Older Adults
Conditions
Keywords
multicomponent exercise training, older adults, physical activity, physical performance, Pre-frailty, Coronavirus Disease 2019 pandemic
Brief summary
This pilot study aimed to examine the efficacy of a home-based multicomponent exercise training program in older community- dwellers during to the Coronavirus Disease 2019.
Detailed description
This pilot study aimed to examine the efficacy of a home-based multicomponent exercise training program in older community- dwellers during to the Coronavirus Disease 2019. Design: A two-arm parallel cluster randomized controlled trial. Older adults ≥60 years old were recruited from eight community units in northern Taiwan. One-hundred and sixty-seven eligible subjects consented to participate in the study. Community units were randomly assigned to either an intervention arm (n=82) or a control arm (n=87). The intervention consisted of one 60-minutes group exercise session once a week in first 8 weeks, and self-management in next 8 weeks. The control arm received an education leaflet. Assessments were performed at baseline and 16 weeks for physical activity, physical performance, and pre-frailty rate. Analysis of covariance or chi-square test adjusted for pretest evaluated the differences between the two study arms.
Interventions
BEHAVIORALmulticomponent exercise training program
One supervised 60 minutes training sessions per week were organized combining warm-up, speed-walking, resistance exercise, static and dynamic balance. Supervised walking sessions were for 10-20 minutes at a target intensity of 13-15 on the Borg scale. Thereafter, 10 resistance exercises targeting lower body, trunk and upper body muscles were performed with elastic band. In addition, participants were instructed to accumulate 150 minutes per week of moderate intensity aerobic activity in bouts of at least 10 minutes, and at least 2-3 days all major muscle groups training.
Sponsors
Chang Gung Memorial Hospital
Shu-Hung Chang
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Intervention model description
The intervention consisted of one 60-minutes group exercise session once a week in first 8 weeks, and self-management in next 8 weeks. The control arm received an education leaflet.
Eligibility
Sex/Gender
ALL
Age
60 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
* older adult with age ≥ 60 years * community-dwelling * no hearing and visual acuity difficulties
Exclusion criteria
* Unconscious * Cognitive impairment or dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity | 4 month follow up | International Physical Activity Questionnaire (IPAQ) |
| short physical performance battery | 4 month follow up | sit-to-stand, standing balance, and gait-speed |
| Frailty | 4 month follow up | Frailty measurement used study of osteoporotic fracture index (SOF) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| upper limb muscle strength | 4 month follow up | hand-grip strength |
| static balance ability | 4 month follow up | single-leg standing with the eyes open |
| physical agility and dynamic balance ability | 4 month follow up | Timed-Up and Go and Functional Reach Test |
Countries
Taiwan
Outcome results
None listed