“If somebody had told me I’d feel like I do now, I wouldn’t have believed them…” Older adults’ experiences of the BELL trial: a qualitative study

Meigh, Neil J.; Davidson, Alexandra; Keogh, Justin W L; Hing, Wayne

doi:10.1101/2021.07.15.21260399

Cited by 2 publications

References 82 publications

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Change in force profile of the hardstyle kettlebell swing in older adults is small following 16 weeks of training and may not be required to improve physical function: findings from the BELL trial

Meigh

Keogh

Rathbone

et al. 2021

Preprint

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Background. Hardstyle kettlebell training is characterised by the ballistic two-handed kettlebell swing with outcomes believed to be strongly influenced by swing proficiency. This study examines the effect of four months hardstyle kettlebell training on the force profile of the two-handed kettlebell swing, and peak ground reaction force during a kettlebell deadlift in older adults. These data will help inform healthcare providers and coaches about the use and prescription of kettlebell exercises with older adults. Methods. Five males and five females <70 years of age who participated in the BELL trial were recruited. Two-handed hardstyle swings were performed with 8-16 kg, and deadlifts with 8-32 kg. Ground reaction force (GRF) was obtained from a floor-mounted force platform. Force-time curves (FTCs), peak force, forward force relative to vertical force, rate of force development (RFD), and swing cadence were investigated. Results were compared with the same data variables collected from the participants in an exploratory pre-intervention study, conducted approximately seven months before the present study. Participants completed approximately 90 kettlebell training sessions during a four-month training intervention. Results. Participants used kettlebells to perform 3779 ± 802 swings, 923 ± 251 cleans, 825 ± 309 snatches and 744 ± 178 deadlifts during group-training sessions. Peak ground reaction force during kettlebell swings did not significantly change with any kettlebell weight. There was a significant 3% increase in the magnitude of forward force during 8 kg swings, and a significant 3% decrease in forward force during 16 kg swings. There were large significant improvements in swing cadence with a mean increase of three swings per minute and a small non-significant increase in RFD. Change in kettlebell swing force-time curve profiles were small. Change in peak ground reaction force during deadlifts were moderate to large. All participants increased in grip strength following training, with the magnitude of change greater than the minimum clinically important difference for seven participants. All participants had significant increases in multiple secondary outcomes. Conclusion. Group-based and online kettlebell training is likely to be ineffective for improving the force profile of the hardstyle kettlebell swing in older adults. Insufficiently active older adults engaged in high-volume kettlebell training performed 3-5 times weekly, can however expect to see clinically meaningful improvements in health-related physical fitness irrespective of swing proficiency, and have increased confidence with heavy lifting tasks. Results of this study suggest that beyond safe and competent performance, striving to optimise hardstyle swing technique may provide no additional benefit to clinical outcomes in older adults.

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Change in force profile of the hardstyle kettlebell swing in older adults is small following 16 weeks of training and may not be required to improve physical function: findings from the BELL trial

Meigh

Keogh

Rathbone

et al. 2021

Preprint

View full text Add to dashboard Cite

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‘A Lot of People Just Go for Walks, and Don’t Do Anything Else’: Older Adults in the UK Are Not Aware of the Strength Component Embedded in the Chief Medical Officers’ Physical Activity Guidelines—A Qualitative Study

Gluchowski

Bilsborough

McDermott

et al. 2022

IJERPH

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Strength recommendations have been embedded within the UK’s Chief Medical Officers’ physical activity guidelines since 2011. In 2019, they were given a more prominent position in the accompanying infographic. However, there is limited evidence that these recommendations have been successful in their population-wide dissemination. This study aimed to explore the engagement of community-dwelling older adults with the guidelines to date and to gain a nuanced understanding of the awareness, knowledge, and action that older adults take to fulfil strength recommendations. A total of fifteen older adults living in the UK participated in one online interview. A general inductive approach was used to generate themes from the data. There were four major themes that were found. 1. The strength component of the physical activity guidelines, 2. Barriers, 3. Motivators, and 4. Solutions. No participants were aware of the strength guidelines. When they were asked what activities they used to fulfil the ‘build strength on at least two-days-per-week′ criteria, walking, yoga, and Pilates were the most common responses. Ageism and strength training misconceptions were major barriers to participation in strengthening exercise. Older adults were much less aware of the benefits of building strength and strength training participation when compared to aerobic activities, so motivators to participation were generally not specific to strength training. Finally, there are several ways that practitioners can overcome the barriers to strength training participation. Solutions to improving the uptake and adherence to strength training participation are likely to be more successful when they include opportunities for social interaction, ability-appropriate challenge, and provide both short- and long-term benefits.

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“If somebody had told me I’d feel like I do now, I wouldn’t have believed them…” Older adults’ experiences of the BELL trial: a qualitative study

Cited by 2 publications

References 82 publications

Change in force profile of the hardstyle kettlebell swing in older adults is small following 16 weeks of training and may not be required to improve physical function: findings from the BELL trial

Change in force profile of the hardstyle kettlebell swing in older adults is small following 16 weeks of training and may not be required to improve physical function: findings from the BELL trial

‘A Lot of People Just Go for Walks, and Don’t Do Anything Else’: Older Adults in the UK Are Not Aware of the Strength Component Embedded in the Chief Medical Officers’ Physical Activity Guidelines—A Qualitative Study

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