Exercise Intervention in Institutionalized Elderly People

Study Overview
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Brief Summary
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Questions: Does an evidence-based exercise program increase activities of daily living and physical fitness in institutionalized older adults? Does this program decrease the care dependency of institutionalized older adults? Design: A randomized control trial using group-based exercise was performed in 14 assisted-living facilities for the elderly (>70 years old). Outcome measures: Outcome measures were performance on ADL, physical fitness, and care dependency measures. The exercise program comprised group-based progressive resistance training, balance training, and functional training. The control intervention comprised social group meetings.

Detailed Description
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To improve physical fitness, a combined exercise program including progressive resistance training, balance training, and functional training will be used in a sample of institutionalized elderly people. The exercise program has a frequency of 2 times a week and a duration of 16 weeks. The intensity is moderate, measured on a 0-10 scale. The level of intensity is specified as follows: on a 10- point scale, where no movement is 0 and maximal effort of a muscle group is 10, moderate-intensity effort is a 5 or 6, and high- intensity effort is a 7 or 8. There is currently insufficient evidence that a combined exercise program, developed to improve physical fitness, can improve ADL performance and care dependency also.

Official Title
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Effects of Exercise on ADL Performance, Physical Fitness, and Care Dependency in Institutionalized Elderly People

Conditions
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Fragility, Physical Disability

Intervention / Treatment
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* Behavioral: Physical exercise intervention
* Behavioral: Lifestyle counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 70 and older Being able to walk at least 10 meters Not cognitive impaired Exclusion Criteria: Dementia Severe hart failure Progressive neurological diseases

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Physical exercise intervention<br>Progressive resistance training, balance training, functional training | Behavioral: Physical exercise intervention<br>* the experimental intervention included group- based progressive resistance training, balance training, and functional training, two times a week, one hour sessions, lasting 16 weeks.<br>* Other names: coordination training;|
| Placebo Comparator: Lifestyle counseling<br>Recreational sessions | Behavioral: Lifestyle counseling<br>* the control intervention included recreational sessions, including talks, video's, music, board games etc. No physical activity was involved in the control intervention.<br>* Other names: leisure time activities without physical activity;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ADL performance in institutionalized elderly people | the intervention was either an group -based exercise program (the experimental intervention), or a recreational program (the control intervention), lasting 16 weeks, two times a week, including one hour sessions | 16 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical fitness in institutionalized older people | the intervention was either an group -based exercise program (the experimental intervention), or a recreational program (the control intervention), lasting 16 weeks, two times a week, including one hour sessions | 16 weeks | 
| Care dependency in institutionalized older people | the intervention was either an group -based exercise program (the experimental intervention), or a recreational program (the control intervention), lasting 16 weeks, two times a week, including one hour sessions | 16 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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institutionalized ADL fitness care-dependency