“Fit and Fabulous”: Mixed-Methods Research on Processes, Perceptions, and Outcomes of a Yearlong Gym Program With Assisted-Living Residents

2014 ◽  
Vol 22 (2) ◽  
pp. 212-225 ◽  
Author(s):  
Mary Ann Kluge ◽  
Michelle LeCompte ◽  
Lisa Ramel
Keyword(s):  
Mixed Methods ◽  
Assisted Living ◽  
Mixed Methods Research ◽  
Lower Body ◽  
Active Time ◽  
Body Strength ◽  
Trained Staff ◽  
Lower Body Strength ◽  
Resource Support

This study’s mixed-methods design sought to understand how to encourage assisted-living (AL) residents to initiate and continue exercise in a gym setting. Ten residents participated in this yearlong program. Processes developed and perceived benefits were understood through interviews and observations. Changes in active time, lower body strength, and workload were evaluated using direct measures. Findings indicated that AL residents regularly used exercise machines (mean participation = 53.8%) and increased active time and lower body strength (p= .02) when adequately prepared and supported. Participants prioritized gym time and developed pride and ownership in the program. They described themselves as exercisers and developed a sense of belonging to their new home. Friendships with one another, staff, and university partners were nurtured in the gym setting. When provided space, equipment, trained staff, and additional resource support, AL residents’ quality of life and life satisfaction were enhanced in several domains.

scholarly journals Fitness in Older African American Population

2004 ◽  
Vol 2 (3) ◽  
pp. 92-98 ◽  
Author(s):  
Scott Marzilli ◽  
Petra B. Schuler ◽  
Kristin F. Willhoit ◽  
Melissa F. Stepp
Keyword(s):  
Quality Of Life ◽  
African American ◽  
Health Professionals ◽  
Upper Body ◽  
Lower Body ◽  
African American Adults ◽  
Maximal Amount ◽  
Body Strength ◽  
Lower Body Strength

With the rapid growth of the number of Americans aged 65 or older resulting in expectations of doubling the number of the population in that age bracket, health professionals and fitness experts will be called upon to develop and implement methods for keeping this population as healthy as possible for as long as possible, and to aid these individuals with retaining their quality of life. This study examined whether incorporating a low-cost, community-based strength and flexibility program would improve performancebased measures of strength, flexibility, and endurance in older (57 to 82 yr.; M = 68 yr., SD = 5 yr.) African-American adults. Evaluated components were upper body strength (maximal amount of weighted arm curls), lower body strength (maximal amount of chair-ups), upper body flexibility (backscratch), lower body flexibility (modified sit-and-reach), and aerobic endurance (maximal distance covered in 6 minutes). Twenty African-American adults (5 male and 15 female) volunteered to participate in five weeks of strength and flexibility training (twice per week, 60 min. per session). Posttest results showed performance improvements for all five measured parameters, with significant improvements found for upper- and lower- body strength and lower body flexibility. Additionally, the structure of this exercise program resulted in adherence rates of more than 80%. In light of these findings, it is important that the design of strength and flexibility programs for older adults be implemented through the collaboration of health professionals and fitness experts; it is with this multifaceted approach to aging that an improvement in quality of life in later years can be achieved successfully.

Exercise capacity and quality of life in cancer survivors after completion of a survivorship focused exercise program.

2018 ◽  
Vol 36 (7_suppl) ◽  
pp. 169-169
Author(s):  
Rebecca Jones ◽  
Trish Harrison ◽  
Doug Mesara
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Cancer Survivors ◽  
Exercise Program ◽  
Lower Body ◽  
Test Analysis ◽  
Body Strength ◽  
Lower Body Strength ◽  
Paired T Test

169 Background: Exercise is a key component in addressing the concerns of cancer survivors. Only a third of survivors meet physical activity recommendations, and 70% of survivors are overweight/obese. For survivors, inactivity and obesity increase risks of recurrence, development of a second primary cancer, and higher mortality overall. Benefits of exercise include weight loss and improved quality of life. Survivorcise, a 12 week exercise program for survivors, was developed with the goal of improving exercise capacity and quality of life. Methods: Survivorcise is a small group exercise program meeting for 60 minutes, twice a week, for 12 weeks. Pre and post testing of strength, balance, and aerobic capacity and pre and post quality of life surveys were completed. Results: Forty-four participants completed Survivorcise between 2015 and 2017. Paired t-test analysis of pre and post testing revealed significant improvements in upper body strength (p = 0.0001), lower body strength (p = 0.0001), and balance (p = 0.0071). Aerobic capacity (p = 0.1583) improved, but not significantly. Paired t-test analysis of pre and post quality of life surveys revealed significant improvements in patient perception of strength (p = 0.0001), stress (p = 0.0002), weight gain (p = 0.0002), adjusting to the new normal (p = 0.0031), depression (p = 0.0034), fatigue (p = 0.0089), change in mood/behavior (p = 0.0094), pain (p = 0.0118), and lymphedema (p = 0.0290). Patient perception of memory (p = 0.1002), balance, walking, and mobility (p = 0.1104), sleep disturbance (p = 0.1361), neuropathy (p = 0.1455), anxiety (p = 0.1537), nausea/vomiting (p = 0.1597), hot flashes (p = 0.2247), poor appetite (p = 0.4560), osteoporosis (p = 0.5748), falls, tripping, and stumbling (p = 0.6574), and weight loss (p = 0.7890) showed no significant change. Conclusions: Our data demonstrated that Survivorcise is an effective tool for cancer survivors. The program significantly improved upper and lower body strength and balance. Participants self-reported significant improvement in perceived strength, stress, weight gain, adjusting to new normal, depression, fatigue, change in mood and behavior, pain, and lymphedema.

