Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise

Chiung-ju Liu,1,2 Huiping Xu,3,4 NiCole R Keith,2,4,5 Daniel O Clark2,4,6 1Department of Occupational Therapy, Indiana University School of Health and Rehabilitation Sciences, 2Indiana University Center for Aging Research, 3Department of Biostatistics, Indiana University Richard M. Fairbanks School...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Liu C, Xu H, Keith NR, Clark DO
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Activities of Daily Living Aging in Place Resistance Exercise Functional Exercise Disablement Process Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/1326c69c83a4423ebf125b072ad0835b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1326c69c83a4423ebf125b072ad0835b
record_format	dspace
spelling	oai:doaj.org-article:1326c69c83a4423ebf125b072ad0835b2021-12-02T03:38:45ZPromoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise1178-1998https://doaj.org/article/1326c69c83a4423ebf125b072ad0835b2017-07-01T00:00:00Zhttps://www.dovepress.com/promoting-adl-independence-in-vulnerable-community-dwelling-older-adul-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Chiung-ju Liu,1,2 Huiping Xu,3,4 NiCole R Keith,2,4,5 Daniel O Clark2,4,6 1Department of Occupational Therapy, Indiana University School of Health and Rehabilitation Sciences, 2Indiana University Center for Aging Research, 3Department of Biostatistics, Indiana University Richard M. Fairbanks School of Public Health, 4Regenstrief Institute, Inc., 5Department of Kinesiology, Indiana University School of Physical Education and Tourism Management, 6Indiana University School of Medicine, Indianapolis, IN, USA Background: Resistance exercise is effective to increase muscle strength for older adults; however, its effect on the outcome of activities of daily living is often limited. The purpose of this study was to examine whether 3-Step Workout for Life (which combines resistance exercise, functional exercise, and activities of daily living exercise) would be more beneficial than resistance exercise alone. Methods: A single-blind randomized controlled trial was conducted. Fifty-two inactive, community-dwelling older adults (mean age =73 years) with muscle weakness and difficulty in activities of daily living were randomized to receive 3-Step Workout for Life or resistance exercise only. Participants in the 3-Step Workout for Life Group performed functional movements and selected activities of daily living at home in addition to resistance exercise. Participants in the Resistance Exercise Only Group performed resistance exercise only. Both groups were comparable in exercise intensity (moderate), duration (50–60 minutes each time for 10 weeks), and frequency (three times a week). Assessment of Motor and Process Skills, a standard performance test on activities of daily living, was administered at baseline, postintervention, and 6 months after intervention completion.Results: At postintervention, the 3-Step Workout for Life Group showed improvement on the outcome measure (mean change from baseline =0.29, P=0.02), but the improvement was not greater than the Resistance Exercise Only Group (group mean difference =0.24, P=0.13). However, the Resistance Exercise Only Group showed a significant decline (mean change from baseline =–0.25, P=0.01) 6 months after the intervention completion. Meanwhile, the superior effect of 3-Step Workout for Life was observed (group mean difference =0.37, P<0.01).Conclusion: Compared to resistance exercise alone, 3-Step Workout for Life improves the performance of activities of daily living and attenuates the disablement process in older adults. Keywords: activities of daily living, aging in place, resistance exercise, functional exercise, disablement process Liu CXu HKeith NRClark DODove Medical PressarticleActivities of Daily LivingAging in PlaceResistance ExerciseFunctional ExerciseDisablement ProcessGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1141-1149 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Activities of Daily Living Aging in Place Resistance Exercise Functional Exercise Disablement Process Geriatrics RC952-954.6
spellingShingle	Activities of Daily Living Aging in Place Resistance Exercise Functional Exercise Disablement Process Geriatrics RC952-954.6 Liu C Xu H Keith NR Clark DO Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise
description	Chiung-ju Liu,1,2 Huiping Xu,3,4 NiCole R Keith,2,4,5 Daniel O Clark2,4,6 1Department of Occupational Therapy, Indiana University School of Health and Rehabilitation Sciences, 2Indiana University Center for Aging Research, 3Department of Biostatistics, Indiana University Richard M. Fairbanks School of Public Health, 4Regenstrief Institute, Inc., 5Department of Kinesiology, Indiana University School of Physical Education and Tourism Management, 6Indiana University School of Medicine, Indianapolis, IN, USA Background: Resistance exercise is effective to increase muscle strength for older adults; however, its effect on the outcome of activities of daily living is often limited. The purpose of this study was to examine whether 3-Step Workout for Life (which combines resistance exercise, functional exercise, and activities of daily living exercise) would be more beneficial than resistance exercise alone. Methods: A single-blind randomized controlled trial was conducted. Fifty-two inactive, community-dwelling older adults (mean age =73 years) with muscle weakness and difficulty in activities of daily living were randomized to receive 3-Step Workout for Life or resistance exercise only. Participants in the 3-Step Workout for Life Group performed functional movements and selected activities of daily living at home in addition to resistance exercise. Participants in the Resistance Exercise Only Group performed resistance exercise only. Both groups were comparable in exercise intensity (moderate), duration (50–60 minutes each time for 10 weeks), and frequency (three times a week). Assessment of Motor and Process Skills, a standard performance test on activities of daily living, was administered at baseline, postintervention, and 6 months after intervention completion.Results: At postintervention, the 3-Step Workout for Life Group showed improvement on the outcome measure (mean change from baseline =0.29, P=0.02), but the improvement was not greater than the Resistance Exercise Only Group (group mean difference =0.24, P=0.13). However, the Resistance Exercise Only Group showed a significant decline (mean change from baseline =–0.25, P=0.01) 6 months after the intervention completion. Meanwhile, the superior effect of 3-Step Workout for Life was observed (group mean difference =0.37, P<0.01).Conclusion: Compared to resistance exercise alone, 3-Step Workout for Life improves the performance of activities of daily living and attenuates the disablement process in older adults. Keywords: activities of daily living, aging in place, resistance exercise, functional exercise, disablement process
format	article
author	Liu C Xu H Keith NR Clark DO
author_facet	Liu C Xu H Keith NR Clark DO
author_sort	Liu C
title	Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise
title_short	Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise
title_full	Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise
title_fullStr	Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise
title_full_unstemmed	Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise
title_sort	promoting adl independence in vulnerable, community-dwelling older adults: a pilot rct comparing 3-step workout for life versus resistance exercise
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/1326c69c83a4423ebf125b072ad0835b
work_keys_str_mv	AT liuc promotingadlindependenceinvulnerablecommunitydwellingolderadultsapilotrctcomparing3stepworkoutforlifeversusresistanceexercise AT xuh promotingadlindependenceinvulnerablecommunitydwellingolderadultsapilotrctcomparing3stepworkoutforlifeversusresistanceexercise AT keithnr promotingadlindependenceinvulnerablecommunitydwellingolderadultsapilotrctcomparing3stepworkoutforlifeversusresistanceexercise AT clarkdo promotingadlindependenceinvulnerablecommunitydwellingolderadultsapilotrctcomparing3stepworkoutforlifeversusresistanceexercise
_version_	1718401652219707392

Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-Step Workout for Life versus resistance exercise

Ejemplares similares