scholarly journals Feasibility and Acceptability of Remote Physical Exercise Programs to Prevent Mobility Loss in Pre-Disabled Older Adults during Isolation Periods Such as the COVID-19 Pandemic

2021 ◽  
Author(s):  
F. Buckinx ◽  
M. Aubertin-Leheudre ◽  
R. Daoust ◽  
S. Hegg ◽  
D. Martel ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Web Technology ◽  
Total Rate ◽  
Exercise Programs ◽  
Home Program ◽  
Level Of Satisfaction ◽  
The Web ◽  
At Home

AbstractThis study aimed to assess the feasibility and acceptability of remote physical exercise (PE) to prevent mobility loss among pre-disabled older adults during the COVID-19 lockdowns.Participants followed a 12-week PE remote program in Zoom© supervised groups (Web-Ex group, n=11) or phone-supervised individual booklet-based home-program (Booklet group, n=33).The total rate of adherence was 82.5% in the Web-Ex group and 85.8% in the Booklet group. The level of satisfaction was « a lot » for 60% of the participants in the Web-ex group and for 37.9% of those included in the Booklet group. Respectively 10% and 31% of the participants rated the difficulty as « low » in the web-ex and Booklet groups.Remote physical exercise using a web technology or booklets at home with regular and personalized follow-up during the lockdown was feasible and acceptable among pre-disabled seniors.

scholarly journals COMPUTERIZED COGNITIVE TRAINING, WITH OR WITHOUT EXERCISE, TO PROMOTE COGNITIVE FUNCTION: A RANDOMIZED TRIAL

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S55-S56
Author(s):  
Lisanne F ten Brinke ◽  
John R Best ◽  
Joey L Chan ◽  
Cheyenne Ghag ◽  
Kirk I Erickson ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Executive Functions ◽  
Cognitive Training ◽  
Verbal Learning ◽  
Stroop Test ◽  
Community Dwelling ◽  
Computerized Cognitive Training ◽  
Improved Performance ◽  
At Home

Abstract Given the world’s aging population, it is important to identify strategies that promote healthy cognitive aging. Computerized cognitive training (CCT) may be a promising method to combat cognitive decline in older adults. Moreover, physical exercise immediately prior to CCT might provide additional cognitive benefits. We conducted a randomized controlled trial to examine the effect of a CCT intervention, alone or preceded by physical exercise, on memory and executive functions in older adults. 124 community-dwelling older adults aged 65-85 years were randomly assigned to either 8-weeks of: 1) 3x/week group-based CCT plus 3x/week CCT sessions at home; 2) 3x/week group-based CCT combined with a 15-minute brisk walk (Ex-CCT) plus 3x/week Ex-CCT sessions at home; or 3)3x/week group-based sham exercise and education sessions (CON). At baseline and 8-weeks standard neuropsychological tests of verbal memory and learning and executive functions were administered, including the Rey Auditory Verbal Learning Test (RAVLT), Stroop test, Flanker test, Trail Making Tests (TMT B-A), and Dimensional Change Card Sort (DCCS) Test. At trial completion, there were no differences in RAVLT performance. Compared with CON, FBT and Ex-FBT participants significantly improved performance on the Stroop test (p = .001 and p = .023, respectively). Additionally, those randomized to Ex-CCT improved performance on the Flanker test (p = .002), TMT B-A (p = .047), and the DCCS Test (p = .023) compared with BAT. These findings suggest that an 8-week CCT program could benefit executive functions, and that implementing exercise immediately prior to CCT could provide broader benefits.

The Hospital at Home Program for Older Adults

2016 ◽  
Vol 176 (11) ◽  
pp. 1724 ◽  
Author(s):  
Bruce Leff ◽  
Tacara Soones ◽  
Linda DeCherrie
Keyword(s):  
Older Adults ◽  
Home Program ◽  
Hospital At Home ◽  
At Home

scholarly journals Follow‐Up of a Virtual‐Group‐Exercise at Home Program to Reduce Fall Risks

2019 ◽  
Vol 67 (9) ◽  
pp. 1981-1983
Author(s):  
Machiko R. Tomita ◽  
Nadine M. Fisher ◽  
Dan Ramsey ◽  
Kathleen Stanton ◽  
Bruce J. Naughton
Keyword(s):  
Group Exercise ◽  
Home Program ◽  
Virtual Group ◽  
Fall Risks ◽  
At Home

scholarly journals DOING WITH… RATHER THAN DOING FOR… OLDER ADULTS: THE STAY ACTIVE AT HOME PROGRAM

