ArticleThe Journal of frailty & aging2019
An Individualized Low-Intensity Walking Clinic Leads to Improvement in Frailty Characteristics in Older Veterans.
Article in The Journal of frailty & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The trial behind it
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Who cites it
6 citing papers in PubMed.
- One Step at a Time: Improving Gait Speed Measurement in a Geriatric Medicine Clinic.Geriatrics (Basel, Switzerland) · 2023Article
- Association of the built environment and neighborhood resources with obesity-related health behaviors in older veterans with hypertension.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Article
- A Behavioral Lifestyle Intervention to Improve Frailty in Overweight or Obese Older Adults with Type 2 Diabetes: A Feasibility Study.The Journal of frailty & aging · 2022Article
- Article
- Implementation of a Community Walking Program (Walk On!) for Functionally-Limited Older Adults.The Journal of frailty & aging · 2020Article
- A geriatrics walking clinic improves hemoglobin A1c and timed gait in older veterans with type 2 diabetes.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundSedentary lifestyle leads to worse health outcomes with aging, including frailty. Older adults can benefit from regular physical activity, but exercise promotion in the clinical setting is challenging.
objectivesThe objective of this clinical demonstration project was to implement a Geriatric Walking Clinic for older adults and determine whether this clinical program can lead to improvements in characteristics of frailty.
designThis was a clinical demonstration project/quality improvement project.
settingOutpatient geriatrics clinic at the South Texas Veterans Health Care System (STVHCS).
participantsOlder Veterans, aged ≥60 years.
interventionA 6-week structured walking program, delivered by a registered nurse and geriatrician. Patients received a pedometer and a comprehensive safety evaluation at an initial face-to-face visit. They were subsequently followed with weekly phone calls and participated in a final face-to-face follow-up visit at 6 weeks. MEASUREMENTS: Grip strength (handheld dynamometer), gait speed (10-ft walk), Timed Up and Go (TUG), and body mass index (BMI) were assessed at baseline and follow-up. Frailty status for gait speed was assessed using Fried criteria.
resultsOne hundred eighty five patients completed the program (mean age: 68.4 ±7 years, 88% male). Improvements from baseline to follow-up were observed in average steps/day, gait speed, TUG, and BMI. Improvement in gait speed (1.13 ±0.20 vs. 1.24 ± 0.23 meter/second, p<0.0001) resulted in reduced odds of meeting frailty criteria for slow gait at follow-up compared to the baseline examination (odds ratio = 0.31, 95% confidence interval: 0.13-0.72, p = 0.01).
conclusionsOur findings demonstrate that a short duration, low-intensity walking intervention improves gait speed and TUG. This new clinical model may be useful for the promotion of physical activity, and for the prevention or amelioration of frailty characteristics in older adults.
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