The effects of the Home-based Older People's Exercises (HOPE) protocol on functional capacity, falls risk, fear of falling and quality of life in Brazilian women older adults with sarcopenia
DOI:
https://doi.org/10.1590/1980-0037.2025v27e105881Keywords:
functional capacity, older adult, quality of life, sarcopeniaAbstract
This study aimed to investigate the effects of the Home-based Older People’s Exercise (HOPE) program on functional capacity, falls risk, fear of falling, and quality of life in sarcopenic older women living in the Brazilian Federal District. The intervention involved 20 elderly women diagnosed with sarcopenia who participated in a 12-week exercise regimen, twice a week, focusing on functional mobility, strength, and balance. Results showed significant improvements in functional capacity, including better performance in mobility tests and increased muscle strength. Specifically, the Short Physical Performance Battery (SPPB) and handgrip strength improved, and the risk of falls, as well as the fear of falling, decreased significantly. However, no changes were observed in muscle mass. Additionally, quality of life, assessed through the EQ-5D scale, showed marked improvement. Despite the lack of muscle mass changes, the program demonstrated its efficacy in improving mobility, strength, and psychological aspects related to fall risk. The findings suggest that the HOPE protocol can be a valuable, low-cost intervention for improving the health and independence of frail, sarcopenic older adults.
References
Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2018. doi: 10.1093/ageing/afy169.
Cooper SCSEMDC. Epidemiology of sarcopenia: determinants throughout the lifecourse. Calcif Tissue Int. 2017. doi: 10.1007/s00223-017-0277-0.
Sousa CR de, Coutinho JFV, Marques MB, et al. Prevalence and characteristics associated with sarcopenia in elderly people: a cross-sectional study. Rev Bras Enferm. 2023;76:e20220209. https://doi.org/10.1590/0034-7167-2022-0209pt.
Simsek H, Meseri R, Sahin S, et al. Prevalence of sarcopenia and related factors in community-dwelling elderly individuals. Saudi Med J. 2019;40(6):568-574. doi: 10.15537/smj.2019.6.23917.
Schenker M, Costa DH da. Advances and challenges in elderly health care with chronic diseases in Primary Health Care. Cien Saude Colet. 2019;24:1369-1380. https://doi.org/10.1590/1413-81232018244.01222019.
Oliz MM, Dumith SC, Knuth AG. Utilization of physical education services by adults and elderly in the southernmost region of Brazil: a population-based study. Cien Saude Colet. 2020;25(2):541-552. https://doi.org/10.1590/1413-81232020252.14692018.
Harris ERA, Resende HG de, Porto F, Silva NSL da. Reasons for elderly adherence to Third Age Academies. Braz J Geriatr Gerontol. 2020;23(2):e200117. https://doi.org/10.1590/1981-22562020023.200117.
Sa ACAM, Bachion MM, Menezes RL de. Physical exercises to prevent falls: a clinical trial with institutionalized elderly in the city of Goiania, Brazil. 2012;17(8):2117-2127. https://doi.org/10.1590/S1413-81232012000800022.
Cançado BB, Resende JM de AM, Holsbach DR, et al. Influence of multiarticular and monoarticular resistance exercises on the functional capacity of the elderly. Res Soc Dev. 2021;10(8):e26910816954. doi: http://dx.doi.org/10.33448/rsd-v10i8.16954.
Maruya K, Asakawa Y, Ishibashi H, Fujita H, Arai T, Yamaguchi H. Effect of a simple and adherent home exercise program on the physical function of community dwelling adults sixty years of age and older with pre-sarcopenia or sarcopenia. J Phys Ther Sci. 2016;28(11):3183-3188. doi: 10.1589/jpts.28.3183.
Carneiro JL, Ayres JR de CM. Elderly health and primary care: autonomy, vulnerabilities, and the challenges of care. Rev Saude Publica. 2021;55:29. https://doi.org/10.11606/s1518-8787.2021055002856.
Clegg A, Barber S, Young J, Iliffe S, Forster A. The Home-based Older People’s Exercise (HOPE) trial: A pilot randomised controlled trial of a home-based exercise intervention for older people with frailty. Age Ageing. 2014;43(5):687-695. doi: 10.1093/ageing/afu033.
Montero-Odasso M, Van Der Velde N, Martin FC, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022;51(9):afac205. doi: 10.1093/ageing/afac205.
