Effects of comprehensive geriatric intervention on physical performance among people aged 75 years and over
Background and aims: We studied the effects of comprehensive geriatric assessment and multifactorial intervention on physical performance among older people. Methods: In a 3-year geriatric development project with an experimental design, 668 participants aged 75–98 were assigned to intervention (n=348) or control (n=320) groups. The intervention group received comprehensive geriatric assessment with an individually targeted intervention for 2 years. The outcome measures—performance in the Timed Up-and-Go (TUG), 10-meter walking and Berg Balance Scale tests 2 were gathered annually during the intervention and the 1-year follow-up after it. Results: With linear mixed models, over the 2-year intervention period, the intervention group was found to be improved in the balance (p<0.001) and walking speed (p<0.001) tests, and maintained performance in the TUG test (p<0.001), compared with the control group. The results remained significant 1 year post-intervention. Conclusions: Comprehensive geriatric assessment and individually targeted multifactorial intervention had positive effects on physical performance, potentially helping to maintain mobility and prevent disability in old age.
Key wordsAged comprehensive geriatric assessment intervention physical performance prevention
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- 6.Ferrucci L, Guralnik JM, Studenski S, Fried LP, Cutler GB Jr, Walston JD. Interventions on the Frailty Working Group. Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report. J Am Geriatr Soc 2004; 52: 625–34.PubMedCrossRefGoogle Scholar
- 7.Liu CJ, Latham NK. Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev 2009; 8(3): CD002759.Google Scholar
- 8.Howe TE, Rochester L, Jackson A, Banks PM, Blair VA. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2007;17(4): CD004963.Google Scholar
- 11.Rubenstein LZ, Siu AL, Wieland D. Comprehensive geriatric assessment: toward understanding its efficacy. Aging (Milano) 1989; 1: 87–98.Google Scholar
- 17.Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health 1992; 83 (Suppl 2): S7–11.Google Scholar
- 23.Grimby G. Physical activity and muscle training in the elderly. Acta Med Scand (Suppl) 1986; 711: 233–7.Google Scholar
- 26.Hedeker D. An introduction to growth modeling. In Kaplan D (ed.), Quantitative Methodology for the Social Sciences. Thousand Oaks CA: Sage Publications 2004: 215–34.Google Scholar