Effects of resistance and all-round, functional training on quality of life, vitality and depression of older adults living in long-term care facilities: a 'randomized' controlled trial [ISRCTN87177281]

BMC Geriatrics

Willem van Mechelen¹  Jos WR Twisk¹  Mireille NM van Poppel¹  Marijke JM Chin A Paw¹ 

[1] Institute for Research in Extramural Medicine & Department of Public and Occupational Health VU University Medical Center Van der Boechorststraat 7 1081 BT Amsterdam, The Netherlands

关键词: quality of life;    depression;    psychological wellbeing;    exercise programs;    frail elderly;   

Others  :  858630
DOI  :  10.1186/1471-2318-4-5

 received in 2003-09-03, accepted in 2004-07-02,  发布年份 2004

【 摘 要 】

Background

Regular physical activity may improve different aspects of wellbeing in older people, such as quality of life, vitality and depression. However, there is little experimental evidence to support this assumption. Therefore, we examined the effect of different training protocols on quality of life, vitality and depression of older adults living in long-term care facilities.

Methods

Subjects (n = 173, aged 64 to 94 years, living in long-term care facilities), were randomized to six months of three different moderate-intensity group exercise training protocols, or to an 'educational' control condition. Exercise consisted of two 45–60-minute training sessions per week of 1) resistance training; 2) all-round, functional training; or 3) a combination of both. Perceived health, the Geriatric Depression Scale (GDS), the Vitality Plus Scale (VPS) and the Dementia Quality of Life questionnaire (DQoL) were administered at baseline and after six months.

Results

In the combined training group a small but significant decline was seen in perceived health, DQoL and VPS score compared to the control group.

Conclusions

We conclude that neither strength training nor all-round, functional training of moderate intensity is effective in improving quality of life, vitality or depression of older people living in long-term care facilities.

【 授权许可】

   
2004 Chin A Paw et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

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【 参考文献 】

• [1]Peel C, Utsey C, MacGregor J: Exercise Training for Older Adults With Limitations in Physical Function. J Aging Phys Act 1999, 7:62-75.
• [2]Perrig-Chiello P, Perrig WJ, Ehrsam R, Staehelin HB, Krings F: The effects of resistance training on well-being and memory in elderly volunteers. Age Ageing 1998, 27(4):469-475.
• [3]Chin A Paw MJM, de Jong N, Schouten EG, van Staveren WA, Kok FJ: Physical exercise or micronutrient supplementation for the wellbeing of the frail elderly? A randomised controlled trial. Br J Sports Med 2002, 36(2):126-131.
• [4]King AC, Taylor CB, Haskell WL: Effects of differing intensities and formats of 12 months of exercise training on psychological outcomes in older adults. Health Psychol 1993, 12(4):292-300.
• [5]Tsutsumi T, Don BM, Zaichkowsky LD, Delizonna LL: Physical fitness and psychological benefits of strength training in community dwelling older adults. Appl Human Sci 1997, 16(6):257-266.
• [6]Penninx BW, Rejeski WJ, Pandya J, Miller ME, Di Bari M, Applegate WB, Pahor M: Exercise and depressive symptoms: a comparison of aerobic and resistance exercise effects on emotional and physical function in older persons with high and low depressive symptomatology. J Gerontol B Psychol Sci Soc Sci 2002, 57(2):124-132.
• [7]Chin A Paw MJM, de Jong N, Stevens M, Bult P, Schouten EG: Development of an exercise program for frail elderly. J Aging and Physical Activity 2001, 9:476-489.
• [8]Brod M, Stewart AL, Sands L, Walton P: Conceptualization and measurement of quality of life in dementia: the dementia quality of life instrument (DQoL). Gerontologist 1999, 39(1):25-35.
• [9]Myers AM, Malott OW, Gray E, Tudor-Locke C, Ecclestone NA, Cousins SO, Petrella Rl: Measuring accumulated health-related benefits of exercise participation for older adults: the Vitality Plus Scale. J Gerontol 1999, 54(9):456-66.
• [10]Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO: Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982, 17(1):37-49.
• [11]McGivney SA, Mulvihill M, Taylor B: Validating the GDS depression screen in the nursing home. J Am Geriatr Soc 1994, 42(5):490-2.