Exercise prescription to reverse frailty
| العنوان: | Exercise prescription to reverse frailty |
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| المؤلفون: | Nick W. Bray, Jennifer M. Jakobi, Rowan R. Smart, Gareth R. Jones |
| المصدر: | Applied Physiology, Nutrition, and Metabolism. 41:1112-1116 |
| بيانات النشر: | Canadian Science Publishing, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Aging, medicine.medical_specialty, Time Factors, Physiology, Frail Elderly, Endocrinology, Diabetes and Metabolism, Physical Exertion, Physical fitness, Poison control, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Quality of life, Terminology as Topic, Physiology (medical), Injury prevention, medicine, Humans, Aerobic exercise, Healthy Lifestyle, 030212 general & internal medicine, Range of Motion, Articular, Exercise, Geriatric Assessment, Postural Balance, Aged, Balance (ability), Aged, 80 and over, Rating of perceived exertion, Evidence-Based Medicine, Nutrition and Dietetics, business.industry, Resistance Training, General Medicine, Physical Fitness, Practice Guidelines as Topic, Sensation Disorders, Quality of Life, Physical therapy, Independent Living, business, Exercise prescription, 030217 neurology & neurosurgery |
| الوصف: | Frailty is a clinical geriatric syndrome caused by physiological deficits across multiple systems. These deficits make it challenging to sustain homeostasis required for the demands of everyday life. Exercise is likely the best therapy to reverse frailty status. Literature to date suggests that pre-frail older adults, those with 1–2 deficits on the Cardiovascular Health Study-Frailty Phenotype (CHS-frailty phenotype), should exercise 2–3 times a week, for 45–60 min. Aerobic, resistance, flexibility, and balance training components should be incorporated but resistance and balance activities should be emphasized. On the other hand, frail (CHS-frailty phenotype ≥ 3 physical deficits) older adults should exercise 3 times per week, for 30–45 min for each session with an emphasis on aerobic training. During aerobic, balance, and flexibility training, both frail and pre-frail older adults should work at an intensity equivalent to a rating of perceived exertion of 3–4 (“somewhat hard”) on the Borg CR10 scale. Resistance-training intensity should be based on a percentage of 1-repetition estimated maximum (1RM). Program onset should occur at 55% of 1RM (endurance) and progress to higher intensities of 80% of 1RM (strength) to maximize functional gains. Exercise is the medicine to reverse or mitigate frailty, preserve quality of life, and restore independent functioning in older adults at risk of frailty. |
| تدمد: | 1715-5320 1715-5312 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c2863dc2e6dd63d1a509595f5464463Test https://doi.org/10.1139/apnm-2016-0226Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7c2863dc2e6dd63d1a509595f5464463 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17155320 17155312 |
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