With age, some individuals experience physical frailty and difficulties in their thinking abilities (i.e., cognitive frailty). This increases the risk of falls and dementia, both of which negatively impact one’s ability to function and quality of life. Falls are a major reason why older adults suddenly go from independent living to long-term care. Thus, it is important to find ways to reduce falls and promote cognitive health in cognitively frail older adults.
Past research shows exercise can reduce falls and promote cognitive function in older adults. However, it is not known whether these benefits apply to those with cognitive frailty. To address this knowledge gap, we will conduct a 12-month home-based exercise program, delivered by physical therapists (PTs), in 328 community-dwelling adults aged 70-89 with cognitive frailty and a history of falls. To increase participation and follow through with the home-based exercise program, PTs will work with each older adult to set exercise goals and create action plans.
Given the immense health burden of falls in cognitively frail older adults, our study could have major health benefits and guide future strategies that positively add life to years among those with cognitive frailty.