Two Pilot Studies of the Effect of Bicycling on Balance and Leg Strength among Older Adults

Rissel, Chris; Passmore, Erin; Mason, Chloe; Merom, Dafna

doi:10.1155/2013/686412

Cited by 25 publications

(19 citation statements)

References 24 publications

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“…This qualitative study was part of a cycling promotion study among older people, looking at improvements in leg strength and balance as risk factors for falls [18]. Adults who aged 50–75 years, who were willing to cycle for two or more hours per week over a 12-week period, were recruited through local advertising and word of mouth in a discrete geographic area of Sydney (Canada Bay), Australia.…”

Section: Methodsmentioning

confidence: 99%

Joy, Exercise, Enjoyment, Getting out: A Qualitative Study of Older People's Experience of Cycling in Sydney, Australia

Zander

Passmore

Mason

et al. 2013

Journal of Environmental and Public Health

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Introduction. Cycling can be an enjoyable way to meet physical activity recommendations and is suitable for older people; however cycling participation by older Australians is low. This qualitative study explored motivators, enablers, and barriers to cycling among older people through an age-targeted cycling promotion program. Methods. Seventeen adults who aged 50–75 years participated in a 12-week cycling promotion program which included a cycling skills course, mentor, and resource pack. Semistructured interviews at the beginning and end of the program explored motivators, enablers, and barriers to cycling. Results. Fitness and recreation were the primary motivators for cycling. The biggest barrier was fear of cars and traffic, and the cycling skills course was the most important enabler for improving participants' confidence. Reported outcomes from cycling included improved quality of life (better mental health, social benefit, and empowerment) and improved physical health. Conclusions. A simple cycling program increased cycling participation among older people. This work confirms the importance of improving confidence in this age group through a skills course, mentors, and maps and highlights additional strategies for promoting cycling, such as ongoing improvement to infrastructure and advertising.

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Section: Methodsmentioning

confidence: 99%

Joy, Exercise, Enjoyment, Getting out: A Qualitative Study of Older People's Experience of Cycling in Sydney, Australia

Zander

Passmore

Mason

et al. 2013

Journal of Environmental and Public Health

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“…Up to now, the health benefits of CET for the general population are well established [ 20 – 22 ]. However, the effect of CET is less well documented in older adults [ 23 – 26 ] particularly those aged over 70 [ 27 , 28 ]. The aim of this review was thus to assess the health benefits of CET in this group.…”

Section: Introductionmentioning

confidence: 99%

Health benefits of cycle ergometer training for older adults over 70: a review

Bouaziz

Schmitt

Kaltenbach

et al. 2015

Eur Rev Aging Phys Act

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As the number of older adults continues to increase worldwide, more attention is being paid to geriatric health care needs, and successful ageing is becoming an important topic in the medical literature. A preventive approach to the care of older adults is thus a priority in our aging societies. The purpose of this study was to update evidence for the health benefits of cycle ergometer training for older adults over 70. We searched online electronic databases up to September 2014 for original observational and intervention studies on the relationship between cycle ergometer training and health among older patients over 70. Twenty-five studies examined interventions aimed specifically at promoting cycling for older adults over 70. These studies reported a positive effect on the prevention of cardiovascular disease, and a significant improvement in metabolic responses. Improving functional status, muscle strength and cognitive performance are also well established. Overall, this review demonstrates a positive effect of cycle ergometer training with functional benefits and positive health outcomes for older adults over 70. Based on this evidence, clinicians can now encourage older adults to profit from the health benefits of cycle ergometer training to be able to pursue their daily activities independently.

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“… 12 Cycling can induce muscle hypertrophy and increase aerobic capacity for older adults 41 and has been reported to enhance balance and proprioception. 42 The continuous cycling motion requires repetitive end-range joint mobilisation that may help to reduce pain by mechanisms such as inhibiting reflex muscle contraction, reducing intra-articular pressure and the level of joint afferent activity. In addition, the cardiovascular benefits of cycling are important given the higher risk cardiovascular risk in this patient group 43 and the increased risk of cardiovascular excess death with longer duration of hip and knee osteoarthritis.…”

Section: Discussionmentioning

confidence: 99%

A cycling and education intervention for the treatment of hip osteoarthritis: A quality improvement replication programme

et al. 2020

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Objectives: The Cycling against Hip Pain programme is a 6-week exercise and education treatment pathway for people with hip osteoarthritis. Preliminary results of the Cycling against Hip Pain programme found significant improvements in clinical and patient-reported outcome measures for patients referred from primary care. This article evaluates the effectiveness of the changes made to the pathway in a quality improvement replication programme. Methods: The replicated Cycling against Hip Pain programme was delivered between February 2018 and September 2019 in a region of England with a high percentage of adults aged over 65 years. All participants were referred from the orthopaedic outpatient department of the funding hospital (secondary care). The programme was delivered at a local leisure centre and combined 30 min of education on osteoarthritis with 30 min of progressive static cycling, once a week for 6 weeks. Results: The participants on the replicated Cycling against Hip Pain programme did not differ from the original cohort in terms of age or pre-programme weight, however, presented with worse hip symptoms at baseline. Consistent with the findings from the original cohort, participants demonstrated significant improvements to their Oxford Hip Score, 30-s chair stand performance, Timed Up and Go score, Hip Osteoarthritis Outcome Score function and pain, EQ5D health rating, EQ5D-5L score and pain at rest and on weight bearing. In addition, participants reported an increase in knowledge, confidence and motivation to exercise. Conclusion: A 6-week cycling and education intervention for the treatment of hip osteoarthritis provided benefits to function, pain and quality of life for patients referred from secondary care. These results are consistent with findings from patients who were referred from primary care and further support the potential of the pathway in the conservative management of hip osteoarthritis.

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Two Pilot Studies of the Effect of Bicycling on Balance and Leg Strength among Older Adults

Cited by 25 publications

References 24 publications

Joy, Exercise, Enjoyment, Getting out: A Qualitative Study of Older People's Experience of Cycling in Sydney, Australia

Joy, Exercise, Enjoyment, Getting out: A Qualitative Study of Older People's Experience of Cycling in Sydney, Australia

Health benefits of cycle ergometer training for older adults over 70: a review

A cycling and education intervention for the treatment of hip osteoarthritis: A quality improvement replication programme

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