2,238
Views
65
CrossRef citations to date
0
Altmetric
Review

Preserving Mobility in Older Adults with Physical Frailty and Sarcopenia: Opportunities, Challenges, and Recommendations for Physical Activity Interventions

ORCID Icon, ORCID Icon, , , , ORCID Icon, ORCID Icon, , , , ORCID Icon, , , ORCID Icon, ORCID Icon, , ORCID Icon, ORCID Icon, ORCID Icon, , , , , , , ORCID Icon & show all
Pages 1675-1690 | Published online: 16 Sep 2020

References

  • Webber SC, Porter MM, Menec VH. Mobility in older adults: a comprehensive framework. Gerontologist. 2010;50(4):443–450. doi:10.1093/geront/gnq01320145017
  • Bülow J, Ulijaszek SJ, Holm L. Rejuvenation of the term sarcopenia. J Appl Physiol. 2019;126(1):255–256. doi:10.1152/japplphysiol.00400.201830001155
  • Marzetti E, Calvani R, Tosato M, et al. Sarcopenia: an overview. Aging Clin Exp Res. 2017;29(1):11–17. doi:10.1007/s40520-016-0704-528155183
  • Rosenberg IH. Sarcopenia: origins and clinical relevance. J Nutr. 1997;127(5):990S–991S. doi:10.1093/jn/127.5.990S9164280
  • Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(4):601. doi:10.1093/ageing/afz046
  • Anker SD, Morley JE, von Haehling S. Welcome to the ICD-10 code for sarcopenia. J Cachexia Sarcopenia Muscle. 2016;7(5):512–514. doi:10.1002/jcsm.1214727891296
  • Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol a Biol Sci Med Sci. 2001;56(3):M146–156. doi:10.1093/gerona/56.3.m14611253156
  • Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013;14(6):392–397. doi:10.1016/j.jamda.2013.03.02223764209
  • Hollman JH, McDade EM, Petersen RC. Normative spatiotemporal gait parameters in older adults. Gait Posture. 2011;34(1):111–118. doi:10.1016/j.gaitpost.2011.03.02421531139
  • Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126–131.3920711
  • Mijnarends DM, Luiking YC, Halfens RJG, et al. Muscle, health and costs: a glance at their relationship. J Nutr Health Aging. 2018;22(7):766–773. doi:10.1007/s12603-018-1058-930080217
  • Pahor M, Guralnik JM, Ambrosius WT, et al. Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. JAMA. 2014;311(23):2387–2396. doi:10.1001/jama.2014.561624866862
  • Macaluso A, De Vito G. Muscle strength, power and adaptations to resistance training in older people. Eur J Appl Physiol. 2004;91(4):450–472. doi:10.1007/s00421-003-0991-314639481
  • Mitchell WK, Williams J, Atherton P, Larvin M, Lund J, Narici M. Sarcopenia, dynapenia, and the impact of advancing age on human skeletal muscle size and strength; a quantitative review. Front Physiol. 2012;3:260. doi:10.3389/fphys.2012.0026022934016
  • Skelton DA, Greig CA, Davies JM, Young A. Strength, power and related functional ability of healthy people aged 65–89 years. Age Ageing. 1994;23(5):371–377. doi:10.1093/ageing/23.5.3717825481
  • Kallman DA, Plato CC, Tobin JD. The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. J Gerontol. 1990;45(3):M82–88. doi:10.1093/geronj/45.3.m822335723
  • Metter EJ, Conwit R, Tobin J, Fozard JL. Age-associated loss of power and strength in the upper extremities in women and men. J Gerontol a Biol Sci Med Sci. 1997;52(5):B267–276. doi:10.1093/gerona/52a.5.b2679310077
  • Vandervoort AA, McComas AJ. Contractile changes in opposing muscles of the human ankle joint with aging. J Appl Physiol. 1986;61(1):361–367. doi:10.1152/jappl.1986.61.1.3613525504
  • Frontera WR, Hughes VA, Fielding RA, Fiatarone MA, Evans WJ, Roubenoff R. Aging of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol. 2000;88(4):1321–1326. doi:10.1152/jappl.2000.88.4.132110749826
  • Winegard KJ, Hicks AL, Sale DG, Vandervoort AA. A 12-year follow-up study of ankle muscle function in older adults. J Gerontol a Biol Sci Med Sci. 1996;51(3):B202–207. doi:10.1093/gerona/51a.3.b2028630696
  • Simoneau EM, Billot M, Martin A, Van Hoecke J. Antagonist mechanical contribution to resultant maximal torque at the ankle joint in young and older men. J Electromyogr Kinesiol. 2009;19(2):e123–131. doi:10.1016/j.jelekin.2007.11.00618164627
  • Clark BC, Manini TM. Sarcopenia != Dynapenia. J Gerontol a Biol Sci Med Sci. 2008;63(8):829–834. doi:10.1093/gerona/63.8.82918772470
  • Vandervoort AA. Aging of the human neuromuscular system. Muscle Nerve. 2002;25(1):17–25. doi:10.1002/mus.121511754180
  • Billot M, Duclay J, Simoneau-Buessinger EM, Ballay Y, Martin A. Is co-contraction responsible for the decline in maximal knee joint torque in older males? Age (Dordr). 2014;36(2):899–910. doi:10.1007/s11357-014-9616-524445962
  • Bilodeau M, Erb MD, Nichols JM, Joiner KL, Weeks JB. Fatigue of elbow flexor muscles in younger and older adults. Muscle Nerve. 2001;24(1):98–106. doi:10.1002/1097-4598(200101)24:1<98::AID-MUS11>3.0.CO;2-D11150971
  • Jakobi JM, Rice CL. Voluntary muscle activation varies with age and muscle group. J Appl Physiol. 2002;93(2):457–462. doi:10.1152/japplphysiol.00012.200212133850
