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Timmons JF, Hone M, Duffy O, Egan B. When Matched for Relative Leg Strength at Baseline, Male and Female Older Adults Respond Similarly to Concurrent Aerobic and Resistance Exercise Training. J Strength Cond Res 2022; 36:2927-2933. [PMID: 36135036 DOI: 10.1519/jsc.0000000000003987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
Affiliation(s)
- James F Timmons
- Institute for Sport and Health, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin, Ireland
| | - Michelle Hone
- School of Health and Human Performance, Dublin City University, Glasnevin, Dublin, Ireland
| | - Orlaith Duffy
- Medfit Proactive Healthcare, Blackrock, Co. Dublin, Ireland
| | - Brendan Egan
- School of Health and Human Performance, Dublin City University, Glasnevin, Dublin, Ireland
- National Institute for Cellular Biotechnology, Dublin City University, Glasnevin, Dublin, Ireland ; and
- Florida Institute for Human and Machine Cognition, Pensacola, Florida
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Jiménez-Zazo F, Hernández-Martínez A, Romero-Blanco C, Cabanillas E, Pérez-Gómez J, Ara I, Casajús JA, Vicente-Rodríguez G, Gesteiro E, González-Gross M, Aznar S. Physical Activity Adherence Related to Body Composition and Physical Fitness in Spanish Older Adults: 8 Years-Longitudinal EXERNET-Study. Front Psychol 2022; 13:858312. [PMID: 35558702 PMCID: PMC9087712 DOI: 10.3389/fpsyg.2022.858312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 03/24/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction The multiple benefits of physical activity (PA) compared to the current lack of adherence to this behavior in older people makes it necessary to identify the factors related to its long-term dropout, therefore, the aim of this study was: (i) to study the evolution of behavior change for PA through stages of change (SoC) after 8 years and, to identify the associated factors related to the worsening of SoC for PA. Methods A total of 714 Spanish older adults (>65 years) participated in the Longitudinal elderly EXERNET study 8 years follow-up. SoC for PA from Transtheoretical model of behavior change (TTM), body composition [BMI, fat mass, lean mass, waist circumference (WC), and hip circumference (HC)] and physical fitness (EXERNET battery fitness tests) were recorded. A multivariate binary logistic regression model was used to identify the potential predictive factors of worsening SoC for PA. Results Three hundred and sixty participants (50.4%) worsening their SoC for PA after 8 years. Predictors factors associated with worsening of SoC were: HC (OR = 1.022; 95% CI: 1.001, 1.044), Lower body strength (OR = 0.940; 95% CI: 0.887, 0.997) and aerobic endurance at the 6 min-walk test (OR = 0.997; 95% CI: 0.995, 0.999). Conclusion This study highlights that we need to identify adults with high HC, lower body strength and lower aerobic endurance to design a tailored PA program. Identifying the determinants of losing adherence to PA will help in the creation, design, and evaluation of exercise programs with the goal of reducing older adults' drop-outs rates.
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Affiliation(s)
- Fabio Jiménez-Zazo
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain.,Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain
| | | | - Cristina Romero-Blanco
- Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain.,Department of Nursing, Faculty of Nursing, University of Castilla-La Mancha, Ciudad Real, Spain.,PAFS Research Group, Faculty of Nursing, University of Castilla-La Mancha, Ciudad Real, Spain
| | - Esther Cabanillas
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain.,Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain
| | - Jorge Pérez-Gómez
- Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain.,HEME Research Group, University of Extremadura, Cáceres, Spain
| | - Ignacio Ara
- Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain.,GENUD Toledo Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain.,Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| | - José A Casajús
- Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain.,Growth, Exercise, Nutrition and Development Research Group, IIS Aragón, Zaragoza, Spain.,Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.,CITA, Agroalimentary Institute of Aragón, Universidad de Zaragoza, Zaragoza, Spain.,Physiopathology of Obesity and Nutrition Networking Biomedical Research Center, Zaragoza, Spain
| | - Germán Vicente-Rodríguez
- Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain.,Growth, Exercise, Nutrition and Development Research Group, IIS Aragón, Zaragoza, Spain.,CITA, Agroalimentary Institute of Aragón, Universidad de Zaragoza, Zaragoza, Spain.,Physiopathology of Obesity and Nutrition Networking Biomedical Research Center, Zaragoza, Spain.,Department of Physiatry and Nursing, Faculty of Health and Sport Science, Huesca, Spain
| | - Eva Gesteiro
- Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain.,ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain
| | - Marcela González-Gross
- Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain.,ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain
| | - Susana Aznar
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain.,Exercise and Health in Special Population Spanish Research Net, Zaragoza, Spain.,Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), Madrid, Spain
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Vilpunaho T, Kröger H, Honkanen R, Koivumaa-Honkanen H, Sirola J, Kuvaja-Köllner V, Sund R, Rikkonen T. Randomised controlled trial (RCT) study design for a large-scale municipal fall prevention exercise programme in community-living older women: study protocol for the Kuopio Fall Prevention Study (KFPS). BMJ Open 2019; 9:e028716. [PMID: 31230026 PMCID: PMC6596943 DOI: 10.1136/bmjopen-2018-028716] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
INTRODUCTION Falls are a substantial health problem in seniors, causing fractures and being the leading cause of fatal injuries. The benefits of physical activity in fall prevention have been shown in randomised controlled trials (RCTs) in small cohorts (eg, ≤200 persons), but there is a gap between the known health effects of exercise and the large-scale implementation of effective activity in communities. Mental health and subjective well-being (SWB) should also be studied since they are strongly related to healthy ageing. Thus far, the proven efficacy of communal strategies to reduce falls and improve healthy ageing is sparse. METHODS AND ANALYSIS In 2016, a 2-year RCT was launched in Kuopio, Finland to estimate the efficacy of a large, population-based, fall prevention exercise programme in community-living older women (born 1932-1945). Both the intervention and control group (n=457+457) receive health education. The intervention group is also offered free 6-month supervised training courses (weekly gym training and Taiji sessions), followed by a free 6-month unsupervised use of exercise facilities, as well as unsupervised low-cost exercise is also offered for another 12 months. During the whole 24-month follow-up, controls are free to pursue all their normal physical activities. Both study groups undergo the study measurements three times. Outcome measures include recording of falls, injuries, bone mineral density, changes in health and functional status and cognitive performance, deaths and SWB. Finally, the cost-effectiveness and cost-utility analysis will be conducted from the societal view. The main analyses comparing outcomes between study groups will be conducted using the intention to treat principle. ETHICS AND DISSEMINATION The study has been reviewed and approved by the Research Ethics Committee of the Hospital District of North Savo. All regulations and measures of ethics and confidentiality are handled in accordance with the Declaration of Helsinki. TRIAL REGISTRATION NUMBER NCT02665169; Pre-results.
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Affiliation(s)
- Tommi Vilpunaho
- Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland
| | - Heikki Kröger
- Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland
- Department of Orthopaedics, Traumatology and Hand Surgery, Kuopio University Hospital, Finland
| | - Risto Honkanen
- Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland
| | - Heli Koivumaa-Honkanen
- Institute of Clinical Medicine (Psychiatry), University of Eastern Finland - Kuopio Campus, Finland
- Department of Psychiatry, Kuopio University Hospital, Finland
| | - Joonas Sirola
- Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland
- Department of Orthopaedics, Traumatology and Hand Surgery, Kuopio University Hospital, Finland
| | - Virpi Kuvaja-Köllner
- Department of Health and Social Management, University of Eastern Finland - Kuopio Campus, Finland
| | - Reijo Sund
- Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland
| | - Toni Rikkonen
- Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland
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