Examining evidence based resistance plus balance training in community-dwelling older adults with complex health care needs: Trial protocol for the Muscling Up Against Disability project

Keogh, Justin W L; Henwood, Timothy; Gardiner, Paul A.; Tuckett, Anthony G.; Hodgkinson, Brent; Rouse, Kevin

doi:10.1016/j.archger.2016.10.001

Cited by 7 publications

(14 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The data reported in this manuscript describe the results of a sub-study of a single-blind larger trial, where the methods are fully described in a trial protocol (Keogh et al, 2017) and within two papers describing different aspects of the overall trial’s results (Hetherington et al, 2018; Hetherington et al, in press). Briefly, community-dwelling older Australians in receipt of government-funded aged care support were recruited to participate in an intervention comprising progressive resistance and balance training (PRBT).…”

Section: Methodsmentioning

confidence: 99%

“…A modified stepped-wedge randomisation process was used to ensure all participants were provided an opportunity to participate in the exercise intervention if they were interested. The sample of 245 participants was close to the maximum projected 300 older adults who could be recruited to the study and trained in a safe and effective manner (Keogh et al, 2017). The stepped-wedge design included four delivery phases of participant entry (between September 2015 and August 2017) that resulted in eight exercise and control clusters.…”

Section: Methodsmentioning

confidence: 99%

“…The program is overviewed in detail in Fig. S1, and a more detailed overview of the program can be found in the MUAD trial protocol (Keogh et al, 2017). If participants experienced pain or discomfort when performing any exercise, the exercise was modified or removed from the participant’s program.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Sarc-F and muscle function in community dwelling adults with aged care service needs: baseline and post-training relationship

Keogh

Henwood

Gardiner

et al. 2019

PeerJ

Self Cite

View full text Add to dashboard Cite

BackgroundThis study sought to better understand the psychometric properties of the SARC-F, by examining the baseline and training-related relationships between the five SARC-F items and objective measures of muscle function. Each of the five items of the SARC-F are scored from 0 to 2, with total score of four or more indicative of likely sarcopenia.MethodsThis manuscript describes a sub-study of a larger step-wedge, randomised controlled 24-week progressive resistance and balance training (PRBT) program trial for Australian community dwelling older adults accessing government supported aged care. Muscle function was assessed using handgrip strength, isometric knee extension, 5-time repeated chair stand and walking speed over 4 m. Associations within and between SARC-F categories and muscle function were assessed using multiple correspondence analysis (MCA) and multinomial regression, respectively.ResultsSignificant associations were identified at baseline between SARC-F total score and measures of lower-body muscle function (r = − 0.62 to 0.57; p ≤ 0.002) in 245 older adults. MCA analysis indicated the first three dimensions of the SARC-F data explained 48.5% of the cumulative variance. The initial dimension represented overall sarcopenia diagnosis, Dimension 2 the ability to displace the body vertically, and Dimension 3 walking ability and falls status. The majority of the 168 older adults who completed the PRBT program reported no change in their SARC-F diagnosis or individual item scores (56.5–79.2%). However, significant associations were obtained between training-related changes in SARC-F total and item scores and changes in walking speed and chair stand test performance (r = − 0.30 to 0.33; p < 0.001 and relative risk ratio = 0.40–2.24; p < 0.05, respectively). MCA analysis of the change score data indicated that the first two dimensions explained 32.2% of the cumulative variance, with these dimensions representing whether a change occurred and the direction of change, respectively.DiscussionThe results advance our comprehension of the psychometric properties on the SARC-F, particularly its potential use in assessing changes in muscle function. Older adults’ perception of their baseline and training-related changes in their function, as self-reported by the SARC-F, closely matched objectively measured muscle function tests. This is important as there may be a lack of concordance between self-reported and clinician-measured assessments of older adults’ muscle function. However, the SARC-F has a relative lack of sensitivity to detecting training-related changes, even over a period of 24 weeks.ConclusionsResults of this study may provide clinicians and researchers a greater understanding of how they may use the SARC-F and its potential limitations. Future studies may wish to further examine the SARC-F’s sensitivity of change, perhaps by adding a few additional items or an additional category of performance to each item.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Sarc-F and muscle function in community dwelling adults with aged care service needs: baseline and post-training relationship

