Objective: The aim of this study was to compare the effectiveness of supervised and unsupervised functional level-based exercises program for elderly inpatients on physical activity, mobility, health-related quality of life and depression status.

Design: A single-blinded randomised controlled trial.

Setting: Internal medicine service.

Subjects: Patients aged 65 years or older.

Interventions: A supervised functional level-based exercise program was applied to the intervention group by a physiotherapist, for 40 min 5 times a week during their hospitalisation. Patients in the control group were asked to perform an unsupervised functional level-based exercise program which was described by the physiotherapist during the first visit.

Main Measures: Mobility, physical activity level and health-related quality of life were assessed at admission and discharge in both groups. Depression status was evaluated at admission and 3 months after discharge.

Results: Sociodemographic features between intervention group ( = 62) and control group ( = 62) were similar. The intervention group showed a higher increment in mobility, physical activity level and quality of life scores than the control group ( = 0.62,  < 0.05;  = 0.57,  < 0.05;  = 1.12,  < 0.05 respectively). Inpatients in the intervention group, depression scores were lower 3 months after discharge ( = 0.42,  < 0.05). The length of stay in the hospital was not different between the groups.

Conclusions: A supervised functional level-based exercise program is more effective than an unsupervised functional level-based exercise program for mobility, physical activity, depression and quality of life in elderly inpatients. These positive contributions are seen within a short period like a 5 to 10 days stay in hospital.

Trial Registration: ClinicalTrials.gov(NCT03516032).

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http://dx.doi.org/10.1177/02692155221116818DOI Listing

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