围综述允许纳入多种方法和不同视角，根据乔安娜·布里格斯研究所（JBI）的方法步骤保持严谨性。系统搜索涵盖了截至 2023 年 5 月在五个数据库和灰色文献中可用的研究。根据弗里德等人（2001 年）的标准评估虚弱，评估身体表现量表（SPPB），如步态和移动性，以及作者评估的身体功能降低。该研究遵循 PRISMA 扩展用于范围综述（PRISMA-ScR）指南，并在开放科学框架（OSF）库中公开可用。
确定了符合纳入标准的 20 项研究。在研究中调查的老年人总数为 1796 人。最重要的身体干预措施是下肢肌肉力量训练，主要是灵活性、平衡、有氧和功能训练。这些家庭干预措施已显示出预防和缓解身体虚弱的潜力、安全性和有效性。这些家庭干预措施在预防和缓解身体虚弱方面显示出了潜力、安全性和有效性，大多数研究的依从性在 72%至 89%之间。
这项研究将使我们能够设计基于家庭的锻炼干预措施，这可能为医疗保健专业人员提供实用的解决方案，并协助他们进行基于家庭的干预措施，以减少和缓解日益增长的老年人口的身体虚弱。它还将有助于填补现有知识空白并为未来的研究提供建议。
