Clinical trial NCT01988233: BAILA: Being Active, Increasing Latinos Healthy Aging
Official title: BAILA: Being Active, Increasing Latinos Healthy Aging
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mobility Limitation
Keywords: Physical activity
Dance
Latinos
Aging
Older adults
Health disparities
Lead sponsor: University of Illinois at Chicago
Sponsor class: OTHER
Collaborators: name: National Institutes of Health (NIH)
name: National Institute of Nursing Research (NINR)
First posted: 2013-11-20
Enrollment: 333
Sex: ALL
Minimum age (years): 55
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Investigators propose a randomized controlled trial (RCT) to test the efficacy of the revised 4-month BAILAMOS© program for improving lifestyle PA and health outcomes (physical and cognitive function, self-reported functional limitations, disability) in sedentary older Latinos at risk for disability relative to an attention control group.

Detailed description: Older Latinos comprised 7% of the older adult population in 2002, but are expected to constitute 20% by 2050. Physical activity (PA) can influence potential declines in the health outcomes of physical and cognitive function that lead to functional limitations (self-reported restrictions in performance) and disability (functional limitations placed in a social context). Unfortunately, Latinos aged 65-74 are 46% less likely to engage in leisure time PA than older non-Latino whites and little is known about PA maintenance among ethnic minorities compared to non-Latino whites. In part as a result of low levels of PA, the physical and cognitive function of older Latinos is poor relative to older non-Latino whites.

Participation in PA has substantial potential to help older Latinos maintain both physical and cognitive function as they age. Walking and dancing are the two most commonly reported forms of PA among older Latinos. However, urban older Latinos cite unsafe neighborhoods and extreme weather conditions as significant barriers to walking. Dance is a widely popular form of PA among Latinos of all ages, and holds considerable promise as a culturally appropriate form of PA that challenges individuals both physically and cognitively. To date, PA programs designed for older Latinos are lacking. BAILAMOS© is an innovative dance program that has been developed by Dr. Marquez (PI) based on focus group input from older community-dwelling Latinos and in collaboration with an accomplished Latin dance instructor.

Investigators propose a randomized controlled trial (RCT) to test the efficacy of the revised 4-month BAILAMOS© program for improving lifestyle PA and health outcomes (physical and cognitive function, self-reported functional limitations, disability) in sedentary older Latinos at risk for disability relative to an attention control group. Investigators will also test whether lifestyle PA and health outcomes can be maintained over an additional 4-months through BAILAMOS© maintenance activities, which include using indigenous dance leaders. This study will use an RCT (N=166 Treatment, 166 Control) with a health education control group that will allow investigators to examine the adoption of PA and its impact on health outcomes (first 4 months), and the short-term maintenance of PA and its impact on health outcomes (8 months) among older Latinos.

Eligibility criteria: Inclusion Criteria:

* age \> 55 years old
* self-identification as Latino/Hispanic
* ability to speak Spanish
* participation in \<3 day/week of aerobic exercise
* at risk for disability
* adequate cognitive status as assessed by the Mini Mental State Examination
* danced \< 2 times/month over the past 12 months
* willingness to be randomly assigned to treatment or control group
* no plans to leave the country for more than two consecutive weeks over the next year

Exclusion Criteria:

* uncontrolled cardiovascular disease
* uncontrolled diabetes mellitus
* pacemaker in situ
* severe chronic obstructive pulmonary disease (COPD)
* recent healing or unhealed fracture(s)
* use of an assistance device to walk (cane, walker, or wheelchair)

Primary outcomes:
measure: Minutes Per Week of Moderate to Vigorous Physical Activity
timeFrame: Change from baseline to post-intervention 4 months
Secondary outcomes:
measure: Physical Function Performance as Assessed by Time of 400 Meter Walk
timeFrame: Change from baseline to post-intervention 4 months
measure: Cognitive Function
timeFrame: Change from baseline to post-intervention 4 months
measure: Self-Reported Functional Limitations
timeFrame: Change from baseline to post-intervention 4 months
Other outcomes:
Locations:
city: Bellwood
country: United States
facility: West Suburban Senior Services, Inc
state: Illinois
city: Berwyn
country: United States
facility: Catholic Charities of the Archdioceses of Chicago St Mary of Celle Strengthening Center
state: Illinois
city: Chicago
country: United States
facility: Pilsen Senior Center
state: Illinois
city: Chicago
country: United States
facility: Holy Cross/Immaculate Heart of Mary Parish
state: Illinois
city: Chicago
country: United States
facility: Villa Guadalupe Senior Services, Inc.
state: Illinois
city: Chicago
country: United States
facility: Northwest (Copernicus) Regional Senior Center
state: Illinois
city: Chicago
country: United States
facility: Dance Academy of Salsa
state: Illinois
city: Chicago
country: United States
facility: West Town Senior Center
state: Illinois
city: Chicago
country: United States
facility: St. Agnes of Bohemia Parish
state: Illinois
city: Chicago
country: United States
facility: Southwest Senior Center
state: Illinois
city: Chicago
country: United States
facility: Kelvyn Park Senior Center
state: Illinois
city: Melrose Park
country: United States
facility: Our Lady of Mount Carmel
state: Illinois
Study officials:
affiliation: University of Illinois at Chicago
name: David X Marquez, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Aguinaga S, Kaushal N, Balbim GM, Wilson RS, Wilbur JE, Hughes S, Buchner DM, Berbaum M, McAuley E, Vasquez PM, Marques IG, Wang T, Marquez DX. Latin Dance and Working Memory: The Mediating Effects of Physical Activity Among Middle-Aged and Older Latinos. Front Aging Neurosci. 2022 Apr 15;14:755154. doi: 10.3389/fnagi.2022.755154. eCollection 2022.
citation: Marquez DX, Wilbur J, Hughes S, Wilson R, Buchner DM, Berbaum ML, McAuley E, Aguinaga S, Balbim GM, Vasquez PM, Marques IG, Wang T, Kaushal N. BAILA: A Randomized Controlled Trial of Latin Dancing to Increase Physical Activity in Spanish-Speaking Older Latinos. Ann Behav Med. 2022 Nov 18;56(12):1231-1243. doi: 10.1093/abm/kaac009.