Comparative effects of two physical activity programs on measured and perceived physical functioning and other health-related quality of life outcomes in older adults

Citation
Ac. King et al., Comparative effects of two physical activity programs on measured and perceived physical functioning and other health-related quality of life outcomes in older adults, J GERONT A, 55(2), 2000, pp. M74-M83
Citations number
52
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Public Health & Health Care Science","Medical Research General Topics
Journal title
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
ISSN journal
1079-5006 → ACNP
Volume
55
Issue
2
Year of publication
2000
Pages
M74 - M83
Database
ISI
SICI code
1079-5006(200002)55:2<M74:CEOTPA>2.0.ZU;2-8
Abstract
Background. Although inactivity is an important contributor to impaired fun ctioning and disability with age, little is known concerning how improvemen ts in physical functioning and well-bring in older adults vary with the typ e of physical activity undertaken. Methods. One hundred three adults age 65 years and older, recruited via pop ulation-based methods, were randomized to 12 months of community-based, mod erate-intensity endurance and strengthening exercises (Fit & Firm) or stret ching and flexibility exercises (Stretch & Flex). A combination of class- a nd home-based exercise formats was used, Measured and self-rated physical p erformance along with perceived functioning and well-being were assessed pr e- and postintervention. Results. Fit & Firm subjects showed greater 12-month improvements in both m easured and self-rated endurance and strength compared to Stretch & Flex su bjects. Stretch & Flex subjects reported greater improvements in bodily pai n, and Stretch & Flex men evidenced greater improvements in flexibility rel ative to Fit & Finn subjects. Although overall exercise adherence was high in both exercise conditions (approximately 80%), subjects in both condition s showed better adherence to the home- versus class-based portions of their exercise prescriptions. Conclusions. Community-based programs focusing on moderate-intensity endura nce and strengthening exercises or flexibility exercises can be delivered t hrough a combination of formats that result in improvement in important fun ctional and well-being outcomes. This represents one of the first studies t o report significant improvements in an important quality of life outcome-b odily pain-with a regular regimen of stretching and flexibility exercises i n a community-based sample of older adults.