Effects Of Community-Based Exercise Training Among Older Individuals With Metabolic Disease, Cardiovascular Disease, Or Muscle Atrophy
Exercise training is associated with increased health benefits such as improved quality of life, mental health, and physical functioning. PURPOSE: The purpose of this study is to quantify the effects of structured aerobic and resistance exercise training on body composition, functional tests, and quality of life in older individuals in a community-based facility. We hypothesized that at least moderate participation in the program would decrease fat mass, improve outcomes on grip and timed movement tests, and increase quality of life. METHODS: Twenty subjects who were members from a community-based institute participated in the study (7M:13F; 69.10 ± 6.40 yrs [mean ± sd]; 166.88 ± 10.52 cm; 76.40 ± 16.42 kg) and had metabolic or cardiovascular disease, or muscle atrophy. Subjects were expected to participate in 3, 30-min sessions/week for 8 weeks. The program was 30 min aerobic conditioning of intervals and 6–7 full-body resistance exercises and basic stretches. We measured height (cm), weight (kg), fat mass (kg), lean mass (kg), grip strength (kg), timed-up-go (TUG, s), 10-meter walk forwards (s), 10-meter walk backwards (a novel movement) (s), 6-minute walk tests (m), the Health-Related Quality of Life (CDC HRQOL-4) survey, and 36-Item Short-Form Health (SF-36), before and after the completion of exercise training. We performed paired t-tests on testing variables and the 8 subsections of the SF-36 and one-sample t-tests on the delta of questions on the HRQOL-4. Alpha <0.05. RESULTS: There were no significant differences in any of the SF-36 subsections or testing variables (p > 0.05) except for increased right-hand grip strength (2.02 ± 4.35 kg, p = 0.05) and decreased time in the backwards 10-meter walk (0.52 ± 0.88 s, p = 0.02). Concerning the HRQOL-4, no members had fair to poor self-rated health before or after the program, more members experienced fewer but non-significant physically unhealthy days (delta = -3.61 ± 8.67 days, p = 0.10), and a similar number of mentally unhealthy days and days when poor mental/physical health kept them from usual activities (p > 0.05). CONCLUSION: These preliminary findings suggest that there may be clinically meaningful improvements in strength and novel movement in these older individuals after an 8-week prescribed and training program in the community setting. Different measurements of quality of life in this population should be explored.
Black, Stacie B.; Jharia, Nikhat; Dholariya, Binal; George, Seth; Anders, Anne; English, Kirk L.; Dean, Julianna M.; and Amonette, William E.
"Effects Of Community-Based Exercise Training Among Older Individuals With Metabolic Disease, Cardiovascular Disease, Or Muscle Atrophy,"
International Journal of Exercise Science: Conference Proceedings: Vol. 2:
12, Article 70.
Available at: https://digitalcommons.wku.edu/ijesab/vol2/iss12/70
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