Exercise and health in frail elderly people: a review of randomized controlled trials

Barreto, Philipe de Souto

doi:10.1007/s11556-009-0050-0

Cited by 17 publications

(7 citation statements)

References 44 publications

(171 reference statements)

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“…The lack of strong statistical evidence relating physical HR QoL to group activity is likely to be due to type II error from a small sample and biases of self-report surveys. However, the FG discussions suggested that participants perceived that the PA they did in their LAC program offered them significant physical health and physical capacity benefits; known to be associated with regular PA [6–8]. This contrast in results suggest that larger studies are warranted in future to confirm any association.…”

Section: Discussionmentioning

confidence: 99%

“…Physical activity is an essential component of such strategies because of its vastly known mental and physical health benefits such as chronic disease prevention [6–8], maintenance of functional capacity and cognitive health [9–13]. Despite the wide-ranging benefits of participating in regular PA, global inactivity levels are high and increase with age.…”

Section: Introductionmentioning

confidence: 99%

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A mixed-methods case study exploring the impact of participation in community activity groups for older adults on physical activity, health and wellbeing

et al. 2019

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Background Regular physical activity (PA) has many health benefits but declines with age. Community multi-activity groups offering volunteer-led socially-oriented activity programs could provide an opportunity for older people to maintain or increase PA levels and promote their health. The aim of this study was to examine the potential effect of becoming a member of an existing community activity group on PA levels, physical and mental health-related quality of life (HR QoL), comparing any impacts associated with participation in physical activity or social activity programs. Methods This mixed-methods case study, combining a longitudinal quantitative-survey with qualitative focus groups to contextualise the survey results, focused on an Australian community organisation called Life Activities Clubs (LACs). LACs provide various physical activities (e.g. walking, cycling, dancing) and social activities (e.g. book groups, dine-outs, craft). Data were collected using a self-report survey administered at baseline, six and twelve-months after joining and group differences between participants of PA programs (PA group) and social programs (social group) were analysed using linear mixed-models. Two focus groups with LAC members were held, one representing each activity type and analysed using content and thematic analysis. Results 35 people (mean age 67) completed the surveys and 11 people participated in the focus groups. PA levels and physical health-related QoL were maintained over 1 year in the PA group, and declined between baseline and 12-months in the social group. Focus groups suggested social aspects of PA programs increased motivation to maintain regular attendance and do more PA than participants would on their own and that physical activities provided health benefits. Mental HR QoL did not change in either group, focus groups suggested this was because the social aspects of both types of program provide benefits relating to mental health including stress relief, enjoyment and adapting to major life events, to prevent a decline in QoL. Conclusions Community PA programs appear to maintain PA levels and physical HR QoL in older adults, and both social and PA programs may maintain mental HR QoL. Incorporating both types of program into one organisation may also encourage less physically active members to try physical activities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A mixed-methods case study exploring the impact of participation in community activity groups for older adults on physical activity, health and wellbeing

et al. 2019

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“…Because a low level of physical activity is strongly related to frailty, 38,39 exercise programs could be a feasible way to improve health in this population. However, the feasibility and effectiveness of exercise in frail older populations is still not well-known, 40 and further research is needed on this topic.…”

Section: Discussionmentioning

confidence: 99%

Are Older Adults Who Volunteer to Participate in an Exercise Study Fitter and Healthier Than Nonvolunteers? The Participation Bias of the Study Population

Barreto

Ferrandez²,

Saliba-Serre³

2013

Journal of Physical Activity and Health

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Background:Participation bias in exercise studies is poorly understood among older adults. This study was aimed at looking into whether older persons who volunteer to participate in an exercise study differ from nonvolunteers.Methods:A self-reported questionnaire on physical activity and general health was mailed out to 1000 persons, aged 60 or over, who were covered by the medical insurance of the French National Education System. Among them, 535 answered it and sent it back. Two hundred and thirty-three persons (age 69.7 ±7.6, 65.7% women) said they would volunteer to participate in an exercise study and 270 (age 71.7 ±8.8, 62.2% women) did not.Results:Volunteers were younger and more educated than nonvolunteers, but they did not differ in sex. They had less physical function decline and higher volumes of physical activity than nonvolunteers. Compared with volunteers, nonvolunteers had a worse self-reported health and suffered more frequently from chronic pain. Multiple logistic regressions showed that good self-reported health, absence of chronic pain, and lower levels of physical function decline were associated with volunteering to participate in an exercise study.Conclusions:Volunteers were fitter and healthier than nonvolunteers. Therefore, caution must be taken when generalizing the results of exercise intervention studies.

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“…Performing sufficient physical activity (PA) is a primary modifiable determinant of health especially pertinent to Active Ageing because it is known to have vast mental and physical health benefits for people of all ages [ 6 , 7 ]. In adults, PA reduces the risk of all-cause mortality, prevents various chronic diseases, and in older adults especially, it reduces the risk of falls and helps maintain physical and cognitive function [ 8 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

The association between social support and physical activity in older adults: a systematic review

Lindsay-Smith

Banting

Eime

et al. 2017

Int J Behav Nutr Phys Act

560

292

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BackgroundThe promotion of active and healthy ageing is becoming increasingly important as the population ages. Physical activity (PA) significantly reduces all-cause mortality and contributes to the prevention of many chronic illnesses. However, the proportion of people globally who are active enough to gain these health benefits is low and decreases with age. Social support (SS) is a social determinant of health that may improve PA in older adults, but the association has not been systematically reviewed.This review had three aims: 1) Systematically review and summarise studies examining the association between SS, or loneliness, and PA in older adults; 2) clarify if specific types of SS are positively associated with PA; and 3) investigate whether the association between SS and PA differs between PA domains.MethodsQuantitative studies examining a relationship between SS, or loneliness, and PA levels in healthy, older adults over 60 were identified using MEDLINE, PSYCInfo, SportDiscus, CINAHL and PubMed, and through reference lists of included studies. Quality of these studies was rated.ResultsThis review included 27 papers, of which 22 were cross sectional studies, three were prospective/longitudinal and two were intervention studies. Overall, the study quality was moderate. Four articles examined the relation of PA with general SS, 17 with SS specific to PA (SSPA), and six with loneliness. The results suggest that there is a positive association between SSPA and PA levels in older adults, especially when it comes from family members. No clear associations were identified between general SS, SSPA from friends, or loneliness and PA levels. When measured separately, leisure time PA (LTPA) was associated with SS in a greater percentage of studies than when a number of PA domains were measured together.ConclusionsThe evidence surrounding the relationship between SS, or loneliness, and PA in older adults suggests that people with greater SS for PA are more likely to do LTPA, especially when the SS comes from family members. However, high variability in measurement methods used to assess both SS and PA in included studies made it difficult to compare studies.Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-017-0509-8) contains supplementary material, which is available to authorized users.

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Exercise and health in frail elderly people: a review of randomized controlled trials

Cited by 17 publications

References 44 publications

A mixed-methods case study exploring the impact of participation in community activity groups for older adults on physical activity, health and wellbeing

A mixed-methods case study exploring the impact of participation in community activity groups for older adults on physical activity, health and wellbeing

Are Older Adults Who Volunteer to Participate in an Exercise Study Fitter and Healthier Than Nonvolunteers? The Participation Bias of the Study Population

The association between social support and physical activity in older adults: a systematic review

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