Trial reportAge and ageing2025
Effects of Mobility-Fit, a tailored multicomponent physical activity program with upper-limb emphasis, on strength, mobility and fall risk among older adults in long-term care: a cluster randomised controlled trial.
Trial report in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Feasibility of a remote and home-based personalised exercise programme in cancer survivors with lymphoedema.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundOlder adults in long-term care (LTC) face accelerated functional decline due to frailty, affecting mobility and quality of life (QoL). Upper-body strength is crucial for daily activities and injury prevention, yet conventional physical activity (PA) programs often overlook it. This cluster randomised controlled trial evaluated Mobility-Fit, a 12-week multicomponent PA program emphasising upper-limb and core strength among LTC residents.
methodsTwenty LTC facilities were randomised into the Mobility-Fit (10 facilities, n = 73) or control (10 facilities, n = 73) group. Mobility-Fit included agility, balance and resistance exercises (3 times/week, 45 minutes), tailored to participants' functional capacity. The control group received standard care with lower-limb exercises, delivered with the same frequency. Outcomes included upper- and lower-limb strength, postural sway, reaction time, mobility (Short Physical Performance Battery), frailty (FRAIL-Nursing Home), fall risk (Longitudinal Aging Study Amsterdam fall risk profile questionnaire, LASA) and QoL [EuroQol (EQ)-5D]. An intention-to-treat analysis with generalised estimating equations was conducted.
resultsParticipants (median age = 86, 60% female) exhibited high adherence (83.3%). Mobility-Fit demonstrated superior improvements in elbow extension strength [β = 0.50, 95% confidence interval 0.26-3.89] and QoL (EuroQol five-dimension questionnaire utility: β = 0.17, P < .001; EQ-Visual Analogue Scale: β = 7.13, P = .006). Both groups improved lower-limb strength (knee extension: β = 2.72, P < .001) and mobility (Sit-To-Stand time: β = -3.69, P < .001), with a reduced LASA score (β = -1.20, P < .001).
conclusionsMobility-Fit effectively enhanced upper-limb strength and QoL in LTC residents. Both groups showed improvements in lower-limb strength and mobility, highlighting the universal benefits of structured PA. The program addresses a critical gap by demonstrating the value of integrating upper-body training into standard care to promote holistic well-being.
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