scholarly journals MISMATCH BETWEEN PERCEIVED AND OBJECTIVE MOTOR IMPROVEMENTS WITH ADAPTED TANGO INTERVENTION IN OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S170-S170
Author(s):  
Crystal Bennett ◽  
Nathalie Angel ◽  
Madeleine Hackney
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Education ◽  
Motor Function ◽  
Repeated Measures ◽  
Lower Body ◽  
Repeated Measures Design ◽  
Body Strength ◽  
Lower Body Strength

Abstract The purpose of this secondary analysis was to assess the relationship between objective and subjective perceptions of motor function measures in older adults following a 12 week adapted tango or health education intervention. A quasi-experimental, two-group, repeated-measures design was used. The study took place in diverse senior independent living communities in an urban metropolitan area. 74 older adults participated (Tango: n= 62, age: 82.3 (8.81) years; Education: n=12, age: 84.1 (7.86) years). Participants were assigned to 20 sessions of 90-minute tango (n = 62) or health education (n = 12) classes over 12 weeks. Motor function, depression, mental and physical quality of life were measured before and after intervention. At post-test, participants indicated their level of agreement with statements that they improved in the objectively measured domains of motor function. Correlations were performed between subjectively rated agreement, and changes in motor function and depression/quality of life. Tango subjective ratings were negatively correlated with empirically observed improvements in balance (r= -.423) and endurance (r= -.241); although their ratings moderately correlated positively with coordination (r=.319) and minimally correlated positively with lower body strength (r=.188). In Tango, decreased depression was positively correlated with self-perceived improved lower body strength (r=.271) and endurance (r= .254). Improved mental function was moderately (r=.423) positively correlated with self-perceived improved balance and coordination (r=.306). After rehabilitation, even in the presence of improved depression and quality of life, older adults may not perceive empirically observed motor function improvements, particularly in balance and lower body strength.

scholarly journals Effects of an Eccentric Training Protocol Using Gliding Discs on Balance and Lower Body Strength in Healthy Adults

2021 ◽  
Vol 10 (24) ◽  
pp. 5965
Author(s):  
Juan Lopez-Barreiro ◽  
Pablo Hernandez-Lucas ◽  
Jose Luis Garcia-Soidan ◽  
Vicente Romo-Perez
Keyword(s):  
Quality Of Life ◽  
Body Composition ◽  
Control Group ◽  
Lower Body ◽  
Eccentric Training ◽  
Body Strength ◽  
Lower Body Strength ◽  
Experimental Group ◽  
Training Protocol

Impaired balance and lower body weakness are the main causes of falls, which are considered to be the major cause of fractures and head injuries in the elderly and are recognised as a serious health problem. The aim of this study is to observe the effect of eccentric training, introducing new technologies (gliding discs), on body composition, lower body strength, balance and quality of life. A quasi-experimental study was carried out with 56 healthy participants who were divided into an experimental group (n = 31) who underwent the protocol consisting of 12 training sessions and a control group (n = 25) who did not undergo the training. Before and after the intervention, all participants underwent a measurement of body composition, the SJ jump, balance with accelerometry and quality of life with the Short Form 12 Health Survey. In the experimental group, statistically significant improvements were found in the variables balance and lower body strength. The application of this training protocol improves lower body strength and the ability to control balance in the adult population.

scholarly journals A Preliminary Investigation: Evaluating the Effectiveness of an Occupational Specific Training Program to Improve Lower Body Strength and Speed for Law Enforcement Officers

2021 ◽  
Vol 18 (14) ◽  
pp. 7685
Author(s):  
Ian Bonder ◽  
Andrew Shim ◽  
Robert G. Lockie ◽  
Tara Ruppert
Keyword(s):  
Law Enforcement ◽  
Training Program ◽  
Injury Risk ◽  
Preliminary Investigation ◽  
Lower Body ◽  
Specific Training ◽  
Body Strength ◽  
Post Test ◽  
Lower Body Strength ◽  
Post Shift

