운동과학 (Aug 2019)
The Exercise-Based Analysis of the Frail Prevention in the Elderly
Abstract
PURPOSE Frailty is a condition of weakness that includes an enhanced hazards of drawback and disability in elderly people. It is featured by reduced physical fitness, and also recognized as reduced psycho·physiological and immunological functions. Therefore, we need to develop more efficient methods to detect frailty and also needs to prevent and treat frailty. METHODS PubMed database was searched from January to April 2019 using predefined search terms “elderly and frailty”, “elderly and exercise”. Based on reference search, 89 articles were identified whereas 40 papers (22 references) met the inclusion criteria and were well connected with frailty and exercise. We analyzed the connections between exercise and frailty with many variables, and dealt with frailty-prevention exercise programs in the main text. RESULTS & CONCLUSIONS With aging, decreased skeletal muscle power, malnutrition, feeling of loneliness, fall, and osteoporosis were identified with an important factors to frailty. Among these, osteoporosis and related frailty fractures are a serious health problem in the elderly frailty. Osteoporosis is the most prevalent and major bone disorder, which is featured by progressive bone weakening and an increased risk of frailty fractures especially in the frail elderly. And also, physiotherapy can play a vital role in the management and intervention following frailty fractures. Osteoanabolic exercise (aerobic, resistance, and combined) also recommended to prevent, management and treatment of bone mineral density of osteoporotic females and frail elderly. More studies are urgently needed to determine which mode and duration exercises were best suited and effective for frail elderly.
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