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 648-649
Author(s):  
S. Metzelthin ◽  
G. Zijlstra ◽  
J. de Man-van Ginkel ◽  
E. van Rossum ◽  
G. Kempen
Keyword(s):  
Older Adults ◽  
Home Program ◽  
At Home

scholarly journals An Interactive Home-Based Cognitive-Motor Step Training Program to Reduce Fall Risk in Older Adults: Qualitative Descriptive Study of Older Adults’ Experiences and Requirements (Preprint)

2018 ◽  
Author(s):  
Trinidad Valenzuela ◽  
Husna Razee ◽  
Daniel Schoene ◽  
Stephen Ronald Lord ◽  
Kim Delbaere
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Technology Use ◽  
Fall Risk ◽  
Perceived Barriers ◽  
Exercise Programs ◽  
Home Based ◽  
Prevention Interventions ◽  
Qualitative Descriptive ◽  
At Home

BACKGROUND Falls are a major contributor to the burden of disease in older adults. Home-based exercise programs are effective in reducing the rate and risk of falls in older adults. However, adherence to home-based exercise programs is low, limiting the efficacy of interventions. The implementation of technology-based exercise programs for older adults to use at home may increase exercise adherence and, thus, the effectiveness of fall prevention interventions. More information about older adults’ experiences when using technologies at home is needed to enable the design of programs that are tailored to older adults’ needs. OBJECTIVE This study aimed to (1) explore older adults’ experiences using SureStep, an interactive cognitive-motor step training program to reduce fall risk unsupervised at home; (2) explore program features that older adults found encouraged program uptake and adherence; (3) identify usability issues encountered by older adults when using the program; and (4) provide guidance for the design of a future technology-based exercise program tailored to older adults to use at home as a fall prevention strategy. METHODS This study was part of a larger randomized controlled trial. The qualitative portion of the study and the focus of this paper used a qualitative descriptive design. Data collectors conducted structured, open-ended in-person interviews with study participants who were randomly allocated to use SureStep at home for 4 months. All interviews were audiotaped and ranged from 45 to 60 min. Thematic analysis was used to analyze collected data. This study was guided by Pender’s Health Promotion Model. RESULTS Overall, 24 older adults aged 70 to 97 years were interviewed. Findings suggest older adults are open to use technology-based exercise programs at home, and in the context of optimizing adherence to home-based exercise programs for the prevention of falls, findings suggest that program developers should develop exercise programs in ways that provide older adults with a fun and enjoyable experience (thus increasing intrinsic motivation to exercise), focus on improving outcomes that are significant to older adults (thus increasing self-determined extrinsic motivation), offer challenging yet attainable exercises (thus increasing perceived self-competence), provide positive feedback on performance (thus increasing self-efficacy), and are easy to use (thus reducing perceived barriers to technology use). CONCLUSIONS This study provides important considerations when designing technology-based programs so they are tailored to the needs of older adults, increasing both usability and acceptability of programs and potentially enhancing exercise participation and long-term adherence to fall prevention interventions. Program uptake and adherence seem to be influenced by (1) older adults’ perceived benefits of undertaking the program, (2) whether the program is stimulating, and (3) the perceived barriers to exercise and technology use. Older adults shared important recommendations for future development of technologies for older adults to use at home.

scholarly journals The Efficacy of a Multicomponent Functional Fitness Program Based on Exergaming on Cognitive Functioning of Healthy Older Adults: A Randomized Controlled Trial

2020 ◽  
pp. 1-9
Author(s):  
Élvio R. Gouveia ◽  
Asim Smailagic ◽  
Andreas Ihle ◽  
Adilson Marques ◽  
Bruna R. Gouveia ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Physical Exercise ◽  
Cognitive Functioning ◽  
Controlled Trial ◽  
Functional Fitness ◽  
Term Memory ◽  
Randomized Controlled ◽  
Telephone Screening

Background and Objectives: Regular physical exercise can attenuate age-related cognitive decline. This study aimed to investigate the effect of a physical exercise multicomponent training based on exergames on cognitive functioning (CF) in older adults. Research Design and Methods: This randomized controlled trial included older adults aged 61–78. Participants were randomly allocated to an intervention group (IG; n = 15) or active control group (CG; n = 16). The IG was exposed to a combined training with traditional exercise and exergaming, twice a week over a period of 12 weeks. The CG performed only traditional sessions. CF was assessed by the Cognitive Telephone Screening Instrument. The time points for assessment were at zero (pretest), 12 (posttest), and 17 weeks (follow-up). Results: Active CG and IG increased from pretest to posttest in short-term memory (STM), long-term memory (LTM), and Cognitive Telephone Screening Instrument total score 1.98 > Z < 3.00, ps < .005, with moderately large positive effects (.36 > r < .54). A significant increase was seen from posttest to follow-up in STM, Z = 2.74, p = .006, and LTM, Z = 2.31, p < .021, only in IG. Across the two time periods posttest to follow-up, there were significant interaction effects between program type and time for STM (p = .022, ) and LTM (p = .004, ), demonstrating a more beneficial effect of the exergames intervention compared to the CG. Discussion and Implications: The integration of exergaming in a multicomponent functional fitness exercise might have the potential to maintain and improve CF (in particular, STM and LTM) in older adults.