  • Morse CI, Thom JM, Davis MG, Fox KR, Birch KM, Narici MV. Reduced plantarflexor specific torque in the elderly is associated with a lower activation capacity. Eur J Appl Physiol. 2004;92(1–2):219–226. doi:10.1007/s00421-004-1056-y15054662
  • Stackhouse SK, Stevens JE, Lee SC, Pearce KM, Snyder-Mackler L, Binder-Macleod SA. Maximum voluntary activation in nonfatigued and fatigued muscle of young and elderly individuals. Phys Ther. 2001;81(5):1102–1109. doi:10.1093/ptj/81.5.110211319935
  • Stevens JE, Binder-Macleod S, Snyder-Mackler L. Characterization of the human quadriceps muscle in active elders. Arch Phys Med Rehabil. 2001;82(7):973–978. doi:10.1053/apmr.2001.2399511441388
  • Stevens JE, Stackhouse SK, Binder-Macleod SA, Snyder-Mackler L. Are voluntary muscle activation deficits in older adults meaningful? Muscle Nerve. 2003;27(1):99–101. doi:10.1002/mus.1027912508301
  • Yue GH, Ranganathan VK, Siemionow V, Liu JZ, Sahgal V. Older adults exhibit a reduced ability to fully activate their biceps brachii muscle. J Gerontol a Biol Sci Med Sci. 1999;54(5):M249–253. doi:10.1093/gerona/54.5.m24910362008
  • Hortobágyi T, Del Olmo MF, Rothwell JC. Age reduces cortical reciprocal inhibition in humans. Exp Brain Res. 2006;171(3):322–329. doi:10.1007/s00221-005-0274-916307241
  • Kido A, Tanaka N, Stein RB. Spinal excitation and inhibition decrease as humans age. Can J Physiol Pharmacol. 2004;82(4):238–248. doi:10.1139/y04-01715181462
  • Kamen G. Aging, resistance training, and motor unit discharge behavior. Can J Appl Physiol. 2005;30(3):341–351. doi:10.1139/h05-12616129898
  • Lexell J, Taylor CC, Sjöström M. What is the cause of the ageing atrophy? Total number, size and proportion of different fiber types studied in whole vastus lateralis muscle from 15- to 83-year-old men. J Neurol Sci. 1988;84(2–3):275–294. doi:10.1016/0022-510X(88)90132-33379447
  • Narici MV, Maganaris CN. Adaptability of elderly human muscles and tendons to increased loading. J Anat. 2006;208(4):433–443. doi:10.1111/j.1469-7580.2006.00548.x16637869
  • Delbono O. Regulation of excitation contraction coupling by insulin-like growth factor-1 in aging skeletal muscle. J Nutr Health Aging. 2000;4(3):162–164.10936903
  • Roubenoff R, Hughes VA. Sarcopenia: current concepts. J Gerontol a Biol Sci Med Sci. 2000;55(12):M716–724. doi:10.1093/gerona/55.12.m71611129393
  • Welle S. Cellular and molecular basis of age-related sarcopenia. Can J Appl Physiol. 2002;27(1):19–41. doi:10.1139/h02-00211880689
  • Bean JF, Kiely DK, Herman S, et al. The relationship between leg power and physical performance in mobility-limited older people. J Am Geriatr Soc. 2002;50(3):461–467. doi:10.1046/j.1532-5415.2002.50111.x11943041
  • Hyatt RH, Whitelaw MN, Bhat A, Scott S, Maxwell JD. Association of muscle strength with functional status of elderly people. Age Ageing. 1990;19(5):330–336. doi:10.1093/ageing/19.5.3302251967
  • Reid KF, Fielding RA. Skeletal muscle power: a critical determinant of physical functioning in older adults. Exerc Sport Sci Rev. 2012;40(1):4–12. doi:10.1097/JES.0b013e31823b5f1322016147
  • Suzuki T, Bean JF, Fielding RA. Muscle power of the ankle flexors predicts functional performance in community-dwelling older women. J Am Geriatr Soc. 2001;49(9):1161–1167. doi:10.1046/j.1532-5415.2001.49232.x11559374
  • Bean JF, Leveille SG, Kiely DK, Bandinelli S, Guralnik JM, Ferrucci L. A comparison of leg power and leg strength within the InCHIANTI study: which influences mobility more? J Gerontol a Biol Sci Med Sci. 2003;58(8):728–733. doi:10.1093/gerona/58.8.m72812902531
  • Byrne C, Faure C, Keene DJ, Lamb SE. Ageing, muscle power and physical function: a systematic review and implications for pragmatic training interventions. Sports Med. 2016;46(9):1311–1332. doi:10.1007/s40279-016-0489-x26893098
  • Rantanen T, Avela J. Leg extension power and walking speed in very old people living independently. J Gerontol a Biol Sci Med Sci. 1997;52(4):M225–231. doi:10.1093/gerona/52a.4.m2259224434
  • Cruz-Jentoft AJ, Landi F, Topinková E, Michel J-P. Understanding sarcopenia as a geriatric syndrome. Curr Opin Clin Nutr Metab Care. 2010;13(1):1–7. doi:10.1097/MCO.0b013e328333c1c119915458
  • Lauretani F, Russo CR, Bandinelli S, et al. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol. 2003;95(5):1851–1860. doi:10.1152/japplphysiol.00246.200314555665
  • Morley JE, Anker SD, von Haehling S. Prevalence, incidence, and clinical impact of sarcopenia: facts, numbers, and epidemiology-update 2014. J Cachexia Sarcopenia Muscle. 2014;5(4):253–259. doi:10.1007/s13539-014-0161-y25425503
