Exploring the feasibility, sustainability and the benefits of the GrACE + GAIT exercise programme in the residential aged care setting

Fien, Samantha; Henwood, Timothy; Climstein, Mike; Rathbone, Evelyne; Keogh, Justin W L

doi:10.7717/peerj.6973

Cited by 7 publications

(8 citation statements)

References 76 publications

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“…Therefore, strategies are needed to encourage changes in body composition and physical condition [ 36 , 37 ]. Exercise programs, such as gerontogymnastics, which include resistance and aerobic training, are an optimal strategy for maintaining muscle mass and its protective effects against a variety of chronic diseases [ 38 , 39 , 40 , 41 , 42 ]. However, older adults with low functional capacity may not be able to develop resistance programs leading to improved CRF, due to their low fitness [ 43 ].…”

Section: Introductionmentioning

confidence: 99%

Sarcopenia as a Mediator of the Effect of a Gerontogymnastics Program on Cardiorespiratory Fitness of Overweight and Obese Older Women: A Randomized Controlled Trial

Marcos-Pardo

González-Gálvez

García

et al. 2020

IJERPH

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The objectives were to analyze the effect of a gerontogymnastics program on functional ability and fitness on overweight and obese older woman and to understand if sarcopenia mediates its effect. This randomized controlled trial involved 216 overweight and obese women. The experimental group (EG) carried out 12 weeks of a gerontogymnastics program. The assessment was of gait speed, cardiorespiratory fitness, functional capacity, and muscle strength. EG showed significant improvements in almost every test. When the effect of training was adjusted by gait speed, the improvement of the 6 min walk test (MWT) for the trained group was no longer significant (p = 0.127). The improvement of the 6 MWT was significantly and positively associated with the 10 m test (β = −10.087). After including the 10-m test in the equations, the association between the 6MWT and carrying out the training program decreased but remained significant (β = −19.904). The mediation analysis showed a significant, direct and indirect effect with a significant Sobel test value (z = 6.606 ± 7.733; p = 0.000). These results indicate that a gerontogymnastics program improves functional capacity and fitness; and the effect of a gerontogymnastics program on CRF is mediated by sarcopenia in older women who are overweight and obese.

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Section: Introductionmentioning

confidence: 99%

Sarcopenia as a Mediator of the Effect of a Gerontogymnastics Program on Cardiorespiratory Fitness of Overweight and Obese Older Women: A Randomized Controlled Trial

Marcos-Pardo

González-Gálvez

García

et al. 2020

IJERPH

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“…With respect to AEP‐led programs in particular, the findings, in part, support those of Fien et al . 's investigation of the effectiveness of AEP‐led, strength‐based exercise for older adults living in RAC; this was considering improvements in handgrip strength, and acceptability of the exercise program from the perspective of care staff, although the current study did not have the same significant outcome for the sit‐to‐stand assessment as Fien and colleagues . In contrast to the current evaluation: only physical outcomes, rather than physical and cognitive outcomes, were assessed; only residents who could self‐consent were included; and the majority of participants appeared to score well on cognitive tests.…”

Section: Discussionmentioning

confidence: 94%

“…While there is evidence that exercise and physical activity improve and maintain cognitive and physical functioning in older people, and evidence for impact on physical function within the RAC setting, there is not much evidence for people living with advanced dementia, and none that we are aware of for people who may be considered particularly vulnerable, such as people living in secure memory units. This research aims to fill this gap in knowledge and contributes to the evidence base related to exercise programs for older adults living in RAC, in particular residents living with dementia in secure memory units.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an implementation project: The exercise physiology in aged care program

Parfitt

Post

Penington³

et al. 2020

Geriatrics Gerontology Int

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Aim It is important for older adults to maintain the ability to be physically active, and to experience the benefits that physical activity brings. This study evaluates a 12‐week Accredited Exercise Physiologist‐led exercise program for vulnerable older adults living with dementia, delivered in a residential aged care facility in South Australia. The value of the program was also evaluated from the perspective of partners‐in‐care (family members and care staff). Methods Participants (n = 59) were randomized to either an intervention or control group, based on their functional and cognitive status. Physical function, cognitive function and habitual physical activity were assessed at baseline and post‐intervention. In total, 51 family members and 44 care staff completed surveys or participated to understand their perspectives of residents' capacity to exercise, as well as their perceptions of the impact of the program. Results Repeated measures ANOVA identified evidence for maintenance of physical function (timed‐up‐and‐go [ɳ2 = 0.19], handgrip strength [ɳ2 = 0.13]); however, there were no differences for objectively measured habitual activity or cognitive function. Evidence for a dose effect was demonstrated for the 2‐min walk and timed‐up‐and‐go associated with the number of individual sessions attended by a participant. Partners‐in‐care perceived greater improvement compared with deterioration across all measured factors [(P < 0.01, partial eta2 (ɳ2) =0.19] ranged from 0.35 to 0.78) post‐intervention. Perceptions and expectations of who could benefit from participation were changed (P < 0.05) and indicated that all but the most severely declined residents would be likely to benefit. Conclusions Data supporting the maintenance for some physical functions suggest that this type of program should be considered for older adults living with dementia in residential aged care facilities. Geriatr Gerontol Int 2020; ••: ••–••.

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“…A recent study investigating a 24-week exercise program (GrACE and GAIT) in aged care was able to demonstrate an improvement of 0.12 m/s in gait speed within the intervention group. 19,20 This program had a focus on strength training and weight bearing. There are two distinct differences between this study and ours.…”

Section: Discussionmentioning

confidence: 99%

“…This predicted decline in walking speed may be a factor contributing to the lack of change in walking speed found in this study. A recent study investigating a 24‐week exercise program (GrACE and GAIT) in aged care was able to demonstrate an improvement of 0.12 m/s in gait speed within the intervention group 19,20 . This program had a focus on strength training and weight bearing.…”

Section: Discussionmentioning

confidence: 99%

An ongoing physiotherapist‐led exercise program in residential aged care: Description of participant satisfaction and outcomes

et al. 2020

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This study documents aged care residents' outcomes after, and satisfaction with, participation in a rehabilitation program conducted in a co-located gym. Methods: A mixed-method prospective cohort study was conducted. All residents who attended the program were invited to participate in the study. Demographic information and outcome measures (walking speed, mobility, ability to stand, exercise self-efficacy and health status) were documented on study commencement and again after 6 months. Results: Thirty-eight participants were included with an average age of 83 years (SD 13). The majority of participants (61%) required physical assistance for mobility. Compliance with scheduled sessions was 94%. Most (92%) participants would recommend the program. The majority of participants (55%) experienced improved walking speed as measured by the 5-metre walk test. Conclusions: The results suggest that a rehabilitative program can maintain the physical status of aged care residents, despite the common decline in physical performance in this population.

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Exploring the feasibility, sustainability and the benefits of the GrACE + GAIT exercise programme in the residential aged care setting

Cited by 7 publications

References 76 publications

Sarcopenia as a Mediator of the Effect of a Gerontogymnastics Program on Cardiorespiratory Fitness of Overweight and Obese Older Women: A Randomized Controlled Trial

Sarcopenia as a Mediator of the Effect of a Gerontogymnastics Program on Cardiorespiratory Fitness of Overweight and Obese Older Women: A Randomized Controlled Trial

Evaluation of an implementation project: The exercise physiology in aged care program

An ongoing physiotherapist‐led exercise program in residential aged care: Description of participant satisfaction and outcomes

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