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The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults
BACKGROUND: The prevention of mobility-related disability amongst adults is a global healthcare priority. Cost-effective community-based strategies to improve physical function and independence in older adults with mobility limitations are needed. This study investigated the effectiveness of the REt...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10420051/ https://www.ncbi.nlm.nih.gov/pubmed/37575112 http://dx.doi.org/10.3389/fpubh.2023.1151035 |
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author | Ladlow, Peter Western, Max J. Greaves, Colin J. Thompson, Janice L. Withall, Janet de Koning, Jolanthe Bollen, Jessica C. Moorlock, Sarah J. Guralnik, Jack M. Fox, Kenneth R. Stathi, Afroditi |
author_facet | Ladlow, Peter Western, Max J. Greaves, Colin J. Thompson, Janice L. Withall, Janet de Koning, Jolanthe Bollen, Jessica C. Moorlock, Sarah J. Guralnik, Jack M. Fox, Kenneth R. Stathi, Afroditi |
author_sort | Ladlow, Peter |
collection | PubMed |
description | BACKGROUND: The prevention of mobility-related disability amongst adults is a global healthcare priority. Cost-effective community-based strategies to improve physical function and independence in older adults with mobility limitations are needed. This study investigated the effectiveness of the REtirement in ACTion (REACT) exercise intervention on individual markers of physical function at 6-and 12-months. METHODS: The REACT multicentre randomised controlled trial assigned 777 older adults (female, 514; male 263) (mean age 77·6 [SD 6·8] years) with reduced lower limb physical functioning (Short Physical Performance Battery [SPPB] score 4–9) to receive brief healthy ageing advice or a 12-month, group-based, multimodal exercise programme delivered in local communities. Estimated differences in the three individual component scores of the SPPB (strength, balance, gait speed) and physical functional outcomes recorded at 6- and 12-months were assessed. RESULTS: The intervention group demonstrated significant improvements in strength (OR = 1.88, 95% CI = 1.36–2.59, p < 0.001) and balance (OR = 1.96, 95% CI = 1.39–2.67, p < 0.001) at 12-months, but not in gait speed (OR = 1.32, 95% CI = 0.91–1.90, p = 0.139). In comparison to the control group, at six-and 12-months, the intervention group reported statistically significant improvements in Mobility Assessment Tool-Short Form (MAT-SF), physical component score from SF-36 questionnaire, and strength and endurance items of subjectively reported physical activity (PASE 10-item). Greater than 75% adherence (attending ≥48 of the 64 exercise sessions delivered in 12-months) was associated with superior functional outcomes. CONCLUSION: The REACT exercise programme provides local, regional and national service providers with an effective solution to increase muscle strength and balance in older adults at risk of mobility disability. |
format | Online Article Text |
id | pubmed-10420051 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104200512023-08-12 The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults Ladlow, Peter Western, Max J. Greaves, Colin J. Thompson, Janice L. Withall, Janet de Koning, Jolanthe Bollen, Jessica C. Moorlock, Sarah J. Guralnik, Jack M. Fox, Kenneth R. Stathi, Afroditi Front Public Health Public Health BACKGROUND: The prevention of mobility-related disability amongst adults is a global healthcare priority. Cost-effective community-based strategies to improve physical function and independence in older adults with mobility limitations are needed. This study investigated the effectiveness of the REtirement in ACTion (REACT) exercise intervention on individual markers of physical function at 6-and 12-months. METHODS: The REACT multicentre randomised controlled trial assigned 777 older adults (female, 514; male 263) (mean age 77·6 [SD 6·8] years) with reduced lower limb physical functioning (Short Physical Performance Battery [SPPB] score 4–9) to receive brief healthy ageing advice or a 12-month, group-based, multimodal exercise programme delivered in local communities. Estimated differences in the three individual component scores of the SPPB (strength, balance, gait speed) and physical functional outcomes recorded at 6- and 12-months were assessed. RESULTS: The intervention group demonstrated significant improvements in strength (OR = 1.88, 95% CI = 1.36–2.59, p < 0.001) and balance (OR = 1.96, 95% CI = 1.39–2.67, p < 0.001) at 12-months, but not in gait speed (OR = 1.32, 95% CI = 0.91–1.90, p = 0.139). In comparison to the control group, at six-and 12-months, the intervention group reported statistically significant improvements in Mobility Assessment Tool-Short Form (MAT-SF), physical component score from SF-36 questionnaire, and strength and endurance items of subjectively reported physical activity (PASE 10-item). Greater than 75% adherence (attending ≥48 of the 64 exercise sessions delivered in 12-months) was associated with superior functional outcomes. CONCLUSION: The REACT exercise programme provides local, regional and national service providers with an effective solution to increase muscle strength and balance in older adults at risk of mobility disability. Frontiers Media S.A. 2023-07-28 /pmc/articles/PMC10420051/ /pubmed/37575112 http://dx.doi.org/10.3389/fpubh.2023.1151035 Text en Copyright © 2023 Ladlow, Western, Greaves, Thompson, Withall, Koning, Bollen, Moorlock, Guralnik, Fox and Stathi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Ladlow, Peter Western, Max J. Greaves, Colin J. Thompson, Janice L. Withall, Janet de Koning, Jolanthe Bollen, Jessica C. Moorlock, Sarah J. Guralnik, Jack M. Fox, Kenneth R. Stathi, Afroditi The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults |
title | The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults |
title_full | The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults |
title_fullStr | The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults |
title_full_unstemmed | The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults |
title_short | The REtirement in ACTion exercise programme and its effects on elements of long term functionality in older adults |
title_sort | retirement in action exercise programme and its effects on elements of long term functionality in older adults |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10420051/ https://www.ncbi.nlm.nih.gov/pubmed/37575112 http://dx.doi.org/10.3389/fpubh.2023.1151035 |
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