  • Kyle UG, Genton L, Hans D, Karsegard L, Slosman DO, Pichard C. Age-related differences in fat-free mass, skeletal muscle, body cell mass and fat mass between 18 and 94 years. Eur J Clin Nutr. 2001;55(8):663–672. doi:10.1038/sj.ejcn.160119811477465
  • Janssen I, Heymsfield SB, Wang ZM, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18–88 yr. J Appl Physiol. 2000;89(1):81–88. doi:10.1152/jappl.2000.89.1.8110904038
  • Gallagher D, Visser M, De Meersman RE, et al. Appendicular skeletal muscle mass: effects of age, gender, and ethnicity. J Appl Physiol. 1997;83(1):229–239. doi:10.1152/jappl.1997.83.1.2299216968
  • Evans WJ. Skeletal muscle loss: cachexia, sarcopenia, and inactivity. Am J Clin Nutr. 2010;91(4):1123S–1127S. doi:10.3945/ajcn.2010.28608A20164314
  • Steffl M, Bohannon RW, Sontakova L, Tufano JJ, Shiells K, Holmerova I. Relationship between sarcopenia and physical activity in older people: a systematic review and meta-analysis. Clin Interv Aging. 2017;12:835–845. doi:10.2147/CIA.S13294028553092
  • Cerri AP, Bellelli G, Mazzone A, et al. Sarcopenia and malnutrition in acutely ill hospitalized elderly: prevalence and outcomes. Clin Nutr. 2015;34(4):745–751. doi:10.1016/j.clnu.2014.08.01525263170
  • Du Y, Karvellas CJ, Baracos V, Williams DC, Khadaroo RG; Acute Care and Emergency Surgery (ACES) Group. Sarcopenia is a predictor of outcomes in very elderly patients undergoing emergency surgery. Surgery. 2014;156(3):521–527. doi:10.1016/j.surg.2014.04.02724929435
  • Landi F, Liperoti R, Fusco D, et al. Sarcopenia and mortality among older nursing home residents. J Am Med Dir Assoc. 2012;13(2):121–126. doi:10.1016/j.jamda.2011.07.00421856243
  • Landi F, Cruz-Jentoft AJ, Liperoti R, et al. Sarcopenia and mortality risk in frail older persons aged 80 years and older: results from ilSIRENTE study. Age Ageing. 2013;42(2):203–209. doi:10.1093/ageing/afs19423321202
  • Vetrano DL, Landi F, Volpato S, et al. Association of sarcopenia with short- and long-term mortality in older adults admitted to acute care wards: results from the CRIME study. J Gerontol a Biol Sci Med Sci. 2014;69(9):1154–1161. doi:10.1093/gerona/glu03424744390
  • Tarantino U, Baldi J, Celi M, et al. Osteoporosis and sarcopenia: the connections. Aging Clin Exp Res. 2013;25(Suppl 1):S93–95. doi:10.1007/s40520-013-0097-724046056
  • Drey M, Sieber CC, Bertsch T, Bauer JM, Schmidmaier R. FiAT intervention group. Osteosarcopenia is more than sarcopenia and osteopenia alone. Aging Clin Exp Res. 2016;28(5):895–899. doi:10.1007/s40520-015-0494-126563287
  • Landi F, Liperoti R, Russo A, et al. Sarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study. Clin Nutr. 2012;31(5):652–658. doi:10.1016/j.clnu.2012.02.00722414775
  • Tanimoto Y, Watanabe M, Sun W, et al. Sarcopenia and falls in community-dwelling elderly subjects in Japan: defining sarcopenia according to criteria of the European Working Group on sarcopenia in older people. Arch Gerontol Geriatr. 2014;59(2):295–299. doi:10.1016/j.archger.2014.04.01624852668
  • Wu I-C, Lin -C-C, Hsiung CA, et al. Epidemiology of sarcopenia among community-dwelling older adults in Taiwan: a pooled analysis for a broader adoption of sarcopenia assessments. Geriatr Gerontol Int. 2014;14(Suppl 1):52–60. doi:10.1111/ggi.1219324450561
  • Grossman DC, Curry SJ, Owens DK, et al.; US Preventive Services Task Force. Interventions to prevent falls in community-dwelling older adults: US preventive services task force recommendation statement. JAMA. 2018;319(16):1696–1704. doi:10.1001/jama.2018.3097.29710141
  • Cathers I, Day BL, Fitzpatrick RC. Otolith and canal reflexes in human standing. J Physiol (Lond). 2005;563(1):229–234. doi:10.1113/jphysiol.2004.07952515618274
  • Kavounoudias A, Roll R, Roll JP. The plantar sole is a “dynamometric map” for human balance control. Neuroreport. 1998;9(14):3247–3252. doi:10.1097/00001756-199810050-000219831459
  • Paulus WM, Straube A, Brandt T. Visual stabilization of posture. Physiological stimulus characteristics and clinical aspects. Brain. 1984;107(4):1143–1163. doi:10.1093/brain/107.4.11436509312
  • van Deursen RW, Simoneau GG. Foot and ankle sensory neuropathy, proprioception, and postural stability. J Orthop Sports Phys Ther. 1999;29(12):718–726. doi:10.2519/jospt.1999.29.12.71810612069
  • Billot M, Handrigan GA, Simoneau M, Corbeil P, Teasdale N. Short term alteration of balance control after a reduction of plantar mechanoreceptor sensation through cooling. Neurosci Lett. 2013;535:40–44. doi:10.1016/j.neulet.2012.11.02223305721
  • Billot M, Handrigan GA, Simoneau M, Teasdale N. Reduced plantar sole sensitivity induces balance control modifications to compensate ankle tendon vibration and vision deprivation. J Electromyogr Kinesiol. 2015;25(1):155–160. doi:10.1016/j.jelekin.2014.06.00324993669
