Aging Clinical and Experimental Research

, Volume 24, Issue 4, pp 331–338 | Cite as

Effects of comprehensive geriatric intervention on physical performance among people aged 75 years and over

  • Katri Lihavainen
  • Sarianna Sipilä
  • Taina Rantanen
  • Jarmo Seppänen
  • Piia Lavikainen
  • Raimo Sulkava
  • Sirpa Hartikainen
Original Article


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 words

Aged comprehensive geriatric assessment intervention physical performance prevention 


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Copyright information

© Springer Internal Publishing Switzerland 2012

Authors and Affiliations

  • Katri Lihavainen
    • 1
  • Sarianna Sipilä
    • 1
  • Taina Rantanen
    • 1
  • Jarmo Seppänen
    • 2
    • 3
  • Piia Lavikainen
    • 3
    • 4
  • Raimo Sulkava
    • 5
    • 6
  • Sirpa Hartikainen
    • 3
    • 4
  1. 1.Gerontology Research Centre, Department of Health SciencesUniversity of JyväskyläJyväskyläFinland
  2. 2.Savo Consortium for EducationKuopioFinland
  3. 3.Kuopio Research Centre of Geriatric CareUniversity of Eastern FinlandKuopioFinland
  4. 4.Clinical Pharmacology and Geriatric Pharmacotherapy Unit, School of Pharmacy, Faculty of Health SciencesUniversity Of Eastern FinlandKuopioFinland
  5. 5.Institute of Public Health and Clinical Nutrition, School of MedicineUniversity of Eastern Finland, SchoolKuopioFinland
  6. 6.Department of NeurologyKuopio University HospitalKuopioFinland

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