Effectiveness of a Lifestyle Physical Activity Versus a Structured Exercise Intervention in Older Adults

Roie, Evelien Van; Delecluse, Christophe; Opdenacker, Joke; Bock, Katrien De; Kennis, Eva; Boen, Filip

doi:10.1123/japa.18.3.335

Cited by 62 publications

(101 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Table S2). No article had risk of bias related to incomplete outcomes and selective reporting, 6 NRS articles had risk of selection bias [40][41][42][43][44][45][46] , and 5 articles (2 RCTs [37,39] , 3 NRS [40][41][42] ) had a risk of performance bias.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…In total, 6 RCTs were included. Seven articles [40][41][42][43][44][45][46] reported NRS. Among these, 3 articles [40][41][42] reported before-after studies focusing on feasibility [40][41][42] , acceptance [41,42] , motor performances [40][41][42] , and behavioural change [41] .…”

Section: Study Selectionmentioning

confidence: 99%

“…Among these, 3 articles [40][41][42] reported before-after studies focusing on feasibility [40][41][42] , acceptance [41,42] , motor performances [40][41][42] , and behavioural change [41] . Four articles [43][44][45][46] reported 1 controlled trial including effects on fitness and cardiorespiratory risk factors [46] , and short- [43] and long-term effects on physical activity (PA) [44,45] .…”

Section: Study Selectionmentioning

confidence: 99%

“…One of them additionally evaluated effects on behaviour change [41] . One controlled trial compared a combined "Home-Based Lifestyle" (HBL) intervention and a gym-based structured exercise programme [43][44][45][46] . Sample sizes ranged from 8 [40] to 86 participants [43][44][45][46] , mean age from 63.3 [43][44][45][46] to 80.8 years [40] , and percentage of women from 50 [43][44][45][46] to 100% [41] .…”

Section: Studies Using An Nrs Designmentioning

confidence: 99%

“…One controlled trial evaluated the HBL concept aimed at improving PA, cardiorespiratory and muscular fitness, and functional performance in sedentary older adults [43][44][45][46] . HBL is a combined programme including integrated functional exercise (e.g., climbing stairs, squatting while gardening), integrated PA (e.g., walking instead of taking the bus), and structured exercises focusing on balance (e.g., one-leg stand while standing behind a chair), strength (e.g., arm curls), and endurance (e.g., jogging, cycling, or hiking).…”

Section: Studies Using An Nrs Designmentioning

confidence: 99%

See 4 more Smart Citations

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

et al. 2017

View full text Add to dashboard Cite

Background: Traditionally, exercise programmes for improving functional performance and reducing falls are organised as structured sessions. An alternative approach of integrating functional exercises into everyday tasks has emerged in recent years. Objectives: Summarising the current evidence for the feasibility and effectiveness of interventions integrating functional exercise into daily life. Methods: A systematic literature search was conducted including articles based on the following criteria: (1) individuals ≥60 years; (2) intervention studies of randomised controlled trials (RCTs) and non-randomised studies (NRS); (3) using a lifestyle-integrated approach; (4) using functional exercises to improve strength, balance, or physical functioning; and (5) reporting outcomes on feasibility and/or effectiveness. Methodological quality of RCTs was evaluated using the PEDro scale. Results: Of 4,415 articles identified from 6 databases, 14 (6 RCTs) met the inclusion criteria. RCT quality was moderate to good. Intervention concepts included (1) the Lifestyle-integrated Functional Exercise (LiFE) programme integrating exercises into everyday activities and (2) combined programmes using integrated and structured training. Three RCTs evaluated LiFE in community dwellers and reported significantly improved balance, strength, and functional performance compared with controls receiving either no intervention, or low-intensity exercise, or structured exercise. Two of these RCTs reported a significant reduction in fall rate compared with controls receiving either no intervention or low-intensity exercise. Three RCTs compared combined programmes with usual care in institutionalised settings and reported improvements for some (balance, functional performance), but not all (strength, falls) outcomes. NRS showed behavioural change related to LiFE and feasibility in more impaired populations. One NRS comparing a combined home-based programme to a gym-based programme reported greater sustainability of effects in the combined programme. Conclusions: This review provides evidence for the effectiveness of integrated training for improving motor performances in older adults. Single studies suggest advantages of integrated compared with structured training. Combined programmes are positively evaluated in institutionalised settings, while little evidence exists in other populations. In summary, the approach of integrating functional exercise into daily life represents a promising alternative or complement to structured exercise programmes. However, more RCTs are needed to evaluate this concept in different target populations and the potential for inducing behavioural change.

