Exercise interventions have small clinical benefits on  PA  levels in community-dwelling older adults , with a decline in the observed improvement after six months of the intervention cessation
Exercise is a form of physical activity ( PA ) .
PA is an important marker of health and quality of life in older adults .
The purpose of this study was to conduct a systematic review of the literature to assess the effect of exercise-based interventions on an at least six-month follow up PA measure , and to describe the specific strategies implemented during the intervention to strengthen the sustainability of PA in community-dwelling 65 + year-old adults .
Long-Term Exercise in Older Adults: 4-Year Outcomes of Music-Based Multitask Training
Prospect i ve controlled evidence supporting the efficacy of long-term exercise to prevent physical decline and reduce falls in old age is lacking . The present study aim ed to assess the effects of long-term music-based multitask exercise ( i.e. , Jaques-Dalcroze eurhythmics ) on physical function  and fall risk in older adults . A 3-year follow-up extension of a 1-year r and omized controlled trial ( NCT01107288 ) was conducted in Geneva ( Switzerl and ) , in which 134 community-dwellers aged ≥65 years at increased risk of falls received a 6-month music-based multitask exercise program .  Four years following original trial enrolment , 52 subjects ( baseline mean ± SD age , 75 ± 8 years ) who ( i ) have maintained exercise program participation through the 4-year follow-up visit ( “ long-term intervention group ” , n = 23 ) or ( ii ) have discontinued participation following original trial completion ( “ control group ” , n = 29 ) were studied . They were reassessed in a blind fashion , using the same procedures as at baseline . At 4 years , linear mixed-effects models showed significant gait ( gait speed , P = 0.006 ) and balance ( one-legged stance time , P = 0.015 ) improvements in the long-term intervention group , compared with the control group . Also , long-term intervention subjects did better on Timed Up & Go , Five-Times-Sit-to-St and and h and grip strength tests , than controls ( P < 0.05 , for all comparisons ) . Furthermore , the exercise program reduced the risk of falling ( relative risk , 0.69 ; 95 % confidence interval , 0.5–0.9 ; P = 0.008 ) . These findings suggest that long-term maintenance of a music-based multitask exercise program is a promising strategy to prevent age-related physical decline in older adults . They also highlight the efficacy of sustained long-term adherence to exercise for falls prevention
Exercise interventions have small clinical benefits on  PA  levels in community-dwelling older adults , with a decline in the observed improvement after six months of the intervention cessation
Exercise is a form of physical activity ( PA ) .
PA is an important marker of health and quality of life in older adults .
The purpose of this study was to conduct a systematic review of the literature to assess the effect of exercise-based interventions on an at least six-month follow up PA measure , and to describe the specific strategies implemented during the intervention to strengthen the sustainability of PA in community-dwelling 65 + year-old adults .