BACKGROUND: nearly 61% of older adults do not maintain recommended exercise levels emphasising the need for interventions that promote exercise. OBJECTIVES: to compare self-reported exercise behaviour and functional outcomes over 1 year across three groups of older adults: a cognitive-behavioural therapy group, an attention-control education group and a control group. DESIGN: randomised intervention. SETTING: community exercise facilities. PARTICIPANTS: three hundred and thirty-two older adults (mean age = 71.8 ± 5.1 years). METHODS: all three groups received exercise training three times per week for 2 weeks and then one time per week for 8 weeks, during which time the therapy and education groups received their interventions. Blinded data collectors measured follow-up exercise behaviour and functional outcomes at 3-month intervals. RESULTS: after controlling for previous year exercise behaviour, results showed that relative to the control group, the therapy and education groups increased their strengthening exercises over time (0.05 and 0.06 h/week higher, respectively); only the therapy group's change was significant. Also, relative to the control group, the therapy and education groups significantly reduced their 6-min walking distances over time (-1.6 m, P = 0.030 and -1.5 m, P = 0.026, respectively). CONCLUSIONS: although the therapy group increased their strength training, they reduced their 6-min walking distance.
RCT Entities:
BACKGROUND: nearly 61% of older adults do not maintain recommended exercise levels emphasising the need for interventions that promote exercise. OBJECTIVES: to compare self-reported exercise behaviour and functional outcomes over 1 year across three groups of older adults: a cognitive-behavioural therapy group, an attention-control education group and a control group. DESIGN: randomised intervention. SETTING: community exercise facilities. PARTICIPANTS: three hundred and thirty-two older adults (mean age = 71.8 ± 5.1 years). METHODS: all three groups received exercise training three times per week for 2 weeks and then one time per week for 8 weeks, during which time the therapy and education groups received their interventions. Blinded data collectors measured follow-up exercise behaviour and functional outcomes at 3-month intervals. RESULTS: after controlling for previous year exercise behaviour, results showed that relative to the control group, the therapy and education groups increased their strengthening exercises over time (0.05 and 0.06 h/week higher, respectively); only the therapy group's change was significant. Also, relative to the control group, the therapy and education groups significantly reduced their 6-min walking distances over time (-1.6 m, P = 0.030 and -1.5 m, P = 0.026, respectively). CONCLUSIONS: although the therapy group increased their strength training, they reduced their 6-min walking distance.
Authors: A M Jette; M Lachman; M M Giorgetti; S F Assmann; B A Harris; C Levenson; M Wernick; D Krebs Journal: Am J Public Health Date: 1999-01 Impact factor: 9.308
Authors: B E Ainsworth; W L Haskell; A S Leon; D R Jacobs; H J Montoye; J F Sallis; R S Paffenbarger Journal: Med Sci Sports Exerc Date: 1993-01 Impact factor: 5.411
Authors: W Jack Rejeski; Capri Gabrielle Foy; Lawrence R Brawley; Peter H Brubaker; Brian C Focht; James L Norris; Marci L Smith Journal: Med Sci Sports Exerc Date: 2002-11 Impact factor: 5.411