MoveStrong at home: a feasibility study of a model for remote delivery of functional strength and balance training combined with nutrition education for older pre-frail and frail adults.

Autor: Wang E; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Keller H; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada.; Schlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, ON, Canada., Mourtzakis M; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Rodrigues IB; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Steinke A; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada., Ashe MC; Department of Family Practice, University of British Columbia, Vancouver, BC, Canada., Thabane L; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.; Biostatistics Unit, St Joseph's Healthcare, Hamilton, ON, Canada.; Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa., Brien S; Canadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, ON, Canada., Funnell L; Canadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, ON, Canada., Cheung AM; Department of Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.; Toronto General Hospital Research Institute, Univerisity Health Network, Toronto, ON, Canada., Milligan J; Schlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, ON, Canada.; Department of Medicine, McMaster University, Hamilton, ON, Canada., Papaioannou A; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.; Department of Medicine, McMaster University, Hamilton, ON, Canada., Weston ZJ; Waterloo Wellington Local Health Integration Network, Waterloo, ON, Canada.; Faculty of Science, Wilfrid Laurier University, Waterloo, ON, Canada.; Canadian Society for Exercise Physiology, Ottawa, ON, Canada., Straus S; Department of Geriatric Medicine, University of Toronto, Toronto, ON, Canada.; CLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada., Giangregorio L; Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada.; Schlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, ON, Canada.
Jazyk: angličtina
Zdroj: Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme [Appl Physiol Nutr Metab] 2022 Dec 01; Vol. 47 (12), pp. 1172-1186. Date of Electronic Publication: 2022 Sep 15.
DOI: 10.1139/apnm-2022-0195
Abstrakt: Exercise and nutrition interventions are often recommended for frailty; however, effective strategies are required for real-world implementation. Our primary aim was to assess the feasibility and acceptability of telephone and virtual delivery of MoveStrong, an 8-week exercise and nutrition program with a 4-week follow-up for older pre-frail and frail adults. A priori criteria for success included: recruitment (≥25/12 weeks), retention at follow-up (≥80%), and adherence to exercise and nutrition sessions (≥70%). We recruited community-dwelling Ontario residents; ≥60 years, ≥1 chronic condition, ≥1 FRAIL scale score. Participants received mailed materials, a personalized exercise program, 11 remote one-on-one training sessions with an exercise physiologist and 3 online dietitian-led nutrition education sessions. We completed exploratory analyses of secondary outcomes including physical function and dietary protein intake. Semi-structured interviews supported program evaluation. In total, 30 participants were enrolled. 28 (93%) participants completed program and follow-up assessments. Adherence to exercise and nutrition sessions (CI) was 84% (77%-91%) and 82% (70%-93%) respectively. At program end and follow-up [mean change (CI)], significant improvements were measured in 30-second chair stand test [3.50 (1.12-5.86), 4.54 (1.94-7.13) chair stands] and dietary protein intake [12.9 (5.7-20.0), 9.2 (0.4-18.1) g]. Overall, participants were satisfied with program delivery. Trial registration number: NCT04663685.
Databáze: MEDLINE