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Conducting a multimodal exercise program in primary and secondary prevention of mobility disabilty in older adults at risk: guidelines and practical applications Volume 21, issue 1, Mars 2023

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Authors
1 Service de médecine du vieillissement, Hospices civils de Lyon, Hôpital Lyon-Sud, Pierre-Bénite, France
2 Programme « Bien sur ses Jambes », service de médecine du vieillissement, Hôpital Lyon-Sud, Pierre-Bénite, France
3 Ministère des sports et des Jeux olympiques et paralympiques, Direction des sports, Bureau de l’élaboration des politiques du sport (DS.1A), Stratégie nationale sport-Santé, Paris, France
4 Ministère des solidarités et de la santé, Direction générale de la cohésion sociale, Paris, France
5 École de kinésiologie et des sciences de l’activité physique (EKSAP), Faculté de médecine, Université de Montréal, Montréal, Québec, Canada
6 Centre de recherche de l’Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada
7 Centre interdisciplinaire de recherche sur le cerveau et l’apprentissage (CIRCA), Montréal, Québec, Canada
8 UMR Inserm 1093, Laboratoire CAPS (cognition, action, et plasticité sensorimotrice), Université de Bourgogne, UFR STAPS, Campus universitaire, Dijon France
9 Ministère des sports et des Jeux olympiques et paralympiques, Pôle ressources national sport santé bien-être, CREPS AURA/Vichy, Bellerive-sur Allier, France
10 Université Côte-d’Azur, LAMHESS UPR 6312, Nice, France
11 Inserm 1060-CarMeN, Université Claude-Bernard Lyon-1, Villeurbanne, France
* Correspondance : L. Delaire

The implementation of strategies to prevent mobility disability in seniors at-risk with a strong focus on exercise is a public health imperative. These strategies must follow a pragmatic, structured and personalized approach. In order to obtain short, medium and long-term benefits, it is essential to consider the coordination of adapted physical exercise programs and to harmonize good practices. In support of national policies for the prevention of loss of autonomy, it is important to define clear guidelines to conduct effective programs. These programs should have a strong emphasis on evidence-based literature and should be validated by a consensus of multi-professional experts. The aim of this consensus is to outline the steps implementing these programs, to present their constituent elements and their practical application. Conception and elaboration of these programs should include frequency, intensity, duration, type of work, volume and individual progressiveness. Programs should also be focused on a personalised approach to develop participant health education, self-efficacy and empowerment for physical activity to ensure long-term health related behaviours. Moreover, trained professionals must supervise these programs in order to assure participants safety and program effectiveness. These guidelines will support policies for the prevention of loss of autonomy and mobility, throughout their development over the national territory.