scholarly journals Characteristics of Physical Exercise Programs for Older Adults in Latin America: A Systematic Review of Randomized Controlled Trials

2021 ◽  
Vol 18 (6) ◽  
pp. 2812
Author(s):  
Eduardo Vásquez-Araneda ◽  
Rodrigo Ignacio Solís-Vivanco ◽  
Sandra Mahecha-Matsudo ◽  
Rafael Zapata-Lamana ◽  
Igor Cigarroa
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Latin America ◽  
Physical Exercise ◽  
Randomized Controlled Trials ◽  
Total Sample ◽  
Controlled Trials ◽  
Exercise Programs ◽  
Sports Science ◽  
Randomized Controlled

Aim: To characterize physical exercise programs for older adults in Latin America. Methods: This review was conducted in accordance with the PRISMA statement. A search for randomized controlled trials (RCTs) published between the years 2015 and 2020 was performed in the Scopus, MedLine and SciELO databases. Results: A total of 101 RCTs were included. A large percentage of the studies had an unclear risk of bias in the items: selection, performance, detection and attribution. Furthermore, a heterogeneous level of compliance was observed in the CERT items. A total sample of 5013 older adults (79% women) was included. 97% of the studies included older adults between 60–70 years, presenting an adherence to the interventions of 86%. The studies were mainly carried out in older adults with cardiometabolic diseases. Only 44% of the studies detailed information regarding the place of intervention; of these studies, 61% developed their interventions in university facilities. The interventions were mainly based on therapeutic physical exercise (89% of the articles), with a duration of 2–6 months (95% of the articles) and a frequency of 2–3 times a week (95% of the articles) with sessions of 30–60 min (94% of the articles) led by sports science professionals (51% of the articles). The components of physical fitness that were exercised the most were muscular strength (77% of the articles) and cardiorespiratory fitness (47% of the articles). Furthermore, only 48% of the studies included a warm-up stage and 34% of the studies included a cool-down stage. Conclusions: This systematic review characterized the physical exercise programs in older adults in Latin America, as well the most frequently used outcome measures and instruments, by summarizing available evidence derived from RCTs. The results will be useful for prescribing future physical exercise programs in older adults.

scholarly journals Systematic review of aquatic physical exercise programs on functional fitness in older adults

2021 ◽  
Author(s):  
Jose Fuentes-Lopez ◽  
Ruben Vidal-Espinoza ◽  
Fernando Alvear-Vasquez ◽  
Lucila Sanchez-Macedo ◽  
Dony Mamani Velasquez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Physical Exercise ◽  
Experimental Studies ◽  
Exercise Program ◽  
Aquatic Exercise ◽  
Functional Fitness ◽  
Exercise Programs ◽  
Exercise Frequency ◽  
Pubmed Database

The practice of physical exercise is recommended in the prevention of the deterioration of neuromuscular functions in aging. The objectives of this systematic review were to describe the protocols used and the functional fitness indicators evaluated in aquatic exercise programs in adults aged 50 to 80 years. The Pubmed database was used. The keywords were: 1) Physical exercise program or protocols or duration or type of exercise or aquatic exercise, frequency or intensity or indicators; 2) Adults or older adults; 3) Training or indicators, functional fitness, physical fitness. The search strategy considered the components of the Population, Interventions, Comparators, Outcomes, and Study design (PICOS) tool. Nine experimental studies were identified. These studies developed protocols to improve functional fitness in adults aged 50 to 80 years. They were based on sessions of 2 to 5 per week, the work time per session was 30 to 60min, intensities varied between 50 to 95% and totaled between 4 to 24 weeks of intervention. The activities were based on aquatic gymnastic exercises aimed at muscular strengthening of the upper and lower extremities, as well as coordination, balance, agility, cycling and walking exercises submerged in water. The protocols developed to improve functional fitness in adults aged 50 to 80 years were based on general physical exercise prescription guidelines (frequency, duration, intensity and type of activity). The application of aquatic exercises based on gymnastic exercises can provoke positive responses on functional fitness if worked at least 2 to 5 times per week, 30 to 60min/day and at intensities of 50 to 95%. These systematized indicators can be used by professionals working with adults to create and promote aquatic programs to improve functional fitness.

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