  • Hay L, Bard C, Fleury M, Teasdale N. Availability of visual and proprioceptive afferent messages and postural control in elderly adults. Exp Brain Res. 1996;108(1):129–139. doi:10.1007/BF02429108721161
  • Manchester D, Woollacott M, Zederbauer-Hylton N, Marin O. Visual, vestibular and somatosensory contributions to balance control in the older adult. J Gerontol. 1989;44(4):M118–127. doi:10.1093/geronj/44.4.M1182786896
  • Woollacott MH. Systems contributing to balance disorders in older adults. J Gerontol a Biol Sci Med Sci. 2000;55(8):M424–428. doi:10.1093/gerona/55.8.m42410952363
  • Aartolahti E, Häkkinen A, Lönnroos E, Kautiainen H, Sulkava R, Hartikainen S. Relationship between functional vision and balance and mobility performance in community-dwelling older adults. Aging Clin Exp Res. 2013;25(5):545–552. doi:10.1007/s40520-013-0120-z24002802
  • Saftari LN, Kwon O-S. Ageing vision and falls: a review. J Physiol Anthropol. 2018;37(1):11. doi:10.1186/s40101-018-0170-129685171
  • Allum JHJ, Carpenter MG, Honegger F, Adkin AL, Bloem BR. Age-dependent variations in the directional sensitivity of balance corrections and compensatory arm movements in man. J Physiol (Lond). 2002;542(2):643–663. doi:10.1113/jphysiol.2001.01564412122159
  • Billot M, Simoneau EM, Van Hoecke J, Martin A. Age-related relative increases in electromyography activity and torque according to the maximal capacity during upright standing. Eur J Appl Physiol. 2010;109(4):669–680. doi:10.1007/s00421-010-1397-720213469
  • Nagai K, Yamada M, Uemura K, Yamada Y, Ichihashi N, Tsuboyama T. Differences in muscle coactivation during postural control between healthy older and young adults. Arch Gerontol Geriatr. 2011;53(3):338–343. doi:10.1016/j.archger.2011.01.00321310498
  • Cattagni T, Scaglioni G, Laroche D, Van Hoecke J, Gremeaux V, Martin A. Ankle muscle strength discriminates fallers from non-fallers. Front Aging Neurosci. 2014;6:336. doi:10.3389/fnagi.2014.0033625566068
  • Baudry S, Penzer F, Duchateau J. Vision and proprioception do not influence the excitability of the corticomotoneuronal pathway during upright standing in young and elderly adults. Neuroscience. 2014;268:247–254. doi:10.1016/j.neuroscience.2014.03.02624662846
  • Martínez-Ramírez A, Lecumberri P, Gómez M, Rodriguez-Mañas L, García FJ, Izquierdo M. Frailty assessment based on wavelet analysis during quiet standing balance test. J Biomech. 2011;44(12):2213–2220. doi:10.1016/j.jbiomech.2011.06.00721719016
  • Teasdale N, Bard C, LaRue J, Fleury M. On the cognitive penetrability of posture control. Exp Aging Res. 1993;19(1):1–13. doi:10.1080/036107393082539198444263
  • Kubicki A, Bonnetblanc F, Petrement G, Ballay Y, Mourey F. Delayed postural control during self-generated perturbations in the frail older adults. Clin Interv Aging. 2012;7:65–75. doi:10.2147/CIA.S2835222423179
  • Yeung SSY, Reijnierse EM, Pham VK, et al. Sarcopenia and its association with falls and fractures in older adults: a systematic review and meta-analysis. J Cachexia Sarcopenia Muscle. 2019;10(3):485–500. doi:10.1002/jcsm.1241130993881
  • Zhang X, Huang P, Dou Q, et al. Falls among older adults with sarcopenia dwelling in nursing home or community: a meta-analysis. Clin Nutr. 2019. doi:10.1016/j.clnu.2019.01.002
  • Kim JH, Lim S, Choi SH, et al. Sarcopenia: an independent predictor of mortality in community-dwelling older Korean men. J Gerontol a Biol Sci Med Sci. 2014;69(10):1244–1252. doi:10.1093/gerona/glu05024721723
  • Senior HE, Henwood TR, Beller EM, Mitchell GK, Keogh JWL. Prevalence and risk factors of sarcopenia among adults living in nursing homes. Maturitas. 2015;82(4):418–423. doi:10.1016/j.maturitas.2015.08.00626341045
  • Lord SR, March LM, Cameron ID, et al. Differing risk factors for falls in nursing home and intermediate-care residents who can and cannot stand unaided. J Am Geriatr Soc. 2003;51(11):1645–1650. doi:10.1046/j.1532-5415.2003.51518.x14687397
  • Goodpaster BH, Park SW, Harris TB, et al. The loss of skeletal muscle strength, mass, and quality in older adults: the health, aging and body composition study. J Gerontol a Biol Sci Med Sci. 2006;61(10):1059–1064. doi:10.1093/gerona/61.10.105917077199
  • Feldman HA, Longcope C, Derby CA, et al. Age trends in the level of serum testosterone and other hormones in middle-aged men: longitudinal results from the Massachusetts male aging study. J Clin Endocrinol Metab. 2002;87(2):589–598. doi:10.1210/jcem.87.2.820111836290
  • Kojima G. Frailty as a predictor of future falls among community-dwelling older people: a systematic review and meta-analysis. J Am Med Dir Assoc. 2015;16(12):1027–1033. doi:10.1016/j.jamda.2015.06.01826255098
  • Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013;381(9868):752–762. doi:10.1016/S0140-6736(12)62167-923395245