Based on current law enforcement officer (LEO) duties, musculoskeletal injury risk is elevated due to the unpredictable nature of physically demanding tasks. The purpose of this 4-week study was to determine the effectiveness of a 15-min post-shift standardized occupational specific training program. The standardized program was designed to improve lower-body strength and speed to aid physically demanding task performance. Seven male LEOs completed the program after their 12-h shift. Subjects were required to use the department fitness center to perform the 15-min standardized program consisting of a dynamic warm-up, 4 sets of 3 repetitions on hex-bar deadlift and four 20-m sprints. Two minutes of rest was required between each set of 3 repetitions on hex-bar deadlift and 1 min of rest between each 20-m sprint. A dependent T-test was used between pre-test and post-test scores for hex-bar deadlift (HBD) and sprint. Data revealed significant improvements in relative lower-body strength with HBD (p ≤ 0.001). However, insignificant results were demonstrated with the 20-m sprint (p ≤ 0.262). In conclusion, a 15-min post-shift workout can improve lower-body strength as measured by the hex-bar deadlift. However, data indicated running speed may require a different training approach to improve the 20-m sprint.

scholarly journals Development of Maximal Dynamic Strength During Concurrent Resistance and Endurance Training in Untrained, Moderately Trained, and Trained Individuals: A Systematic Review and Meta-analysis

2021 ◽  
Vol 51 (5) ◽  
pp. 991-1010
Author(s):  
Henrik Petré ◽  
Erik Hemmingsson ◽  
Hans Rosdahl ◽  
Niklas Psilander
Keyword(s):  
Resistance Training ◽  
Endurance Training ◽  
Meta Analysis ◽  
Dynamic Strength ◽  
Concurrent Training ◽  
Strength Development ◽  
Lower Body ◽  
Body Strength ◽  
Lower Body Strength ◽  
Maximal Dynamic Strength

Abstract Background The effect of concurrent training on the development of maximal strength is unclear, especially in individuals with different training statuses. Objective The aim of this systematic review and meta-analysis study was to compare the effect of concurrent resistance and endurance training with that of resistance training only on the development of maximal dynamic strength in untrained, moderately trained, and trained individuals. Methods On the basis of the predetermined criteria, 27 studies that compared effects between concurrent and resistance training only on lower-body 1-repetition maximum (1RM) strength were included. The effect size (ES), calculated as the standardised difference in mean, was extracted from each study, pooled, and analysed with a random-effects model. Results The 1RM for leg press and squat exercises was negatively affected by concurrent training in trained individuals (ES =  – 0.35, p < 0.01), but not in moderately trained ( – 0.20, p = 0.08) or untrained individuals (ES = 0.03, p = 0.87) as compared to resistance training only. A subgroup analysis revealed that the negative effect observed in trained individuals occurred only when resistance and endurance training were conducted within the same training session (ES same session =  – 0.66, p < 0.01 vs. ES different sessions =  – 0.10, p = 0.55). Conclusion This study demonstrated the novel and quantifiable effects of training status on lower-body strength development and shows that the addition of endurance training to a resistance training programme may have a negative impact on lower-body strength development in trained, but not in moderately trained or untrained individuals. This impairment seems to be more pronounced when training is performed within the same session than in different sessions. Trained individuals should therefore consider separating endurance from resistance training during periods where the development of dynamic maximal strength is prioritised.

scholarly journals Influence of Playing Standard on Upper- and Lower-Body Strength, Power, and Velocity Characteristics of Elite Rugby League Players

2019 ◽  
Vol 4 (2) ◽  
pp. 22 ◽  
Author(s):  
John F. T. Fernandes ◽  
Matthew Daniels ◽  
Liam Myler ◽  
Craig Twist
Keyword(s):  
Bench Press ◽  
Peak Velocity ◽  
First Grade ◽  
Rugby League ◽  
Power Relationships ◽  
Lower Body ◽  
Body Strength ◽  
Lower Body Strength ◽  
Lower Body Power ◽  
Level Resistance

