The impact of an exercise intervention using low-cost equipment on functional fitness in the community-dwelling older adults: A pilot study

Exercise interventions have shown significant improvements in the older adult population regarding functional and cognitive capacity. However, much research has applied exercise protocols that are expensive both for research and participation. Thus, high investments that are made are currently not e...

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Main Authors: Filipe Rodrigues, Nuno Amaro, Rui Matos, Diogo Mendes, Diogo Monteiro, Pedro Morouço
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.1039131/full
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author Filipe Rodrigues
Filipe Rodrigues
Nuno Amaro
Nuno Amaro
Rui Matos
Rui Matos
Diogo Mendes
Diogo Mendes
Diogo Monteiro
Diogo Monteiro
Diogo Monteiro
Pedro Morouço
Pedro Morouço
author_facet Filipe Rodrigues
Filipe Rodrigues
Nuno Amaro
Nuno Amaro
Rui Matos
Rui Matos
Diogo Mendes
Diogo Mendes
Diogo Monteiro
Diogo Monteiro
Diogo Monteiro
Pedro Morouço
Pedro Morouço
author_sort Filipe Rodrigues
collection DOAJ
description Exercise interventions have shown significant improvements in the older adult population regarding functional and cognitive capacity. However, much research has applied exercise protocols that are expensive both for research and participation. Thus, high investments that are made are currently not ecologically efficient. The aim of the study was to determine whether the impact of a 20-week multicomponent exercise intervention using low-cost material could improve physical fitness in community-dwelling older adults. We tested the feasibility of this three times per week exercise protocol using an inclusive approach. Eligibility criteria included age ≥65 years, the ability to stand and walk with or without assistive devices, being physically inactive; medical clearance, and living in the community. Outcomes were muscle resistance measured using the chair-stand test for lower limbs, cardiorespiratory capacity measured using the 6-min walk test, and agility and balance using the Timed-up and Go test. Flexibility was measured using the chair sit and reach for lower limbs and the back scratch for upper limbs using the dominant leg and arm, respectively. Hand grip strength was measured using a dynamometer. Thirty participants (n = 30) were recruited and included in the intention-to-treat analysis. The mean age of participants was 70 years (±3.62 years), 100% were Caucasians, and 50% were female. There was a significant trend toward a clinically important improvement in the chair-stand (t = −5.23; p < 0.001; d = 0.36), arm curl (t = −5.21; p < 0.001; d = 0.74), 6-min walk test (t = −4.69; p = <0.001; d = 0.77), timed-up and go test (t = 8.788; p < 0.001; d = 1.18), and hand grip strength (t = 2.846; p = 0.009; d = 0.23). There were also differences in the back scratch (t = 2.243; p = 0.035; d = 0.29) and chair sit and reach test (t = −3.380; p < 0.001; d = 0.15). This pilot study has provided preliminary evidence that a 20-week community-based low-cost exercise program may be effective in improving overall functional fitness in older people. The pilot trial has provided the necessary data to design future randomized-controlled trials that can be implemented in the community in an ecological feasible manner.
