Geriatr Nurs. 2026 Jan 16;68:103803. doi: 10.1016/j.gerinurse.2026.103803. Online ahead of print.
ABSTRACT
This study developed and evaluated a multimodal exercise prescription for older adults with cardiovascular disease (CVD) and frailty to improve physical function and quality of life. A six-month prospective quality improvement initiative was conducted with 46 frail or pre-frail patients (mean age 74.7 ± 7.7 years, 65.2% female). The intervention integrated aerobic, resistance, balance, and flexibility exercises, tailored to patient needs. Frailty prevalence decreased significantly, with 84.8% achieving non-frail status by six months. Muscle strength improved notably, as left-hand grip strength increased from 18.6 ± 6.2 kg to 22.5 ± 5.8 kg, and right-hand grip strength from 19.2 ± 5.6 kg to 23.5 ± 5.4 kg (both p < 0.001). Health-related quality of life scores improved from 92.8 ± 16.4 to 117.9 ± 12.5 (p < 0.001). No cardiovascular deterioration or adverse events occurred. Findings underscore the clinical utility of structured exercise programs in frailty management for older CVD patients.
PMID:41547270 | DOI:10.1016/j.gerinurse.2026.103803