  • Laufer Y. Effect of age on characteristics of forward and backward gait at preferred and accelerated walking speed. J Gerontol a Biol Sci Med Sci. 2005;60(5):627–632. doi:10.1093/gerona/60.5.62715972616
  • Samson MM, Crowe A, de Vreede PL, Dessens JA, Duursma SA, Verhaar HJ. Differences in gait parameters at a preferred walking speed in healthy subjects due to age, height and body weight. Aging (Milano). 2001;13(1):16–21. doi:10.1007/BF335148911292147
  • Beauchet O, Allali G, Annweiler C, et al. Gait variability among healthy adults: low and high stride-to-stride variability are both a reflection of gait stability. Gerontology. 2009;55(6):702–706. doi:10.1159/00023590519713694
  • Dean JC, Alexander NB, Kuo AD. The effect of lateral stabilization on walking in young and old adults. IEEE Trans Biomed Eng. 2007;54(11):1919–1926. doi:10.1109/TBME.2007.90103118018687
  • Schrager MA, Kelly VE, Price R, Ferrucci L, Shumway-Cook A. The effects of age on medio-lateral stability during normal and narrow base walking. Gait Posture. 2008;28(3):466–471. doi:10.1016/j.gaitpost.2008.02.00918400500
  • Blanke DJ, Hageman PA. Comparison of gait of young men and elderly men. Phys Ther. 1989;69(2):144–148. doi:10.1093/ptj/69.2.1442913584
  • Ko S, Stenholm S, Metter EJ, Ferrucci L. Age-associated gait patterns and the role of lower extremity strength - results from the Baltimore longitudinal study of aging. Arch Gerontol Geriatr. 2012;55(2):474–479. doi:10.1016/j.archger.2012.04.00422564361
  • Ng SSM, Au KKC, Chan ELW, et al. Effect of acceleration and deceleration distance on the walking speed of people with chronic stroke. J Rehabil Med. 2016;48(8):666–670. doi:10.2340/16501977-212427534654
  • Wang C-Y, Chen T-R, Lin Y-H, Liu M-H, Chen Y-C. Gait speed measure: the effect of different measuring distances and the inclusion and exclusion of acceleration and deceleration. Percept Mot Skills. 2012;114(2):469–478. doi:10.2466/10.25.26.PMS.114.2.469-47822755452
  • Callisaya ML, Beare R, Phan TG, et al. Brain structural change and gait decline: a longitudinal population-based study. J Am Geriatr Soc. 2013;61(7):1074–1079. doi:10.1111/jgs.1233123796055
  • Peel NM, Alapatt LJ, Jones LV, Hubbard RE. The association between gait speed and cognitive status in community-dwelling older people: a systematic review and meta-analysis. J Gerontol a Biol Sci Med Sci. 2019;74(6):943–948. doi:10.1093/gerona/gly14029917045
  • Maki BE. Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc. 1997;45(3):313–320. doi:10.1111/j.1532-5415.1997.tb00946.x9063277
  • Ferrucci L, Bandinelli S, Benvenuti E, et al. Subsystems contributing to the decline in ability to walk: bridging the gap between epidemiology and geriatric practice in the InCHIANTI study. J Am Geriatr Soc. 2000;48(12):1618–1625. doi:10.1111/j.1532-5415.2000.tb03873.x11129752
  • Cesari M, Kritchevsky SB, Penninx BWHJ, et al. Prognostic value of usual gait speed in well-functioning older people–results from the health, aging and body composition study. J Am Geriatr Soc. 2005;53(10):1675–1680. doi:10.1111/j.1532-5415.2005.53501.x16181165
  • Newman AB, Simonsick EM, Naydeck BL, et al. Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. JAMA. 2006;295(17):2018–2026. doi:10.1001/jama.295.17.201816670410
  • Studenski S, Perera S, Wallace D, et al. Physical performance measures in the clinical setting. J Am Geriatr Soc. 2003;51(3):314–322. doi:10.1046/j.1532-5415.2003.51104.x12588574
  • Mielke MM, Roberts RO, Savica R, et al. Assessing the temporal relationship between cognition and gait: slow gait predicts cognitive decline in the Mayo Clinic Study of Aging. J Gerontol A Biol Sci Med Sci.2013;68(8):929–937. doi: 10.1093/gerona/gls256
  • Verghese J, Wang C, Lipton RB, Holtzer R, Xue X. Quantitative gait dysfunction and risk of cognitive decline and dementia. J Neurol Neurosurg Psychiatry. 2007;78(9):929–935. doi:10.1136/jnnp.2006.10691417237140
  • Watson NL, Rosano C, Boudreau RM, et al. Executive function, memory, and gait speed decline in well-functioning older adults. J Gerontol a Biol Sci Med Sci. 2010;65(10):1093–1100. doi:10.1093/gerona/glq11120581339
  • Studenski S, Perera S, Patel K, et al. Gait speed and survival in older adults. JAMA. 2011;305(1):50–58. doi:10.1001/jama.2010.192321205966
  • Fritz S, Lusardi M. White paper: “walking speed: the sixth vital sign.”. J Geriatr Phys Ther. 2009;32(2):46–49. doi:10.1519/00139143-200932020-0000220039582
  • Ferrucci L, Fabbri E. Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty. Nat Rev Cardiol. 2018;15(9):505–522. doi:10.1038/s41569-018-0064-230065258
  • Phillips C, Fahimi A. Immune and neuroprotective effects of physical activity on the brain in depression. Front Neurosci. 2018;12:498. doi:10.3389/fnins.2018.0049830093853
