Does Home-Based Exercise Improve the Physical Function of Prefrail Older Women?

Garcia, Ryelen N Santos de Abreu; Costa, Sabrine Nayara; Garcia, Erick Doner Santos de Abreu; Bento, Paulo César Baraúce

doi:10.1089/rej.2019.2292

Cited by 10 publications

(4 citation statements)

References 33 publications

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“…There is a need to help older adults incorporate simple and safe methods to participate in fall prevention exercise programs in confined spaces. Although group-based exercise programs are beneficial in enhancing functional performance in older adults, a home-based exercise program is as effective as a center- or group-based program for improving strength and physical function [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

Remote Home-Based Exercise Program to Improve the Mental State, Balance, and Physical Function and Prevent Falls in Adults Aged 65 Years and Older During the COVID-19 Pandemic in Seoul, Korea

Yim

2021

Med Sci Monit

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Background The COVID-19 pandemic can affect the elderly population’s general health. This study aimed to compare the effects of a remote home-based exercise program to improve the mental state, balance, and physical function and to prevent falls in adults aged 65 years and older during the COVID-19 pandemic in Seoul, Korea. Material/Methods Seventy participants were randomly assigned to an experimental group of 35 participants who underwent a remote home-based fall prevention exercise program and a control group of 35 participants. The experimental group performed an exercise program twice weekly for 8 weeks from June 2 to July 21, 2021. The Geriatric Depression Scale, 5 times sit to stand test, grip strength, 10-m walk test, gait analysis, Timed Up and Go test, and static balance test were assessed before and after the 8-week program. Results The group-by-time interaction effect was statistically significant for the Geriatric Depression Scale, five times sit to stand test, grip strength, 10-meter walk, gait speed, step length, stride length, Timed Up and Go test, and static balance test ( P <0.05). Compared with the control group, the experimental group showed a significant effect in all dependent variables except dynamic balance ( P <0.05). Conclusions In this population, the remote home-based fall prevention exercise program resulted in a significant improvement in physical function, psychological factors, and balance during the COVID-19 pandemic. The findings may have implications for community public health measures to protect the vulnerable during future epidemics and pandemics of infectious disease.

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Section: Introductionmentioning

confidence: 99%

Remote Home-Based Exercise Program to Improve the Mental State, Balance, and Physical Function and Prevent Falls in Adults Aged 65 Years and Older During the COVID-19 Pandemic in Seoul, Korea

Yim

2021

Med Sci Monit

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“…Because poor mobility and risk of falls are hallmarks of frailty, multicomponent training, including resistance training, gait and balance exercises should be applied ( Cadore et al, 2019 ). Home-based multicomponent training, including traditional resistance or high-velocity exercise, is effective to induce neuromuscular and functional improvements in healthy and frail older people ( Bohrer et al, 2019 ; Garcia et al, 2020 ). The complementary program should include exercises as walking with changes in pace and direction, stepping practice, stair climbing, stationary cycling, tandem foot standing, multidirectional weight lifts, heel-toe walking, line walking, standing on one leg, and weight transfers (from one leg to the other) ( Cadore et al, 2019 , Cadore et al, 2013 ).…”

Section: Home-based Resistance Training As a Strategy To Avoid A Harmmentioning

confidence: 99%

COVID-19 pandemic is an urgent time for older people to practice resistance exercise at home

Machado

Pinto

Brusco

et al. 2020

Experimental Gerontology

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Social distancing measures have been used to contain the COVID-19 pandemic; nevertheless, it causes unintended greater time at home and consequently a reduction in general physical activity and an increase in sedentary time, which is harmful to older people. A decrease in daily physical activities and an increase in sedentary time culminates in an impactful skeletal muscle disuse period and reduction in neuromuscular abilities related to functional capacity. Home-based resistance training is a strategy to mitigate physical inactivity and improve or retain muscle function and functional performance. Therefore, it is an urgent time to encourage older people to perform resistance exercises at home to avoid a harmful functional decline and promote physical health.

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“…Physical exercise is recommended to prevent or reduce the effects of aging in older people and has been applied in the supervised and home-individual form [ 1 – 4 ]. In general, supervised programs are more effective than home-based programs for improving muscle strength, balance, physical function, and quality of life [ 3 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

The effects of supervision on three different exercises modalities (supervised vs. home vs. supervised+home) in older adults: Randomized controlled trial protocol

2021

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Background Multicomponent physical exercise programs are a viable strategy for treating physical decline resulting from the aging process in older populations and can be applied in supervised and home-based modalities. However, the magnitude of the intervention effects in terms of physical function development may vary according to the modalities application due to different supervision degrees. Objective This study aims to compare the effects of supervision in a multicomponent exercise program in different application modalities (supervised vs. home vs. supervised+home) in neuromuscular adaptations, muscle strength, gait, physical function, and quality of life, analyzing the differences between intensity, volume, and density of home and supervised sessions in community older adults. Methods This protocol is a randomized controlled clinical trial with a sample of 66 older adults divided into three groups: supervised exercise (SUP = 22), home-based exercise (HB = 22), and supervised plus home-based exercise (SUP+HB = 22). The multicomponent exercise program will last 12 weeks, three times per week, for 60 min per session and include warm-up, balance, muscle-strengthening, gait, and flexibility exercises. The study’s primary outcomes will be neuromuscular function, composed of the assessment of muscle isokinetic strength, muscle architecture, and neuromuscular electrical activation. The secondary outcome will be physical function, usual and maximum gait speed with and without dual-task, and quality of life. All outcomes will be assessed at baseline and post-intervention (week 12). Conclusion This study will be the first clinical trial to examine the effects of different supervision levels on home-based exercises compared to supervised protocols. The results of this study will be essentials for planning coherent and viable home-based programs for older adults. Trial registration Brazilian Registry of Clinical Trials. Number RBR- 7MZ2KR. https://apps.who.int/trialsearch/Trial2.aspx?TrialID=RBR-7mz2kr.

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Does Home-Based Exercise Improve the Physical Function of Prefrail Older Women?

Cited by 10 publications

References 33 publications

Remote Home-Based Exercise Program to Improve the Mental State, Balance, and Physical Function and Prevent Falls in Adults Aged 65 Years and Older During the COVID-19 Pandemic in Seoul, Korea

Remote Home-Based Exercise Program to Improve the Mental State, Balance, and Physical Function and Prevent Falls in Adults Aged 65 Years and Older During the COVID-19 Pandemic in Seoul, Korea

COVID-19 pandemic is an urgent time for older people to practice resistance exercise at home

The effects of supervision on three different exercises modalities (supervised vs. home vs. supervised+home) in older adults: Randomized controlled trial protocol

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