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Silvia Varela, José M. Cancela, Manuel Seijo-Martinez and Carlos Ayán
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Alexei Wong, Arturo Figueroa, Marcos A. Sanchez-Gonzalez, Won-Mok Son, Oksana Chernykh and Song-Young Park
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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.
Mercedes Vélez-Toral, Débora Godoy-Izquierdo, Nicolás Mendoza Ladrón de Guevara, Carlos de Teresa Galván, Alberto Salamanca Ballesteros and Juan F. Godoy García
This study explored multidimensional outcomes that were derived from the adherence to regular exercise among previously sedentary postmenopausal 45 to 64 years old women who engaged in a ~20-week exercise program.
A randomized controlled trial with between-group (intervention and control women) and within-subject measures (baseline, postintervention, and 3-month and 12-month follow-ups) was conducted. HRQoL and several indicators of cardio-metabolic status and fitness were assessed.
After the intervention, the participants experienced a positive change in their short and long-term physical and mental health, with significant enhancements in several HRQoL dimensions, particularly mental well-being (23.3% of change) and menopause-related health and subdomains (17.0% of change) (P < .01). Improvements were maintained or continued (eg, mental well-being) overtime. These outcomes were accompanied by significant improvements in cardio-metabolic status and fitness, including weight, BMI, cardio-respiratory fitness and flexibility (up to 16.2% of change, P < .05). After the intervention, the intervention group exhibited better HRQoL than the control group at each of the measurement phases. Between-group differences were also observed for some indicators of cardiovascular health and flexibility.
Our findings add evidence on the association of positive outcomes on HRQoL with improvements in cardio-metabolic health and fitness status after the adoption of an active lifestyle.
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.
Hadas Gabizon, Yan Press, Ilia Volkov and Itshak Melzer
To evaluate the effect of a group-based Pilates training program on balance control and health status in healthy older adults.
A single-blind, randomized, controlled trial.
A total of 88 community-dwelling older adults (age 71.15 ± 4.30 years), without evidence of functional balance impairment, were recruited and allocated at random to a Pilates intervention group (n = 44) or a control group (n = 44).
The Pilates intervention group received 36 training sessions over three months (3 sessions a week), while the control group did not receive any intervention.
Standing upright postural stability, performance-based measures of balance, and self-reported health status was assessed in both groups at baseline and at the end of the intervention period.
Compared with the control group, the Pilates intervention did not improve postural stability, baseline functional measures of balance, or health status.
The results suggest that because Pilates training is not task specific, it does not improve balance control or balance function in independent older adults.
Cadeyrn J. Gaskin, Melinda Craike, Mohammadreza Mohebbi, Kerry S. Courneya and Patricia M. Livingston
The ENGAGE (efficacy of a referral and physical activity program for survivors of prostate cancer) study established that a clinician referral and 12-week exercise training program increased vigorous physical activity at 12 weeks among men with prostate cancer. Here, we report the 6- and 12-month outcomes.
In this multicenter cluster randomized controlled trial, we compared a clinician referral and exercise training program to usual care. Discounted gym membership was offered to men in the intervention condition on completion of the 12-week exercise program. Self-reported physical activity at 6 and 12 months was the primary outcome. Quality of life, anxiety, and depressive symptoms were secondary outcomes.
A total of 147 men meeting eligibility criteria agreed to participate (54 intervention, 93 control). A positive interaction effect for vigorous physical activity was observed at 6 months, but not 12 months. No significant effects for the secondary outcomes were found.
A clinician referral and community-based supervised and unsupervised exercise training program, along with discounted gym membership, had a positive short-term effect on vigorous physical activity levels, but did not improve quality of life, in men with prostate cancer.