Adherence to and effects of multidirectional stepping exercise in the elderly: A long-term observational study following a randomized controlled trial
| Autor: | Ryosuke Shigematsu, Tomohiro Okura, Masaki Nakagaichi, Yoshio Nakata |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Journal of Physical Fitness and Sports Medicine, Vol 2, Iss 1, Pp 127-134 (2013) |
| Druh dokumentu: | article |
| ISSN: | 2186-8131 2186-8123 |
| DOI: | 10.7600/jpfsm.2.127 |
| Popis: | Few exercises that encourage elderly persons to be physically active have been proved to exhibit both method-effectiveness (efficacy) and use-effectiveness (effectiveness) in a long-term setting. We recently developed a square-stepping exercise (SSE) for elderly persons and assessed its effects on adherence and functional fitness in a long-term, observational setting following a randomized controlled trial (RCT). Sixty-eight people (SSE group, n = 32; walking group, n = 36) participated in a 3-month RCT. At the end of the RCT period, they were encouraged to continue the assigned exercise autonomously. We measured adherence to the assigned exercise for a total of 4 years and their functional fitness after 1 and 4 years. Functional fitness measurements at each follow-up point and at the 3-month intervention entry were compared in terms of method-effectiveness (per-protocol based [PPB]) and use-effectiveness (intention-to-treat [ITT]). At the 1-year and 4-year follow-ups, 69% and 63%, respectively, of the SSE group had continued performing the assigned exercise. These values were comparable to those of the walking group (65% and 65%). From the PPB and ITT analyses, we found that SSE was as effective—or more effective—than walking with regard to functional fitness. In conclusion, SSE is a good exercise choice that is recommended for the elderly on a long-term basis. |
| Databáze: | Directory of Open Access Journals |
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