al., 2015 ; Hayashi et al., 2005 ). However, the effects of Tai Chi on cerebral hemodynamics in older community people have not been studied. The aim of this study was to conduct a randomized controlled trial to examine the effects of Tai Chi on cerebral hemodynamics and the secondary outcomes of physical
Guohua Zheng, Xin Zheng, Junzhe Li, Tingjin Duan, Kun Ling, Jing Tao and Lidian Chen
Wonjae Choi and Seungwon Lee
with mild cognitive impairment. We hypothesized that participants who performed the VKP exercise would have improved postural control, muscle strength, and cognitive function. Methods Participants This randomized controlled trial was registered with the International Clinical Trials Registry Platform
Rosalie Coolkens, Phillip Ward, Jan Seghers and Peter Iserbyt
interval was coded. All observations had an average duration of 20 minutes, and and each target child was observed the full duration of parkour recess. Procedure Intervention A cluster randomized controlled trial was used to examine the differences between the 2 conditions. A total of 14 second
AmirAli Jafarnezhadgero, Morteza Madadi-Shad, Christopher McCrum and Kiros Karamanidis
criteria were a history of knee injury or surgery, and other degenerative conditions such as severe knee osteoarthritis. The procedures were explained to the participants prior to obtaining informed consent in accordance with the Declaration of Helsinki. Figure 1 —Flow diagram of randomized control trial
Gregory A. Hand, Robin P. Shook, Daniel P. O’Connor, Madison M. Kindred, Sarah Schumacher, Clemens Drenowatz, Amanda E. Paluch, Stephanie Burgess, John E. Blundell and Steven N. Blair
aerobic exercise and weight loss: a systematic review and meta-analysis of randomized controlled trials . Am J Med . 2011 ; 124 ( 8 ): 747 – 755 . PubMed ID: 21787904 doi:10.1016/j.amjmed.2011.02.037 10.1016/j.amjmed.2011.02.037 21787904 2. Dhurandhar EJ , Kaiser KA , Dawson JA , Alcorn AS
Nancy M. Gell and Danielle D. Wadsworth
The study evaluated the effects of a text message intervention on physical activity in adult working women.
Eightyseven participants were randomized to an intervention (n = 41) or control group (n = 46). Pedometer step counts and measures of self-efficacy were collected at baseline, 12 weeks, and 24 weeks. Intervention participants received approximately 3 text messages per week that were motivational, informational, and specific to performing physical activity.
ANCOVA results showed a significant difference between groups for mean steps per day at 12 weeks (6540.0 vs. 5685.0, P = .01) and no significant difference at 24 weeks (6867.7 vs. 6189.0, P = .06). There was no change in mean step counts during or after the intervention compared with baseline. There was a significant difference between groups for mean self-efficacy scores at 12 weeks (68.5 vs. 60.3, P = .02) and at 24 weeks (67.3 vs. 59.0, P = .03).
Intervention participants had higher step counts after 12 and 24 weeks compared with a control group; however, the difference was significant only at the midpoint of the intervention and was attributable to a decrease in steps for the control group. Text messaging did not increase step counts but may be a cost-effective tool for maintenance of physical activity behavior.
Matthew P. Buman, Peter R. Giacobbi Jr., Joseph M. Dzierzewski, Adrienne Aiken Morgan, Christina S. McCrae, Beverly L. Roberts and Michael Marsiske
Using peer volunteers as delivery agents may improve translation of evidence-based physical activity promotion programs for older adults. This study examined whether tailored support from older peer volunteers could improve initiation and long-term maintenance of physical activity behavior.
Participants were randomized to 2 16-week, group-based programs: (1) peer-delivered, theory-based support for physical activity behavior change; or (2) an intervention typically available in community settings (basic education, gym membership, and pedometer for self-monitoring), attention-matched with health education. Moderate-to-vigorous physical activity (MVPA) was assessed via daily self-report logs at baseline, at the end of the intervention (16 weeks), and at follow-up (18 months), with accelerometry validation (RT3) in a random subsample.
Seven peer volunteers and 81 sedentary adults were recruited. Retention at the end of the trial was 85% and follow-up at 18 months was 61%. Using intent-to-treat analyses, at 16 weeks, both groups had similar significant improvements in MVPA. At 18 months, the group supplemented with peer support had significantly more MVPA.
Trained peer volunteers may enhance long-term maintenance of physical activity gains from a community-based intervention. This approach has great potential to be adapted and delivered inexpensively in community settings.
Richard A. Boileau, Edward McAuley, Demetra Demetriou, Naveen K. Devabhaktuni, Gregory L. Dykstra, Jeffery Katula, Jane Nelson, Angelo Pascale, Melissa Pena and Heidi-Mai Talbot
A trial was conducted to examine the effect of moderate aerobic exercise training (AET) on cardiorespiratory (CR) fitness. Previously sedentary participants, age 60-75 years, were randomly assigned to either AET treatment or a control group for 6 months. The AET consisted of walking for 40 min three times/week at an intensity that elevated heart rate to 65% of maximum heart rate reserve. The control group performed a supervised stretching program for 40 min three times/week. CR fitness was assessed before and after the treatments during a grade-incremented treadmill walking test. Both absolute and relative peak V̇O2 significantly increased (p < .01) in the AET group, whereas they decreased modestly in the control group. Maximum treadmill time increased significantly (p < .01) in the AET group relative to the control group. These results indicate that CR fitness as measured by peak V̇O2 modestly improves in the elderly with a moderate-intensity, relatively long-term aerobic exercise program.
David R. Lubans, Chris M. Mundey, Nicole J. Lubans and Chris C. Lonsdale
The aim of this study was to determine the efficacy and feasibility of a resistancetraining (RT) and lifestyle-activity program for sedentary older adults. Eligible participants (N = 44) were randomized to an 8-wk intervention or a control group. The primary outcome was lower body muscle strength, and participants completed a range of secondary outcomes. There was a significant group-by-time interaction for lower body muscle strength (difference = 3.9 repetitions [reps], 95% CI = 2.0–5.8 reps; p < .001; d = 1.0). Changes in secondary outcomes were generally small and not statistically significant. Attendance and program satisfaction were both high. A combined elastic-tubing RT and lifestyle-activity program delivered in the community setting is an efficacious and feasible approach to improve health in sedentary older adults.
Terttu Parkatti, Jarmo Perttunen and Phyllis Wacker
This study examined the effects of an instructed structured Nordic walking (NW) exercise program on the functional capacity of older sedentary people. Volunteers were randomly assigned to an NW group (68.2 ± 3.8 yr old) or control group (69.9 ± 3.0 yr old). Before and at the end of the 9-wk intervention, functional tests and 2-dimensional ground-reaction-force (GRF) patterns of normal (1.40 m/s) and fast (1.94 m/s) walking speeds were measured. The intervention included a 60-min supervised NW session on an inside track twice a week for 9 wk. The mean changes in functional tests differed between groups significantly. Gait analyses showed no significant differences between the groups on any GRF parameters for walking speed either before or after the intervention. The study showed that NW has favorable effects on functional capacity in older people and is a suitable form of exercise for them.