Davies, N;
Frost, R;
Bussey, J;
Hartmann-Boyce, J;
Park, S;
(2020)
Maximising mobility in older people when isolated with COVID-19.
Centre for Evidence-Based Medicine
(In press).
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Abstract
This rapid review focuses on how to minimise development of frailty in people who were previously mobile but are now house-bound due to Covid-19 isolation. There is a paucity of evidence on how to maximise mobility in older people who are isolated at home. This rapid review has four key messages: 1) There is some evidence that doing movement and exercise can reduce elements of frailty. 2) A mixture of resistance, strength and balancing exercises appear most effective in this population. 3) Adding a social element to exercise may improve adherence and motivation for exercise. This may also minimise risk of depression and anxiety which can worsen frailty. 4) There may be a role for technology to support exercise programs via e.g. internet, video games, media broadcasts or phone calls. The latter two will be of particular importance to the 29% of adults over 65 who do not access the internet.
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