%0 Journal Article %T Community-based exercise and nutritional interventions to improve frailty syndrome among older adults: A quasi-experimental study. %A Chen LF %A Chang HC %A Cai ZC %A Chen YJ %A Hsu WL %A Chuang YH %A Lee SC %A Huang HC %J Geriatr Nurs %V 51 %N 0 %D May-Jun 2023 3 %M 37018848 %F 2.525 %R 10.1016/j.gerinurse.2023.03.016 %X This study aimed to explore the efficacy of single and combined effects of exercise and branched-chain amino acid (BCAA) supplements on improving frailty and quality of life in older adults. In total, 120 study participants were allocated into a combined exercise-and-BCAA supplementation group, an exercise-only group, a BCAA supplementation-only group, and a control group. Results showed that Fried's frailty score significantly decreased in the combined exercise-and-BCAA supplementation group (β= -1.73, p<0.001), exercise-only group (β= -1.68, p<0.001), and BCAA supplementation-only group (β= -0.73, p=0.005) compared to the control group. Moreover, the combination of exercise and BCAA supplements and the exercise-only program produced significant improvements in frailty compared to the BCAA supplement-only group and control group (p<0.05). Exercise should be a critical approach for older adults to improve frailty. Healthcare professionals in geriatric care should incorporate exercise programs as frailty management and prevention for older adults.