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International Journal of
Population Studies Exercise and frailty in older adults
Table 1. Key bibliometric information tested various exercise modalities, dosages, delivery modes,
and implementation strategies. Reviews have synthesized
Description Results evidence on dose-response effects, comparative effectiveness,
Main information about the retrieved data and impacts on outcomes. Randomized controlled trials
Timespan 1987 – 2024 are considered the gold standard in clinical research for
Sources (journals, books, etc) 231 determining the effectiveness of interventions (Akobeng,
Documents 447 2005). In the field of frailty, these trials are critical for
Annual growth rate (%) 0 evaluating a range of exercise programs and their outcomes
Document average age 7.91 on seniors’ health (Angulo et al., 2020; Mulasso et al.,
Average citations per doc 40.67 2022). They examine different exercise modalities, such as
strength training or aerobic activity (Aguirre & Villareal,
Document content 2019), and assess the optimal dosage and best approaches
Keywords plus (ID) 1,276 for administering these programs to the elderly population.
Author’s keywords (DE) 770 Systematic reviews and meta-analyses, on the other
Authors hand, aggregate findings from multiple studies to provide a
Authors 2,352 comprehensive overview of the research landscape (Ahn &
Authors of single-authored documents 13 Kang, 2018; Tawfik et al., 2019). By pooling the data from
Authors’ collaboration various high-quality trials, systematic reviews can assess
Single-authored documents 14 the dose-response effects of exercise, which refers to how
Co-authors per documents 10.8 changes in exercise regimen (e.g., intensity, duration) are
International co-authorships (%) 3.803 related to the level of improvement in frailty symptoms.
Document types These reviews also evaluate comparative effectiveness,
comparing different types of exercise or interventions
Article 371 to determine which are most effective for preventing or
Article; book chapter 1 mitigating frailty. In addition, systematic reviews and meta-
Article; early access 4 analyses examine the impacts of exercise interventions
Article; retracted publication 1 on outcomes such as mobility, independence, and overall
Conference paper 1 quality of life for seniors (Brigola et al., 2015; Han et al.,
Proceedings paper 4 2023). They synthesize evidence to inform clinical practice
Review 64 and policymaking, guiding health-care providers in
recommending the most effective exercise strategies for
Review; early access 1
the prevention and management of frailty.
3.3.3 Cognition cluster (blue)
The cognition cluster, indicated by keywords such as
“cognitive frailty” and “cognitive impairment,” showcases a
rising interest in the mental aspects associated with frailty
in elderly populations (Han et al., 2023). Growing evidence
underlines cognitive decline as both a component and a
consequence of frailty, noting that the two often coexist.
Research in this area is delving into the bidirectional
relationship between physical and cognitive decline,
suggesting that physical frailty can contribute to cognitive
deterioration, while cognitive issues can exacerbate
Figure 2. Publication trends in research on exercise and frailty physical frailty (Azizan et al., 2021; Hwang et al., 2023; Peng
et al., 2023). This complex interplay, where impairments in
3.3.2. Clinical trials cluster (green) one domain can negatively influence the other, often leads
to a cycle that accelerates the overall decline in health and
Keywords such as “randomized controlled trials,” functioning in older adults (Xue et al., 2022).
“systematic reviews,” and “meta-analyses” indicate the
growth of intervention studies (Shears et al., 2017; Negm Awareness of this interconnectedness is driving
et al., 2019; Negm et al., 2017). High-quality trials have investigations into how combined interventions could
Volume 11 Issue 1 (2025) 5 https://doi.org/10.36922/ijps.3282

