Evidence map›Paper›PMID 31291884›Full record

SynthesisBMC geriatrics2019

What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials.

Tara Kidd, Freda Mold, Claire Jones, Emma Ream, Wendy Grosvenor, Märtha Sund-Levander, Pia Tingström, Nicola Carey

3 registry-linked trialsOpen access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 73 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 8 pooled it
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04902716 naunknown statusnot on this mapstarted 2021, after this paper: background citation

The Effectiveness of Precision Nursing Intervention Program on Cognitive Function、Sleep Quality and Emotional State of Frail Female Elderly in the Community

TypeinterventionalSponsorNational Taipei University of Nursing and Health SciencesRan2021 to 2022Enrolled70ConditionsThe Effectiveness of Precision Nursing Intervention Program on Cognitive Function、Sleep Quality and Emotional State of Frail Femal Elderly in the CommunityArmsDesign course
NCT05242549 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Application of the Transtheoretical Model to Physical Activity and Health-related Quality of Life Among the Frailty of the Community Elderly

TypeinterventionalSponsorNational Taipei University of Nursing and Health SciencesRan2022 to 2023Enrolled84ConditionsFrailtyArmsFitness and Nutrition Program for Seniors
NCT07027241 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Multicomponent Exercise and Nutrition Based Frailty Intervention in Postoperative Hip Fracture Inpatients

TypeinterventionalSponsorRoyal College of Surgeons, IrelandRan2025 to 2026Enrolled50ConditionsHip Fractures (ICD-10 72.01-72.2), Frailty at Older Adults, Strength Training, Resistance TrainingArmsExercise Intervention, Usual Care, Nutritional Intervention
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 8 syntheses or guidelines pooled it, 165 citations in OpenAlex.

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  19. Performance-Based and Self-Reported Frailty in Older Adults with or Without Fibromyalgia.European journal of investigation in health, psychology and education · 2026
    Article
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Tara KiddSchool of Natural Sciences and Psychology, Liverpool John Moores University, Liverpool, UK.
Freda MoldSchool of Health Science, University of Surrey, Surrey, GU2 7YH, UK.
Claire JonesSchool of Health Science, University of Surrey, Surrey, GU2 7YH, UK.
Emma ReamSchool of Health Science, University of Surrey, Surrey, GU2 7YH, UK.
Wendy GrosvenorSchool of Health Science, University of Surrey, Surrey, GU2 7YH, UK.
Märtha Sund-LevanderDepartment of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Pia TingströmDepartment of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Nicola CareySchool of Health Science, University of Surrey, Surrey, GU2 7YH, UK. n.carey@surrey.ac.uk.ORCID 0000-0003-2841-1760
University of Surrey · GBLinköping University · SELiverpool John Moores University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith life expectancy continuing to rise in the United Kingdom there is an increasing public health focus on the maintenance of physical independence among all older adults. Identifying interventions that improve physical outcomes in pre-frail and frail older adults is imperative.

methodsA systematic review of the literature 2000 to 2017 following PRISMA guidelines and registered with PROSPERO (no. CRD42016045325).

resultsTen RCT trials fulfilled selection criteria and quality appraisal. The study quality was moderate to good. Interventions included physical activity; nutrition, physical activity combined with nutrition. Interventions that incorporated one or more physical activity components significantly improved physical outcomes in pre-frail and/or frail older adults.

conclusionsPhysical activity interventions are key to maintaining independence in pre-frail and frail older adults. A lack of consensus regarding the definition of frailty, and an absence of core measures to assess this means any attempt to create an optimal intervention will be impeded. This absence may ultimately impact on the ability of older and frail adults to live well and for longer in the community.

Indexed as

Frail ElderlyPhysical Functional PerformanceAgedAged, 80 and overExerciseFemaleFrailtyHumansIndependent LivingMaleNutritional StatusRandomized Controlled Trials as TopicTreatment OutcomeUnited KingdomFrailtyInterventionNutritionPhysical activitySuccessful aging

Identifiers

PMID31291884
PMCPMC6622112
OpenAlexW2957125807

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.