None listed
Conditions
Brief summary
Our aim is to investigate the impact of short-term, group-based classes, specifically targeting multiple conditions associated with ageing (sarcopenia, osteoporosis and poor balance), on the health and wellbeing of participants. The common denominator in these classes will be the evidence-based design of the programs and delivery by accredited exercise physiologists. The hypothesis is that participants will improve in their physical capacity, exhibit less signs and symptoms of the target conditions and increase their ability to engage in activities of daily living. This increased functional capacity will be accompanied by improved measures of quality of life.
Interventions
There are three treatment arms. The client will participate in one treatment arm dependent upon the risk factors identified for that individual. Treatments comprise 2 one-hour group-based sessions each week for 10 weeks. The first session each week is 100% exercise, the second session is 50% education and 50% exercise. All sessions are conducted by accredited exercise physiologists. Education content is delivered as an interactive presentation by the facilitator and participants are provided with workbooks containing the education content. Sarcopenia Exercise content: Progressive resistance training completed at Borg RPE level between 6 and 8: chest press, leg press, abdominal curl, leg curl, leg extension, rhomboid row, lat pull down. Cardiovascular warm up and stretching for cool down. Education content: Introduction, strength training, nutrition, muscle hypertrophy and strength. Osteoporosis Exercise content: Combination balance exercises in circuit format – heel toe walking, stepping in a box pattern, single leg stand on foam, ball throwing and catching, step ups. Progressive resistance training completed at Borg RPE level between 6 and 8 – dead lifts, weighted squats, shoulder press. Moderate impact loading exercises – stomping, marching, bounding, jumping. Cardiovascular warm up and stretching for cool down. Education content: Introduction, functional lifting, posture to reduce fracture risk, falls and fractures, exercise and bone health, osteoporosis and osteoarthritis. Balance Exercise content: Combination balance exercises in circuit format – heel toe walking, stepping in a box pattern, single leg stand on foam, ball throwing and catching, step ups. Lower body progressive resistance training completed at Borg RPE level between 6 and 8 – leg press, leg curl, leg extensions, hip abduction, hip adduction. Cardiovascular warm up and stretching for cool down. Education content: Introduction, fall risk factors, fear of falling, role of exercise, lower body strength and falls, how to recover from a fall, osteoporosis and falls, environmental risk factors and hazard identification. Session attendance records are kept to monitor participant attendance and compliance.
Sponsors
Study design
Eligibility
Inclusion criteria
Individuals aged 50 years or older who are independently mobile (including with a walking aid). Individuals with a history of, or at risk of, sarcopenia, osteoporosis or poor balance. Risk will be assessed using the clinical judgement of accredited exercise physiologists and will based in the major global risk factors of age and low physical activity levels. Per condition risk will be - Sarcopenia: low leg and grip strength. Osteoporosis: gender, menopause onset, body mass and family history. Poor balance: fall history, low leg strength and poor balance test performance.
Exclusion criteria
Individuals who are clinically unstable with contraindications to exercise or those with cognitive impairment or intellectual disability that prevents them from providing personal informed consent to participate.