Effectiveness of individually tailored exercise on functional capacity and mobility in nursing home residents

Author:

Bertoncello Chiara1,Sperotto Milena2,Bellio Stefania3,Pistellato Ilaria3,Fonzo Marco4,Bigolaro Chiara5,Ramon Roberto6,Imoscopi Alessandra6,Baldo Vincenzo7

Affiliation:

1. Lead Researcher, Hygiene and Public Health Unit, Department of Cardiovascular Medicine and Public Health, University of Padua, Padua, Italy

2. Statistician, Hygiene and Public Health Unit, Department of Cardiovascular Medicine and Public Health, University of Padua, Padua, Italy

3. Doctor in Specialist Training, Hygiene and Public Health Unit, Department of Cardiovascular Medicine and Public Health, University of Padua, Padua, Italy

4. Research Associate, Hygiene and Public Health Unit, Department of Cardiovascular Medicine and Public Health, University of Padua, Padua, Italy

5. Psychologist, Istituto AltaVita-Istituzioni Riunite di Assistenza, Padua, Italy

6. Physician, Istituto AltaVita-Istituzioni Riunite di Assistenza, Padua, Italy

7. Professor, Hygiene and Public Health Unit, Department of Cardiovascular Medicine and Public Health, University of Padua, Padua, Italy

Abstract

Deterioration of physical and functional capacities is often seen in nursing homes. The present study aimed at assessing the effectiveness of an individually tailored physical exercise intervention on mobility and functional decline in nursing home residents in a 1-year follow-up period. Information on gender, age, education, profession and cognitive status was collected at baseline and at 6 and 12 months of the intervention. The decline in functional capacity and mobility was assessed using the Barthel index. Some 221 participants were included. Results from the multivariate logistic regression showed how residents who never participated in physical activities had a five-fold higher risk of mobility decline compared with residents who did engage for the whole follow-up time. A lower effect was seen in residents who participated for only 6 months. Although dementia appeared to be a significant predictor of decline, a substantial stabilisation in mobility capacity was noted in patients with both mild and severe dementia performing exercise. The findings suggest that preventing or slowing physical decline in nursing home residents is an achievable goal, and even those with a higher degree of cognitive decline may benefit from a tailored physical activity plan.

Publisher

Mark Allen Group

Subject

Community and Home Care,General Medicine

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