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Exercise improves long-term social and behavioral rhythms in older adults: did it play a role during the COVID-19 lockdown? [with consumer summary]
Cossu G, Aviles Gonzalez CI, Minerba L, Demontis R, Pau M, Velluzzi F, Ferreli C, Atzori L, Machado S, Fortin D, Romano F, Carta MG
Journal of Public Health Research 2021;11(1):2432
clinical trial
3/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; 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*

The study aimed to verify whether exercise training in older adults can improve social behavioral rhythms (SBR) and if any modification is maintained over time. Older adults (n = 120) from a previous randomized controlled trial, were randomly allocated to either a moderate-intensity exercise group or a control group. SBR was evaluated at t0, t26, and t48 weeks (during the COVID-19 lockdown), using the brief social rhythms scale (BSRS). Seventy-nine participants completed the follow-up (age 72.3 +/- 4.7, women 55.3%). An improvement in the BSRS score was found in the exercise group at 26 weeks (p = 0.035) when the exercise program was concluded, and it was maintained at 48 weeks (p = 0.013). No improvements were observed in the control group. To conclude, SBR, previously found as a resilience factor in older adults during COVID-19, appear to improve after a moderate 12 weeks exercise program, and the improvement persisted even after stopping exercise during the COVID-19 lockdown.

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