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Feasibility and Acceptability of a Physical Exercise Program Embedded Into the Daily Lives of Older Adults Living in Nursing Homes: A Pilot Feasibility Study

Eva Barrett, Paddy Gillespie, John Newell, and Dympna Casey

The purpose of this study was to test the feasibility and acceptability of a staff-delivered physical exercise program embedded into the daily lives of older adults living in nursing homes. A randomized controlled pilot feasibility study was carried out, which included quantitative, qualitative, and economic assessments at baseline, 12 weeks, and 12 months. Two nursing homes (one intervention and one control) took part. The exercise program was carried out on 3 days per week for 12 weeks and consisted of a program of Morning Movement (walking and sit-to-stand exercises) and Activity Bursts. The results confirm that the intervention and study processes are largely acceptable and feasible to implement in the nursing home setting. Potential short-term improvements in physical mobility and quality of life were noticed as positive mean changes and supported by qualitative assessment. Future randomized controlled trials should consider using the 6-meter walk test and refining nursing home and participant eligibility criteria.

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Feasibility of a Virtual Health-Promoting Intervention (Choose to Move) for Older Adults: A Rapid Adaptation in Response to COVID-19

Samantha M. Gray, Lindsay Nettlefold, Dawn Mackey, Joanie Sims Gould, and Heather A. McKay

To support older adults during the first wave of COVID-19, we rapidly adapted our effective health-promoting intervention (Choose to Move [CTM]) for virtual delivery in British Columbia, Canada. The intervention was delivered (April–October 2020) to 33 groups of older adults (“programs”) who were a convenience sample (had previously completed CTM in person; n = 153; 86% female; 73 [6] years). We compared implementation outcomes (recruitment, dose received, retention, and completion of virtual data collection) to predetermined feasibility targets. We assessed mobility, physical activity, and social health outcomes pre- and postintervention (3 months) with validated surveys. We met most (dose received, retention, and virtual data collection), but not all (recruitment), feasibility targets. Approximately two thirds of older adults maintained or improved mobility, physical activity, and social health outcomes at 3 months. It was feasible to implement and evaluate CTM virtually. In future, virtual CTM could help us reach homebound older adults and/or serve as support during public health emergencies.

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Validity of the German Version of Daily Activity Behaviours Questionnaire Among Older Adults

Kaja Kastelic, Stefan Löfler, Špela Matko, and Nejc Šarabon

Time spent in physical activity, sedentary behavior, and sleep collectively impact health of older adults. There is a need for valid self-reported methods for the assessment of movement behaviors across the entire 24-hr day. The aim of this study was to explore the validity of the German version of Daily Activity Behaviours Questionnaire (DABQ), the “Schlaf- und Aktivitätsfragebogen (SAF),” among older adults. Participants were asked to wear activity monitor (activPAL) for a period of 8 days and to complete the German version of DABQ. Seventy-seven participants (45 females; 68 ± 5 years of age) completed the protocol. Spearman’s correlation coefficients between DABQ and activPAL estimates for time spent in sleep, sedentary behavior, light physical activity, and moderate to vigorous physical activity were .69, .35, .24, and .52, respectively. The German version of the DABQ showed satisfactory validity to be used in epidemiological research and population surveillance among older adults.

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Effects of Dancing Associated With Resistance Training on Functional Parameters and Quality of Life of Aging Women: A Randomized Controlled Trial

Lucas Betti Domingues, Carlos Eduado Payano, Maykon da Silva Peres, Vitor Hugo Sant’Anna, Eduardo Lusa Cadore, Josianne da Costa Rodrigues-Krause, and Rodrigo Ferrari

The purpose of the present study was to evaluate the effects of a dance intervention associated with resistance training or health education program on functional paramaters and quality of life of aging women. Thirty-six women were allocated to dance plus resistance training group (D + RT) or dance plus health education group (D + HE). Both interventions lasted 8 weeks and were performed twice a week. Dance sessions lasted 60 min. Resistance training was composed by two to three sets of 10–15 repetitions in five exercises. Improvements were found in 30-s chair stand (D + RT: 6 ± 1 repetitions; D + HE: 7 ± 1 repetitions), 30-s arm curl (D + RT: 7 ± 1 repetitions; D + HE: 7 ± 1 repetitions), 6-min walk (D + RT: 43 ± 12 m; D + HE: 55 ± 12 m), timed up and go (D + RT: −1.1 ± 0.3 s; D + HE: −1.4 ± 0.2 s), and psychological domain of quality of life (D + RT: 6 ± 2%; D + HE: 5 ± 3%), with no difference between groups. Both groups improve functional parameters and quality of life of aging women.

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Erratum. Effects of Dancing Associated With Resistance Training on Functional Parameters and Quality of Life of Aging Women: A Randomized Controlled Trial

Journal of Aging and Physical Activity

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Erratum. Interaction Between Sarcopenic Obesity and Nonlocomotive Physical Activity on the Risk of Depressive Symptoms in Community-Dwelling Older Adult Japanese Women

Journal of Aging and Physical Activity

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Volume 31 (2023): Issue 4 (Aug 2023)

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Sedentary Behavior, Physical Activity, Social Participation, and Loneliness Among Community-Dwelling Older Adults in China

Aiqin Chu, Ye Lu, Hailing Zhang, and Yan Jiang

This study examined the relationship between loneliness, sedentary behavior, physical exercise, and social participation in Chinese older adults, and provided ideas to formulate preventive strategies that can help reduce loneliness. Data on demographics, health behavior, social participation, and loneliness were collected from a cross-sectional study of 629 older adults in Hefei, Anhui province, from June to August 2020. After adjusting for age, income, religion, marital status, and chronic illness demographic variables, sedentary behavior (β = 0.111, SE = 0.671, p = .001), physical exercise (β = −0.229, SE = 0.358, p < .001), and social participation (β = −0.329, SE = 0.086, p < .001) were found to be significantly correlated with loneliness in older adults. These findings suggest that a higher level of loneliness may be linked to greater sedentary behavior, less social engagement, and decreased physical exercise among older men and women.

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The Effects of Physical Activity on Cognitive Function in Older Adults: Evidence From Randomized Controlled Trials

Lindsay S. Nagamatsu and Patricia C. Heyn

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Exercise Intensity Among Older Adults Participating From Home in Remotely Delivered EnhanceFitness

Nancy M. Gell, Yang Bai, Melanie Herbert, Elise V. Hoffman, Rebecca Reynolds, Myeongjin Bae, Kim Dittus, Elizabeth A. Phelan, and Kushang V. Patel

We aimed to examine exercise intensity among older adults participating from home in remotely delivered EnhanceFitness (Tele-EF). Exercise intensity was assessed through Fitbit-measured heart rate and the Borg 10-point rating of perceived exertion over 1 week of a 16-week exercise program. Outcomes included mean minutes spent at or above the heart rate reserve calculated threshold for moderate intensity and mean rating of perceived exertion. Pearson and Spearman rank correlations were used to examine associations between baseline characteristics with exercise intensity. During the 60-min classes, the 55 participants achieved moderate intensity for a mean of 21.0 min (SD = 13.5) and had a mean rating of perceived exertion of 4.9 (SD = 1.2). There were no significant associations between baseline characteristics and exercise intensity. Older adults can achieve sustained moderate-intensity exercise during Tele-EF supervised classes. Baseline physical function, physical activity, and other health characteristics did not limit ability to exercise at a moderate intensity, though further investigation is warranted.