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Translating the Lifestyle Interventions and Independence for Elders Clinical Trial to Older Adults in a Real-World Community-Based Setting

Authors :
Karan Bhatia
Todd M. Manini
J. Laussen
Dylan R. Kirn
Christopher Kowaleski
Kieran F. Reid
Lori Lyn Price
Christine K. Liu
Davis A. Englund
Roger A. Fielding
Source :
The Journals of Gerontology: Series A. 74:924-928
Publication Year :
2018
Publisher :
Oxford University Press (OUP), 2018.

Abstract

Background The Lifestyle Interventions and Independence for Elders (LIFE) clinical trial demonstrated that a structured program of physical activity (PA) reduced mobility-disability in older adults by up to 28%. It remains unknown whether the benefits of LIFE PA can be translated to older adults at risk for mobility-disability in real-world community-based settings. To address this knowledge gap, we conducted the ENhancing independence using Group-based community interventions for healthy AGing in Elders (ENGAGE) pilot study and examined the safety, feasibility, and preliminary effectiveness of translating LIFE PA to a community-based senior center. Methods Forty older adults with severe lower extremity functional limitations (age: 76.9 ± 7.3 years; body mass index: 32.7 ± 8 kg/m2; 85% female; short physical performance battery score: 6.3 ± 2.2) were randomized to 24 weeks of PA or a health education control intervention. Results Community-based PA was safe (serious adverse events: PA vs health education, 0:2; nonserious adverse events: PA vs health education, 3:1) and participants successfully adhered to the PA intervention (65.2%). Compared to health education, PA participants who attended ≥25% of scheduled visits had meaningful and sustained short physical performance battery improvements at follow-up (between group short physical performance battery score differences: ~0.7 units). Conclusions ENGAGE has demonstrated the preliminary safety, feasibility, and effectiveness of LIFE PA in a real-world community-based setting. Larger-scale translational studies are needed to further disseminate the benefits of LIFE PA to vulnerable older adults in a variety of community-based settings.

Details

ISSN :
1758535X and 10795006
Volume :
74
Database :
OpenAIRE
Journal :
The Journals of Gerontology: Series A
Accession number :
edsair.doi.dedup.....c6cb4b1f6a4263bd7ca3bee3d498551f