PHYSICAL EXERCISES IN THE PREVENTION AND TREATMENT OF FRAILTY SYNDROME: IMPACT ON QUALITY OF LIFE OF OLDER PEOPLE

DOI: 10.22138/2500-0918-2025-22-3-316-329

N.S. Vtorushin¹, T.V. Bolotnova², F.I. Badaev³, M.V. Abramushkina², N.S. Okonechnikova²

¹Center for Long-Term Care and Rehabilitation LLC, Yekaterinburg, Russian Federation;
²Tyumen State Medical University Ministry of Health of the Russian Federation,
Tyumen, Russian Federation;
³Sinara Group Joint-Stock Company, Yekaterinburg, Russian Federation

Abstract: The purpose of this article is to study the effectiveness of physical exercise in the treatment and prevention of frailty syndrome by analyzing current publications and clinical trial results. The review covers data from the last 25 years, focusing on the use of various forms of exercise therapy — aerobic, strength exercises, as well as exercises to improve coordination and balance.
The analysis revealed a significant positive effect of regular physical activity on the functionality of the body of elderly patients, helping to reduce the risk of falls, increase physical endurance and improve overall well-being. An increase in emotional background, a decrease in depressive states and an increase in the quality of life of elderly people were noted. The most effective were combinations of different types of exercises, allowing a comprehensive effect on the patient's body. Thus, physical activity is recognized as an important component of a comprehensive strategy for managing elderly patients with symptoms of frailty, significantly increasing functionality and overall well-being. Objective: To study the effectiveness of physical exercise in the treatment and prevention of frailty based on an analysis of current literature. Methods and materials. An analysis of scientific articles and clinical studies over the past 25 years devoted to the use of various methods of therapeutic physical culture (LFK), including aerobic and strength exercises, balance and coordination exercises, was conducted. The review included studies that meet the criteria of evidence-based medicine and use standardized methods for assessing the functional state and quality of life. Results. The analysis showed that physical exercise significantly improves the functional capabilities of elderly patients with frailty syndrome, reducing the risk of falls and improving physical endurance. A positive effect on the psychoemotional state of patients was observed, which led to an improvement in their overall quality of life. A comparison of the effectiveness of various methods was carried out with each other and specific positive effects from them were identified, as a result of which a number of tables were compiled demonstrating the differences in their effectiveness. Conclusions. Physical exercise is an effective element of an integrated approach to the treatment of elderly people with frailty syndrome and other geriatric syndromes. They help improve the functional capabilities and improve the quality of life of the elderly. The results of the analysis showed that combined programs that include different types of physical exercises are the most effective.

Keywords: frailty syndrome, physical exercises, geriatric center, sarcopenia, quality of life, elderly people

There is no conflict of interest.
Contact details of the corresponding author:
Nikita S. Vtorushin
drelf7@gmail.com
Recieved 17.03.2025
For citation: Vtorushin N.S., Bolotnova T.V., Badaev F.I., Abramushkina M.V., Okonechnikova N.S. Physical exercises in the prevention and treatment of frailty syndrome: impact on quality of life of older people. [Online] Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2025, Vol. 22, no. 3, pp. 316–329. DOI: 10.22138/2500-0918-2025-22-3-316-329 (In Russ)

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Authors
Nikita S. Vtorushin
LLC “Long-term Care and Rehabilitation Center”
Medical Director
drelf7@gmail.com
ORCID ID: 0009-0008-1756-0166
eLibrary SPIN: 3642-1659
Yekaterinburg, Russian Federation

Tatyana V. Bolotnova
Tyumen State Medical University
Doctor of Medical Sciences, Professor, Honored Doctor of the Russian Federation, Chief freelance geriatrician of the Tyumen region, Head of the Department of Internal Medicine, Outpatient Therapy, and Family Medicine
ORCID: 0000-0002-9776-5506
eLibrary SPIN: 9385-2839
Tyumen, Russian Federation

Felix I. Badaev
JOINT STOCK COMPANY SINARA GROUP
Doctor of Medical Sciences, Chief Consultant
ORCID: 0000-0002-3353-6149
eLibrary SPIN: 9444-3209
Yekaterinburg, Russian Federation

Mayia V. Abramushkina
Tyumen State Medical University
Candidate of Medical Sciences, Associate Professor of the Department of Internal Medicine, Outpatient Therapy, and Family Medicine
ORCID: 0009-0001-8873-4548
Tyumen, Russian Federation

Natalia S. Okonechnikova
Tyumen State Medical University
Candidate of Medical nces, Associate Professor of the Department of Internal Medicine, Outpatient Therapy, and Family Medicine
ORCID: 0009-0002-9700-4085
eLibrary SPIN: 9204-2439
Tyumen, Russian Federation