Frailty and physical activity in centenarians: Systematic review

P. S. Franco, B. Capanema, F. Pereira, Suelen Odraizola Barcia, Priscila Rodrigues Gil, G. Mazo
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引用次数: 2

Abstract

There is a lack of studies evaluating frailty and physical activity in people aged 100 years or older. This review aimed to synthesize the evidence on frailty and physical activity in centenarians. A systematic review was conducted according to the PRISMA guidelines. We searched the PubMed, CINAHL, SCOPUS, Web of Science and LILACS databases for articles published until 18 June 2020. This review was registered with PROSPERO (CRD42020162913). Five studies were included in this review according to the eligibility and exclusion criteria. In summary, the reviewed studies show that centenarians are fragile and that frailty increases with age; however, women are frailer than men. The most common frailty criteria were low physical activity level (78% to 72.5%), muscle weakness (84.2% to 66%), and slow walking speed (77.6% to 48.4%). Most centenarians perform less exercise than younger older adults, have a low physical activity level, live in nursing homes, and exhibit functional disability. Regarding the methodological quality of the studies, one article was classified as regular and the other four as poor. Frailty and a low physical activity level are common in centenarians. Experimental studies with a better methodological quality are necessary to better understand the causal relationship between variables.
百岁老人的虚弱和身体活动:系统综述
目前还缺乏评估100岁及以上老人身体虚弱和体力活动的研究。本综述旨在综合有关百岁老人身体虚弱和身体活动的证据。根据PRISMA指南进行了系统审查。我们检索了PubMed、CINAHL、SCOPUS、Web of Science和LILACS数据库,检索了2020年6月18日之前发表的文章。本综述已在普洛斯彼罗注册(CRD42020162913)。根据入选标准和排除标准,本综述纳入了5项研究。总而言之,这些研究表明,百岁老人很脆弱,而且随着年龄的增长,脆弱性会增加;然而,女性比男性更脆弱。最常见的虚弱标准是体力活动水平低(78%至72.5%)、肌肉无力(84.2%至66%)和步行速度慢(77.6%至48.4%)。大多数百岁老人比年轻的老年人锻炼得少,身体活动水平低,住在养老院,并表现出功能性残疾。关于研究的方法学质量,一篇文章被归类为正常,另外四篇文章被归类为差。百岁老人身体虚弱和体力活动水平低是很常见的。为了更好地理解变量之间的因果关系,需要更好的方法学质量的实验研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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