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    Effect of physical interventions on physical performance and physical activity in older patients during hospitalization: a systematic review

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    Author
    Scheerman, K; Raaijmakers, K; Otten, RHJ; Meskers, CGM; Maier, AB
    Date
    2018-11-23
    Source Title
    BMC Geriatrics
    Publisher
    BMC
    University of Melbourne Author/s
    Maier, Andrea
    Affiliation
    Medicine and Radiology
    Metadata
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    Document Type
    Journal Article
    Citations
    Scheerman, K., Raaijmakers, K., Otten, R. H. J., Meskers, C. G. M. & Maier, A. B. (2018). Effect of physical interventions on physical performance and physical activity in older patients during hospitalization: a systematic review. BMC GERIATRICS, 18 (1), https://doi.org/10.1186/s12877-018-0965-2.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253470
    DOI
    10.1186/s12877-018-0965-2
    Abstract
    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.

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