Background: To compare load–velocity and load–power relationships among first grade (n = 26, age 22.9 ± 4.3 years), academy (n = 23, age 17.1 ± 1.0 years), and scholarship (n = 16, age 15.4 ± 0.5 years) Super League rugby league players. Methods: Participants completed assessments of maximal upper- and lower-body strength (1RM) and peak velocity and power at 20, 40, 60, and 80 kg during bench press and squat exercises, in a randomised order. Results: Bench press and squat 1RM were highest for first grade players compared with other standards (effect size (ES) = −0.43 to −3.18). Peak velocities during bench and squat were greater in the higher playing standards (ES = −0.39 to −3.72 range), except for the squat at 20 and 40 kg. Peak power was higher in the better playing standards for all loads and exercises. For all three groups, velocity was correlated to optimal bench press power (r = 0.514 to 0.766), but only 1RM was related to optimal power (r = 0.635) in the scholarship players. Only squat 1RM in the academy was related to optimal squat power (r = 0.505). Conclusions: Peak velocity and power are key physical qualities to be developed that enable progression from junior elite rugby league to first grade level. Resistance training should emphasise both maximal strength and velocity components, in order to optimise upper- and lower-body power in professional rugby league players.

scholarly journals The relationship between second-to-fourth digit ratio (2D:4D), muscle strength and body composition to bone mineral density in young women

Kinesiology ◽  
2019 ◽  
Vol 51 (2) ◽  
pp. 238-245
Author(s):  
Hamid Arazi ◽  
Ehsan Eghbali
Keyword(s):  
Body Composition ◽  
Muscle Strength ◽  
Young Women ◽  
Upper Body ◽  
Lower Body ◽  
Fat Percentage ◽  
Mineral Density ◽  
Body Strength ◽  
Lower Body Strength ◽  
The Relationship

2D:4D ratio is determined by balance between androgens and estrogens. Low level estrogen reduces bone mineral density (BMD) and incurs negative changes to bone microarchitecture, increasing the risk of osteoporosis and, as a consequence, fracture risk in women. The purpose of this study was to investigate the relationship between 2D:4D, muscle strength and body composition to BMD in young women. One hundred twenty-seven young women (age range 24-36 years) voluntarily participated in this study. Lengths of the second (index) and fourth (ring) fingers, upper and lower body strength and body composition (body mass index, BMI; waist to hip ratio, WHR) and body fat percentage were estimated. Also, blood levels of calcium and 25-hydroxyvitamin D (25OHD) were evaluated and dual-energy X-ray absorptiometry device was used to measure BMD in the lumbar spine (LS) and femoral neck (FN). The results showed that digit ratios, upper body and lower body muscle strength, BMI and fat percentage had a positive relationship with LS and FN BMD (LS BMD: r=.47, r=.56, r=.46, r=.34, r=.28, p≤.001, respectively; FN BMD: r=.34, r=.49, r=.51, r=.45, r=.27, p≤.001, respectively). In addition, there was no significant relationship between WHR and BMD of LS and FN (p˃.05). Multiple linear regression analysis showed the upper body strength was a stronger determinant of LS BMD and the lower body strength was a stronger determinant of FN BMD. Based on the results, the researchers concluded that upper and lower body strength, 2D:4D ratios and BMI were important determinants of young women’s BMD. Also, it seemed that some of these factors may be able to help predicting the osteoporosis potential in young women

scholarly journals Quality of reporting in chiropractic mixed methods research: a methodological review protocol

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Peter C. Emary ◽  
Kent J. Stuber ◽  
Lawrence Mbuagbaw ◽  
Mark Oremus ◽  
Paul S. Nolet ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Research ◽  
Quantitative Methods ◽  
Data Extraction ◽  
Reporting Quality ◽  
Health Care Research ◽  
Quality Of Reporting ◽  
Methodological Review ◽  
Chiropractic Research

Abstract Background Mixed methods designs are increasingly used in health care research to enrich findings. However, little is known about the frequency of use of this methodology in chiropractic research, or the quality of reporting among chiropractic studies using mixed methods. Objective To quantify the use and quality of mixed methods in chiropractic research, and explore the association of study characteristics (e.g., authorship, expertise, journal impact factor, country and year of publication) with reporting quality. Methods We will conduct a systematic search of MEDLINE, EMBASE, CINAHL, and the Index to Chiropractic Literature to identify all chiropractic mixed methods studies published from inception of each database to December 31, 2020. Articles reporting the use of both qualitative and quantitative methods, or mixed qualitative methods, will be included. Pairs of reviewers will perform article screening, data extraction, risk of bias with the Mixed Methods Appraisal Tool (MMAT), and appraisal of reporting quality using the Good Reporting of A Mixed Methods Study (GRAMMS) guideline. We will explore the correlation between GRAMMS and MMAT scores, and construct generalized estimating equations to explore factors associated with reporting quality. Discussion This will be the first methodological review to examine the reporting quality of published mixed methods studies involving chiropractic research. The results of our review will inform opportunities to improve reporting in chiropractic mixed methods studies. Our results will be disseminated in a peer-reviewed publication and presented publicly at conferences and as part of a doctoral thesis.

Sign in / Sign up

Export Citation Format

Share Document