Health condition and physical function as predictors of adherence in long-term strength and balance training among community-dwelling older adults

Aartolahti, Eeva; Tolppanen, Anna‐Maija; Lönnroos, Eija; Hartikainen, Sirpa; Häkkinen, Arja

doi:10.1016/j.archger.2015.06.016

Cited by 29 publications

(23 citation statements)

References 29 publications

(33 reference statements)

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“…Training adherence was measured by the number of training sessions attended relative to the number of training sessions offered, and expressed as adherence percentage. During the 2.3-year intervention period, the participants' mean adherence to SBT was 55% (SD 29, range 1-99%); 57% (SD ± 28) for women and 49% (SD ± 28) for men (p = 0.07) [31].…”

Section: Sbt Interventionmentioning

confidence: 98%

Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults

et al. 2019

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Background Reductions in muscle strength and poor balance may lead to mobility limitations in older age. Aims We assessed the effects of long-term once-weekly strength and balance training (SBT) on muscle strength and physical functioning in a community-based sample of older adults. Methods 182 individuals [130 women and 52 men, mean age 80 (SD ± 3.9) years] underwent supervised SBT as part of the Geriatric Multidisciplinary Strategy for the Good Care of the Elderly study. Training was offered once a week for 2.3 years. Isometric knee extension and flexion strength, chair rise, maximal walking speed, timed up and go (TUG) and Berg Balance Scale (BBS) were measured at baseline, after 2-year training and at post intervention follow-up. A linear mixed model was used to examine the change in physical functioning over time. Results During the intervention, both women (2.5 s, p < 0.001) and men (1.4 s, p = 0.013) improved their chair rise capacity. Women's knee extension and flexion strength improved by 14.1 N (p = 0.003) and 16.3 N (p < 0.001), respectively. Their maximal walking speed also improved by 0.08 m/s (p < 0.001). In men, no changes in muscle strength or walking speed occurred during training or follow-up. No changes in BBS and TUG were observed at the end of the intervention, but decrease in BBS was observed at post-intervention follow-up in men. Conclusions In community-dwelling older adults with variety in health and functioning supervised strength and balance training once a week may help to prevent age-related decline in mobility and muscle strength.

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Section: Sbt Interventionmentioning

confidence: 98%

Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults

et al. 2019

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“…Balance is a central function in most activities of daily living (25) and is associated with QoL (26). It has been shown that levels of physical activity decline with increasing age (27) and therefore in order to prevent falls it is important for people to maintain their physical performance as they age, particularly their strength and balance (28).…”

Section: Introductionmentioning

confidence: 99%

Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia

et al. 2016

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Purpose of the study was to examine if animal-assisted activity with a dog (AAA) in homedwelling persons with dementia (PWDs) attending day-care centers would have an effect on factors related to risk of fall accidents, with balance (Berg balance scale) and quality of life (Quality of Life in Late-stage Dementia) as main outcome. The project was conducted as a prospective and cluster-randomized multicenter trial with a follow-up. 16 adapted day-care centers recruited respectively 42 (intervention group) and 38 (control group with treatment as usual) home-dwelling PWDs. The intervention consisted of 30 min sessions with AAA led by a qualified dog handler twice a week for 12 weeks in groups of 3-7 participants. The significant positive effect on balance indicates that AAA might work as a multifactorial intervention in dementia care and have useful clinical implication by affecting risk of fall.

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“…One reason for this fact could be higher life expectancy in females [78] although the gender gap has been narrowing in Europe recently [79]. Another explanation could be greater adherence to health-related exercise programs in older women [80]. Thus, it would be of interest to explain which of the above-mentioned proposed factors is responsible for gender differences.…”

Section: Discussionmentioning

confidence: 99%

Effects of physical exercise on cognitively impaired older adults: a systematic review and meta-analysis of randomized control trials

Sontáková

Bártová

Daďová

et al. 2020

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Objectives: The main aim of this study was to compare the effects of different physical activities on cognitive functions in older adults divided according to cognitive impairment levels.Methods: We searched Web of Science, Scopus, and PubMed for randomized control trials (RCT). A standardized mean difference (SMD) of the pre-post intervention score of global cognitive function tests was calculated by the random model in the Cochrane meta-analyses for people with cognitive impairment generally and across three levels - borderline intact, mild, and moderate cognitive impairment separately. Additionally, an unstandardized coefficient beta (B) was calculated in generalized linear models to estimate the effects of exercise, cognitive impairment severity, age, female ratio, duration and frequency of exercise program on the global cognitive function.Results: Data from 40 studies involving 1,780 participants from intervention groups and 1,508 participants from control groups were analyzed. After sensitivity analysis, physical exercise had a positive effect on cognitive functions in people across all levels of cognitive impairments, SMD (95 % confidence interval [CI]) = 0.41 (0.29 - 1.54). All the activities were significantly associated with better results in global cognitive functions when compared to active control (B = 0.538 in aerobic, 0.999 in resistance, 0.640 in combined exercise and 0.746 in Tai Chi). Age was significantly associated with global cognitive functions decreasing and a higher number of female participants in intervention groups had a statistically significant effect on the global cognitive function (B = 0.021).Conclusions: Physical exercise was associated with cognitive function improvement in older people with cognitive impairments. Cognitive impairment severity was not associated with cognitive functions changes after exercise interventions.

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Health condition and physical function as predictors of adherence in long-term strength and balance training among community-dwelling older adults

Cited by 29 publications

References 29 publications

Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults

Long-term strength and balance training in prevention of decline in muscle strength and mobility in older adults

Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia

Effects of physical exercise on cognitively impaired older adults: a systematic review and meta-analysis of randomized control trials

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