The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults

Frontiers in Public Health

Public Health

Sarah J. Moorlock¹  Kenneth R. Fox²  Jessica C. Bollen³  Max J. Western⁴  Jolanthe de Koning⁴  Peter Ladlow⁵  Jack M. Guralnik⁶  Janice L. Thompson⁷  Janet Withall⁷  Colin J. Greaves⁷  Afroditi Stathi⁷ 

[1] Birmingham Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom;Centre for Exercise, Sport and Health Science, University of Bristol, Bristol, United Kingdom;College of Medicine and Health, University of Exeter, Exeter, United Kingdom;Department for Health, Faculty of Humanities and Social Sciences, University of Bath, Bath, United Kingdom;Department for Health, Faculty of Humanities and Social Sciences, University of Bath, Bath, United Kingdom;Academic Department of Military Rehabilitation (ADMR), Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, United Kingdom;Department of Epidemiology and Public Health, School of Medicine, University of Maryland, Baltimore, MD, United States;School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom;

关键词: ageing;    mobility disability;    physical activity;    community;    strength;    balance;   

DOI  :  10.3389/fpubh.2023.1151035

 received in 2023-01-25, accepted in 2023-07-10,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundThe prevention of mobility-related disability amongst adults is a global healthcare priority. Cost-effective community-based strategies to improve physical function and independence in older adults with mobility limitations are needed. This study investigated the effectiveness of the REtirement in ACTion (REACT) exercise intervention on individual markers of physical function at 6-and 12-months.MethodsThe REACT multicentre randomised controlled trial assigned 777 older adults (female, 514; male 263) (mean age 77·6 [SD 6·8] years) with reduced lower limb physical functioning (Short Physical Performance Battery [SPPB] score 4–9) to receive brief healthy ageing advice or a 12-month, group-based, multimodal exercise programme delivered in local communities. Estimated differences in the three individual component scores of the SPPB (strength, balance, gait speed) and physical functional outcomes recorded at 6- and 12-months were assessed.ResultsThe intervention group demonstrated significant improvements in strength (OR = 1.88, 95% CI = 1.36–2.59, p < 0.001) and balance (OR = 1.96, 95% CI = 1.39–2.67, p < 0.001) at 12-months, but not in gait speed (OR = 1.32, 95% CI = 0.91–1.90, p = 0.139). In comparison to the control group, at six-and 12-months, the intervention group reported statistically significant improvements in Mobility Assessment Tool-Short Form (MAT-SF), physical component score from SF-36 questionnaire, and strength and endurance items of subjectively reported physical activity (PASE 10-item). Greater than 75% adherence (attending ≥48 of the 64 exercise sessions delivered in 12-months) was associated with superior functional outcomes.ConclusionThe REACT exercise programme provides local, regional and national service providers with an effective solution to increase muscle strength and balance in older adults at risk of mobility disability.

【 授权许可】

Unknown   
Copyright © 2023 Ladlow, Western, Greaves, Thompson, Withall, Koning, Bollen, Moorlock, Guralnik, Fox and Stathi.