). Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: A consensus report . Journal of the American Geriatrics Society, 52 , 625 – 634 . PubMed ID: 15066083 doi:10.1111/j.1532-5415.2004.52174.x 10.1111/j.1532-5415.2004.52174.x
Pedro Lopez, Mikel Izquierdo, Regis Radaelli, Graciele Sbruzzi, Rafael Grazioli, Ronei Silveira Pinto and Eduardo Lusa Cadore
Silvia Varela, José M. Cancela, Manuel Seijo-Martinez and Carlos Ayán
.R.L. , Coley , N. , Moll van Charante , E.P. , van Gool , W.A. , Richard , E. , & Andrieu , S. ( 2017 ). Determinants of dropout and nonadherence in a dementia prevention randomized controlled trial: The prevention of dementia by intensive vascular care trial . Journal of the American Geriatrics
Alexei Wong, Arturo Figueroa, Marcos A. Sanchez-Gonzalez, Won-Mok Son, Oksana Chernykh and Song-Young Park
. References Astin , J.A. , Berman , B.M. , Bausell , B. , Lee , W.L. , Hochberg , M. , & Forys , K.L. ( 2003 ). The efficacy of mindfulness meditation plus Qigong movement therapy in the treatment of fibromyalgia: A randomized controlled trial . Journal of Rheumatology, 30 ( 10 ), 2257 – 2262
Francini Vilela Novais, Eduardo J. Simoes, Chester Schmaltz and Luiz R. Ramos
in general practice for physical activity, smoking, alcohol consumption and diet in elderly: a randomized controlled trial . Arch Gerontol Geriatr . 2014 ; 58 ( 1 ): 160 – 169 . PubMed ID: 24012131 doi:10.1016/j.archger.2013.08.007 10.1016/j.archger.2013.08.007 24012131 40. Grandes G , Sanchez
Katja Linde and Dorothee Alfermann
Physical and cognitive activity seems to be an effective strategy by which to promote age-sensitive fluid cognitive abilities in older adults.
In this randomized controlled trial, 70 healthy senior citizens (age 60–75) were allocated to a physical, cognitive, combined physical plus cognitive, and waiting control group. The trial assessed information processing speed, short-term memory, spatial relations, concentration, reasoning, and cognitive speed.
In contrast to the control group, the physical, cognitive, and combined training groups enhanced their concentration immediately after intervention. Only the physical training group showed improved concentration 3 months later. The combined training group displayed improved cognitive speed both immediately and three months after intervention. The cognitive training group displayed improved cognitive speed 3 months after intervention.
Physical, cognitive, and combined physical plus cognitive activity can be seen as cognition-enrichment behaviors in healthy older adults that show different rather than equal intervention effects.
Franciele Cascaes da Silva, Rodrigo da Rosa Iop, Patrícia Domingos dos Santos, Lídia Mara Aguiar Bezerra de Melo, Paulo José Barbosa Gutierres Filho and Rudney da Silva
This study aimed to determine the effects of physical-exercise-based rehabilitation programs on quality of life of patients with Parkinson’s disease through a systematic review of randomized clinical trials. For this purpose the following electronic databases were selected: Medline by PubMed, Cochrane, Web of Science, and PEDro. The search strategy included the proposed descriptors in the Medical Subject Headings (MeSH), associated with a sensitive list of terms to search for randomized controlled trials (RCTs), without year and language restrictions. Fourteen studies were potentially relevant, and these studies were included. Physical-exercise-based rehabilitation programs realized 2–4 times a week, 60 min each session, for 6–12 weeks, and follow-up of 3 months promotes significant positive effects on quality of life in Parkinson’s disease patients at mild to moderate stages and disease duration around 6 years.
Leena Hakola, Kai Savonen, Pirjo Komulainen, Maija Hassinen, Rainer Rauramaa and Timo A. Lakka
Little is known about factors that modify the effectiveness of exercise interventions in increasing exercise. We aimed to identify moderators of the effectiveness of aerobic exercise intervention in maintaining increased aerobic exercise among older individuals.
The participants of a 4-year randomized controlled trial were a population sample of 1410 men and women aged 57 to 78 years. The aerobic exercise group included 185 individuals and the control group included 169 individuals who reported low aerobic exercise at baseline. Maintained increase in aerobic exercise was defined as at least 60-minute increase in moderate-to-heavy aerobic exercise per week from baseline to 2- and 4-year assessments.
