Publication:
Effects of short-term multicomponent exercise intervention on muscle power in hospitalized older patients: a secondary analysis of a randomized clinical trial

Simple item page
dc.contributor.authorCadore, Eduardo L.
dc.contributor.authorIzquierdo Redín, Mikel
dc.contributor.authorTeodoro, Juliana Lopes
dc.contributor.authorMartínez Velilla, Nicolás
dc.contributor.authorZambom Ferraresi, Fabrício
dc.contributor.authorMoriguchi, Emilio Hideyuki
dc.contributor.authorLópez Sáez de Asteasu, Mikel
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-03-04T09:49:06Z
dc.date.available2024-03-04T09:49:06Z
dc.date.issued2023
dc.date.updated2024-03-04T09:30:59Z
dc.description.abstractBackground: bed rest during hospitalization can negatively impact functional independence and clinical status of older individuals. Strategies focused on maintaining and improving muscle function may help reverse these losses. This study investigated the effects of a short-term multicomponent exercise intervention on maximal strength and muscle power in hospitalized older patients. Methods: this secondary analysis of a randomized clinical trial was conducted in an acute care unit in a tertiary public hospital. Ninety (39 women) older patients (mean age 87.7 ± 4.8 years) undergoing acute-care hospitalization [median (IQR) duration 8 (1.75) and 8 (3) days for intervention and control groups, respectively]) were randomly assigned to an exercise intervention group (n = 44) or a control group (n = 46). The control group received standard care hospital including physical rehabilitation as needed. The multicomponent exercise intervention was performed for 3 consecutive days during the hospitalization, consisting of individualized power training, balance, and walking exercises. Outcomes assessed at baseline and discharge were maximal strength through 1 repetition maximum test (1RM) in the leg press and bench press exercises, and muscle power output at different loads (≤ 30% of 1RM and between 45% and 55% of 1RM) in the leg press exercise. Mean peak power during 10 repetitions was assessed at loads between 45% and 55% of 1RM. Results: at discharge, intervention group increased 19.2 kg (Mean ∆% = 40.4%) in leg press 1RM [95% confidence interval (CI): 12.1, 26.2 kg; P < 0.001] and 2.9 kg (Mean ∆% = 19.7%) in bench press 1RM (95% CI: 0.6, 5.2 kg; P < 0.001). The intervention group also increased peak power by 18.8 W (Mean ∆% = 69.2%) (95% CI: 8.4, 29.1 W; P < 0.001) and mean propulsive power by 9.3 (Mean ∆% = 26.8%) W (95% CI: 2.5, 16.1 W; P = 0.002) at loads ≤30% of 1RM. The intervention group also increased peak power by 39.1 W (Mean ∆% = 60.0%) (95% CI: 19.2, 59.0 W; P < 0.001) and mean propulsive power by 22.9 W (Mean ∆% = 64.1%) (95% CI: 11.7, 34.1 W; P < 0.001) at loads between 45% and 55% of 1RM. Mean peak power during the 10 repetitions improved by 20.8 W (Mean ∆% = 36.4%) (95% CI: 3.0, 38.6 W; P = 0.011). No significant changes were observed in the control group for any endpoint. Conclusions An individualized multicomponent exercise program including progressive power training performed over 3 days markedly improved muscle strength and power in acutely hospitalized older patients.en
dc.description.sponsorshipThis study was funded by a Gobierno de Navarra project Resolución grant 2186/2014 and acknowledged with the 'Beca Ortiz de Landazuri' for the best research clinical project in 2014, as well as by a research grant PI17/01814of the Ministerio de Economía, Industria y Competitividad (ISCIII, FEDER). N.M.-V received funding from 'la Caixa' Foundation (ID 100010434), under agreement LCF/PR/PR15/51100006.en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationCadore, E. L., Izquierdo, M., Teodoro, J. L., Martínez-Velilla, N., Zambom-Ferraresi, F., Moriguchi, E. H., Sáez de Asteasu, M. L. (2023) Effects of short-term multicomponent exercise intervention on muscle power in hospitalized older patients: A secondary analysis of a randomized clinical trial. Journal of Cachexia, Sarcopenia and Muscle (JCSM), 14(6), 2959-2968. https://doi.org/10.1002/jcsm.13375.es_ES
dc.identifier.doi10.1002/jcsm.13375
dc.identifier.issn2190-5991
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/47646
dc.language.isoengen
dc.publisherWileyen
dc.relation.ispartofJournal of Cachexia, Sarcopenia and Muscle (JCSM), 14(6)en
dc.relation.projectIDinfo:eu-repo/grantAgreement/Gobierno de Navarra//2186/2014en
dc.relation.projectIDinfo:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016 (ISCIII)/PI17%2F01814/ES/en
dc.relation.publisherversionhttps://doi.org/10.1002/jcsm.13375
dc.rights© 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution License.en
dc.rights.accessRightsAcceso abierto / Sarbide irekiaes
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAcute hospitalizationen
dc.subjectAlternative hospital careen
dc.subjectDisabilityen
dc.subjectMulticomponent exerciseen
dc.subjectMuscle functionen
dc.subjectPower trainingen
dc.titleEffects of short-term multicomponent exercise intervention on muscle power in hospitalized older patients: a secondary analysis of a randomized clinical trialen
dc.typeArtículo / Artikuluaes
dc.typeinfo:eu-repo/semantics/articleen
dc.type.versionVersión publicada / Argitaratu den bertsioaes
dc.type.versioninfo:eu-repo/semantics/publishedVersionen
dspace.entity.typePublication
relation.isAuthorOfPublicationef73585d-4750-4f56-9d4f-0d759232dbca
relation.isAuthorOfPublication6185f43e-9015-4343-a2f5-2c6ad8ed869a
relation.isAuthorOfPublication3e6a0af4-f362-4385-99bb-e24e79a7a539
relation.isAuthorOfPublicationda4f9064-c50c-4c86-9d80-f0a088a62517
relation.isAuthorOfPublication.latestForDiscoveryef73585d-4750-4f56-9d4f-0d759232dbca

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Cadore_EffectsShortterm.pdf
Size:
592.73 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.78 KB
Format:
Item-specific license agreed to upon submission
Description:
Download

Collections

Artículos de revista DCS - OZS Aldizkari artikuluak
Artículos de revista - Aldizkari artikuluak