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Translating the Lifestyle Interventions and Independence for Elders Clinical Trial to Older Adults in a Real-World Community-Based Setting.
- Source :
- Journals of Gerontology Series A: Biological Sciences & Medical Sciences; Jun2019, Vol. 74 Issue 6, p924-928, 5p, 1 Diagram, 1 Chart, 1 Graph
- Publication Year :
- 2019
-
Abstract
- <bold>Background: </bold>The Lifestyle Interventions and Independence for Elders (LIFE) clinical trial demonstrated that a structured program of physical activity (PA) reduced mobility-disability in older adults by up to 28%. It remains unknown whether the benefits of LIFE PA can be translated to older adults at risk for mobility-disability in real-world community-based settings. To address this knowledge gap, we conducted the ENhancing independence using Group-based community interventions for healthy AGing in Elders (ENGAGE) pilot study and examined the safety, feasibility, and preliminary effectiveness of translating LIFE PA to a community-based senior center.<bold>Methods: </bold>Forty older adults with severe lower extremity functional limitations (age: 76.9 ± 7.3 years; body mass index: 32.7 ± 8 kg/m2; 85% female; short physical performance battery score: 6.3 ± 2.2) were randomized to 24 weeks of PA or a health education control intervention.<bold>Results: </bold>Community-based PA was safe (serious adverse events: PA vs health education, 0:2; nonserious adverse events: PA vs health education, 3:1) and participants successfully adhered to the PA intervention (65.2%). Compared to health education, PA participants who attended ≥25% of scheduled visits had meaningful and sustained short physical performance battery improvements at follow-up (between group short physical performance battery score differences: ~0.7 units).<bold>Conclusions: </bold>ENGAGE has demonstrated the preliminary safety, feasibility, and effectiveness of LIFE PA in a real-world community-based setting. Larger-scale translational studies are needed to further disseminate the benefits of LIFE PA to vulnerable older adults in a variety of community-based settings. [ABSTRACT FROM AUTHOR]
- Subjects :
- OLDER people
CLINICAL trials
BODY mass index
HEALTH education
LEG
Subjects
Details
- Language :
- English
- ISSN :
- 10795006
- Volume :
- 74
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journals of Gerontology Series A: Biological Sciences & Medical Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 136525728
- Full Text :
- https://doi.org/10.1093/gerona/gly152