Exercise interventions have small clinical benefits on  PA  levels in community-dwelling older adults , with a decline in the observed improvement after six months of the intervention cessation
Exercise is a form of physical activity ( PA ) .
PA is an important marker of health and quality of life in older adults .
The purpose of this study was to conduct a systematic review of the literature to assess the effect of exercise-based interventions on an at least six-month follow up PA measure , and to describe the specific strategies implemented during the intervention to strengthen the sustainability of PA in community-dwelling 65 + year-old adults .
Patient‐centred physical therapy is (cost‐) effective in increasing physical activity and reducing frailty in older adults with mobility problems: a randomized controlled trial with 6 months follow‐up
Abstract Background Despite the well‐known health benefits of physical activity , it is a great challenge to stay physically active for frail – older adults with mobility limitations . The aim of this study was to test the ( cost‐ ) effectiveness of a patient‐centred physical therapy strategy ( Coach2Move ) in which individualized treatment ( motivational interviewing , physical examination , individualized goal setting , coaching and advice on self management , and physical training ) is combined to increase physical activity level and physical fitness and , thereby , to decrease the level of frailty . Methods A r and omized controlled trial was performed in 13 physical therapy practice s with measurements at 3 and 6 months . Eligible patients were aged 70 years or over and had mobility problems ( i.e. difficulties with walking , moving , getting up and changing position from bed or chair to st and ing , or stair climbing ) . The primary outcome was physical activity ( total and moderate intensity ) in minutes per day . Secondary outcomes were as follows : frailty , walking speed and distance , mobility , and quality of life . Data were analysed using linear mixed models for repeated measurements . Healthcare costs and quality ‐adjusted life years ( QALYs ) were computed and combined using net monetary benefit ( NMB ) for different willingness to pay thresholds . Data on costs , QALYs , and NMBs were analysed using linear mixed models . Results One hundred and thirty patients participated in this study . At 6 months , the between‐group difference was significant for moderate‐intensity physical activity in favour of the Coach2Move group [ mean difference : 17.9 min per day ; 95 % confidence interval ( CI ) 4.0 to 34.9 ; P = 0.012 ] . The between‐group difference for total physical activity was 14.1 min per day ( 95 % CI −6.6 to 34.9 ; P = 0.182 ) . Frailty decreased more in the Coach2Move group compared with usual care [ mean difference : −0.03 ( 95 % CI : −0.06 to −0.00 ; P = 0.027 ) ] . Compared with usual treatment , the Coach2Move strategy result ed in cost savings ( € 849.8 ; 95 % CI : 1607 to 90 ; P = 0.028 ) , an improvement in QALYs , ( 0.02 ; 95 % CI : 0.00 to 0.03 ; P = 0.03 ) , and a higher NMB at every willingness to pay threshold . Conclusions Older adults with mobility problems are able to safely increase physical activity in their own environment and reduce frailty . This study emphasizes both the potential cost‐effectiveness of a patient‐centred approach in the frail elderly and the importance of physical activity promotion in older adults with mobility limitations
Exercise interventions have small clinical benefits on  PA  levels in community-dwelling older adults , with a decline in the observed improvement after six months of the intervention cessation
Exercise is a form of physical activity ( PA ) .
PA is an important marker of health and quality of life in older adults .
The purpose of this study was to conduct a systematic review of the literature to assess the effect of exercise-based interventions on an at least six-month follow up PA measure , and to describe the specific strategies implemented during the intervention to strengthen the sustainability of PA in community-dwelling 65 + year-old adults .