Clinical trial NCT06604650: Community Park-Based Programs for Health Promotion: Active Older Adults Prospective Cohort Study
Official title: Community Park-Based Programs for Health Promotion: Active Older Adults Prospective Cohort Study
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Hypertension
Overweight
Obesity
Cardiovascular Diseases
Sedentary Behavior
Low Physical Fitness
Lead sponsor: Duke University
Sponsor class: OTHER
Collaborators: name: Miami-Dade County Parks and Recreation
First posted: 2024-09-19
Enrollment: 1000
Sex: ALL
Minimum age (years): 50
Maximum age (years): 95
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Active Older Adults is offered in Miami-Dade County (MDC), FL where 40.9% of people older than 65 are sedentary (did not participate in any leisure-time activities, physical activities other than their regular job, during the past month). Within MDC, age-adjusted death rates per 100,000 population (2020-2022) from cardiovascular disease were higher for both Black (291.8.7 vs. 263.4) and Hispanic (179.2 vs. 171.2) residents of MDC vs. statewide, respectively, compared with White (186.2 vs. 198.7) residents. This disparity is particularly relevant for MDC where 69% of people identify as Hispanic or Latino and 17% identify as Black, as opposed to about 19% and 14%, respectively in the United States and 27% and 17% respectively in Florida.

Brief summary: The Active Older Adults prospective cohort study examines the effects of a park-based fitness program on cardiovascular fitness outcomes for older adults (aged 50 years and older). Duke will perform a secondary analysis of the data collected as part of the Active Older Adults prospective cohort study run by Miami-Dade County Parks and Recreation.

Detailed description: The Active Older Adults prospective cohort study examines the effects of a park-based fitness program on cardiovascular fitness outcomes for older adults (aged 50 years and older). Active Older Adults is designed to provide older adults of all fitness levels with physical activity, and aims to promote participant's abilities to maintain independent lifestyles. It is a low-cost, evidence-based group exercise and falls-prevention program. The program entails one-hour sessions two or three times per week including aerobic workout, strength training, balance and flexibility exercise delivered online or in-person. Data are collected at eight Miami Dade Department of Parks, Recreation and Open Spaces (MDPROS) park locations where the program is offered every four months (fall, winter, spring).

Active Older Adults is a park-based fitness program offered by the Miami Dade Department of Parks, Recreation and Open Spaces (MDPROS) that is designed to provide older adults of all fitness levels with physical activity, and aims to promote participant's abilities to maintain independent lifestyles. It is a low-cost, evidence-based group exercise and falls-prevention program. The program entails one-hour sessions two or three times per week including aerobic workout, strength training, balance and flexibility exercise delivered online or in-person. Exercise classes at each park location are offered by bilingual (English/Spanish) licensed instructors and program classes had a consistent format across all parks.

Eligibility criteria: Inclusion Criteria:

* Aged 50 years or older, residing in Miami-Dade County
* All participants enrolled in the Miami-Dade Active Older Adults study will be included in this secondary analysis

Exclusion Criteria:

* Aged less than 50 years, not residing in Miami-Dade County
* Anyone not enrolled in the Miami-Dade Active Older Adults study will be excluded from this secondary analysis

Primary outcomes:
measure: Change in Body mass index (height and weight)
timeFrame: Baseline, 12 months, 36 months
measure: Change in blood pressure
timeFrame: Baseline, 12 months, 36 months
measure: Change in arm strength
timeFrame: Baseline, 12 months, 36 months
measure: Change in leg strength
timeFrame: Baseline, 12 months, 36 months
measure: Change in mobility
timeFrame: Baseline, 12 months, 36 months
Secondary outcomes:
Other outcomes:
Locations:
city: Miami
country: United States
facility: Miami-Dade County Parks, Recreation and Open Spaces Department
state: Florida
Study officials:
affiliation: Duke University
name: Emily D'Agostino
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kling HE, D'Agostino EM, Booth J, Hansen E, Hawver E, Mathew MS, Messiah SE. The Feasibility of Collecting Longitudinal Cardiovascular and Fitness Outcomes From a Neighborhood Park-Based Fitness Program in Ethnically Diverse Older Adults: A Proof-of-Concept Study. J Aging Phys Act. 2021 Jun 1;29(3):496-504. doi: 10.1123/japa.2020-0139. Epub 2020 Dec 20.
citation: Kling HE, D'Agostino EM, Booth JV, Patel H, Hansen E, Mathew MS, Messiah SE. The Effect of a Park-Based Physical Activity Program on Cardiovascular, Strength, and Mobility Outcomes Among a Sample of Racially/Ethnically Diverse Adults Aged 55 or Older. Prev Chronic Dis. 2018 Dec 27;15:E166. doi: 10.5888/pcd15.180326.