Activity adherence and physical function in older adults with functional limitations
| Autor: | W. Jack Rejeski, Alexander N. Jordan, Roger A. Fielding, Abby C. King, Michael E. Miller, B. Goodpaster, Jeffrey A. Katula, Michael P. Walkup, Nancy W. Glynn, Kari Abbott-Pillola |
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| Rok vydání: | 2007 |
| Předmět: |
Gerontology
Male medicine.medical_specialty Physical activity Physical Therapy Sports Therapy and Rehabilitation Physical exercise Physical function law.invention Skills training Randomized controlled trial law medicine Humans Orthopedics and Sports Medicine Disabled Persons Exercise Health Education Aged Self-efficacy Aged 80 and over business.industry Attendance Self Efficacy United States Physical therapy Patient Compliance Health education Female business |
| Zdroj: | Medicine and science in sports and exercise. 39(11) |
| ISSN: | 0195-9131 |
| Popis: | FIELDING, R. A., J. KATULA, M. E. MILLER, K. ABBOTT-PILLOLA, A. JORDAN, N. W. GLYNN, B. GOODPASTER, M. P. WALKUP, A. C. KING, W. J. REJESKI, and for the LIFE STUDY INVESTIGATORS. Activity Adherence and Physical Function in Older Adults with Functional Limitations. Med. Sci. Sports Exerc., Vol. 39, No. 11, pp. 1997–2004, 2007. Purpose: Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) was a trial to examine the effects of a physical activity intervention (PA) compared with a health education control (SA) on measures of disability risk in sedentary older adults (N = 424). We examined adherence to the LIFE-P PA intervention for the first 12 months of the trial. Methods: The PA intervention consisted of walking, strength, flexibility, and balance training supplemented with behavioral skills training modules, and it used a phased, center-based schedule of adoption (3 wk j1 , weeks 1–8), transition (2 wk j1 , weeks 9–24), and maintenance (1wk j1 , weeks 25 to end of trial) while transitioning to primarily home-based physical activity. SA consisted of weekly (weeks 1–26) transitioning to monthly health education workshops. Results: Participation in moderate-intensity physical activity increased from baseline to months 6 and 12 in PA compared with SA (P G 0.001). At 12 months, PA participants who reported Q 150 minIwk j1 of moderate activity demonstrated a significantly greater improvement in their Short Physical Performance Battery score compared with participants who reported G 150 minIwk j1 of moderate activity (P G 0.017). For the PA arm, center-based attendance was 76.3 T 24.5, 65.4 T 28.6, and 49.8 T 35.8% in the adoption, transition, and maintenance phases, respectively. Conclusions: Adherence to physical activity in LIFE-P was associated with greater improvement in SPPB score and was consistent with adherence in physical activity trials of shorter duration in this subgroup of older adults. Older individuals at risk for disability can adhere to a regular program of physical activity in a long-term |
| Databáze: | OpenAIRE |
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