Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial

Sara  Suikkanen; Paula Soukkio; Eeva Aartolahti; Sanna Kääriä; Hannu Kautiainen; Markku  Hupli; Kaisu Pitkälä; Sarianna Sipilä; Katriina  Kukkonen- Harjula

doi:10.1016/j.apmr.2021.06.017

Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial

Sara Suikkanen, Paula Soukkio, Eeva Aartolahti, Sanna Kääriä, Hannu Kautiainen, Markku Hupli, Kaisu Pitkälä, Sarianna Sipilä, Katriina Kukkonen- Harjula

Research output: Contribution to journal › Article › Scientific › peer-review

Abstract

Objectives: To investigate the effects of a 12-month home-based exercise program on functioning and falls among persons with signs of frailty.

Design: A randomized controlled trial with a 1:1 allocation.

Setting: Home-based.

Participants: Home-dwelling persons aged 65 years or older meeting at least 1 frailty phenotype criteria (N=300). The mean age of the participants was 82.2 +/- 6.3 years, 75% were women, 61% met 1-2 frailty criteria, and 39% met >= 3 criteria.

Interventions: A 12-month, individually tailored, progressive, and physiotherapist-supervised physical exercise twice a week (n=150) vs usual care (n=149).

Main Outcome Measures: FIM, Short Physical Performance Battery (SPPB), handgrip strength, instrumental activities of daily living (IADL), and self-reported falls and physical activity (other than intervention). Assessed 4 times at home over 12 months.

Results: FIM deteriorated in both groups over 12 months, -4.1 points (95% confidence interval [CI], -5.6 to -2.5) in the exercise group and -6.9 (95% CI, -8.4 to -2.3) in the usual care group (group P=.014, time P

Conclusions: One year of physical exercise improved physical performance and decreased the number of falls among people with signs of frailty. FIM differed between the groups at 12 months, but exercise did not prevent deterioration of FIM, IADL, or handgrip strength. (C) 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Original language	English
Journal	Archives of Physical Medicine and Rehabilitation
Volume	102
Issue number	12
Pages (from-to)	2283-2290
Number of pages	8
ISSN	0003-9993
DOIs	https://doi.org/10.1016/j.apmr.2021.06.017
Publication status	Published - Dec 2021
MoE publication type	A1 Journal article-refereed

Fields of Science

Accidental falls
Aging
COGNITION
DISABILITY
FALLS
Frailty
Functional status
INSTRUMENTAL ACTIVITIES
LIFE
MEANINGFUL CHANGE
MORTALITY
OLDER-ADULTS
PEOPLE
Physical functional performance
Physical therapy modalities
Rehabilitation
STRENGTH
3141 Health care science

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10.1016/j.apmr.2021.06.017

Cite this

Suikkanen, S., Soukkio, P., Aartolahti, E., Kääriä, S., Kautiainen, H., Hupli, M., Pitkälä, K., Sipilä, S., & Kukkonen- Harjula, K. (2021). Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 102(12), 2283-2290. https://doi.org/10.1016/j.apmr.2021.06.017

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title = "Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial",

abstract = "Objectives: To investigate the effects of a 12-month home-based exercise program on functioning and falls among persons with signs of frailty.Design: A randomized controlled trial with a 1:1 allocation.Setting: Home-based.Participants: Home-dwelling persons aged 65 years or older meeting at least 1 frailty phenotype criteria (N=300). The mean age of the participants was 82.2 +/- 6.3 years, 75% were women, 61% met 1-2 frailty criteria, and 39% met >= 3 criteria.Interventions: A 12-month, individually tailored, progressive, and physiotherapist-supervised physical exercise twice a week (n=150) vs usual care (n=149).Main Outcome Measures: FIM, Short Physical Performance Battery (SPPB), handgrip strength, instrumental activities of daily living (IADL), and self-reported falls and physical activity (other than intervention). Assessed 4 times at home over 12 months.Results: FIM deteriorated in both groups over 12 months, -4.1 points (95% confidence interval [CI], -5.6 to -2.5) in the exercise group and -6.9 (95% CI, -8.4 to -2.3) in the usual care group (group P=.014, time PConclusions: One year of physical exercise improved physical performance and decreased the number of falls among people with signs of frailty. FIM differed between the groups at 12 months, but exercise did not prevent deterioration of FIM, IADL, or handgrip strength. (C) 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.",

keywords = "Accidental falls, Aging, COGNITION, DISABILITY, FALLS, Frailty, Functional status, INSTRUMENTAL ACTIVITIES, LIFE, MEANINGFUL CHANGE, MORTALITY, OLDER-ADULTS, PEOPLE, Physical functional performance, Physical therapy modalities, Rehabilitation, STRENGTH, 3141 Health care science",

author = "Sara Suikkanen and Paula Soukkio and Eeva Aartolahti and Sanna K{\"a}{\"a}ri{\"a} and Hannu Kautiainen and Markku Hupli and Kaisu Pitk{\"a}l{\"a} and Sarianna Sipil{\"a} and {Kukkonen- Harjula}, Katriina",

year = "2021",

month = dec,

doi = "10.1016/j.apmr.2021.06.017",

language = "English",

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Suikkanen, S , Soukkio, P, Aartolahti, E, Kääriä, S, Kautiainen, H, Hupli, M , Pitkälä, K, Sipilä, S & Kukkonen- Harjula, K 2021, 'Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial', Archives of Physical Medicine and Rehabilitation, vol. 102, no. 12, pp. 2283-2290. https://doi.org/10.1016/j.apmr.2021.06.017

Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial. / Suikkanen, Sara ; Soukkio, Paula; Aartolahti, Eeva et al.
In: Archives of Physical Medicine and Rehabilitation, Vol. 102, No. 12, 12.2021, p. 2283-2290.

Research output: Contribution to journal › Article › Scientific › peer-review

TY - JOUR

T1 - Effect of 12-Month Supervised, Home-Based Physical Exercise on Functioning Among Persons With Signs of Frailty: A Randomized Controlled Trial

AU - Suikkanen, Sara

AU - Soukkio, Paula

AU - Aartolahti, Eeva

AU - Kääriä, Sanna

AU - Kautiainen, Hannu

AU - Hupli, Markku

AU - Pitkälä, Kaisu

AU - Sipilä, Sarianna

AU - Kukkonen- Harjula, Katriina

PY - 2021/12

Y1 - 2021/12

N2 - Objectives: To investigate the effects of a 12-month home-based exercise program on functioning and falls among persons with signs of frailty.Design: A randomized controlled trial with a 1:1 allocation.Setting: Home-based.Participants: Home-dwelling persons aged 65 years or older meeting at least 1 frailty phenotype criteria (N=300). The mean age of the participants was 82.2 +/- 6.3 years, 75% were women, 61% met 1-2 frailty criteria, and 39% met >= 3 criteria.Interventions: A 12-month, individually tailored, progressive, and physiotherapist-supervised physical exercise twice a week (n=150) vs usual care (n=149).Main Outcome Measures: FIM, Short Physical Performance Battery (SPPB), handgrip strength, instrumental activities of daily living (IADL), and self-reported falls and physical activity (other than intervention). Assessed 4 times at home over 12 months.Results: FIM deteriorated in both groups over 12 months, -4.1 points (95% confidence interval [CI], -5.6 to -2.5) in the exercise group and -6.9 (95% CI, -8.4 to -2.3) in the usual care group (group P=.014, time PConclusions: One year of physical exercise improved physical performance and decreased the number of falls among people with signs of frailty. FIM differed between the groups at 12 months, but exercise did not prevent deterioration of FIM, IADL, or handgrip strength. (C) 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

AB - Objectives: To investigate the effects of a 12-month home-based exercise program on functioning and falls among persons with signs of frailty.Design: A randomized controlled trial with a 1:1 allocation.Setting: Home-based.Participants: Home-dwelling persons aged 65 years or older meeting at least 1 frailty phenotype criteria (N=300). The mean age of the participants was 82.2 +/- 6.3 years, 75% were women, 61% met 1-2 frailty criteria, and 39% met >= 3 criteria.Interventions: A 12-month, individually tailored, progressive, and physiotherapist-supervised physical exercise twice a week (n=150) vs usual care (n=149).Main Outcome Measures: FIM, Short Physical Performance Battery (SPPB), handgrip strength, instrumental activities of daily living (IADL), and self-reported falls and physical activity (other than intervention). Assessed 4 times at home over 12 months.Results: FIM deteriorated in both groups over 12 months, -4.1 points (95% confidence interval [CI], -5.6 to -2.5) in the exercise group and -6.9 (95% CI, -8.4 to -2.3) in the usual care group (group P=.014, time PConclusions: One year of physical exercise improved physical performance and decreased the number of falls among people with signs of frailty. FIM differed between the groups at 12 months, but exercise did not prevent deterioration of FIM, IADL, or handgrip strength. (C) 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

KW - Accidental falls

KW - Aging

KW - COGNITION

KW - DISABILITY

KW - FALLS

KW - Frailty

KW - Functional status

KW - INSTRUMENTAL ACTIVITIES

KW - LIFE

KW - MEANINGFUL CHANGE

KW - MORTALITY

KW - OLDER-ADULTS

KW - PEOPLE

KW - Physical functional performance

KW - Physical therapy modalities

KW - Rehabilitation

KW - STRENGTH

KW - 3141 Health care science

U2 - 10.1016/j.apmr.2021.06.017

DO - 10.1016/j.apmr.2021.06.017

M3 - Article

SN - 0003-9993

VL - 102

SP - 2283

EP - 2290

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

IS - 12

ER -