Efficacy of Home-Based Well-Rounded Exercises in Community-Dwelling Older-Adults

Yamauchi, Toyoaki; Islam, Mohammad Monirul; Rogers, Michael E.; Watanabe, Eiji; Takeshima, Nobuo

doi:10.1097/00005768-200205001-00423

Cited by 34 publications

(62 citation statements)

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“…There is strength of evidence for effectiveness of these in-home interventions in terms of volume of higher quality studies and in terms of consistency (all but two of nine studies indicated effectiveness). 93,95,[105][106][107][116][117][118] Both studies 121,122 in the group evaluating computer-based interventions report effectiveness, although this evidence is from weaker design, no-control-arm studies, and with self-reported outcomes.…”

Section: Figurementioning

confidence: 99%

Interventions to promote or maintain physical activity during and after the transition to retirement: an evidence synthesis

Baxter¹,

Blank²,

Johnson³

et al. 2016

Public Health Res

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BackgroundIt has been argued that transition points in life, such as the approach towards and early years of retirement, present key opportunities for interventions to improve the health of the population. Interventions that may change or preserve activity levels around the time of retirement have the potential to provide benefits in terms of increased health and well-being for people in later life. Research has highlighted health inequalities in health statuses in the retired population and in response to interventions.ObjectiveWe aimed to conduct a systematic review and meta-synthesis of the types and effectiveness of interventions to increase physical activity among people around the time of retirement. We also aimed to identify factors that may underpin the effectiveness or acceptability of interventions, and how issues of health inequalities may be addressed.Data sourcesThe following electronic databases were searched: (1) MEDLINE; (2) Applied Social Sciences Index and Abstracts; (3) The Cochrane Library (including The Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects, Health Technology Assessment Database); (4) Cumulative Index to Nursing and Allied Health Literature; (5) Science Citation Index; (6) Social Science Citation Index; (7) PsycINFO; (8) Evidence for Policy and Practice Information and Co-ordinating Centre; (9) SPORTDiscus; (10) Social Policy and Practice; (11) Health Management Information Consortium; and (12) Sociological Abstracts. We also searched for grey literature, checked reference lists of included papers and screened other reviews.Review methodsA systematic review of quantitative and qualitative literature was carried out between February 2014 and April 2015. The searches aimed to identify, first, evidence of effectiveness of interventions for older adults at the point of transition to retirement and, second, data relating to perceptions of barriers and facilitators to intervention effectiveness. A meta-synthesis of the two types of evidence was also carried out to provide further interpretation of the review findings.ResultsA systematic search of the literature identified a large number of potentially relevant studies. Of these, 103 studies examining the effectiveness of interventions and 55 qualitative papers met the criteria for inclusion. A review of the effectiveness literature indicated a dearth of studies that investigate interventions that specifically examine the transition to retirement. More general studies in older adults indicated that a range of interventions might be effective for people around retirement age. The qualitative literature indicated the importance of considering the appeal and enjoyment, and social aspects, of interventions. Although there were a range of different measures in use, many were self-reported and few studies included an evaluation of sedentary time. A meta-synthesis across the data types indicated that elements reported as significant by participants did not always feature in the interventions.LimitationsOwing to the lack of evidence relating to the retirement transition, we examined the literature relating to older adults. The applicability of these data to people around retirement age may need consideration.ConclusionsAlthough the retirement transition is considered a significant point of life change, only a small volume of literature has reported interventions specifically in this period. The included literature suggests that interventions should take account of views and preferences of the target population and evaluate effectiveness by measuring meaningful outcomes and using a control group design.Study registrationThis study is registered as PROSPERO CRD42014007446.FundingThe National Institute for Health Research Public Health Research programme.

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Section: Figurementioning

confidence: 99%

Interventions to promote or maintain physical activity during and after the transition to retirement: an evidence synthesis

Baxter¹,

Blank²,

Johnson³

et al. 2016

Public Health Res

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“…Other studies have also shown that physical condition (balance, walking speed and lowerextremity strength) is important to the health and functional fitness in old age (Yamauchi, Islam, Koizumi, Rogers, Rogers, & Takeshima, 2005;Rogers, Sherwood, Rogers, and Bohlken, 2002;Morgan, Tabor, and Snyder, 2010). Functional fitness predicts the likelihood of older adults developing disease, disability, hospitalization, and mortality (Aoyagi, Park, Watanabe, Park, & Shephard, 2009).…”

Section: Introductionmentioning

confidence: 99%

The Impact of an Active Lifestyle on the Functional Fitness Level of Older Women

et al. 2016

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The American College of Sports Medicine recommends that to maintain health, adults should engage in 150 min of moderate/vigorous physical activity (MVPA) per week. The purpose of the current study was to investigate the lowest MVPA dose possible to maintain functional fitness. Functional fitness was assessed using the Senior Fitness Test in 101 women (75.0 ± 7.2 years) from two Midwestern communities. Accelerometer determined daily activity level was assessed for 7 days as participants went about their normal daily activities. MVPA was determined via proprietary filtering, and time spent in this intensity was calculated. A 5-day average of time spent in MVPA was organized into four groups. ANOVAs revealed significant differences between activity groups on all functional fitness measures except back scratch and sit and reach. Results indicate that to maintain lower body function in older women, a threshold of 20 min/day of MVPA for 5 days is needed.

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“…However, it is typically not feasible to have large, expensive training equipment in day service centers that provide care for older adults. Previous research has shown that training with ankle-weight cuŠs and resistance bands, or using participants' body weight as resistance, to be eŠec-tive but no details were provided regarding the exercise intensity used in these interventions (Yamauchi et al, 2005;Rosie and Taylor, 2007;Shaw and Snow, 1998;Takeshima et al, 2013;.…”

Section: Introductionmentioning

confidence: 99%

Effects of Body-weight Squat Training on Muscular Size, Strength and Balance Ability in Physically Frail Older Adults

Fujita

Takeshima

Kato

et al. 2016

Int. J. Sport Health Sci.

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The purpose of this study was to evaluate the eŠects of a 12-week group-based body-weight squat training program on muscle mass, muscle strength, and balance in physically frail community-dwelling older men and women. Fifteen older adults (mean age ＝78.7 yr) who needed assistance performing activities of daily living (ADL) according to long-term care insurance regulations in Japan participated in the study. Participants performed squat exercise in a groupsetting using body-weight as resistance while singing for one set consisting of 48 reps twice weekly for 12 weeks. Body mass, thigh girth, thigh muscle thickness assessed by B-mode ultrasound, knee extension torque (KET), static and dynamic balance (static (SB): sway velocity (SV) standing onˆrm or foam surfaces with eyes open or closed; dynamic (DB): limits of stability) were measured before and after the intervention. Following the intervention, participants signiˆcantly (P＜0.05) decreased body mass and increased KET relative to body mass. Although thigh girth did not change, thigh muscle thickness did increase. There were no appreciable changes in DB nor in SB, except SV standing on aˆrm surface with the eyes open improved. Group-based body-weight squat exercise in physically frail older adults improves muscle mass and strength but has little eŠect on balance parameters.

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Efficacy of Home-Based Well-Rounded Exercises in Community-Dwelling Older-Adults

Cited by 34 publications

References 0 publications

Interventions to promote or maintain physical activity during and after the transition to retirement: an evidence synthesis

Interventions to promote or maintain physical activity during and after the transition to retirement: an evidence synthesis

The Impact of an Active Lifestyle on the Functional Fitness Level of Older Women

Effects of Body-weight Squat Training on Muscular Size, Strength and Balance Ability in Physically Frail Older Adults

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