Individuals in the aerobic exercise group were 2.5 (95% CI 1.5 to 3.9) times more likely to maintain increased aerobic exercise than those in the control group. Individuals aged < 68.5 years but not older individuals succeeded in maintaining increased aerobic exercise in the intervention group (P = .02 for interaction). Individuals who were past smokers (P = .02 for interaction), were working (P = .05 for interaction), or had symptoms of depression (P = .05 for interaction) succeeded better in maintaining increased aerobic exercise in the intervention group than other individuals.
These findings help in more precise targeting of future exercise interventions among older individuals.
Daniel L. Borges, Mayara Gabrielle Silva, Luan Nascimento Silva, João Vyctor Fortes, Erika Thalita Costa, Rebeca Pessoa Assunção, Carlos Magno Lima, Vinícius José da Silva Nina, Mário Bernardo-Filho and Danúbia Sá Caputo
Physical activity is beneficial in several clinical situations and recommended for patients with ischemic heart disease, as well as for those undergoing cardiac surgery.
In a randomized controlled trial, 34 patients underwent coronary artery bypass grafting. A randomized control group (n = 15) submitted to conventional physiotherapy. The intervention group (n = 19) received the same protocol plus additional aerobic exercise with cycle ergometer. Pulmonary function by spirometry, respiratory muscle strength by manovacuometry, and functional capacity through 6-minute walking test was assessed before surgery and at hospital discharge.
There was significant reduction in pulmonary function in both groups. In both groups, inspiratory muscle strength was maintained while expiratory muscle strength significantly decreased. Functional capacity was maintained in the intervention group (364.5 [324.5 to 428] vs. 348 [300.7 to 413.7] meters, P = .06), but it decreased significantly in control group patients (320 [288.5 to 393.0] vs. 292 [237.0 to 336.0] meters, P = .01). A significant difference in functional capacity was also found in intergroup analyses at hospital discharge (P = .03).
Aerobic exercise applied early on coronary artery bypass grafting patients may promote maintenance of functional capacity, with no impact on pulmonary function and respiratory muscle strength when compared with conventional physiotherapy.
Rosemarie Martin and Elaine Murtagh
A cluster randomized controlled trial was conducted to assess the effectiveness of the Active Classrooms intervention, which integrates movement into academic lessons, on the moderate-to-vigorous physical activity levels (MVPA) of primary school children during class-time and throughout the school day.
Ten classroom teachers and their students aged 8 to 12 years were recruited and randomized into the Active Classrooms intervention group (n = 131students, n = 5teachers) or a delayed-treatment controlled group (n = 117students, n = 5teachers). The intervention group participated in active academic lessons taught by the classroom teacher over an 8 week period. Accelerometers were used to gather physical activity data at baseline, postintervention and at 4 months follow-up. Teachers completed a questionnaire to evaluate the program.
A significant difference for change in daily class time MVPA levels was identified between the treatment (n = 95) and control (n = 91) groups from pre- to postintervention (P < .001) and this difference was maintained at follow-up (P < .001). No significant difference emerged between the treatment and control groups for change in school day MVPA levels from pre- to postintervention (P = .52) or follow-up (P = .09). Teachers reported that they were highly satisfied with the program.
Movement integration has the potential to improve physical activity levels of primary school children in the classroom.
Adam B. Lloyd, David R. Lubans, Ronald C. Plotnikoff and Philip J. Morgan
This study examined potential parenting-related mediators of children’s physical activity and dietary behavior change in the Healthy Dads, Healthy Kids (HDHK) community program.
A randomized controlled trial was conducted with 45 overweight/obese (mean [SD] age = 39.8 [5.4] years; BMI = 32.4 [3.8]) fathers and their children (n = 77; 58% boys; mean [SD] age = 7.7 [2.5] years). Families were randomized to either the HDHK program or wait-list control group. The program involved 7 sessions. Fathers and their children were assessed at baseline and at 14 weeks for physical activity (pedometery) and core food intake (Questionnaire). Fathers’ lifestyle-related parenting practices included; self-efficacy, beliefs, modeling, logistic support, rules, cophysical activity, shared mealtime frequency and intentions.
Significant intervention effects were found for cophysical activity and modeling physical activity. Cophysical activity mediated children’s physical activity in the intervention (‘mediated effect,’ AB = 653, 95% CI = 4–2050) and was responsible for 59.5% of the intervention effect. Fathers’ beliefs mediated children’s percent energy from core foods (AB = 1.51, 95% CI = 0.05–5.55) and accounted for 72.9% of the intervention effect.
Participation in the HDHK program positively impacted on fathers’ cophysical activity with their child and beliefs about healthy eating which mediated changes in children’s diet and physical activity behaviors.