Feasibility and effectiveness of a 6-month, home-based, resistance exercise delivered by a remote technological solution in healthy older adults

IF 3.5 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Luca Ferrari , Gianluca Bochicchio , Alberto Bottari , Alessandra Scarton , Valentina Cavedon , Chiara Milanese , Francesco Lucertini , Silvia Pogliaghi
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引用次数: 0

Abstract

Background

Aging is characterized by a physiological decline in physical function, muscle mass, strength, and power. Home-based resistance training interventions have gained increasing attention from scientists and healthcare system operators, but their efficacy is yet to be fully determined.

Aims

to verify the safety, feasibility, and efficacy of a home-based resistance training program delivered by innovative technological solution in healthy older adults.

Methods

73 participants (36 females) were randomly allocated to either a control (C) or an intervention (I) group consisting of a 6-months home-based resistance training program delivered through an innovative technological solution, which included a wearable inertial sensor and a dedicated tablet. The safety and feasibility of the intervention were assessed by recording training-related adverse events and training adherence. Body composition, standing static balance, 10-meter walking, and loaded 5 sit-to-stand tests were monitored to quantify efficacy.

Results

No adverse events were recorded. Adherence to the training program was relatively high (61 % of participants performed the target 3 sessions) in the first trimester, significantly dropping during the second one. The intervention positively affected walking parameters (p < 0.05) and maximal force (p = 0.009) while no effect was recorded on body composition, balance, and muscle power.

Conclusions

The home-based device-supported intervention was safe and feasible, positively affecting walking parameters and lower limbs' maximal force. This approach should be incentivized when barriers to participation in traditional resistance exercise programs are present.

通过远程技术解决方案为健康老年人提供为期 6 个月的家庭阻力训练的可行性和有效性
背景衰老的特征是身体机能、肌肉质量、力量和功率的生理性下降。方法将 73 名参与者(36 名女性)随机分配到对照组(C)或干预组(I),对照组通过创新技术解决方案(包括可穿戴惯性传感器和专用平板电脑)进行为期 6 个月的家庭阻力训练。通过记录与训练相关的不良事件和训练坚持情况,对干预的安全性和可行性进行评估。通过监测身体成分、站立静态平衡、10米步行和5次坐立测试来量化疗效。在前三个月,训练计划的坚持率相对较高(61%的参与者完成了目标的3次训练),但在后三个月明显下降。干预对步行参数(p < 0.05)和最大力量(p = 0.009)有积极影响,而对身体成分、平衡和肌肉力量没有影响。如果参加传统阻力运动项目存在障碍,应鼓励采用这种方法。
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来源期刊
CiteScore
7.30
自引率
5.00%
发文量
198
审稿时长
16 days
期刊介绍: Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.
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