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Multicomponent training in progressive phases improves functional capacity, physical capacity, quality of life, and exercise motivation in community-dwelling older adults: a randomized clinical trial |
Jofre-Saldia E, Villalobos-Gorigoitia A, Cofre-Bolados C, Ferrari G, Gea-Garcia GM |
International Journal of Environmental Research & Public Health 2023 Feb;20(3):2755 |
clinical trial |
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; 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* |
OBJECTIVE: To evaluate the effect of a multicomponent progressive training program (MPTP) on functionality, quality of life (QoL) and motivation to exercise (EM) in a group of older adults (OA) of a community. METHODS: A total of 55 participants of 69.42 +/- 6.01 years of age were randomized into two groups; experimental (EG 35) and control (CG 20), and subjected to 27 weeks of MPTP. Functionality (pre/post-intervention) was assessed using the Short Physical Performance Battery (SPPB), Time Up and Go (TUG), Walking While Talking Test (WWT), Manual Dynamometry (MD), Forced Expiratory Volume in the first second (FEV1), Sit and Reach (SR), Back Scratch (BS), and walk for 2 min (2 mST). QoL was assessed using the SF-36 questionnaire and EM using the BREQ-3. The Kolmogorov-Smirnov and Levene tests were applied. A two-way repeated measures ANOVA was applied. A significance level of p < 0.05 was accepted for all comparisons. RESULTS: The EG compared to the CG improved in SPPB (DELTAEG/CG: 29.67%/p < 0.001), TUG (deltaEG/CG: 35.70% / p < 0.05), WWT (deltaEG/CG: 42.93% / p < 0.001), MD (deltaEG/CG: 20.40% / p < 0.05), FEV1 (deltaEG/CG: 21.37% / p < 0.05), BS (deltaEG/CG: 80.34% / p < 0.05), 2 mST (deltaEG/CG: 33.02% / p < 0.05), SF-36 (deltaEG/CG: 13.85% / p < 0.001), and Intrinsic Regulation (deltaEG/CG: 27.97% / p < 0.001); Identified by regulation (deltaEG/CG: 9.29% / p < 0.05). CONCLUSION: An MPTP improves functionality, QoL and EM, and is a safe and effective method for community OAs.
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