Description and Functional Benefits of Meeting Frequency, Intensity, and Time of Resistance and Cardiovascular Exercises: A Study of Older Adults in a Community-Based, Slow-Stream Rehabilitation, Hospital-to-Home Transition Program

Overview

Journal Gerontol Geriatr Med

Specialty Geriatrics

Date 2022 May 26

PMID 35615344

Authors

Melody Maximos

Paul Stratford

Ada Tang

Vanina Dal Bello-Haas

Affiliations

Soon will be listed here.

Abstract

This prospective cohort study described cardiovascular and resistance exercises completed by older adults in a community-based, slow-stream rehabilitation, hospital-to-home transition program; compared exercises completed to the American College of Sports Medicine (ACSM) exercise guidelines; and, assessed differences in Late Life Function and Disability Index (LLFDI)-Function Component (FC) between older adults who met and did not meet the ACSM guidelines. Descriptive statistics and Factorial ANCOVA were conducted. For cardiovascular exercise 59.3% of participants met frequency, 73.4% met intensity, and 35.9% met time. For resistance exercise, 67.2% of participants met frequency, 42.2% met intensity, and 76.6% number of repetitions. Participants who met both frequency and time for cardiovascular exercise had higher LLFDI-FC scores, as did those who met intensity and/or number of repetitions for resistance exercise. The findings provide support that older adults engaged in a slow-stream rehabilitation program can meet the ACSM exercise guidelines for community-dwelling older adults, and that meeting the guidelines improves function.

References

Covinsky K, Palmer R, Fortinsky R, Counsell S, Stewart A, Kresevic D . Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc. 2003; 51(4):451-8. DOI: 10.1046/j.1532-5415.2003.51152.x. View

de Labra C, Guimaraes-Pinheiro C, Maseda A, Lorenzo T, Millan-Calenti J . Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC Geriatr. 2015; 15:154. PMC: 4667405. DOI: 10.1186/s12877-015-0155-4. View

Sayers S, Jette A, Haley S, Heeren T, Guralnik J, Fielding R . Validation of the Late-Life Function and Disability Instrument. J Am Geriatr Soc. 2004; 52(9):1554-9. DOI: 10.1111/j.1532-5415.2004.52422.x. View

Beauchamp M, Ward R, Jette A, Bean J . Meaningful Change Estimates for the Late-Life Function and Disability Instrument in Older Adults. J Gerontol A Biol Sci Med Sci. 2018; 74(4):556-559. PMC: 6417450. DOI: 10.1093/gerona/gly230. View

Paolucci S, Grasso M, Antonucci G, Bragoni M, Troisi E, Morelli D . Mobility status after inpatient stroke rehabilitation: 1-year follow-up and prognostic factors. Arch Phys Med Rehabil. 2001; 82(1):2-8. DOI: 10.1053/apmr.2001.18585. View

Zisberg A, Shadmi E, Gur-Yaish N, Tonkikh O, Sinoff G . Hospital-associated functional decline: the role of hospitalization processes beyond individual risk factors. J Am Geriatr Soc. 2015; 63(1):55-62. DOI: 10.1111/jgs.13193. View

Rimmer J . Exercise and physical activity in persons aging with a physical disability. Phys Med Rehabil Clin N Am. 2004; 16(1):41-56. DOI: 10.1016/j.pmr.2004.06.013. View

Borg G . Psychophysical scaling with applications in physical work and the perception of exertion. Scand J Work Environ Health. 1990; 16 Suppl 1:55-8. DOI: 10.5271/sjweh.1815. View

White N, Delitto A, Manal T, Miller S . The American Physical Therapy Association's top five choosing wisely recommendations. Phys Ther. 2014; 95(1):9-24. DOI: 10.2522/ptj.20140287. View

10.

Haley S, Jette A, Coster W, Kooyoomjian J, Levenson S, Heeren T . Late Life Function and Disability Instrument: II. Development and evaluation of the function component. J Gerontol A Biol Sci Med Sci. 2002; 57(4):M217-22. DOI: 10.1093/gerona/57.4.m217. View

11.

Cadore E, Rodriguez-Manas L, Sinclair A, Izquierdo M . Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review. Rejuvenation Res. 2013; 16(2):105-14. PMC: 3634155. DOI: 10.1089/rej.2012.1397. View

12.

Courtney M, Edwards H, Chang A, Parker A, Finlayson K, Bradbury C . Improved functional ability and independence in activities of daily living for older adults at high risk of hospital readmission: a randomized controlled trial. J Eval Clin Pract. 2011; 18(1):128-34. DOI: 10.1111/j.1365-2753.2010.01547.x. View

13.

Fiatarone M, ONEILL E, Ryan N, Clements K, Solares G, Nelson M . Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med. 1994; 330(25):1769-75. DOI: 10.1056/NEJM199406233302501. View

14.

Buckley J, Borg G . Borg's scales in strength training; from theory to practice in young and older adults. Appl Physiol Nutr Metab. 2011; 36(5):682-92. DOI: 10.1139/h11-078. View

15.

Frankel J, Bean J, Frontera W . Exercise in the elderly: research and clinical practice. Clin Geriatr Med. 2006; 22(2):239-56. DOI: 10.1016/j.cger.2005.12.002. View

16.

Valenzuela T . Efficacy of progressive resistance training interventions in older adults in nursing homes: a systematic review. J Am Med Dir Assoc. 2011; 13(5):418-28. DOI: 10.1016/j.jamda.2011.11.001. View

17.

Borg G . Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14(5):377-81. View

18.

Guthrie B, Payne K, Alderson P, McMurdo M, Mercer S . Adapting clinical guidelines to take account of multimorbidity. BMJ. 2012; 345:e6341. DOI: 10.1136/bmj.e6341. View

19.

Rockwood K, Mitnitski A . Frailty in relation to the accumulation of deficits. J Gerontol A Biol Sci Med Sci. 2007; 62(7):722-7. DOI: 10.1093/gerona/62.7.722. View

20.

Beauchamp M, Schmidt C, Pedersen M, Bean J, Jette A . Psychometric properties of the Late-Life Function and Disability Instrument: a systematic review. BMC Geriatr. 2014; 14:12. PMC: 3909447. DOI: 10.1186/1471-2318-14-12. View