Evidence map›Paper›PMID 40532064›Full record

Trial reportJournal of cachexia, sarcopenia and muscle2025

Adherence to Physical Activity and Incident Mobility Disability in Older Adults With Mobility Limitations.

Alejandro Álvarez-Bustos, Helio José Coelho-Junior, Riccardo Calvani, Leocadio Rodriguez-Mañas, Matteo Tosato, Matteo Cesari, Antonio Cherubini, Alfonso J Cruz-Jentoft, Pálmi V Jónsson, Fabrizia Lattanzio and 15 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02582138 (Sarcopenia and Physical fRailty IN Older People), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT02582138 naunknown statusnot on this map

Sarcopenia and Physical fRailty IN Older People: Multi-componenT Treatment Strategies (SPRINTT)

TypeinterventionalSponsorCatholic University of the Sacred HeartRan2016 to 2018Enrolled1,500ConditionsSarcopeniaArmsMulticomponent intervention (MCI), Healthy Aging Lifestyle Education (HALE)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
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

25 authors.

Alejandro Álvarez-BustosBiomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0002-3431-7204
Helio José Coelho-JuniorBiomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0001-7482-9514
Riccardo CalvaniDepartment of Geriatrics, Orthopaedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0009-0005-3083-430X
Leocadio Rodriguez-MañasBiomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0002-6551-1333
Matteo TosatoFondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0001-5750-9746
Matteo CesariDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0002-0348-3664
Antonio CherubiniGeriatria, Accettazione Geriatrica e Centro di Ricerca per l'Invecchiamento, IRCCS INRCA, Ancona, Italy.ORCID https://orcid.org/0000-0003-0261-9897
Alfonso J Cruz-JentoftServicio de Geriatría, Hospital Universitario Ramón y Cajal-IRYCIS, Madrid, Spain.ORCID https://orcid.org/0000-0001-7628-4861
Pálmi V JónssonDepartment of Geriatrics, Landspitali University Hospital, Faculty of Medicine, University of Iceland, Reykjavik, Iceland.ORCID https://orcid.org/0009-0002-7174-2274
Fabrizia LattanzioGeriatria, Accettazione Geriatrica e Centro di Ricerca per l'Invecchiamento, IRCCS INRCA, Ancona, Italy.ORCID https://orcid.org/0000-0003-4051-1289
Marcello MaggioDepartment of Medicine and Surgery, Università degli Studi di Parma, Parma, Italy.ORCID https://orcid.org/0000-0002-1727-6797
Regina Roller-WirnsbergerDepartment of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0000-0002-1273-6520
Ingrid RýznarováSilesian Hospital in Opava, Opava, Czech Republic.ORCID https://orcid.org/0000-0002-4233-2746
Annemie M W J ScholsDepartment of Respiratory Medicine, Research Institute NUTRIM, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0001-9878-0428
Cornel C SieberInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nurnberg, Germany.ORCID https://orcid.org/0000-0002-6271-7459
Alan J SinclairDROP and King's College, London, UK.ORCID https://orcid.org/0000-0001-6712-7805
Anna SkalskaDepartment of Internal Medicine and Gerontology, Faculty of Medicine, Uniwersytet Jagiellonski Collegium Medicum, Krakow, Poland.ORCID https://orcid.org/0000-0001-5560-3632
Timo StrandbergHelsinki University and Helsinki University Hospital, Helsinki, Finland.ORCID https://orcid.org/0000-0001-6299-925X
Achille TchallaCHU Limoges, Department of Geriatric Medicine, UR 24134 - VieSante Research Unit (Aging, Frailty, Prevention, eHealth), Limoges, France.ORCID https://orcid.org/0000-0003-3457-5219
Eva TopinkováDepartment of Geriatrics, First Faculty of Medicine, Charles University and General Faculty Hospital, Prague, Czech Republic.ORCID https://orcid.org/0000-0002-6786-4116
Bruno VellasGérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.ORCID https://orcid.org/0009-0004-5560-1898
Stephan von HaehlingDepartment of Cardiology and Pneumology, University Göttingen Medical Center, Göttingen, Germany.ORCID https://orcid.org/0000-0001-6409-0664
Francesco LandiDepartment of Geriatrics, Orthopaedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0002-3472-1389
Emanuele MarzettiDepartment of Geriatrics, Orthopaedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0001-9567-6983
SPRINTT consortium

Funding

Innovative Medicines Initiative Joint Undertaking IMI-JU 115621
6 · The paper itself

Abstract

backgroundPreservation of mobility independence is a primary goal in older adults with physical frailty and sarcopenia (PF&S). Interventions based on the combination of physical activity (PA) and nutritional counselling have been indicated as strategies for the management of this condition, although their effectiveness is not confirmed in all investigations. A possible explanation for this uncertain scenario relies in the impact of the adherence to PA interventions. Hence, the present study investigated the impact of the adherence to PA sessions on the incidence of mobility disability in older adults with PF&S.

methodsThis is a secondary analysis of an evaluator blinded, randomised controlled trial, developed in 16 clinical sites across 11 European countries, from January 2016 to 31 October 2019. Participants were community-dwelling older adults (70+ years) with PF&S enrolled in the SPRINTT trial (NCT02582138). PF&S was operationalised as having a total score from 3 to 9 on the short physical performance battery (SPPB), low appendicular lean mass and ability to complete the 400-m walk test in < 15 min. Data from participants allocated to a multicomponent intervention (PA with technological support plus nutritional counselling) and a healthy ageing lifestyle education programme (control group) were analysed. Adherence to PA was assessed based on the number of weekly sessions attended. According to recommendations of the American College of Sports Medicine, adherence was categorised as below recommendations (< 2 sessions/week, BR), meeting recommendations (2-3 sessions/week, MR), and above recommendations (> 3 sessions/week, AR). The primary outcome was incident mobility disability, operationalised as incident inability to complete the 400-m walk test in < 15 min during up to 36 months of follow-up.

resultsData of 1444 participants (mean age 79.3 years, 72.6% women) were analysed. In those with SPPB scores of 3-7, MR and AR groups had lower risk of mobility disability compared with controls [MR HR (95% CI): 0.57 (0.41-0.78), p = 0.001; AR HR (95% CI): 0.33 (0.23-0.46), p < 0.001] and BR groups [MR: HR (95% CI): 0.48 (0.34-0.69), p < 0.001; AR: HR (95% CI): 0.27 (0.18-0.38), p < 0.001] in a dose-dependent manner. In those with SPPB scores of 8 or 9, the BR group had a higher risk of mobility disability than controls. MR and AR groups had a lower risk of mobility disability than the BR group.

conclusionsIn older adults with PF&S, adherence to PA recommendations is associated with lower incidence of mobility disability. This benefit depends on the degree of adherence as well as baseline physical performance.

trial registrationClinicalTrials.gov NCT02582138.

Indexed as

ExerciseMobility LimitationSarcopeniaAgedAged, 80 and overFemaleHumansMalePersons with Disabilitiesdisabilityfrailtyfrequencyphysical activitysarcopenia

Identifiers

PMID40532064
PMCPMC12176070

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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.