Effects of the Vivifrail-B multicomponent exercise program based on society ecosystems theory on physical function in community-dwelling frail older adults: A randomized controlled trial

Objective: The study aimed to explore the short and long-term effects of the Vivifrail-B multicomponent exercise based on society ecosystems theory on physical function in community-dwelling frail older adults. Methods: 59 older adults were randomly assigned to the intervention (n = 30) and control...

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Main Authors: Yue Li, Shasha Li, Xu Weng, Xinyu Yang, Jianyi Bao, Shufang Liao, Yingxue Xi, Xiaofang Song, Guojing Guo
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Experimental Gerontology
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Online Access:http://www.sciencedirect.com/science/article/pii/S0531556524003164
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author Yue Li
Shasha Li
Xu Weng
Xinyu Yang
Jianyi Bao
Shufang Liao
Yingxue Xi
Xiaofang Song
Guojing Guo
author_facet Yue Li
Shasha Li
Xu Weng
Xinyu Yang
Jianyi Bao
Shufang Liao
Yingxue Xi
Xiaofang Song
Guojing Guo
author_sort Yue Li
collection DOAJ
description Objective: The study aimed to explore the short and long-term effects of the Vivifrail-B multicomponent exercise based on society ecosystems theory on physical function in community-dwelling frail older adults. Methods: 59 older adults were randomly assigned to the intervention (n = 30) and control (n = 29) groups. The exercise was performed thrice a week for 12 weeks, with one offline group training and two at home training. The Tilburg Frailty Indicator (TFI), the Short Physical Performance Battery (SPPB), Handgrip strength (HGS), the Physical Self-Maintenance Scale (PSMS), and the Instrumental Activities of Daily Living Scale (IADL) were assessed at baseline, 6 weeks, 12 weeks, 18 weeks, and 24 weeks. Exercise compliance assessments and satisfaction surveys were conducted at post intervention. Generalized estimating equations was used to compare outcome measures. Results: At T1 (6-week), SPPB (P = 0.040) and PSMS (P = 0.042) of subjects in the intervention group were statistically different from the control group. At T2 (12-week), T3 (18-week) and T4 (24-week), all variables were significantly improved compared to the control group (all, P < 0.05), except for IADL (PT2 = 0.181, PT3 = 0.192, PT4 = 0.163). The short and long-term effects of the intervention were significant compared to the baseline level. However, the differences in Psychology (P = 0.699) and Society (P = 0.644) before and after the intervention were not significant. Conclusion: Vivifrail-B multicomponent exercise based on society ecosystems theory improved physical function of community-dwelling frail older adults, and the older adults' exercise compliance and satisfaction were high.
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series Experimental Gerontology
spelling doaj-art-bd60a8a752884e2c8484ad10e3f262392025-01-31T05:10:06ZengElsevierExperimental Gerontology1873-68152025-02-01200112670Effects of the Vivifrail-B multicomponent exercise program based on society ecosystems theory on physical function in community-dwelling frail older adults: A randomized controlled trialYue Li0Shasha Li1Xu Weng2Xinyu Yang3Jianyi Bao4Shufang Liao5Yingxue Xi6Xiaofang Song7Guojing Guo8Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.; Corresponding author.College of Engineering, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China.Objective: The study aimed to explore the short and long-term effects of the Vivifrail-B multicomponent exercise based on society ecosystems theory on physical function in community-dwelling frail older adults. Methods: 59 older adults were randomly assigned to the intervention (n = 30) and control (n = 29) groups. The exercise was performed thrice a week for 12 weeks, with one offline group training and two at home training. The Tilburg Frailty Indicator (TFI), the Short Physical Performance Battery (SPPB), Handgrip strength (HGS), the Physical Self-Maintenance Scale (PSMS), and the Instrumental Activities of Daily Living Scale (IADL) were assessed at baseline, 6 weeks, 12 weeks, 18 weeks, and 24 weeks. Exercise compliance assessments and satisfaction surveys were conducted at post intervention. Generalized estimating equations was used to compare outcome measures. Results: At T1 (6-week), SPPB (P = 0.040) and PSMS (P = 0.042) of subjects in the intervention group were statistically different from the control group. At T2 (12-week), T3 (18-week) and T4 (24-week), all variables were significantly improved compared to the control group (all, P < 0.05), except for IADL (PT2 = 0.181, PT3 = 0.192, PT4 = 0.163). The short and long-term effects of the intervention were significant compared to the baseline level. However, the differences in Psychology (P = 0.699) and Society (P = 0.644) before and after the intervention were not significant. Conclusion: Vivifrail-B multicomponent exercise based on society ecosystems theory improved physical function of community-dwelling frail older adults, and the older adults' exercise compliance and satisfaction were high.http://www.sciencedirect.com/science/article/pii/S0531556524003164Vivifrail-B multicomponent exerciseSociety ecosystems theoryFrailtyOlder adultsPhysical function
spellingShingle Yue Li
Shasha Li
Xu Weng
Xinyu Yang
Jianyi Bao
Shufang Liao
Yingxue Xi
Xiaofang Song
Guojing Guo
Effects of the Vivifrail-B multicomponent exercise program based on society ecosystems theory on physical function in community-dwelling frail older adults: A randomized controlled trial
Experimental Gerontology
Vivifrail-B multicomponent exercise
Society ecosystems theory
Frailty
Older adults
Physical function
title Effects of the Vivifrail-B multicomponent exercise program based on society ecosystems theory on physical function in community-dwelling frail older adults: A randomized controlled trial
title_full Effects of the Vivifrail-B multicomponent exercise program based on society ecosystems theory on physical function in community-dwelling frail older adults: A randomized controlled trial
title_fullStr Effects of the Vivifrail-B multicomponent exercise program based on society ecosystems theory on physical function in community-dwelling frail older adults: A randomized controlled trial
title_full_unstemmed Effects of the Vivifrail-B multicomponent exercise program based on society ecosystems theory on physical function in community-dwelling frail older adults: A randomized controlled trial
title_short Effects of the Vivifrail-B multicomponent exercise program based on society ecosystems theory on physical function in community-dwelling frail older adults: A randomized controlled trial
title_sort effects of the vivifrail b multicomponent exercise program based on society ecosystems theory on physical function in community dwelling frail older adults a randomized controlled trial
topic Vivifrail-B multicomponent exercise
Society ecosystems theory
Frailty
Older adults
Physical function
url http://www.sciencedirect.com/science/article/pii/S0531556524003164
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