Researchers: Leo Delaire, Aymeric Courtay, Joannès Humblot, Mylène Aubertin-Leheudre, France Mourey, Antoine Noël Racine, Thomas Gilbert, Zeinabou Niasse-Sy, Marc Bonnefoy
Increasing disability-free life expectancy is a crucial issue to optimize active ageing and to reduce the burden of evitable medical costs. One of the main challenges is to develop pragmatic and personalized prevention strategies in order to prevent frailty, counteract adverse outcomes such as falls and mobility disability, and to improve quality of life. Strong evidence reports the effectiveness of exercise interventions to improve various physical parameters and muscle function that are cornerstones of frailty. Other findings also suggest that the interactions between nutrition and physical exercise with or without health behavior promotion prevent the development of frailty. Multimodal programs, including structured exercise, adequate dietary intervention and health behavior promotion, appear increasingly consensual. However, in order for implementation in real-life settings, some pitfalls need to be addressed. In this perspective, structuring and tailoring feasible, acceptable and sustainable interventions to optimize exercise training responses are essential conditions to warrant short, medium and long-term individual benefits. The different components of exercise programs appear to be fairly consensual and effective. However, specific composition of the programs proposed (frequency, intensity, type, time, volume and progressiveness) have to be tailored to individual characteristics and objectives in order to improve exercise responses. The intervention approaches, behavioral strategies and indications for these programs also need to be refined and framed. The main objective of this work is to guide the actions of healthcare professionals and enable them to widely and effectively implement multimodal programs including exercise, nutrition and behavioral strategies in real-life settings.
References
- Effects of a 2-year exercise training on neuromuscular system health in older individuals with low muscle function.
- Efficacy of Exercise on Muscle Function and Physical Performance in Older Adults with Sarcopenia: An Updated Systematic Review and Meta-Analysis.
- Benefits of Resistance Training in Early and Late Stages of Frailty and Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies.
- World guidelines for falls prevention and management for older adults: a global initiative.
- Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group.
- Integrating a Prevention Care Path into the Daily Life of Older Adults with Mobility Disability Risk: Introducing a Predictive Response Model to Exercise.
- Nutrition and Frailty: Opportunities for Prevention and Treatment.
- Physical activity and exercise: Strategies to manage frailty.
- The Effects of High-Intensity Interval Training (HIIT) on Fall Risk Factors in Healthy Older Adults: A Systematic Review.
- Resistance Exercise Training as a Primary Countermeasure to Age-Related Chronic Disease.
- Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies.
- Exercise and Nutrition Strategies to Counteract Sarcopenic Obesity.
- Minimal-Dose Resistance Training for Improving Muscle Mass, Strength, and Function: A Narrative Review of Current Evidence and Practical Considerations.
- Potential Benefits of a Minimal Dose Eccentric Resistance Training Paradigm to Combat Sarcopenia and Age-Related Muscle and Physical Function Deficits in Older Adults.
- Benefits of Eccentric Training with Emphasis on Demands of Daily Living Activities and Feasibility in Older Adults: A Literature Review.
- “It’s not time for us to sit down yet”: how group exercise programs can motivate physical activity and overcome barriers in inactive older adults.
- Economic evaluations of fall prevention exercise programs: a systematic review.
- Online physical exercise intervention in older adults during lockdown: Can we improve the recipe?
- Exercise and Nutrition Impact on Osteoporosis and Sarcopenia-The Incidence of Osteosarcopenia: A Narrative Review.
- Whey Protein Supplementation with or without Vitamin D on Sarcopenia-Related Measures: A Systematic Review and Meta-Analysis.
- An Integrated Approach to Skeletal Muscle Health in Aging.
- Gut Microbiota, Muscle Mass and Function in Aging: A Focus on Physical Frailty and Sarcopenia.
- Low Adherence to Mediterranean Diet Is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Results from the Longevity Check-Up (Lookup) 7+ Project.
- Nutrition and physical activity in the prevention and treatment of sarcopenia: systematic review.
- The efficacy of different interventions in the treatment of sarcopenia in middle-aged and elderly people: A network meta-analysis.
- The role of omega-3 in the prevention and treatment of sarcopenia.
- Effects of Omega-3 Supplementation Alone and Combined with Resistance Exercise on Skeletal Muscle in Older Adults: A Systematic Review and Meta-Analysis.