title: Health Promotion Can Postpone Frailty: Results from the RCT Elderly Persons in the Risk Zone.
abstract: Very old persons (80+) are often described as "frail", implying that they are particularly vulnerable to adverse health outcomes. Elderly Persons in the Risk Zone was designed to determine whether a preventive home visit or multiprofessional senior group meetings could postpone deterioration in frailty if the intervention is carried out when the person is not so frail.
  
  
  
  The study was a RCT with follow-ups at 1 and 2 years. A total of 459 persons (80+), still living at home, were included. Participants were independent in activities of daily life and cognitively intact.
  
  
  
  Frailty was measured in two complementary ways, with the sum of eight frailty indicators and with the Mob-T Scale measuring tiredness in daily activities.
  
  
  
  Both interventions showed favorable effects in postponing the progression of frailty measured as tiredness in daily activities for up to 1 year. However, neither of the two interventions was effective in postponing frailty measured with the sum of frailty indicators.
  
  
  
  The results in this study show the potential of health promotion to older persons. The multiprofessional approach, including a broad spectrum of information and knowledge, might have been an important factor contributing to a more positive view of aging.
authors.affiliation: Institute of Neuroscience and Physiology/Occupational Therapy, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.|Vårdalinstitutet, The Swedish Institute for Health Sciences, Universities of Gothenburg and Lund, Gothenburg, Sweden.
authors.forename: Lina
authors.initials: L
authors.lastname: Behm
authors.affiliation: Institute of Neuroscience and Physiology/Occupational Therapy, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.|Vårdalinstitutet, The Swedish Institute for Health Sciences, Universities of Gothenburg and Lund, Gothenburg, Sweden.
authors.forename: Kajsa
authors.initials: K
authors.lastname: Eklund
authors.affiliation: Vårdalinstitutet, The Swedish Institute for Health Sciences, Universities of Gothenburg and Lund, Gothenburg, Sweden.|Institute of Medicine, Department of Public Health and Community Medicine/Social Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
authors.forename: Katarina
authors.initials: K
authors.lastname: Wilhelmson
authors.affiliation: Institute of Neuroscience and Physiology/Occupational Therapy, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
authors.forename: Lena
authors.initials: L
authors.lastname: Zidén
authors.affiliation: Institute of Neuroscience and Physiology/Occupational Therapy, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
authors.forename: Susanne
authors.initials: S
authors.lastname: Gustafsson
authors.affiliation: Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
authors.forename: Kristin
authors.initials: K
authors.lastname: Falk
authors.affiliation: Institute of Neuroscience and Physiology/Occupational Therapy, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.|Vårdalinstitutet, The Swedish Institute for Health Sciences, Universities of Gothenburg and Lund, Gothenburg, Sweden.
authors.forename: Synneve
authors.initials: S
authors.lastname: Dahlin-Ivanoff
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D016330:Frail Elderly / Q000706:statistics & numerical data*; D015577:Geriatric Assessment; D006293:Health Promotion / Q000379:methods*; D006792:House Calls; D006801:Humans; D008297:Male; D015397:Program Evaluation; D012306:Risk
keywords: Aged; community living elderly; disease prevention; frailty; health promotion; public health nursing