Exercise training and nutritional supplementation for physical frailty in very elderly people.

@article{Fiatarone1994ExerciseTA,
  title={Exercise training and nutritional supplementation for physical frailty in very elderly people.},
  author={Maria A. Fiatarone and Evelyn F O'Neill and Nancy D Ryan and Karen M. Clements and Gumersindo Solares and Miriam E. Nelson and Susan B. Roberts and Joseph J. Kehayias and Lewis A. Lipsitz and William J Evans},
  journal={The New England journal of medicine},
  year={1994},
  volume={330 25},
  pages={
          1769-75
        }
}
BACKGROUND Although disuse of skeletal muscle and undernutrition are often cited as potentially reversible causes of frailty in elderly people, the efficacy of interventions targeted specifically at these deficits has not been carefully studied. METHODS We conducted a randomized, placebo-controlled trial comparing progressive resistance exercise training, multinutrient supplementation, both interventions, and neither in 100 frail nursing home residents over a 10-week period. RESULTS The… 

Figures from this paper

Aging in balance : physical exercise and nutrient dense foods for the vulnerable elderly

In conclusion, exercise programs can be developed which are effective in preventing, slowing down or reversing the age-related decline in physical functioning and cellular immune response.

Effects of a physical and nutritional intervention program for frail elderly people over age 75. A randomized controlled pilot treatment trial

This study shows the positive effect on lower-extremity muscle strength directly after the intervention, and balance training most probably needs to be more individualized in order to be effective for frail elderly people.

[Relationships between nutritional status and the effects of exercise training in frail elderly people].

  • T. AraiS. Obuchi
  • Medicine, Education
    Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
  • 2011
The results suggest that the physical functions of frail elderly people can improve regardless of their nutritional status, and some physical functions improved after exercise intervention, even in participants with under-nutritional status.

Dietary supplements and physical exercise affecting bone and body composition in frail elderly persons.

Food containing a physiologic dose of micronutrients slightly increased bone density, mass, and calcium, whereas moderately intense exercise preserved lean body mass in frail elderly persons.

Dietary strategies to augment muscle mass in the elderly

Although dietary protein supplementation does not increase muscle mass, it represents a promising strategy to improve physical performance in frail elderly people.

A longitudinal trial of weight training in the elderly: continued improvements in year 2.

Increased strength was associated with muscle hypertrophy in each year, and with increased endurance in cycling, walking, and stair climbing, and there were no changes in bone mineral density but a small reduction in whole body bone mineral content.
...

References

SHOWING 1-10 OF 41 REFERENCES

The Boston FICSIT Study: The Effects of Resistance Training and Nutritional Supplementation on Physical Frailty in the Oldest Old

The Boston FICSIT study is a nursing home‐based intervention to improve muscle strength through progressive resistance training of the lower extremities and/or multi‐nutrient supplementation in chronically institutionalized subjects aged 70–100.

Muscle rehabilitation in impaired elderly nursing home residents.

It is suggested that it may be possible, through a carefully supervised, short-term program of muscle rehabilitation, for nursing home residents to achieve an enhanced level of physical functioning.

The etiology and reversibility of muscle dysfunction in the aged.

Identification of appropriate modalities of physical activity and nutrition which have positive effects on muscle physiology in the aged is the focus of major investigations currently.

Sarcopenia and age-related changes in body composition and functional capacity.

Through physical exercise and training, especially resistance training, it may be possible to prevent sarcopenia and the remarkable array of associated abnormalities, such as type II diabetes, coronary artery disease, hypertension, osteoporosis and obesity.

A comparison between muscle function and body composition in anorexia nervosa: the effect of refeeding.

Within 4 wk of oral refeeding, maximal relaxation rate and muscle fatigability were restored to normal, and within 8 wk all parameters of muscle function were normal, which may be related to restoration of muscle electrolytes rather than repletion of body nitrogen.

The effect of supplementary oral nutrition in poorly nourished patients with chronic obstructive pulmonary disease.

After 3 months of supplementary oral nutrition, there was a significant improvement in the nutritional status of Group 1 patients, as evidenced by an increase in body weight, triceps skinfold thickness, and midarm muscle circumference.

Prevalence and Consequences of Vitamin Deficiency in the Nursing Home: A Critical Review

This review focuses on the status of water soluble vitamins in nursing home residents and the available information on the prevalence of vitamin deficiency and also those few studies which have attempted to measure the effects of vitamin supplementation in Nursing home patients.

What are the dietary energy needs of elderly adults?

  • S. RobertsV. Young W. Evans
  • Education
    International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity
  • 1992
Age and TEE/REE together accounted for 73% of the variation in body fat mass between individuals and lend additional weight to the suggestion that the current RDAs for energy may significantly under-estimate usual energy requirements.

Muscle function in 75-year-old men and women. A longitudinal study.

The results may indicate that the decrement of muscle strength in this age in part may be based on a changed activity pattern with lack of fast and forceful movements in the daily living and speaks for the desirability that elderly people be physically active and that this may prevent disability.

Risk factors for physical disability in an aging cohort: the NHANES I Epidemiologic Followup Study.

Results of forward stepwise linear regression analysis showed that the major characteristics contributing to greater disability were older age at baseline, less nonrecreational activity, arthritis history, less education, female sex, and greater body mass index at age 40.