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Physical activity is an effective, proactive intervention to reduce or reverse frailty and functional decline. However, uncertainty exists about the feasibility and impact of resistance training on multidimensional health in prefrail older adults in residential care. This mixed methods feasibility study assessed practicability with limited efficacy testing on health and functional outcomes. Eleven prefrail older adults participated in a 6-week progressive resistance training protocol three times per week. The intervention and measures were found to be appropriate and acceptable by those who completed the trial, with participants self-reporting improved well-being, mood, and function. Analysis identified several barriers to recruitment, including prior commitments, seasonal impact, and session timing, and offered potential solutions with further recommendations for program refinement prior to a definitive randomized controlled trial. These findings add to our understanding of prefrail older adults' preferences regarding participation in physical activity research and the perceived benefits of resistance training. This trial was registered with ClinicalTrials.gov: NCT03141879. [ABSTRACT FROM AUTHOR]

Age-related changes affect the ratio between two steroid hormones of the hypothalamic-pituitary-adrenal axis, cortisol and dehydroepiandrosterone (sulfate) (DHEA[S]). Physical activity (PA) may buffer the effects of chronic stress and counteract the aging decline of DHEA(S). Therefore, a systematic review was conducted to understand how PA influences physiological markers of cortisol and/or DHEA(S) and whether there is a difference in observational associations or experimental effects in older adults aged 65 years and older. A narrative synthesis was performed on nine observational studies, and meta-analyses were performed on 22 randomized controlled trials. There was low- to moderate-quality evidence that regular PA beneficially reduces cortisol and increases DHEA(S) levels. Subgroup analyses showed no clinically important differences between men and women, different exercise modalities, or health states. The findings cautiously suggest that regular PA of older adults' own choice that they find enjoyable could be recommended to improve cortisol and/or DHEA(S) levels. [ABSTRACT FROM AUTHOR]

Frailty is associated with negative health outcomes, disability, and mortality. Physical activity is an effective intervention to improve functional health status. However, the effect of resistance training on multidimensional health in frail older adults remains unclear. This randomized controlled trial was conducted in a U.K. residential care home to assess feasibility with limited efficacy testing on health and functional outcomes and to inform a future definitive randomized controlled trial. Eleven frail older adults (>65 years) completed a 6-week machine-based resistance training protocol three times a week. Uptake and retention were greater than 80%. The measures and intervention were found to be acceptable and practicable. The analyses indicated large improvements in functional capacity, frailty, and strength in the intervention group compared with the controls. These findings support the feasibility of a definitive randomized controlled trial and reinforce the value of resistance training in this population. This trial was registered with ClinicalTrials.gov: NCT03141879. [ABSTRACT FROM AUTHOR]

Objectives: To identify and examine available literature addressing physical activity (PA) and sedentary behavior (SB) in the workplace in the Gulf Cooperation Council (GCC) region. Design: Scoping Review. Method: Academic and gray literature databases were searched for studies published prior to April 2021. Only studies conducted in the GCC region, available in Arabic or English, and addressing workplace PA were included. Results: Ten studies were identified; seven intervention studies, a cross-sectional study, a peer-reviewed brief report, and a 5-year strategy document. For the interventional studies, duration ranged from 3-26 weeks. Interventions delivered varied and included those focusing on multiple behaviour (diet and physical activity), walking challenges, and supervised exercise in paid time. Most included behavior change strategies like prompts, incentives, and education. PA was only measured in four intervention studies with most reporting no significant changes. The one study that reported significant changes from a national workplace walking challenge had a less robust study design and methods making these results difficult to interpret. Studies were hampered by poor study design and reporting of research and intervention details. Two studies reported hot weather and lack of time as barriers to workplace-PA in the GCC region. Conclusions: Literature on workplace PA and SB interventions in the GCC region is limited. Well-designed studies using standardised measures are required to assess PA interventions in GCC workplaces. Further, higher quality research is required to assess motivators and barriers to workplace PA in the GCC to develop sustainable workplace PA interventions. [ABSTRACT FROM AUTHOR]

\nCONTRIBUTION TO THE FIELDThe Generations Active Together (GAT) program, delivered by Active Stirling in central Scotland, is an intergenerational physical activity (PA) program for adolescents in high school and older adults in care homes and community groups. The Generating Older Active Lives Digitally (GOALD) Research Team sought to use GAT to examine how digital technology developed for the purpose of PA and sports-based reminiscence can be used to improve social connectedness for older adults. This paper details the challenges and successes of delivering the GAT program and describes the differences between in-person pre-pandemic delivery of GAT with the attempted digital delivery during the pandemic. The transferable lessons learned from GAT delivery to GOALD project planning and implementation included, but are not limited to, the importance of in-person activities for both generations and using digital technology as a complementary, rather than a replacement tool for PA delivery. Intergenerational activities focusing on PA involving adolescents and older adults is possible with attention to reciprocal inputs and benefits for all generations and are potentially more effective and easier to deliver in person.Where in-person PA delivery is impossible, digital-only PA is arguably better than no interaction but requires support in setting up technology to deliver PA effectively.Digital technology is likely to be more effective in supporting intergenerational PA when complemented by in-person interactions.Adolescents and older adults in care homes can engage in beneficial interaction, but attention should be paid to school commitments at this age and stage, as well as the practical aspects of travel and scheduling of this kind of contact.Intergenerational activities focusing on PA involving adolescents and older adults is possible with attention to reciprocal inputs and benefits for all generations and are potentially more effective and easier to deliver in person.Where in-person PA delivery is impossible, digital-only PA is arguably better than no interaction but requires support in setting up technology to deliver PA effectively.Digital technology is likely to be more effective in supporting intergenerational PA when complemented by in-person interactions.Adolescents and older adults in care homes can engage in beneficial interaction, but attention should be paid to school commitments at this age and stage, as well as the practical aspects of travel and scheduling of this kind of contact. [ABSTRACT FROM AUTHOR]

Objective: Employee presenteeism is the extent to which health conditions adversely affect at-work productivity. Given the links between health and activity, this study examined associations between objectively measured physical activity, sedentary behavior, and presenteeism. Methods: Participants were 108 office employees (70% women, mean age 40.7 ±11.2 years). Activity was measured using ActiGraph GT3X+ accelerometers to determine sedentary (< 150 counts) and light ( 151 to 1689 counts) activity; presenteeism with the Work Limitations Questionnaire. Results: Fifty-seven percent of time was spent in sedentary behavior and 38% in light activity. The median Work Limitations Questionnaire Index was 4.38; 6% of participants reported at least moderate impairment. Significant associations were reported for time spent in sedentary behavior before/after work (odds ratio [OR] = 2.58; 95% CI: 1.08 to 6.20) and in light activity, overall (OR = 0.43; 95% CI: 0.19 to 0.97) and during workday lunch hours (OR = 0.34; 95% CI: 0.15 to 0.77), and presenteeism. Conclusions: Future studies should seek greater variation in employee levels of activity and presenteeism to confirm these relationships. [ABSTRACT FROM AUTHOR]