Once a week not enough, twice a week not feasible? A randomised controlled exercise trial in long-term care facilities [ISRCTN87177281]

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To evaluate the effectiveness of three different training protocols on physical function of older adults living in long-term care facilities. Emphasis was placed on feasibility in real-life situations.

METHODS: Subjects (N=224) were randomised to 6 months of twice weekly (1) resistance training; (2) all-round functional-skills training; (3) a combination of both; or (4) a control program. Fitness and performance measures and self-reported disability were measured at baseline and after 24 weeks intervention.

RESULTS: Attendance to the strength training was 76%, to the functional-skills training 70% and to the combined training 73%. In those who attended at least 75% of all classes (n=97) the functional-skills and combined training program improved several fitness and performance measures compared to the control group.

CONCLUSION: Twice weekly functional-skills training, or a combination of resistance and functional-skills training can improve several fitness and performance measures of institutionalised older people.

PRACTICE IMPLICATIONS: An important finding from our study was that less than twice a week exercise training is not enough for functional improvement, while it proved difficult for the elderly subjects to exercise twice weekly. Education on the health benefits of regular exercise, and a larger availability of classes in long-term care facilities may improve attendance.

Original languageEnglish
Pages (from-to)205-14
Number of pages10
JournalPatient Education and Counseling
Volume63
Issue number1-2
DOIs
Publication statusPublished - Oct 2006

Cite this

@article{fb3398604cc646b1a3678762fc3fc114,
title = "Once a week not enough, twice a week not feasible?: A randomised controlled exercise trial in long-term care facilities [ISRCTN87177281]",
abstract = "OBJECTIVE: To evaluate the effectiveness of three different training protocols on physical function of older adults living in long-term care facilities. Emphasis was placed on feasibility in real-life situations.METHODS: Subjects (N=224) were randomised to 6 months of twice weekly (1) resistance training; (2) all-round functional-skills training; (3) a combination of both; or (4) a control program. Fitness and performance measures and self-reported disability were measured at baseline and after 24 weeks intervention.RESULTS: Attendance to the strength training was 76{\%}, to the functional-skills training 70{\%} and to the combined training 73{\%}. In those who attended at least 75{\%} of all classes (n=97) the functional-skills and combined training program improved several fitness and performance measures compared to the control group.CONCLUSION: Twice weekly functional-skills training, or a combination of resistance and functional-skills training can improve several fitness and performance measures of institutionalised older people.PRACTICE IMPLICATIONS: An important finding from our study was that less than twice a week exercise training is not enough for functional improvement, while it proved difficult for the elderly subjects to exercise twice weekly. Education on the health benefits of regular exercise, and a larger availability of classes in long-term care facilities may improve attendance.",
keywords = "Activities of Daily Living, Aged, 80 and over/physiology, Analysis of Variance, Anthropometry, Attitude to Health, Exercise Therapy/organization & administration, Feasibility Studies, Female, Geriatric Assessment, Humans, Linear Models, Male, Netherlands, Patient Education as Topic/organization & administration, Physical Fitness, Program Evaluation, Single-Blind Method, Skilled Nursing Facilities, Surveys and Questionnaires, Time Factors, Weight Lifting",
author = "{Chin A Paw}, {Marijke J M} and {van Poppel}, {Mireille N M} and Twisk, {Jos W R} and {van Mechelen}, Willem",
year = "2006",
month = "10",
doi = "10.1016/j.pec.2005.10.008",
language = "English",
volume = "63",
pages = "205--14",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "1-2",

}

TY - JOUR

T1 - Once a week not enough, twice a week not feasible?

T2 - A randomised controlled exercise trial in long-term care facilities [ISRCTN87177281]

AU - Chin A Paw, Marijke J M

AU - van Poppel, Mireille N M

AU - Twisk, Jos W R

AU - van Mechelen, Willem

PY - 2006/10

Y1 - 2006/10

N2 - OBJECTIVE: To evaluate the effectiveness of three different training protocols on physical function of older adults living in long-term care facilities. Emphasis was placed on feasibility in real-life situations.METHODS: Subjects (N=224) were randomised to 6 months of twice weekly (1) resistance training; (2) all-round functional-skills training; (3) a combination of both; or (4) a control program. Fitness and performance measures and self-reported disability were measured at baseline and after 24 weeks intervention.RESULTS: Attendance to the strength training was 76%, to the functional-skills training 70% and to the combined training 73%. In those who attended at least 75% of all classes (n=97) the functional-skills and combined training program improved several fitness and performance measures compared to the control group.CONCLUSION: Twice weekly functional-skills training, or a combination of resistance and functional-skills training can improve several fitness and performance measures of institutionalised older people.PRACTICE IMPLICATIONS: An important finding from our study was that less than twice a week exercise training is not enough for functional improvement, while it proved difficult for the elderly subjects to exercise twice weekly. Education on the health benefits of regular exercise, and a larger availability of classes in long-term care facilities may improve attendance.

AB - OBJECTIVE: To evaluate the effectiveness of three different training protocols on physical function of older adults living in long-term care facilities. Emphasis was placed on feasibility in real-life situations.METHODS: Subjects (N=224) were randomised to 6 months of twice weekly (1) resistance training; (2) all-round functional-skills training; (3) a combination of both; or (4) a control program. Fitness and performance measures and self-reported disability were measured at baseline and after 24 weeks intervention.RESULTS: Attendance to the strength training was 76%, to the functional-skills training 70% and to the combined training 73%. In those who attended at least 75% of all classes (n=97) the functional-skills and combined training program improved several fitness and performance measures compared to the control group.CONCLUSION: Twice weekly functional-skills training, or a combination of resistance and functional-skills training can improve several fitness and performance measures of institutionalised older people.PRACTICE IMPLICATIONS: An important finding from our study was that less than twice a week exercise training is not enough for functional improvement, while it proved difficult for the elderly subjects to exercise twice weekly. Education on the health benefits of regular exercise, and a larger availability of classes in long-term care facilities may improve attendance.

KW - Activities of Daily Living

KW - Aged, 80 and over/physiology

KW - Analysis of Variance

KW - Anthropometry

KW - Attitude to Health

KW - Exercise Therapy/organization & administration

KW - Feasibility Studies

KW - Female

KW - Geriatric Assessment

KW - Humans

KW - Linear Models

KW - Male

KW - Netherlands

KW - Patient Education as Topic/organization & administration

KW - Physical Fitness

KW - Program Evaluation

KW - Single-Blind Method

KW - Skilled Nursing Facilities

KW - Surveys and Questionnaires

KW - Time Factors

KW - Weight Lifting

U2 - 10.1016/j.pec.2005.10.008

DO - 10.1016/j.pec.2005.10.008

M3 - Article

VL - 63

SP - 205

EP - 214

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 1-2

ER -