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212 Have A Try! A community-based progressive resistance training program designed for older australians
Have A Try! A community-based progressive resistance training program designed for older australians
E. Cyarto*, W. Brown &A. Marshall School Of Human Movement Studies
The benefits of progressive resistance training (PRT) for older adults are well-established. Although high-intensity resistance training in controlled settings can increase strength, many barriers prevent older people from participating. The aim of this study was to develop and systematically evaluate a community-based resistance training program suitable for older adults. This quasi-randomised controlled trial involved residents of independent living units. Retirement villages (n=9) were assigned to one of three program groups. 'Have ATry' (HAT) was a home-based program involving 11 exercises, supervised via home visits and telephone contacts. 'Come Have A Try' (CHAT) comprised the same exercises as 'Have ATry', delivered in agroup format. The comparison program was asupervised walking group (CHAT-W). Objectively measured functional performance tests were conducted at baseline and 20 weeks. Arepeated-measures MANOVA was used to examine differences in functional performance over time and between study groups. Program adherence was calculated as the percentage of participants who completed the intervention. Atotal of 165 participants (mean age 79±6 yrs, 79% women) volunteered for the programs. After 20 weeks, significant improvements were observed in tests measuring upper and lower body strength (p<0.0001), lower body power (p<0.01), dynamic balance (p<0.0001), and upper body flexibility (p<0.0001). No group differences were found. Adherence rates were 80% for HAT, 83% for CHAT-PRT, and 740/0 for CHAT-W. These findings suggest that older adults can improve their functional performance as a result of community-based exercise programs that vary in format and mode of delivery.
Successfully increasing physical activity behaviour after rehabilitation
H. van der Ploe~1*, K. StreppeF, A. van der Beek1,3, L. van der Woude4,5, M. Vollenbroek-Hutten 2, W. van Harten6, , W. van Mechelen1,3 1Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands 2Roessingh Research and Development, Enschede, The Netherlands 3Body@Work, Research Center Physical Activity, Work and Health, TNO VUmc, Amsterdam, The Netherlands 4Faculty of Human Movement Sciences, Vrije Universiteit Amsterdam, The Netherlands 5Rehabilitation Center Amsterdam, The Netherlands 6Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands 7University of Twente, Enschede, The Netherlands
The objective of this study was to determine the effects of the sport stimulation program 'Rehabilitation & Sports' (R&S) and R&S combined with the daily physical activity promotion program 'Active after Rehabilitation' (AaR) on sport and daily physical activity at nine weeks and one year after in- or outpatient rehabilitation. Subjects in four intervention rehabilitation centers were randomized into a group receiving R&S (n=315) and a group receiving R&S and AaR (n=284). Subjects in six control centers (n=603) received usual care. Most frequent diagnoses were stroke, neurological disorders and back disorders. Two sport outcomes and two daily physical activity outcomes were assessed using questionnaires seven weeks before, nine weeks after and one year after the end of rehabilitation. Data were analyzed by intention to treat and on treatment multilevel analyses. The R&S program showed no significant improvements. Intention to treat analyses at nine weeks after rehabilitation in the R&S +AaR group showed significant improvements in one sport (p=0.02) and one physical activity outcome (p=0.03). Intention to treat analyses at one year after rehabilitation in the R&S +AaR group showed significant improvements in one sport (p=0.02) and both physical activity outcomes (p=0.01 and p=0.05). The on treatment analyses showed the same but stronger effects, with the second sport outcome also improving significantly at nine weeks in the R&S +AaR group. In conclusion, the combination of the R&S and AaR programs improved sports participation and daily physical activity behavior nine weeks and one year after in- or outpatient rehabilitation. 124
E. Cyarto*, W. Brown &A. Marshall School Of Human Movement Studies
The benefits of progressive resistance training (PRT) for older adults are well-established. Although high-intensity resistance training in controlled settings can increase strength, many barriers prevent older people from participating. The aim of this study was to develop and systematically evaluate a community-based resistance training program suitable for older adults. This quasi-randomised controlled trial involved residents of independent living units. Retirement villages (n=9) were assigned to one of three program groups. 'Have ATry' (HAT) was a home-based program involving 11 exercises, supervised via home visits and telephone contacts. 'Come Have A Try' (CHAT) comprised the same exercises as 'Have ATry', delivered in agroup format. The comparison program was asupervised walking group (CHAT-W). Objectively measured functional performance tests were conducted at baseline and 20 weeks. Arepeated-measures MANOVA was used to examine differences in functional performance over time and between study groups. Program adherence was calculated as the percentage of participants who completed the intervention. Atotal of 165 participants (mean age 79±6 yrs, 79% women) volunteered for the programs. After 20 weeks, significant improvements were observed in tests measuring upper and lower body strength (p<0.0001), lower body power (p<0.01), dynamic balance (p<0.0001), and upper body flexibility (p<0.0001). No group differences were found. Adherence rates were 80% for HAT, 83% for CHAT-PRT, and 740/0 for CHAT-W. These findings suggest that older adults can improve their functional performance as a result of community-based exercise programs that vary in format and mode of delivery.
Successfully increasing physical activity behaviour after rehabilitation
H. van der Ploe~1*, K. StreppeF, A. van der Beek1,3, L. van der Woude4,5, M. Vollenbroek-Hutten 2, W. van Harten6, , W. van Mechelen1,3 1Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands 2Roessingh Research and Development, Enschede, The Netherlands 3Body@Work, Research Center Physical Activity, Work and Health, TNO VUmc, Amsterdam, The Netherlands 4Faculty of Human Movement Sciences, Vrije Universiteit Amsterdam, The Netherlands 5Rehabilitation Center Amsterdam, The Netherlands 6Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands 7University of Twente, Enschede, The Netherlands
The objective of this study was to determine the effects of the sport stimulation program 'Rehabilitation & Sports' (R&S) and R&S combined with the daily physical activity promotion program 'Active after Rehabilitation' (AaR) on sport and daily physical activity at nine weeks and one year after in- or outpatient rehabilitation. Subjects in four intervention rehabilitation centers were randomized into a group receiving R&S (n=315) and a group receiving R&S and AaR (n=284). Subjects in six control centers (n=603) received usual care. Most frequent diagnoses were stroke, neurological disorders and back disorders. Two sport outcomes and two daily physical activity outcomes were assessed using questionnaires seven weeks before, nine weeks after and one year after the end of rehabilitation. Data were analyzed by intention to treat and on treatment multilevel analyses. The R&S program showed no significant improvements. Intention to treat analyses at nine weeks after rehabilitation in the R&S +AaR group showed significant improvements in one sport (p=0.02) and one physical activity outcome (p=0.03). Intention to treat analyses at one year after rehabilitation in the R&S +AaR group showed significant improvements in one sport (p=0.02) and both physical activity outcomes (p=0.01 and p=0.05). The on treatment analyses showed the same but stronger effects, with the second sport outcome also improving significantly at nine weeks in the R&S +AaR group. In conclusion, the combination of the R&S and AaR programs improved sports participation and daily physical activity behavior nine weeks and one year after in- or outpatient rehabilitation. 124