Mid-life physical activity is an important factor to maintain mobility in old age.
More attention should be paid to motivating older people to either improve their physical activity or to remain active. Pre-frail and frail older people would need physical activity counseling and regular professional supervised groups to remain active, thus postponing the progression of frailty. Inactive people would need even more intensive counseling and supervision than was offered in the individually tailored comprehensive geriatric intervention.
2. More individually tailored interventions for pre-frail and frail older people Frail older people should be identified and directed to health care, where it is possible to make a CGA by a multidisciplinary geriatric team including a trained geriatrician, a nurse and a physiotherapist. Professionals should use appropriate screening tests and measurements as used in this study. The geriatrics team should also design the treatment and physical activity plan, and deliver individually tailored interventions.
3. To implement a continuous pathway and clear programs to influence the physical functioning of older people
As a basis, this requires a policy comparable to the Act on Care Services for Older People, as well as resources to ensure that older people are not only able to live at home but also to maintain their physical functioning. Early signs of impairments should be identified and lead to interventions. To achieve this target, professionals should be more educated and trained in gerontology and geriatric fields. Geriatric training programs for physicians, nurses and physiotherapists would be recommendable. More basic education for nurses and physiotherapists is also needed.
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