Physical activity and sedentary behaviour interventions for people living with both frailty and multiple long-term conditions and their informal carers: a scoping review and stakeholder consultation.
Introduction This scoping review mapped evidence on physical activity (including structured exercise) and sedentary behaviour interventions (interventions to reduce sedentary behaviour) in people living with both frailty and multiple long-term conditions (MLTCs) and their informal carers. Methods Te...
| Publicado en: | Age & Ageing Vol. 53; no. 11; pp. 1 - 21 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Nov2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=181196228&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 181196228 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Nov2024 vid: 53 iid: 11 pid: 622 pub: Oxford University Press / USA artinfo: ui: 181196228 10.1093/ageing/afae255 ppf: 1 ppct: 20 formats: tig: atl: Physical activity and sedentary behaviour interventions for people living with both frailty and multiple long-term conditions and their informal carers: a scoping review and stakeholder consultation. aug: au: Young, Hannah M L Henson, Joseph Dempsey, Paddy C Willis, Scott A Billany, Roseanne E Curtis, Ffion Gray, Laura Greenwood, Sharlene Herring, Louisa Y Highton, Patrick Kelsey, Ryan J Lock, Selina March, Daniel S Patel, Krishna Sargeant, Jack Sathanapally, Harini Sayer, Avan A Thomas, Martha Vadaszy, Noemi Watson, Emma affil: Leicester Diabetes Centre , College of Life Sciences, University of Leicester , Leicester , UK Therapy Department, University of Hospitals of Leicester NHS Trust , Leicester , UK NIHR Leicester Biomedical Research Centre, University of Leicester and University Hospitals of Leicester NHS Trust , Leicester , UK MRC Epidemiology Unit , Institute of Metabolic Science, Cambridge University , Cambridge Biomedical Campus, Cambridge , UK Baker Heart and Diabetes Institute , Physical activity and behavioural epidemiology laboratory, Melbourne , Australia Institute for Physical Activity and Nutrition (IPAN) , School of Exercise and Nutrition Sciences, Deakin University , Geelong, Victoria , Australia National Centre for Sport and Exercise Medicine , School of Sport, Exercise and Health Sciences, Loughborough University , Loughborough , UK Department of Cardiovascular Sciences, University of Leicester , Leicester , UK Liverpool Reviews & Implementation Group (LRiG), University of Liverpool , Liverpool , UK Department of Population Health Sciences, University of Leicester , Leicester , UK Department of Renal Medicine, King's College Hospital NHS Trust , London , UK Renal Sciences , Faculty of Life Sciences and Medicine, King's College London , London , UK NIHR Applied Research Collaboration East Midlands, Leicester General Hospital , Leicester , UK Library Research Services, University of Leicester , Leicester , UK Centre for Ethnic Health Research, University Hospitals of Leicester NHS Trust , Leicester , UK AGE Research Group , NIHR Newcastle Biomedical Research Centre, Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University and Newcastle Upon Tyne Hospitals NHS Foundation Trust , Newcastle-Upon-Tyne , UK su: Sports Mental health Chronic diseases Psychology of caregivers Social classes Medical information storage & retrieval systems Physical therapy AMED (Information retrieval system) Research funding Grey literature Sedentary lifestyles Frail elderly CINAHL database Exercise therapy Information storage & retrieval systems Descriptive statistics Systematic reviews MEDLINE Medical databases Physical activity Psychology information storage & retrieval systems Medical referrals sug: subj: Sports Mental health Chronic diseases Psychology of caregivers Social classes Offices of Mental Health Practitioners (except Physicians) Fitness and Recreational Sports Centers Medical information storage & retrieval systems Physical therapy AMED (Information retrieval system) Research funding Grey literature Sedentary lifestyles Frail elderly CINAHL database Exercise therapy Information storage & retrieval systems Descriptive statistics Systematic reviews MEDLINE Medical databases Physical activity Psychology information storage & retrieval systems Medical referrals keyword: caregivers carer consultation exercise frailty intervention lack of exercise multimorbidity older people physical activity sedentary behaviour caregivers carer consultation exercise frailty intervention lack of exercise multimorbidity older people physical activity sedentary behaviour ab: Introduction This scoping review mapped evidence on physical activity (including structured exercise) and sedentary behaviour interventions (interventions to reduce sedentary behaviour) in people living with both frailty and multiple long-term conditions (MLTCs) and their informal carers. Methods Ten databases and grey literature were searched from 2000 to October 2023. Two reviewers screened studies and one extracted data. Results were shared with three stakeholder groups (n = 21) in a consultation phase. Results After screening, 155 papers from 144 studies (1 ongoing) were retained. The majority were randomised controlled trials (86, 55%). Participants' mean age was 73 ± 12 years, and 73% were of White ethnicity. MLTC and frailty measurement varied widely. Most participants were pre-to-moderately frail. Physical health conditions predominated over mental health conditions. Interventions focused on structured exercise (83 studies, 60%) or combined interventions (55 studies, 39%). Two (1%) and one (0.7%) focused solely on habitual physical activity or sedentary behaviour. Adherence was 81% (interquartile range 62%–89%) with goal setting, monitoring and support important to adherence. Carers were only involved in 15 (11%) studies. Most interventions reported positive outcomes, primarily focusing on body functions and structures. Conclusions A modest volume of evidence exists on multicomponent structured exercise interventions, with less focus on habitual physical activity and sedentary behaviour. Interventions report largely positive effects, but an updated systematic review is required. The field could be advanced by more rigorous characterisation of MLTCs, socioeconomic status and ethnicity, increased informal carer involvement and further evaluation of habitual physical activity and sedentary behaviour interventions. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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