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Effect of ecological walking training in sedentary elderly people: act on aging study |
Magistro D, Liubicich ME, Candela F, Ciairano S |
The Gerontologist 2014 Aug;54(4):611-623 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; 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* |
PURPOSE OF THE STUDY: This study aims to investigate the effects of a walking program on aerobic endurance and function in a sample of sedentary elderly people. DESIGN AND METHODS: For this study, 126 sedentary individuals were recruited: 63 individuals (mean age 74.1 +/- 6.0 years) for the control group and 63 (mean age 72.0 +/- 4.5 years) for the intervention group. The intervention consisted of walking training including balance exercises and lower limb strength activities twice a week for 4 months. We collected baseline and post-test measurements of aerobic endurance, lower limb strength, and mobility. We also measured aerobic endurance at increments of 4, 8, and 12 weeks between the baseline and the post-test. We used analyses of covariance with baseline value, gender, age, and body mass index scores as covariates (p < 0.05) and calculated the effect size for the effects of the intervention. The changeover time of aerobic endurance was also analyzed with the repeated analysis of variance (p < 0.05). RESULTS: The intervention group showed steady and significant improvements with respect to the 6-min walk (aerobic endurance) from 447.89 m (SD 73.87) to 561.51 m (SD 83.96), as well as the 30-s chair stand (lower limb strength) from 10 (SD 3) to 13 (SD 3) number of times and the Timed Up and Go Test (mobility) from 8.53 s (SD 2.86) to 7.13 s (SD 1.76) at the post-test, whereas the control group showed significant decrease in all measurements. IMPLICATION: These results underline that an ecological walking training program can be used to improve physical functioning among sedentary elderly people.
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