Keogh

Henwood

Gardiner

et al. 2019

PeerJ

Self Cite

View full text Add to dashboard Cite

show abstract

“…Ethics approval for the study was obtained from the University of Queensland Human Research Ethics Committee (approval number #2015000879) and the study registered with the Australian New Zealand Clinical Trials Registry (ACTRN12615001153505). Details of the study protocol have been published (Keogh et al, 2017).…”

Section: Methodsmentioning

confidence: 99%

Progressive Resistance Plus Balance Training for Older Australians Receiving In-Home Care Services: Cost-Effectiveness Analyses Alongside the Muscling Up Against Disability Stepped-Wedge Randomized Control Trial

Hetherington¹,

Swinton²,

Henwood³

et al. 2020

Journal of Aging and Physical Activity

Self Cite

View full text Add to dashboard Cite

In this article, the authors assessed the cost-effectiveness of center-based exercise training for older Australians. The participants were recipients of in-home care services, and they completed 24 weeks of progressive resistance plus balance training. Transport was offered to all participants. A stepped-wedge randomized control trial produced pre-, post-, and follow-up outcomes and cost data, which were used to calculate incremental cost-effectiveness ratios per quality-adjusted life year gained. Analyses were conducted from a health provider perspective and from a government perspective. From a health-service provider perspective, the direct cost of program provision was $303 per person, with transport adding an additional $1,920 per person. The incremental cost–utility ratio of the program relative to usual care was $70,540 per quality-adjusted life year over 6 months, decreasing to $37,816 per quality-adjusted life year over 12 months. The findings suggest that Muscling Up Against Disability offers good value for the money within commonly accepted threshold values.

show abstract

“…The evidence of the benefits of physical activity for the prevention and management of chronic conditions for older adults is well documented [6,8,9]. Pertinent to this study is the evidence that physical activity, primarily comprised of walking in older adults, confers benefits for psychological health and mental well-being (e.g., anxiety, depression, life satisfaction), functional status outcomes (e.g., sarcopenia, physical and cognitive function), and social outcomes (e.g., community involvement and social networks) [1,5,10,11].…”

Section: Introductionmentioning

confidence: 99%

Older Adults Using Our Voice Citizen Science to Create Change in Their Neighborhood Environment

Tuckett

Freeman

Hetherington

et al. 2018

IJERPH

Self Cite

View full text Add to dashboard Cite

Physical activity, primarily comprised of walking in older adults, confers benefits for psychological health and mental well-being, functional status outcomes and social outcomes. In many communities, however, access to physical activity opportunities are limited, especially for older adults. This exploratory study engaged a small sample (N = 8) of adults aged 65 or older as citizen scientists to assess and then work to improve their communities. Using a uniquely designed mobile application (the Stanford Healthy Neighborhood Discovery Tool), participants recorded a total of 83 geocoded photos and audio narratives of physical environment features that served to help or hinder physical activity in and around their community center. In a facilitated process the citizen scientists then discussed, coded and synthesized their data. The citizen scientists then leveraged their findings to advocate with local decision-makers for specific community improvements to promote physical activity. These changes focused on: parks/playgrounds, footpaths, and traffic related safety/parking. Project results suggest that the Our Voice approach can be an effective strategy for the global goals of advancing rights and increasing self-determination among older adults.

show abstract

Examining evidence based resistance plus balance training in community-dwelling older adults with complex health care needs: Trial protocol for the Muscling Up Against Disability project

Cited by 7 publications

References 51 publications

Sarc-F and muscle function in community dwelling adults with aged care service needs: baseline and post-training relationship

Sarc-F and muscle function in community dwelling adults with aged care service needs: baseline and post-training relationship

Progressive Resistance Plus Balance Training for Older Australians Receiving In-Home Care Services: Cost-Effectiveness Analyses Alongside the Muscling Up Against Disability Stepped-Wedge Randomized Control Trial

Older Adults Using Our Voice Citizen Science to Create Change in Their Neighborhood Environment

Contact Info

Product

Resources

About