TY - JOUR
T1 - Effect of physical interventions on physical performance and physical activity in older patients during hospitalization
T2 - A systematic review 11 Medical and Health Sciences 1117 Public Health and Health Services
AU - Scheerman, Kira
AU - Raaijmakers, Kirsten
AU - Otten, René Hubert Joseph
AU - Meskers, Carel Gerardus Maria
AU - Maier, Andrea Britta
PY - 2018/11/23
Y1 - 2018/11/23
N2 - Background: To counteract decline in physical performance and physical activity in older patients during hospitalization, multiple physical interventions were developed. However, it is unknown whether these are effective in this particular population. This systematic review aimed to identify the effect of physical interventions on physical performance and physical activity in older patients during hospitalization. Methods: The systematic search included PubMed, EMBASE, Cinahl, the Trials database of The Cochrane Library and SPORTdiscus from inception to 22 November 2017. Studies were included if the mean age of the patient cohort was 65 years and older and the effect of physical interventions on physical performance or physical activity was evaluated during hospitalization. Results: Fifteen randomized controlled trials met the inclusion criteria. Overall, the effect of physical interventions on physical performance was inconsistent. Patient tailored interventions, i.e. continuously adapted to the capabilities of the patient were not found to be superior over interventions that were not. Physical activity as outcome measure was not addressed. Reporting of intensity of the interventions and adherence were frequently lacking. Conclusions: Evidence for the effect of physical interventions on physical performance in older patients during hospitalization was found uncertain. Further research on the efficacy of the intervention is needed, comparing types of intervention with detailed reporting of frequency, intensity and duration.
AB - Background: To counteract decline in physical performance and physical activity in older patients during hospitalization, multiple physical interventions were developed. However, it is unknown whether these are effective in this particular population. This systematic review aimed to identify the effect of physical interventions on physical performance and physical activity in older patients during hospitalization. Methods: The systematic search included PubMed, EMBASE, Cinahl, the Trials database of The Cochrane Library and SPORTdiscus from inception to 22 November 2017. Studies were included if the mean age of the patient cohort was 65 years and older and the effect of physical interventions on physical performance or physical activity was evaluated during hospitalization. Results: Fifteen randomized controlled trials met the inclusion criteria. Overall, the effect of physical interventions on physical performance was inconsistent. Patient tailored interventions, i.e. continuously adapted to the capabilities of the patient were not found to be superior over interventions that were not. Physical activity as outcome measure was not addressed. Reporting of intensity of the interventions and adherence were frequently lacking. Conclusions: Evidence for the effect of physical interventions on physical performance in older patients during hospitalization was found uncertain. Further research on the efficacy of the intervention is needed, comparing types of intervention with detailed reporting of frequency, intensity and duration.
KW - Aged
KW - Exercise
KW - Hospitalization
KW - Physical therapists
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U2 - 10.1186/s12877-018-0965-2
DO - 10.1186/s12877-018-0965-2
M3 - Article
C2 - 30470205
AN - SCOPUS:85057118669
SN - 1471-2318
VL - 18
SP - 1
EP - 13
JO - BMC Geriatrics
JF - BMC Geriatrics
M1 - 288
ER -