+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effect of Physical Activity versus Health Education on Physical Function, Grip Strength and Mobility

Effect of Physical Activity versus Health Education on Physical Function, Grip Strength and Mobility

Journal of the American Geriatrics Society 65(7): 1427-1433

Physical activity (PA) reduces the rate of mobility disability, compared with health education (HE), in at risk older adults. It is important to understand aspects of performance contributing to this benefit. To evaluate intervention effects on tertiary physical performance outcomes. The Lifestyle Interventions and Independence for Elders (LIFE) was a multi-centered, single-blind randomized trial of older adults. Eight field centers throughout the United States. 1635 adults aged 78.9 ± 5.2 years, 67.2% women at risk for mobility disability (Short Physical Performance Battery [SPPB] <10). Moderate PA including walking, resistance and balance training compared with HE consisting of topics relevant to older adults. Grip strength, SPPB score and its components (balance, 4 m gait speed, and chair-stands), as well as 400 m walking speed. Total SPPB score was higher in PA versus HE across all follow-up times (overall P = .04) as was the chair-stand component (overall P < .001). No intervention effects were observed for balance (overall P = .12), 4 m gait speed (overall P = .78), or grip strength (overall P = .62). However, 400 m walking speed was faster in PA versus HE group (overall P =<.001). In separate models, 29% of the rate reduction of major mobility disability in the PA versus HE group was explained by change in SPPB score, while 39% was explained by change in the chair stand component. Lower extremity performance (SPPB) was significantly higher in the PA compared with HE group. Changes in chair-stand score explained a considerable portion of the effect of PA on the reduction of major mobility disability-consistent with the idea that preserving muscle strength/power may be important for the prevention of major mobility disability.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 059652601

Download citation: RISBibTeXText

PMID: 28221668

DOI: 10.1111/jgs.14804

Related references

Effect of Different Physical Therapy Programs on Renal Transplant Recipients' Physical Activity, Grip Strength, and Psychoemotional Status and the Associations Between These Indices. Transplantation Proceedings 50(10): 3338-3345, 2018

Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: a meta-analysis. Ageing Research Reviews 11(1): 136-149, 2012

Effect of Structured Physical Activity and Nutritional Supplementation on Physical Function in Mobility-Limited Older Adults: Results from the VIVE2 Randomized Trial. Journal of Nutrition Health and Aging 21(9): 936-942, 2017

Physical Education and Leisure-Time Physical Activity in Youth Are Both Important for Adulthood Activity, Physical Performance, and Health. Journal of Physical Activity and Health 15(9): 661-670, 2018

What is the effect of a combined physical activity and fall prevention intervention enhanced with health coaching and pedometers on older adults' physical activity levels and mobility-related goals? Study protocol for a randomised controlled trial. Bmc Public Health 15: 477, 2015

The influence of balance, physical disability, strength, mechanosensitivity and spinal mobility on physical activity at home, work and leisure time in women with fibromyalgia. Clinical Biomechanics 60: 157-163, 2018

Grip strength, postural control, and functional leg power in a representative cohort of British men and women: associations with physical activity, health status, and socioeconomic conditions. Journals of Gerontology. Series A Biological Sciences and Medical Sciences 60(2): 224-231, 2005

Habitual physical activity levels are associated with performance in measures of physical function and mobility in older men. Journal of the American Geriatrics Society 58(9): 1727-1733, 2010

Perceived physical competence towards physical activity, and motivation and enjoyment in physical education as longitudinal predictors of adolescents' self-reported physical activity. Journal of Science and Medicine in Sport 19(9): 750-754, 2016

Diaphragmatic mobility: relationship with lung function, respiratory muscle strength, dyspnea, and physical activity in daily life in patients with COPD. Jornal Brasileiro de Pneumologia 43(1): 32-37, 2017

Exercise-physical activity and public health (7): Maintenance and improvement of physical strength. Japanese Journal of Public Health 55(9): 664-666, 2008

Longitudinal changes in physical activity and physical fitness variables in Flemish physical education and physical therapy alumni. Medicine & Science in Sports & Exercise 32(5 Suppl ): S261, 2000

Grip strength and grip endurance in physical therapy students. Archives of Physical Medicine and Rehabilitation 56(7): 297-300, 1975

Daily physical activity impact in old women bone density and grip strength. Nutricion Hospitalaria 33(6): 1305-1311, 2016

Physical function, grip strength and frailty in people living with HIV in sub-Saharan Africa: systematic review. Tropical Medicine and International Health 22(5): 516-525, 2017