Fragility, Physical Disability
Conditions
Keywords
institutionalized ADL fitness care-dependency
Brief summary
Questions: Does an evidence-based exercise program increase activities of daily living and physical fitness in institutionalized older adults? Does this program decrease the care dependency of institutionalized older adults? Design: A randomized control trial using group-based exercise was performed in 14 assisted-living facilities for the elderly (\>70 years old). Outcome measures: Outcome measures were performance on ADL, physical fitness, and care dependency measures. The exercise program comprised group-based progressive resistance training, balance training, and functional training. The control intervention comprised social group meetings.
Detailed description
To improve physical fitness, a combined exercise program including progressive resistance training, balance training, and functional training will be used in a sample of institutionalized elderly people. The exercise program has a frequency of 2 times a week and a duration of 16 weeks. The intensity is moderate, measured on a 0-10 scale. The level of intensity is specified as follows: on a 10- point scale, where no movement is 0 and maximal effort of a muscle group is 10, moderate-intensity effort is a 5 or 6, and high- intensity effort is a 7 or 8. There is currently insufficient evidence that a combined exercise program, developed to improve physical fitness, can improve ADL performance and care dependency also.
Interventions
BEHAVIORALPhysical exercise intervention
the experimental intervention included group- based progressive resistance training, balance training, and functional training, two times a week, one hour sessions, lasting 16 weeks.
BEHAVIORALLifestyle counseling
the control intervention included recreational sessions, including talks, video's, music, board games etc. No physical activity was involved in the control intervention.
Sponsors
University Medical Center Groningen
Hanze University of Applied Sciences Groningen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 70 and older * Being able to walk at least 10 meters * Not cognitive impaired
Exclusion criteria
* Dementia * Severe hart failure * Progressive neurological diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ADL performance in institutionalized elderly people | 16 weeks | the intervention was either an group -based exercise program (the experimental intervention), or a recreational program (the control intervention), lasting 16 weeks, two times a week, including one hour sessions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical fitness in institutionalized older people | 16 weeks | the intervention was either an group -based exercise program (the experimental intervention), or a recreational program (the control intervention), lasting 16 weeks, two times a week, including one hour sessions |
| Care dependency in institutionalized older people | 16 weeks | the intervention was either an group -based exercise program (the experimental intervention), or a recreational program (the control intervention), lasting 16 weeks, two times a week, including one hour sessions |
Countries
Netherlands
Outcome results
None listed