Frailty is a multidimensional clinical syndrome associated with increased vulnerability to adverse health outcomes in older adults. Despite strong evidence supporting multicomponent exercise interventions, their implementation in primary care settings remains limited.
This randomized controlled trial aims to evaluate the efficacy of the FRAIL+AP program, which integrates Comprehensive Geriatric Assessment (CGA) with a 12-week multicomponent exercise intervention, including visual-spatial gait retraining using the Tapiz Fisior system.
The study will assess whether this intervention improves frailty status, physical performance, and functional independence, while reducing falls among community-dwelling older adults compared to standard care.
Community-dwelling adults aged 70 years or older.
Ability and willingness to provide written informed consent.
Medical clearance to participate in low-to-moderate intensity physical exercise.
Functional independence sufficient to participate in the intervention (Barthel Index >80.
Absolute contraindications to physical exercise, including recent acute myocardial infarction, unstable angina, severe uncontrolled cardiovascular disease, or severe uncorrected aortic stenosis.
Severe cognitive impairment preventing comprehension of study procedures or exercise instructions.
Severe psychiatric disorders interfering with participation.
Absence of a legally authorized representative when required.
Alberto Bermejo Franco
Lead sponsor
Universidad Europea de Madrid
Sponsor institution