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Older Adults Recently Discharged from the Hospital: Effect of Aerobic Interval Exercise on Health-Related Quality of Life, Physical Fitness, and Physical Activity.
- Source :
- Journal of the American Geriatrics Society; Sep2013, Vol. 61 Issue 9, p1580-1585, 6p, 1 Illustration, 2 Charts
- Publication Year :
- 2013
-
Abstract
- Objectives To compare the effect of high-intensity aerobic interval exercise ( HIA) with home-based exercise ( HB) in older adults with chronic disease soon after discharge from the hospital. Design Randomized controlled trial. Setting Hospital. Participants Community-dwelling older adults aged 70 to 92 (N = 115) were recruited while in the hospital. After discharge, they were randomized to HIA group (n = 59) or HB (n = 56). Intervention High-intensity aerobic interval exercise ( HIA) consisted of endurance, strength, and balance exercises. The HB consisted of low-intensity exercises and telephone follow-up from a physical therapist. Measurements Health-related quality of life ( HRQOL) was assessed using the Medical Outcomes Study 36-item Short Form Survey, physical fitness was measured using the Senior Fitness Test, and physical activity was assessed using the Physical Activity Scale for the Elderly. Results Intention-to-treat analysis showed that both groups improved their HRQOL and physical activity after 3 months. Improvements on the Senior Fitness Test (chair stand, arm curl and 6-minute walk (6 MWT)) were significantly greater in the HIA group than the HB group. The mean difference was 25.9 m on the 6 MWT ( P = .001, effect size d = 0.2), 1.3 per 30 seconds on the chair stands mean ( P = .001, effect size d = 0.3), and 1.6 per 30 seconds on the arm curl ( P = .001, effect size d = 0.4). Conclusion High-intensity aerobic interval exercise ( HIA) participants significantly improved their physical fitness. Both groups increased their HRQOL and physical activity. The findings suggest that exercise therapy should be incorporated as a part of the treatment for older people at risk for functional decline. [ABSTRACT FROM AUTHOR]
- Subjects :
- EXERCISE therapy
AEROBIC exercises
ANALYSIS of covariance
CHI-squared test
CHRONIC diseases
COMPARATIVE studies
CONFIDENCE intervals
HEALTH surveys
HOSPITAL care
MULTIVARIATE analysis
PHYSICAL fitness
QUALITY of life
QUESTIONNAIRES
RESEARCH funding
STATISTICS
T-test (Statistics)
DATA analysis
EFFECT sizes (Statistics)
RANDOMIZED controlled trials
PHYSICAL activity
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 61
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 90180598
- Full Text :
- https://doi.org/10.1111/jgs.12400