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Jean-Marie Claude Alexandre Goujon - Wikipedia

Official websites use. Share sensitive information only on official, secure websites. Reduced mobility is the first sign of functional decline and can lead to dependency in elderly people. Screening for the risk of mobility limitation in this population is an important public health issue to prevent further disabilities. Despite the current lack of guidelines, primary care healthcare providers may have a central role to play in this type of screening.

To avoid contamination bias, the unit of randomization will be the GP practice. In the intervention group, patients will consult a geriatrician and a dietician, and will receive a physical training program from a personal trainer who will demonstrate the exercises and provide follow-up coaching.

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The control group will receive standard care. This study is registered in ClinicalTrials. Senior citizens are particularly exposed to the risk of dependency or functional disabilities, which represent in industrial countries a large proportion of current healthcare costs. It is also a major concern for the future considering current demographics as, although life expectancy continues to increase, life expectancy without disability tends to remain stable, and therefore the burden of disability in older people is set to increase [ 1 , 2 ].

Disease, cellular aging, musculoskeletal changes, and undernutrition all contribute to decrease muscle mass which leads to sarcopenia in older adults [ 3 , 4 ]. Loss of muscle mass also causes a reduced muscle strength and a decrease of maximal oxygen uptake [ 5 ]; this ultimately leads to a mobility limitation [ 6 ] and a vicious circle is established as this in turn leads to loss of muscle mass [ 7 ].

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It is predictive of dependence and the first sign of functional decline [ 10 , 12 ], which increases the likelihood of depression [ 13 ], risk of falls and fractures [ 14 ], institutionalization [ 15 ] and mortality [ 16 ], and lowers quality of life. Mobility limitation is also considered as part of the definition of frailty. For example, Fried et al. To preserve muscle strength, non-pharmacological interventions promoting physical exercise or improving nutrition could be important.

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