show abstract

Section: Methodological Qualitymentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Studies Using An Nrs Designmentioning

confidence: 99%

Section: Studies Using An Nrs Designmentioning

confidence: 99%

See 3 more Smart Citations

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

et al. 2017

View full text Add to dashboard Cite

show abstract

Relative sit‐to‐stand power: aging trajectories, functionally relevant cut‐off points, and normative data in a large European cohort

Alcázar

Alegre

Roie

et al. 2021

J cachexia sarcopenia muscle

Self Cite

View full text Add to dashboard Cite

Background A validated, standardized, and feasible test to assess muscle power in older adults has recently been reported: the sit‐to‐stand (STS) muscle power test. This investigation aimed to assess the relationship between relative STS power and age and to provide normative data, cut‐off points, and minimal clinically important differences (MCID) for STS power measures in older women and men. Methods A total of 9320 older adults (6161 women and 3159 men) aged 60–103 years and 586 young and middle‐aged adults (318 women and 268 men) aged 20–60 years were included in this cross‐sectional study. Relative (normalized to body mass), allometric (normalized to height squared), and specific (normalized to legs muscle mass) muscle power values were assessed by the 30 s STS power test. Body composition was evaluated by dual energy X‐ray absorptiometry and bioelectrical impedance analysis, and legs skeletal muscle index (SMI; normalized to height squared) was calculated. Habitual and maximal gait speed, timed up‐and‐go test, and 6 min walking distance were collected as physical performance measures, and participants were classified into two groups: well‐functioning and mobility‐limited older adults. Results Relative STS power was found to decrease between 30–50 years (−0.05 W·kg−1·year−1; P > 0.05), 50–80 years (−0.10 to −0.13 W·kg−1·year−1; P < 0.001), and above 80 years (−0.07 to −0.08 W·kg−1·year−1; P < 0.001). A total of 1129 older women (18%) and 510 older men (16%) presented mobility limitations. Mobility‐limited older adults were older and exhibited lower relative, allometric, and specific power; higher body mass index (BMI) and legs SMI (both only in women); and lower legs SMI (only in men) than their well‐functioning counterparts (all P < 0.05). Normative data and cut‐off points for relative, allometric, and specific STS power and for BMI and legs SMI were reported. Low relative STS power occurred below 2.1 W·kg−1 in women (area under the curve, AUC, [95% confidence interval, CI] = 0.85 [0.84–0.87]) and below 2.6 W·kg−1 in men (AUC [95% CI] = 0.89 [0.87–0.91]). The age‐adjusted odds ratios [95% CI] for mobility limitations in older women and men with low relative STS power were 10.6 [9.0–12.6] and 14.1 [10.9–18.2], respectively. MCID values for relative STS power were 0.33 W·kg−1 in women and 0.42 W·kg−1 in men. Conclusions Relative STS power decreased significantly after the age of 50 years and was negatively and strongly associated with mobility limitations. Our study provides normative data, functionally relevant cut‐off points, and MCID values for STS power for their use in daily clinical practice.

show abstract

Semi-structured physical activity intervention in daily life: a good compromise between effectiveness and feasibility

et al. 2018

View full text Add to dashboard Cite

Effectiveness of a Lifestyle Physical Activity Versus a Structured Exercise Intervention in Older Adults

Cited by 62 publications

References 41 publications

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

Relative sit‐to‐stand power: aging trajectories, functionally relevant cut‐off points, and normative data in a large European cohort

Semi-structured physical activity intervention in daily life: a good compromise between effectiveness and feasibility

Contact Info

Product

Resources

About