To evaluate the effectiveness of an Adapted Physical Activity (APA) program in improving functional capacity and reducing frailty in older adults following hospital discharge.
The aim is to determine whether a structured program of personalized exercises improves mobility, strength, and quality of life compared to standard care.
The study is open to individuals aged 65 and older.
Current diagnosis or recent history of cancer.
Patients currently undergoing treatment (chemotherapy, immunotherapy, targeted therapy) or in follow-up after recent treatment (≤12 months since completion).
Functional capacity compatible with participation in an adapted physical activity program, as determined by clinical assessment.
Short Physical Performance Battery> 10: Patients considered "robust" are excluded to maximize the relevance of the intervention.
Acute unstable medical condition or contraindication to exercise: Any unstabilized acute condition that makes physical activity dangerous (e.g., acute cardiac complication, ongoing severe infection). Recent major medical events (myocardial infarction, major surgery, bone fracture, or major amputation in the past few weeks) will also be excluded.
Severe chronic conditions incompatible with exercise: Severe progressive diseases that prevent safe exercise, such as severe neuromuscular diseases or advanced organ failure (e.g., end-stage renal failure).
Short-term life-threatening prognosis: Patients in the terminal phase or with a very limited life expectancy (less than 6 months).
Parallel
Adapted Physical Activity Program
Other interventiona 14-week Adapted Physical Activity (APA) program following hospital discharge
routine care
Other interventionParticipants in the control group will receive standard post-discharge care, along with general recommendations for physical activity and healthy lifestyle habits
Improvement in overall physical function assessed by changes in the Short Physical Performance Battery (SPPB) score."
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