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Effects of comprehensive health assessment and targeted intervention on chair rise capacity in active and inactive community-dwelling older people
Tikkanen P, Lonnroos E, Sipila S, Nykanen I, Sulkava R, Hartikainen S
Gerontology 2013 Jun;59(4):324-327
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Being able to rise from a chair is an important daily life activity that requires sufficient lower extremity muscle power and postural control. OBJECTIVE: To assess the effects of an individually tailored intervention on the chair rise capacity of active and inactive community-dwelling older men and women. METHODS: This study included a community-based sample of > 75 year olds who were randomized into intervention (n = 299) and control (n = 260) groups. The intervention started in 2004 and ended in December 2006; all the participants of the intervention group received individually targeted physical activity counseling annually and had an opportunity to participate in supervised strength and balance training once a week. Chair rise tests were conducted annually. The mixed model of linear regression was used for unadjusted measurements and age, and the Mini-Mental State Examination and functional comorbidity index adjusted comparisons of effects of the intervention. RESULTS: The intervention improved the chair rise capacity in physically active women (adjusted mean difference -1.67 s, 95% confidence interval -3.21 to -0.13, p = 0.02). There was no improvement in inactive women or in men, regardless of their physical activity level. CONCLUSION: Intervention showed a positive effect on the chair rise capacity of physically active community-dwelling older women.

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