Minosso JSM, Amendola F, Alvarenga MRM, De Campos Oliveira MA. Validation of the Barthel Index for elderly people attended in outpatient clinics in Brazil. ACTA Paul Enferm. 2010;23(2):218-223. doi: 10.1590/S0103-21002010000200011.
Matsudo S, Araújo T, Matsudo V, et al. International Physical Activity Questionnaire (IPAQ): validity and reproducibility study in Brazil. Rev Bras Ativ Fís Saúde. 2012;6(2):5-18. doi: 10.12820/rbafs.v.6n2p5-18.
Cerceau VR, Pinheiro HA, da Silva Boaventura ED, de Matos NM, de Araújo Lima ZRA, Stival MM. Prevalence and associated factors of dysphagia risk in elderly people from the community. Stud Interdisc Aging. 2024;29.
Bidaurrazaga-Letona I, Diz JC, Torres-Unda J, et al. Short physical performance battery reliability and validity in adults with mild to moderate intellectual disability. J Intellect Dev Disabil. 2023;48(3):238-246. https://doi.org/10.3109/13668250.2023.2166198.
Queiroz LL de, Silva LG de O da, Pinheiro HA. Can the timed up and go test be used as a predictor of muscle strength in elderly people? Physiother Res. 2023;30:e22013723en. doi: 10.1590/1809-2950/e22013723pt.
Mehmet H, Robinson SR, Yang AWH. Assessment of gait speed in older adults. J Geriatr Phys Ther. 2020;43(1):42-52. doi: 10.1519/JPT.0000000000000224.
Moreira VG, Perez M, Lourenço RA. Prevalence of sarcopenia and its associated factors: the impact of muscle mass, gait speed, and handgrip strength reference values on reported frequencies. Clinics. 2019;74. doi: 10.6061/clinicas/2019/e477.
Santos FC, Tutiya KK, Barros BF, Martuscello JC, Santos FC. Falls in elderly people: translation, transcultural adaptation, and validation of the Q22-p screening test. 2016;Apr.
Camargos FFO, Dias RC, Dias J, Freire MTF. Transcultural adaptation and psychometric properties of the Falls Efficacy Scale-International in Brazilian elderly (FES-I-BRAZIL). Braz J Phys Ther. 2010;14:237-243. https://doi.org/10.1590/S1413-35552010000300010.
Santos M, Monteiro AL, Santos B. EQ-5D Brazilian population norms. Health Qual Life Outcomes. 2021;19(1):162. doi: 10.1186/s12955-021-01671-6.
McGregor RA, Cameron-Smith D, Poppitt SD. It is not just muscle mass: a review of muscle quality, composition and metabolism during ageing as determinants of muscle function and mobility in later life. Longev Healthspan. 2014;3(1):9. doi: 10.1186/2046-2395-3-9.
Liu C ju, Shiroy DM, Jones LY, Clark DO. Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults. Eur Rev Aging Phys Act. 2014;11(2):95-106. doi: 10.1007/s11556-014-0144-1.
Sherrington C, Fairhall NJ, Wallbank GK, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1(1):CD012424-CD012424. doi: 10.1002/14651858.CD012424.pub2.
Santos SCA dos, Figueiredo DMP de. Predictors of fear of falling in Portuguese elderly people in the community: an exploratory study. Cien Saude Colet. 2019;24(1):77-86. https://doi.org/10.1590/1413-81232018241.29932016.
Rider JV, Longhurst JK, Lekhak N, Navalta JW, Young DL, Landers MR. Psychological factors associated with fear of falling avoidance behavior in Parkinson’s disease: the role of depression, anxiety, and catastrophizing. J Geriatr Psychiatry Neurol. 2023;36(3):215-224. doi: 10.1177/08919887221119974.
Bjerk M, Brovold T, Skelton DA, Bergland A. Associations between health-related quality of life, physical function and fear of falling in older fallers receiving home care. BMC Geriatr. 2018;18:1-8. doi: 10.1186/s12877-018-0945-6.
Schoene D, Heller C, Aung YN, Sieber CC, Kemmler W, Freiberger E. A systematic review on the influence of fear of falling on quality of life in older people: is there a role for falls? Clin Interv Aging. 2019:701-719. doi: 10.2147/CIA.S197857.
