Document Type : Original Articles
Authors
1 Department of Corrective Exercises and Sports Injuries, faculty of physical education and Sport Sciences, University of Guilan, Rasht, Iran.
2 Department of Sports Biomechanics and Motor Behavior, Faculty of Sport Sciences, University of Mazandaran, Babolsar, Iran.
10.30476/jrsr.2024.103193.1497
Abstract
Background: This study investigated the effectiveness and durability of a combined exercise program on strength, endurance, speed, agility, flexibility, and quality of life in sedentary older adults.
Methods: In this randomized controlled trial, 27 older adults participated, including 13 individuals in the training group (TG; six women and seven men) and 14 in the control group (CG; six women and eight men). Speed, agility, flexibility, lower-limb muscle strength and endurance, and quality of life were assessed at baseline, immediately after the 8-week intervention, and again two months after the post-test. The TG performed combined exercises (strength plus functional training) three times per week for eight weeks.
Results: At the post-test, the TG showed significantly greater improvements than the CG in speed (p < 0.001), flexibility (p = 0.04), lower-limb muscle strength (p = 0.002) and endurance (p < 0.001), agility (p = 0.001), and quality of life in both the physical (p < 0.001) and mental (p < 0.001) domains. At follow-up, significant between-group differences persisted in speed (p < 0.001), flexibility (p = 0.03), strength (p = 0.001), endurance (p < 0.001), agility (p < 0.001), and quality of life in the physical (p = 0.03) and mental (p = 0.04) components.
Conclusion: The combined exercise program produced durable improvements in functional capacity and quality of life among sedentary older adults. These findings support the use of multimodal exercise interventions to enhance physical and mental health outcomes in this population.
Highlights
Keywords
- Santana CCdA, Azevedo LBd, Cattuzzo MT, Hill JO, Andrade LP, Prado WLd. Physical fitness and academic performance in youth: A systematic review. Scandinavian journal of medicine & science in sports. 2017;27(6):579-603.
- Tomkinson GR, Carver KD, Atkinson F, Daniell ND, Lewis LK, Fitzgerald JS, et al. European normative values for physical fitness in children and adolescents aged 9–17 years: results from 2 779 165 Eurofit performances representing 30 countries. British journal of sports medicine. 2018;52(22):1445-56.
- Pepera G, Krinta K, Mpea C, Antoniou V, Peristeropoulos A, Dimitriadis Z. Randomized controlled trial of group exercise intervention for fall risk factors reduction in nursing home residents. Canadian Journal on Aging/La Revue canadienne du vieillissement. 2023;42(2):328-36.
- Rodrigues F, Monteiro AM, Forte P, Morouço P. Effects of muscle strength, agility, and fear of falling on risk of falling in older adults. International journal of environmental research and public health. 2023;20(6):4945.
- Rodrigues F, Domingos C, Monteiro D, Morouço P. A review on aging, sarcopenia, falls, and resistance training in community-dwelling older adults. International journal of environmental research and public health. 2022;19(2):874.
- Hesseberg K, Bentzen H, Ranhoff AH, Engedal K, Bergland A. Physical fitness in older people with mild cognitive impairment and dementia. Journal of Aging and Physical Activity. 2016;24(1):92-100.
- Sampaio A, Marques-Aleixo I, Seabra A, Mota J, Marques E, Carvalho J. Physical fitness in institutionalized older adults with dementia: association with cognition, functional capacity and quality of life. Aging clinical and experimental research. 2020;32:2329-38.
- Linhares DG, de Castro JBP, Borba-Pinheiro CJ, Linhares BG, dos Santos LL, Marcos-Pardo PJ, et al. Effect of combat sports on physical fitness and activities of daily living of older adults: a systematic review and meta-analysis of randomized controlled trials. JOURNAL OF GERONTOLOGY AND GERIATRICS. 2023;71:115-26.
- Mora JC, Valencia WM. Exercise and older adults. Clinics in geriatric medicine. 2018;34(1):145-62.
