Effect of adding Vivifrail©multicomponent exercise to conventional exercise on walking speed and quality of life of elderly with frailty syndrome at Surabaya nursing home

As the elderly population worldwide increases, frailty syndrome becomes a problem that needs attention because it causes health issues and unwanted clinical outcomes, physical limitations, disability, and poor quality of life. Vivifrail is a multi-component exercise program that has become an international reference for preventing frailty and falls in the elderly. This study aims to determined the effect of adding multicomponent exercise to conventional exercise on walking speed and quality of life elderly with frailty syndrome. Twenty-six elderly in the intervention group received Vivifrail exercises 5 times weekly for 4 weeks. Participants in both groups were required to take part in conventional exercises 5-7x/week for ±15 minutes. Walking speed as measured using the 6-meters walking speed test (6mWS) and quality of life using the EQ-5D and EQ-VAS questionnaire at baseline (pre-test) and after 4 weeks of intervention (post-test). There was a significant increase in the 6mWS score (p=0.003), a decrease in the EQ-5D score (p=0.039), and an increase in the EQ-VAS score (p=0.011) in the intervention group. In the control group, there was no significant change in either 6mWS (p=0.402), EQ-5D (p=0.705), or EQ-VAS (p=0.495). There was a significant difference in the 6mWS value between groups after 4 weeks of treatment with p-value of 0.003 and an effect size of 1.304. EQ-5D and EQ-VAS also showed significant differences with p-values of 0.004 and 0.002, respectively. Effect sizes of 0.57 and 0.59 indicated that the difference between the groups was included in the moderate category. The addition of Vivifrail multicomponent exercise to conventional exercise in the elderly with frailty syndrome provides changes in the form of increased walking speed and quality of life as measured using 6mWS, EQ-5D, and EQ-VAS.