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Exercise prescription for frail older adults: impact on handgrip strength and gait speed (a systematic review)

2025-11Journal article Open access
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCarvalho, Andreia
dc.contributor.authorPalma, Vânia Cerqueira
dc.contributor.authorTomás, Maria Teresa
dc.date.accessioned2025-12-16T09:38:48Z
dc.date.available2025-12-16T09:38:48Z
dc.date.issued2025-11
dc.description.abstractIntroduction: Frailty necessitates effective exercise interventions, yet optimal prescriptions remain unclear. This study aimed to determine such a prescription to improve gait speed and/or handgrip strength in frail older adults. Methods: A systematic review following PRISMA, using PEDro, MEDLINE, Scopus, and Web of Science databases, was performed. The evidence certainty was assessed with GRADE (Grading of Recommendations Assessment, Development, and Evaluation). Results: Six studies (628 frail older adults) were included. Combined exercise program, with a frequency between two-three times a week, an intensity of moderate to intense, and a duration of each session of 45–60 minutes, yielded the most significant improvements in gait speed (good evidence with very low certainty) and handgrip strength (good evidence with low certainty). Discussion: Handgrip strength and gait speed are likely to improve or be maintained after a combined exercise program of moderate or high intensity performed two to three times a week for at least 45 minutes, in frail older adults.eng
dc.identifier.citationCarvalho A, Palma VC, Tomás MT. Exercise prescription for frail older adults: impact on handgrip strength and gait speed (a systematic review). Phys Occup Ther Geriatr. 2025 October 30. Epub ahead of print.
dc.identifier.doi10.1080/02703181.2025.2582063
dc.identifier.issn0270-3181
dc.identifier.issn1541-3152
dc.identifier.urihttp://hdl.handle.net/10400.21/22321
dc.language.isoeng
dc.peerreviewedyes
dc.publisherInforma UK Limited
dc.relation.hasversionhttps://www.tandfonline.com/doi/full/10.1080/02703181.2025.2582063?src=
dc.relation.ispartofPhysical & Occupational Therapy In Geriatrics
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPhysiotherapy
dc.subjectRehabilitation
dc.subjectFrailty
dc.subjectOlder adults
dc.subjectExercise
dc.subjectPhysical performance
dc.subjectGait
dc.titleExercise prescription for frail older adults: impact on handgrip strength and gait speed (a systematic review)eng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titlePhysical & Occupational Therapy in Geriatrics
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameTomás
person.givenNameMaria Teresa
person.identifier438585
person.identifier.ciencia-id3010-19D6-C7A5
person.identifier.orcid0000-0003-0491-8903
person.identifier.ridN-1940-2013
person.identifier.scopus-author-id36700434200
relation.isAuthorOfPublication64ad74a4-4cd4-426e-a1ee-2ec846fdc6dd
relation.isAuthorOfPublication.latestForDiscovery64ad74a4-4cd4-426e-a1ee-2ec846fdc6dd

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