- Yuksel HS, Şahin FN, Maksimovic N, Drid P, Bianco A. School-based intervention programs for preventing obesity and promoting physical activity and fitness: A systematic review. International journal of environmental research and public health. 2020;17(1):347.
- Elsangedy HM, Oliveira GTA, Machado DGdS, Tavares MPM, Araújo AdO, Krinski K, et al. Effects of self-selected resistance training on physical fitness and psychophysiological responses in physically inactive older women: a randomized controlled study. Perceptual and Motor Skills. 2021;128(1):467-91.
- Liu C-j, Shiroy DM, Jones LY, Clark DO. Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults. European review of aging and physical activity. 2014;11:95-106.
- da Silveira Langoni C, de Lima Resende T, Barcellos AB, Cecchele B, Knob MS, do Nascimento Silva T, et al. Effect of exercise on cognition, conditioning, muscle endurance, and balance in older adults with mild cognitive impairment: a randomized controlled trial. Journal of geriatric physical therapy. 2019;42(2):E15-E22.
- Rezola-Pardo C, Arrieta H, Gil SM, Yanguas JJ, Iturburu M, Irazusta J, et al. A randomized controlled trial protocol to test the efficacy of a dual-task multicomponent exercise program in the attenuation of frailty in long-term nursing home residents: aging-on dual-task study. BMC geriatrics. 2019;19:1-9.
- Pepera G, Mpea C, Krinta K, Peristeropoulos A, Antoniou V. Effects of multicomponent exercise training intervention on hemodynamic and physical function in older residents of long-term care facilities: A multicenter randomized clinical controlled trial. Journal of Bodywork and Movement Therapies. 2021;28:231-7.
- Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91.
- Yang C-M, Hsieh JSC, Chen Y-C, Yang S-Y, Lin H-CK. Effects of Kinect exergames on balance training among community older adults: A randomized controlled trial. Medicine. 2020;99(28):e21228.
- Kiyohara K, Itani Y, Kawamura T, Matsumoto Y, Takahashi Y. Changes in the SF-8 scores among healthy non-smoking school teachers after the enforcement of a smoke-free school policy: a comparison by passive smoke status. Health and Quality of Life Outcomes. 2010;8:1-8.
- Wadhwa G, Garg C. Comparison of Sit and Reach test, Back Saver Sit and Reach test and Chair Sit and Reach test for measurement of hamstring flexibility in female graduate and undergraduate physiotherapy students. National Editorial Advisory Board. 2014;8(4):4230.
- Shigematsu R, Okura T. A novel exercise for improving lower-extremity functional fitness in the elderly. Aging clinical and experimental research. 2006;18:242-8.
- MURATA S, OTAO H, MURATA J, HORIE J. Relationship between the 10-second Chair-Stand Test for the Frail Elderly (Frail CS-10) and Activities of Daily Living (ADL). Rigakuryoho Kagaku. 2011;26(1).
- Beaudart C, Rolland Y, Cruz-Jentoft AJ, Bauer JM, Sieber C, Cooper C, et al. Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Calcified tissue international. 2019;105:1-14.
- Foster C, Florhaug JA, Franklin J, Gottschall L, Hrovatin LA, Parker S, et al. A new approach to monitoring exercise training. The Journal of Strength & Conditioning Research. 2001;15(1):109-15.
- Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116(9):1094.
- Arrieta H, Rezola-Pardo C, Gil SM, Irazusta J, Rodriguez-Larrad A. Physical training maintains or improves gait ability in long-term nursing home residents: A systematic review of randomized controlled trials. Maturitas. 2018;109:45-52.
- Cunha PM, Nunes JP, Werneck AO, Ribeiro AS, da Silva Machado DG, Kassiano W, et al. Effect of Resistance Exercise Orders on Health Parameters in Trained Older Women: A Randomized Crossover Trial. Medicine and Science in Sports and Exercise. 2022.
- Lii Y-Y, Tai Y-C, Wang H-Y, Yeh I-C, Chiu Y-C, Hou C-Y, et al., editors. The impact of exercise training on physical activity among elderly women in the community: a pilot study. Healthcare; 2023: MDPI.
