Preserving Mobility in Older Adults with Physical Frailty and Sarcopenia: Opportunities, Challenges, and Recommendations for Physical Activity Interventions

被引:157
作者
Billot, Maxime [1 ,2 ]
Calvani, Riccardo [3 ,4 ]
Urtamo, Annele [5 ]
Sanchez-Sanchez, Juan Luis [6 ]
Ciccolari-Micaldi, Cecilia [1 ]
Chang, Milan [7 ,8 ,9 ]
Roller-Wirnsberger, Regina [10 ]
Wirnsberger, Gerhard [11 ]
Sinclair, Alan [12 ]
Vaquero-Pinto, Nieves [13 ]
Jyvakorpi, Satu [5 ]
Ohman, Hanna [5 ]
Strandberg, Timo [14 ,15 ,16 ]
Schols, Jos M. G. A. [17 ]
Schols, Annemie M. W. J. [18 ]
Smeets, Nick [19 ]
Topinkova, Eva [20 ]
Michalkova, Helena [21 ]
Bonfigli, Anna Rita [22 ]
Lattanzio, Fabrizia [22 ]
Rodriguez-Manas, Leocadio [23 ]
Coelho-Junior, Helio [4 ]
Broccatelli, Marianna [4 ]
D'Elia, Maria Elena [4 ]
Biscotti, Damiano [4 ]
Marzetti, Emanuele [3 ,4 ]
Freiberger, Ellen [24 ]
机构
[1] Univ Hosp Limoges, Clin Gerontol, Limoges, France
[2] Univ Poitiers Hosp, PRISMAT Predict Res Spine Neurostimulat Managemen, Poitiers, France
[3] Univ Cattolica Sacro Cuore, Rome, Italy
[4] Fdn Policlin Univ Agostino Gemelli IRCCS, Rome, Italy
[5] Univ Helsinki, Helsinki Univ, Dept Gen Practice & Primary Hlth Care, Unit Primary Hlth Care,Cent Hosp, Helsinki, Finland
[6] Getafe Univ Hosp, Fdn Biomed Res, Madrid, Spain
[7] Univ Iceland, Fac Hlth Promot Sports & Leisure Studies, Sch Educ, Reykjavik, Iceland
[8] Landspitali Univ Hosp, Iceland Gerontol Res Ctr, Reykjavik, Iceland
[9] Univ Iceland, Reykjavik, Iceland
[10] Med Univ Graz, Dept Internal Med, Graz, Austria
[11] Med Univ Graz, Dept Internal Med, Div Nephrol, Graz, Austria
[12] Diabet Frail Ltd, Fdn Diabet Res Older People, Luton, Beds, England
[13] Univ Hosp Ramon Cajal IRYCIS, Madrid, Spain
[14] Univ Helsinki, Clinicum, Helsinki, Finland
[15] Helsinki Univ Hosp, Med & Rehabil, Helsinki, Finland
[16] Univ Oulu, Ctr Life Course Hlth Res, Oulu, Finland
[17] Maastricht Univ, Dept Hlth Serv Res, Med Ctr, Maastricht, Netherlands
[18] Maastricht Univ, Sch Nutr & Translat Res Metab NUTRIM, Dept Resp Med, Med Ctr, Maastricht, Netherlands
[19] Maastricht Univ, Dept Hlth & Fitness, Med Ctr, Maastricht, Netherlands
[20] Charles Univ Prague, Fac Med 1, Prague, Czech Republic
[21] South Bohemian Univ, Fac Social & Hlth Sci, Ceske Budejovice, Czech Republic
[22] IRCCS, Sci Direct, INRCA, Ancona, Italy
[23] Univ Hosp Getafe, Geriatr Serv, Madrid, Spain
[24] FAU Erlangen Nurnberg, Inst Biomed Aging, Nurnberg, Germany
关键词
physical exercise; muscle mass; strength; walking; balance; better aging; SKELETAL-MUSCLE MASS; GAIT SPEED; BALANCE CONTROL; WALKING SPEED; PEOPLES PERSPECTIVES; COGNITIVE DECLINE; ELDERLY-PATIENTS; POSTURAL CONTROL; PROTEIN-INTAKE; NURSING-HOME;
D O I
10.2147/CIA.S253535
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
030301 [社会学]; 100201 [内科学];
摘要
One of the most widely conserved hallmarks of aging is a decline in functional capabilities. Mobility loss is particularly burdensome due to its association with negative health outcomes, loss of independence and disability, and the heavy impact on quality of life. Recently, a new condition, physical frailty and sarcopenia, has been proposed to define a critical stage in the disabling cascade. Physical frailty and sarcopenia are characterized by weakness, slowness, and reduced muscle mass, yet with preserved ability to move independently. One of the strategies that have shown some benefits in combatting mobility loss and its consequences for older adults is physical activity. Here, we describe the opportunities and challenges for the development of physical activity interventions in people with physical frailty and sarcopenia. The aim of this article is to review age-related physio(patho)logical changes that impact mobility in old age and to provide recommendations and procedures in accordance with the available literature.
引用
收藏
页码:1675 / 1690
页数:16
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