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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
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