- Grgic J, Garofolini A, Orazem J, Sabol F, Schoenfeld BJ, Pedisic Z. Effects of resistance training on muscle size and strength in very elderly adults: a systematic review and meta-analysis of randomized controlled trials. Sports Medicine. 2020;50(11):1983-99.
- Jeon MY, Jeong H, Petrofsky J, Lee H, Yim J. Effects of a randomized controlled recurrent fall prevention program on risk factors for falls in frail elderly living at home in rural communities. Medical science monitor: international medical journal of experimental and clinical research. 2014;20:2283.
- Lopez P, Pinto RS, Radaelli R, Rech A, Grazioli R, Izquierdo M, et al. Benefits of resistance training in physically frail elderly: a systematic review. Aging clinical and experimental research. 2018;30:889-99.
- Kim HK, Suzuki T, Saito K, Yoshida H, Kobayashi H, Kato H, et al. Effects of exercise and amino acid supplementation on body composition and physical function in community‐dwelling elderly Japanese sarcopenic women: a randomized controlled trial. Journal of the American Geriatrics Society. 2012;60(1):16-23.
- Kim H, Suzuki T, Kim M, Kojima N, Ota N, Shimotoyodome A, et al. Effects of exercise and milk fat globule membrane (MFGM) supplementation on body composition, physical function, and hematological parameters in community-dwelling frail Japanese women: a randomized double blind, placebo-controlled, follow-up trial. PloS one. 2015;10(2):e0116256.
- Nagy E, Feher-Kiss A, Barnai M, Domján-Preszner A, Angyan L, Horvath G. Postural control in elderly subjects participating in balance training. European journal of applied physiology. 2007;100:97-104.
- Gama HS, Yamanishi JN, Gallo LH, Valderramas SR, Gomes ARS. Exercícios de alongamento: prescrição e efeitos na função musculoesquelética de adultos e idosos/Stretching exercise: prescription and effects on musculoskeletal function in adults and elderly people. Cadernos Brasileiros de Terapia Ocupacional. 2018;26(1):187-206.
- Ferrucci L, Guralnik JM, Bandeen-Roche KJ, Lafferty ME, Pahor M, Fried LP. Physical performance measures. The Women’s Health and Aging Study: health and social characteristics of older women with disability NIH Pub. 1995(95-4009):35-41.
- de Campos CM, de Viveiro LAP, Busse AL, Ferdinando DC, Jacob Filho W, Lange B, et al. Effectiveness of Multimodal Training Compared to a Uni-Modal Walking Intervention on Postural Control, Strength, Gait Speed and Flexibility in Community-Dwelling Older Adults. Research Quarterly for Exercise and Sport. 2024;95(1):263-71.
- Van Abbema R, De Greef M, Crajé C, Krijnen W, Hobbelen H, Van Der Schans C. What type, or combination of exercise can improve preferred gait speed in older adults? A meta-analysis. BMC geriatrics. 2015;15:1-16.
- Kerrigan DC, Xenopoulos-Oddsson A, Sullivan MJ, Lelas JJ, Riley PO. Effect of a hip flexor [ndash] stretching program on gait in the elderly. Archives of physical medicine and rehabilitation. 2003;84(1):1-6.
- Verlinden VJ, van der Geest JN, Hoogendam YY, Hofman A, Breteler MM, Ikram MA. Gait patterns in a community-dwelling population aged 50 years and older. Gait & posture. 2013;37(4):500-5.
- Yi E-S, Hwang H-J. A study on the social behavior and social isolation of the elderly Korea. Journal of exercise rehabilitation. 2015;11(3):125.
- Li J, Theng Y-L, Foo S. Depression and psychosocial risk factors among community-dwelling older adults in Singapore. Journal of cross-cultural gerontology. 2015;30:409-22.
- Zhang Y, Li C, Zou L, Liu X, Song W. The effects of mind-body exercise on cognitive performance in elderly: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2018;15(12):2791.
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