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spelling doaj.art-6aa8b0c249cf4fa1baca2a7dd75cb39d2022-12-22T04:06:13ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-10-011310.3389/fphys.2022.10391311039131The impact of an exercise intervention using low-cost equipment on functional fitness in the community-dwelling older adults: A pilot studyFilipe Rodrigues0Filipe Rodrigues1Nuno Amaro2Nuno Amaro3Rui Matos4Rui Matos5Diogo Mendes6Diogo Mendes7Diogo Monteiro8Diogo Monteiro9Diogo Monteiro10Pedro Morouço11Pedro Morouço12ESECS, Polytechnic of Leiria, Leiria, PortugalLife Quality Research Centre (CIEQV), Leiria, PortugalESECS, Polytechnic of Leiria, Leiria, PortugalLife Quality Research Centre (CIEQV), Leiria, PortugalESECS, Polytechnic of Leiria, Leiria, PortugalLife Quality Research Centre (CIEQV), Leiria, PortugalESECS, Polytechnic of Leiria, Leiria, PortugalLife Quality Research Centre (CIEQV), Leiria, PortugalESECS, Polytechnic of Leiria, Leiria, PortugalLife Quality Research Centre (CIEQV), Leiria, PortugalResearch Center in Sport, Health and Human Development (CIDESD), Vila Real, PortugalESECS, Polytechnic of Leiria, Leiria, PortugalPolytechnic of Leiria, ciTechCare—Center for Innovative Care and Health Technology, Leiria, PortugalExercise interventions have shown significant improvements in the older adult population regarding functional and cognitive capacity. However, much research has applied exercise protocols that are expensive both for research and participation. Thus, high investments that are made are currently not ecologically efficient. The aim of the study was to determine whether the impact of a 20-week multicomponent exercise intervention using low-cost material could improve physical fitness in community-dwelling older adults. We tested the feasibility of this three times per week exercise protocol using an inclusive approach. Eligibility criteria included age ≥65 years, the ability to stand and walk with or without assistive devices, being physically inactive; medical clearance, and living in the community. Outcomes were muscle resistance measured using the chair-stand test for lower limbs, cardiorespiratory capacity measured using the 6-min walk test, and agility and balance using the Timed-up and Go test. Flexibility was measured using the chair sit and reach for lower limbs and the back scratch for upper limbs using the dominant leg and arm, respectively. Hand grip strength was measured using a dynamometer. Thirty participants (n = 30) were recruited and included in the intention-to-treat analysis. The mean age of participants was 70 years (±3.62 years), 100% were Caucasians, and 50% were female. There was a significant trend toward a clinically important improvement in the chair-stand (t = −5.23; p < 0.001; d = 0.36), arm curl (t = −5.21; p < 0.001; d = 0.74), 6-min walk test (t = −4.69; p = <0.001; d = 0.77), timed-up and go test (t = 8.788; p < 0.001; d = 1.18), and hand grip strength (t = 2.846; p = 0.009; d = 0.23). There were also differences in the back scratch (t = 2.243; p = 0.035; d = 0.29) and chair sit and reach test (t = −3.380; p < 0.001; d = 0.15). This pilot study has provided preliminary evidence that a 20-week community-based low-cost exercise program may be effective in improving overall functional fitness in older people. The pilot trial has provided the necessary data to design future randomized-controlled trials that can be implemented in the community in an ecological feasible manner.https://www.frontiersin.org/articles/10.3389/fphys.2022.1039131/fullfitnessexperimentalautonomyfrailtyolder adults
spellingShingle Filipe Rodrigues
Filipe Rodrigues
Nuno Amaro
Nuno Amaro
Rui Matos
Rui Matos
Diogo Mendes
Diogo Mendes
Diogo Monteiro
Diogo Monteiro
Diogo Monteiro
Pedro Morouço
Pedro Morouço
The impact of an exercise intervention using low-cost equipment on functional fitness in the community-dwelling older adults: A pilot study
Frontiers in Physiology
fitness
experimental
autonomy
frailty
older adults
title The impact of an exercise intervention using low-cost equipment on functional fitness in the community-dwelling older adults: A pilot study
title_full The impact of an exercise intervention using low-cost equipment on functional fitness in the community-dwelling older adults: A pilot study
title_fullStr The impact of an exercise intervention using low-cost equipment on functional fitness in the community-dwelling older adults: A pilot study
title_full_unstemmed The impact of an exercise intervention using low-cost equipment on functional fitness in the community-dwelling older adults: A pilot study
title_short The impact of an exercise intervention using low-cost equipment on functional fitness in the community-dwelling older adults: A pilot study
title_sort impact of an exercise intervention using low cost equipment on functional fitness in the community dwelling older adults a pilot study
topic fitness
experimental
autonomy
frailty
older adults
url https://www.frontiersin.org/articles/10.3389/fphys.2022.1039131/full
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