  • Phillips C. Physical activity modulates common neuroplasticity substrates in major depressive and bipolar disorder. Neural Plast. 2017;2017:7014146. doi:10.1155/2017/701414628529805
  • Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: a systematic review related to Canada’s physical activity guidelines. Int J Behav Nutr Phys Act. 2010;7:38. doi:10.1186/1479-5868-7-3820459782
  • Taylor D. Physical activity is medicine for older adults. Postgrad Med J. 2014;90(1059):26–32. doi:10.1136/postgradmedj-2012-13136624255119
  • Amireault S, Baier JM, Spencer JR. Physical activity preferences among older adults: a systematic review. J Aging Phys Act. 2018;1–12. doi:10.1123/japa.2017-0234
  • Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, et al.; American College of Sports Medicine. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7):1510–1530. doi:10.1249/MSS.0b013e3181a0c95c.19516148
  • Macera CA, Cavanaugh A, Bellettiere J. State of the Art Review: physical Activity and Older Adults. Am J Lifestyle Med. 2017;11(1):42–57. doi:10.1177/155982761557189730202313
  • WHO. Global Recommendations on Physical Activity for Health. Geneva, Switzerland: World Health Organization; 2010.
  • Bijnen FC, Feskens EJ, Caspersen CJ, Mosterd WL, Kromhout D. Age, period, and cohort effects on physical activity among elderly men during 10 years of follow-up: the Zutphen elderly study. J Gerontol a Biol Sci Med Sci. 1998;53(3):M235–241. doi:10.1093/gerona/53a.3.m2359597057
  • Marzetti E, Calvani R, Tosato M, et al. Physical activity and exercise as countermeasures to physical frailty and sarcopenia. Aging Clin Exp Res. 2017;29(1):35–42. doi:10.1007/s40520-016-0705-4
  • Bherer L, Erickson KI, Liu-Ambrose T. A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. J Aging Res. 2013;2013:657508. doi:10.1155/2013/65750824102028
  • Colcombe SJ, Erickson KI, Scalf PE, et al. Aerobic exercise training increases brain volume in aging humans. J Gerontol a Biol Sci Med Sci. 2006;61(11):1166–1170. doi:10.1093/gerona/61.11.116617167157
  • Engeroff T, Ingmann T, Banzer W. Physical activity throughout the adult life span and domain-specific cognitive function in old age: a systematic review of cross-sectional and longitudinal data. Sports Med. 2018;48(6):1405–1436. doi:10.1007/s40279-018-0920-629667159
  • Koščak Tivadar B. Physical activity improves cognition: possible explanations. Biogerontology. 2017;18(4):477–483. doi:10.1007/s10522-017-9708-628492999
  • Sáez de Asteasu ML, Martínez-Velilla N, Zambom-Ferraresi F, Casas-Herrero Á, Izquierdo M. Role of physical exercise on cognitive function in healthy older adults: a systematic review of randomized clinical trials. Ageing Res Rev. 2017;37:117–134. doi:10.1016/j.arr.2017.05.00728587957
  • Hopewell S, Adedire O, Copsey BJ, et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2018;7:CD012221. doi:10.1002/14651858.CD012221.pub230035305
  • Sherrington C, Fairhall NJ, Wallbank GK, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1:CD012424. doi:10.1002/14651858.CD012424.pub230703272
  • Chastin SFM, Buck C, Freiberger E, et al. Systematic literature review of determinants of sedentary behaviour in older adults: a DEDIPAC study. Int J Behav Nutr Phys Act. 2015;12:127. doi:10.1186/s12966-015-0292-326437960
  • Kohl HW, Craig CL, Lambert EV, et al. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380(9838):294–305. doi:10.1016/S0140-6736(12)60898-822818941
  • Koster A, Caserotti P, Patel KV, et al. Association of sedentary time with mortality independent of moderate to vigorous physical activity. PLoS One. 2012;7(6):e37696. doi:10.1371/journal.pone.003769622719846
  • Lee I-M, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219–229. doi:10.1016/S0140-6736(12)61031-922818936
  • Sánchez-Sánchez JL, Mañas A, García-García FJ, et al. Sedentary behaviour, physical activity, and sarcopenia among older adults in the TSHA: isotemporal substitution model. J Cachexia Sarcopenia Muscle. 2019;10(1):188–198. doi:10.1002/jcsm.1236930920779
  • Suetta C, Haddock B, Alcazar J, et al. The Copenhagen Sarcopenia Study: lean mass, strength, power, and physical function in a Danish cohort aged 20–93 years. J Cachexia Sarcopenia Muscle. 2019;10(6):1316–1329. doi:10.1002/jcsm.1247731419087
  • Wen CP, Wai JPM, Tsai MK, et al. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet. 2011;378(9798):1244–1253. doi:10.1016/S0140-6736(11)60749-621846575
  • Franco MR, Tong A, Howard K, et al. Older people’s perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. Br J Sports Med. 2015;49(19):1268–1276. doi:10.1136/bjsports-2014-09401525586911
  • Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health. 2013;13:449. doi:10.1186/1471-2458-13-44923648225
  • Petty RE, Cacioppo JT. The elaboration likelihood model of persuasion. Adv Exp Soc Psychol. 1986;19:123–205.
