A multidimensional program including standing exercises, health education, and telephone support to reduce sedentary behavior in frail older adults
| Autor: | Sumika M. Lin, G. Gomes, Jéssica Maria Ribeiro Bacha, Fabiana C. Tosi, Naomi Kondo Nakagawa, L. Viveiro, Wilson Jacob-Filho, Ivan Aprahamian, José Eduardo Pompeu |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Aging
medicine.medical_specialty FEASIBILITY Frail Elderly Biochemistry law.invention Home-based Endocrinology Randomized controlled trial law Intervention (counseling) Post-hoc analysis Genetics medicine Humans Single-Blind Method Adverse effect Health Education Molecular Biology Aged Sedentary lifestyle ASSOCIATIONS Frailty business.industry Standing exercise MORTALITY Repeated measures design Cell Biology Sedentary behavior Exercise Therapy Telephone TIME PHYSICAL-ACTIVITY Physical therapy Health education business INTERVENTIONS |
| Zdroj: | Experimental Gerontology, 153:111472. PERGAMON-ELSEVIER SCIENCE LTD |
| ISSN: | 0531-5565 |
| Popis: | Objectives The primary aim of this study was to evaluate the effect of a multidimensional program including home-based standing exercises, health education, and telephone support for the reduction of sedentary behavior in community-dwelling frail older adults. The secondary aim of this study was to evaluate the safety and adherence of the program. Study design A single-blind, randomized controlled trial. Methods A total of 43 frail older adults were randomly assigned to the intervention and control groups. The intervention consisted of combined strategies including home-based standing exercises, health education, and telephone support for 16 weeks for frail older adults. The control group received orientation regarding the harmful effects of a sedentary lifestyle. Sedentary behavior was evaluated by total sedentary time, accumulated sedentary time in bouts of at least 10 min, and by the break in sedentary time, measured by an accelerometer used for at least 600 min/day for 4 days. Safety was assessed by self-reporting of possible adverse events. Adherence was assessed based on the number of days in which standing exercises were performed by the participants. Repeated measures ANOVA and Tukeys post hoc test were used to analyze the collected data. Results The intervention group reduced the sedentary time by 30 min/day (p= 0.048), but without significant maintenance after 30 days of the program. Of the total number of participants, 82% (n = 14) of the intervention group participants showed more than 70% adherence to the program. The main adverse effects faced by the intervention group participants were tiredness (53%; n = 9) and lower limb pain (47%; n = 8). Conclusions The multidimensional program reduced sedentary behavior, was safe, and showed satisfactory adherence in frail older adults. |
| Databáze: | OpenAIRE |
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