{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T22:21:12Z","timestamp":1790029272204,"version":"4.0.1"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:00:00Z","timestamp":1700524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010198","name":"Ministerio de Asuntos Econ\u00f3micos y Transformaci\u00f3n Digital, Gobierno de Espa\u00f1a","doi-asserted-by":"publisher","award":["PI17\/01814"],"award-info":[{"award-number":["PI17\/01814"]}],"id":[{"id":"10.13039\/501100010198","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010434","name":"'la Caixa' Foundation","doi-asserted-by":"publisher","award":["LCF\/PR\/PR15\/51100006"],"award-info":[{"award-number":["LCF\/PR\/PR15\/51100006"]}],"id":[{"id":"10.13039\/100010434","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J cachexia sarcopenia muscle"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Bed rest during hospitalization can negatively impact functional independence and clinical status of older individuals. Strategies focused on maintaining and improving muscle function may help reverse these losses. This study investigated the effects of a short\u2010term multicomponent exercise intervention on maximal strength and muscle power in hospitalized older patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This secondary analysis of a randomized clinical trial was conducted in an acute care unit in a tertiary public hospital. Ninety (39 women) older patients (mean age 87.7\u00a0\u00b1\u00a04.8\u00a0years) undergoing acute\u2010care hospitalization [median (IQR) duration 8 (1.75) and 8 (3) days for intervention and control groups, respectively]) were randomly assigned to an exercise intervention group (<jats:italic>n<\/jats:italic>\u00a0=\u00a044) or a control group (<jats:italic>n<\/jats:italic>\u00a0=\u00a046). The control group received standard care hospital including physical rehabilitation as needed. The multicomponent exercise intervention was performed for 3 consecutive days during the hospitalization, consisting of individualized power training, balance, and walking exercises. Outcomes assessed at baseline and discharge were maximal strength through 1 repetition maximum test (1RM) in the leg press and bench press exercises, and muscle power output at different loads (\u226430% of 1RM and between 45% and 55% of 1RM) in the leg press exercise. Mean peak power during 10 repetitions was assessed at loads between 45% and 55% of 1RM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At discharge, intervention group increased 19.2\u00a0kg (Mean \u0394%\u00a0=\u00a040.4%) in leg press 1RM [95% confidence interval (CI): 12.1, 26.2\u00a0kg; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001] and 2.9\u00a0kg (Mean \u0394%\u00a0=\u00a019.7%) in bench press 1RM (95% CI: 0.6, 5.2\u00a0kg; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). The intervention group also increased peak power by 18.8\u00a0W (Mean \u0394%\u00a0=\u00a069.2%) (95% CI: 8.4, 29.1\u00a0W; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and mean propulsive power by 9.3 (Mean \u0394%\u00a0=\u00a026.8%) W (95% CI: 2.5, 16.1\u00a0W; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.002) at loads \u226430% of 1RM. The intervention group also increased peak power by 39.1\u00a0W (Mean \u0394%\u00a0=\u00a060.0%) (95% CI: 19.2, 59.0\u00a0W; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and mean propulsive power by 22.9\u00a0W (Mean \u0394%\u00a0=\u00a064.1%) (95% CI: 11.7, 34.1\u00a0W; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) at loads between 45% and 55% of 1RM. Mean peak power during the 10 repetitions improved by 20.8\u00a0W (Mean \u0394%\u00a0=\u00a036.4%) (95% CI: 3.0, 38.6\u00a0W; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.011). No significant changes were observed in the control group for any endpoint.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An individualized multicomponent exercise program including progressive power training performed over 3\u00a0days markedly improved muscle strength and power in acutely hospitalized older patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcsm.13375","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T19:24:26Z","timestamp":1700767466000},"page":"2959-2968","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Effects of short\u2010term multicomponent exercise intervention on muscle power in hospitalized older patients: A secondary analysis of a randomized clinical trial"],"prefix":"10.1002","volume":"14","author":[{"given":"Eduardo L.","family":"Cadore","sequence":"first","affiliation":[{"name":"Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance Universidade Federal do Rio Grande do Sul  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1506-4272","authenticated-orcid":false,"given":"Mikel","family":"Izquierdo","sequence":"additional","affiliation":[{"name":"Navarrabiomed Hospital Universitario de Navarra (HUN)\u2010Universidad P\u00fablica de Navarra (UPNA), IdiSNA  Pamplona Spain"},{"name":"CIBER of Frailty and Healthy Aging (CIBERFES) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Lopes","family":"Teodoro","sequence":"additional","affiliation":[{"name":"Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance Universidade Federal do Rio Grande do Sul  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00e1s","family":"Mart\u00ednez\u2010Velilla","sequence":"additional","affiliation":[{"name":"Navarrabiomed Hospital Universitario de Navarra (HUN)\u2010Universidad P\u00fablica de Navarra (UPNA), IdiSNA  Pamplona Spain"},{"name":"CIBER of Frailty and Healthy Aging (CIBERFES) Instituto de Salud Carlos III  Madrid Spain"},{"name":"Department of Geriatric Hospital Universitario de Navarra (HUN)  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabricio","family":"Zambom\u2010Ferraresi","sequence":"additional","affiliation":[{"name":"Navarrabiomed Hospital Universitario de Navarra (HUN)\u2010Universidad P\u00fablica de Navarra (UPNA), IdiSNA  Pamplona Spain"},{"name":"CIBER of Frailty and Healthy Aging (CIBERFES) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio Hideyuki","family":"Moriguchi","sequence":"additional","affiliation":[{"name":"School of Medicine Universidade Federal do Rio Grande do Sul  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikel L.","family":"S\u00e1ez de Asteasu","sequence":"additional","affiliation":[{"name":"Navarrabiomed Hospital Universitario de Navarra (HUN)\u2010Universidad P\u00fablica de Navarra (UPNA), IdiSNA  Pamplona Spain"},{"name":"CIBER of Frailty and Healthy Aging (CIBERFES) Instituto de Salud Carlos III  Madrid 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