  • Hagger MS, Chatzisarantis NLD. An integrated behavior change model for physical activity. Exerc Sport Sci Rev. 2014;42(2):62–69. doi:10.1249/JES.000000000000000824508739
  • Zunft HJ, Friebe D, Seppelt B, et al. Perceived benefits and barriers to physical activity in a nationally representative sample in the European Union. Public Health Nutr. 1999;2(1A):153–160. doi:10.1017/S136898009900020810933635
  • Chang M, Leveille S, Cohen-Mansfield J, Guralnik JM. The association of physical-performance level with attitude toward exercise in older adults. J Aging Phys Act. 2003;11(2):254–264. doi:10.1123/japa.11.2.254
  • Lee -L-L, Arthur A, Avis M. Using self-efficacy theory to develop interventions that help older people overcome psychological barriers to physical activity: a discussion paper. Int J Nurs Stud. 2008;45(11):1690–1699. doi:10.1016/j.ijnurstu.2008.02.01218501359
  • Sales M, Levinger P, Polman R. Relationships between self perceptions and physical activity behaviour, fear of falling, and physical function among older adults. Eur Rev Aging Phys Act. 2017;14:17. doi:10.1186/s11556-017-0185-328943974
  • Baert V, Gorus E, Mets T, Geerts C, Bautmans I. Motivators and barriers for physical activity in the oldest old: a systematic review. Ageing Res Rev. 2011;10(4):464–474. doi:10.1016/j.arr.2011.04.00121570493
  • Bauman AE, Reis RS, Sallis JF, et al. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258–271. doi:10.1016/S0140-6736(12)60735-122818938
  • Newson RS, Kemps EB. Factors that promote and prevent exercise engagement in older adults. J Aging Health. 2007;19(3):470–481. doi:10.1177/089826430730016917496245
  • Lübs L, Peplies J, Drell C, Bammann K. Cross-sectional and longitudinal factors influencing physical activity of 65 to 75-year-olds: a pan European cohort study based on the survey of health, ageing and retirement in Europe (SHARE). BMC Geriatr. 2018;18(1):94. doi:10.1186/s12877-018-0781-829661154
  • Kaleta D, Makowiec-Dabrowska T, Dziankowska-Zaborszczyk E, Jegier A. Physical activity and self-perceived health status. Int J Occup Med Environ Health. 2006;19(1):61–69. doi:10.2478/v10001-006-0005-x16881600
  • Loprinzi PD, Frith E. Association between perceived physical activity and cognitive function in older adults. Psychol Rep. 2019;122(1):108–116. doi:10.1177/003329411775063229307247
  • Elskamp ABM, Hartholt KA, Patka P, van Beeck EF, van der Cammen TJM. Why older people refuse to participate in falls prevention trials: a qualitative study. Exp Gerontol. 2012;47(4):342–345. doi:10.1016/j.exger.2012.01.00622310657
  • Gardiner S, Glogowska M, Stoddart C, Pendlebury S, Lasserson D, Jackson D. Older people’s experiences of falling and perceived risk of falls in the community: a narrative synthesis of qualitative research. Int J Older People Nurs. 2017;12(4):e12151. doi:10.1111/opn.12151
  • Hill KD, Day L, Haines TP. What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs? Clin Interv Aging. 2014;9:2045–2053. doi:10.2147/CIA.S7267925473276
  • Yardley L, Donovan-Hall M, Francis K, Todd C. Attitudes and beliefs that predict older people’s intention to undertake strength and balance training. J Gerontol B Psychol Sci Soc Sci. 2007;62(2):P119–125. doi:10.1093/geronb/62.2.p11917379672
  • McMahon S, Talley KM, Wyman JF. Older people’s perspectives on fall risk and fall prevention programs: a literature review. Int J Older People Nurs. 2011;6(4):289–298. doi:10.1111/j.1748-3743.2011.00299.x22078019
  • Cruz-Jentoft AJ, Landi F, Schneider SM, et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing. 2014;43(6):748–759. doi:10.1093/ageing/afu11525241753
  • Ekelund U, Steene-Johannessen J, Brown WJ, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388(10051):1302–1310. doi:10.1016/S0140-6736(16)30370-127475271
  • Marzetti E, Cesari M, Calvani R, et al. The “Sarcopenia and physical frailty in older people: multi-component treatment strategies” (SPRINTT) randomized controlled trial: case finding, screening and characteristics of eligible participants. Exp Gerontol. 2018;113:48–57. doi:10.1016/j.exger.2018.09.01730261246
  • Landi F, Cesari M, Calvani R, et al. The “Sarcopenia and physical frailty in older people: multi-component treatment strategies” (SPRINTT) randomized controlled trial: design and methods. Aging Clin Exp Res. 2017;29(1):89–100. doi:10.1007/s40520-016-0715-228144914
  • Fielding RA, Rejeski WJ, Blair S, et al. The lifestyle interventions and independence for elders study: design and methods. J Gerontol a Biol Sci Med Sci. 2011;66(11):1226–1237. doi:10.1093/gerona/glr12321825283
  • Calvani R, Miccheli A, Landi F, et al. Current nutritional recommendations and novel dietary strategies to manage sarcopenia. J Frailty Aging. 2013;2(1):38–53.26082911
  • Azzolino D, Arosio B, Marzetti E, Calvani R, Cesari M. Nutritional status as a mediator of fatigue and its underlying mechanisms in older people. Nutrients. 2020;12(2):444. doi:10.3390/nu12020444
  • Lorenzo-López L, Maseda A, de Labra C, Regueiro-Folgueira L, Rodríguez-Villamil JL, Millán-Calenti JC. Nutritional determinants of frailty in older adults: a systematic review. BMC Geriatr. 2017;17(1):108. doi:10.1186/s12877-017-0496-228506216
  • Robinson SM, Reginster JY, Rizzoli R, et al. Does nutrition play a role in the prevention and management of sarcopenia? Clin Nutr. 2018;37(4):1121–1132. doi:10.1016/j.clnu.2017.08.01628927897
  • Cruz-Jentoft AJ, Kiesswetter E, Drey M, Sieber CC. Nutrition, frailty, and sarcopenia. Aging Clin Exp Res. 2017;29(1):43–48. doi:10.1007/s40520-016-0709-028155181
  • Ntanasi E, Yannakoulia M, Kosmidis M-H, et al. Adherence to Mediterranean Diet and Frailty. J Am Med Dir Assoc. 2018;19(4):315–322.e2. doi:10.1016/j.jamda.2017.11.00529289542
  • Montiel-Rojas D, Nilsson A, Santoro A, et al. Dietary fibre may mitigate sarcopenia risk: findings from the NU-AGE cohort of older European adults. Nutrients. 2020;12(4):1075. doi:10.3390/nu12041075
  • Behrouzi P, Grootswagers P, Keizer PLC, et al. Dietary intakes of vegetable protein, folate, and vitamins B-6 and B-12 are partially correlated with physical functioning of Dutch older adults using copula graphical models. J Nutr. 2020;150(3):634–643. doi:10.1093/jn/nxz26931858107
  • Ghosh TS, Rampelli S, Jeffery IB, et al. Mediterranean diet intervention alters the gut microbiome in older people reducing frailty and improving health status: the NU-AGE 1-year dietary intervention across five European countries. Gut. 2020;69(7):1218–1228. doi:10.1136/gutjnl-2019-31965432066625
  • Dedeyne L, Dewinter L, Lovik A, Verschueren S, Tournoy J, Gielen E. Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participate. Clin Interv Aging. 2018;13:1259–1266. doi:10.2147/CIA.S15981930050293
  • Hsieh T-J, Su S-C, Chen C-W, et al. Individualized home-based exercise and nutrition interventions improve frailty in older adults: a randomized controlled trial. Int J Behav Nutr Phys Act. 2019;16(1):119. doi:10.1186/s12966-019-0855-931791364
  • Correia MITD, Hegazi RA, Higashiguchi T, et al. Evidence-based recommendations for addressing malnutrition in health care: an updated strategy from the feedM.E. Global study group. J Am Med Dir Assoc. 2014;15(8):544–550. doi:10.1016/j.jamda.2014.05.01124997720
  • Bauer J, Biolo G, Cederholm T, et al. Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE study group. J Am Med Dir Assoc. 2013;14(8):542–559. doi:10.1016/j.jamda.2013.05.02123867520
  • Deutz NEP, Bauer JM, Barazzoni R, et al. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN expert group. Clin Nutr. 2014;33(6):929–936. doi:10.1016/j.clnu.2014.04.00724814383
  • American Geriatrics Society Workgroup on Vitamin D Supplementation for Older Adults. Recommendations abstracted from the American Geriatrics Society Consensus Statement on vitamin D for prevention of falls and their consequences. J Am Geriatr Soc. 2014;62(1):147–152. doi:10.1111/jgs.12631.24350602
  • Guralnik JM, Ferrucci L, Pieper CF, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol a Biol Sci Med Sci. 2000;55(4):M221–231. doi:10.1093/gerona/55.4.m22110811152
  • Tinetti ME, Williams TF, Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med. 1986;80(3):429–434. doi:10.1016/0002-9343(86)90717-53953620
  • Vellas BJ, Wayne SJ, Romero L, Baumgartner RN, Rubenstein LZ, Garry PJ. One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc. 1997;45(6):735–738. doi:10.1111/j.1532-5415.1997.tb01479.x9180669
  • Berg K, Wood-Dauphine S, Williams JI, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can. 2009. doi:10.3138/ptc.41.6.304
  • Rolland YM, Cesari M, Miller ME, Penninx BW, Atkinson HH, Pahor M. Reliability of the 400-m usual-pace walk test as an assessment of mobility limitation in older adults. J Am Geriatr Soc. 2004;52(6):972–976. doi:10.1111/j.1532-5415.2004.52267.x15161464
  • Harada ND, Chiu V, Stewart AL. Mobility-related function in older adults: assessment with a 6-minute walk test. Arch Phys Med Rehabil. 1999;80(7):837–841. doi:10.1016/s0003-9993(99)90236-810414771
  • Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–148. doi:10.1111/j.1532-5415.1991.tb01616.x1991946