The Efficacy of 12-Week Progressive Home-Based Strength and Tai-Chi Exercise Snacking in Older Adults: A Mixed-Method Exploratory Randomised Control Trial
Background Maintaining physical function is important for independence and frailty prevention in later life, but very few older adults meet exercise recommendations. Previous studies found that 4-week ‘exercise and Tai-chi snacking’ as a viable alternative to traditional exercise is acceptable to he...
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| Veröffentlicht in: | Journal of Frailty & Aging 2024, Vol.13 (4), p.572-581 |
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| creator | Liang, I. J. Perkin, O. J. Williams, S. McGuigan, P. M. Thompson, D. Western, Max J. |
| description | Background
Maintaining physical function is important for independence and frailty prevention in later life, but very few older adults meet exercise recommendations. Previous studies found that 4-week ‘exercise and Tai-chi snacking’ as a viable alternative to traditional exercise is acceptable to healthy older adults.
Objectives
This study aimed to investigate the effectiveness of a 12-week progressive exercise and Tai-chi snacking programme on physical function and psychological outcomes in pre-frail older adults.
Design
Randomised controlled trial.
Setting
Community-dwelling older adults.
Participants
90 older adults with impaired strength and balance were recruited. Participants were randomly allocated to an intervention or waitlist control group.
Intervention
A 12-week progressive exercise and Tai-chi snacking programme.
Measurements
Physical function (the short physical performance battery (SPPB), single-leg balance test and sit-to-stand test) was remotely measured at participants’ homes via video calls at baseline, 4-, 8-, and 12-weeks. The self-reported psychological outcomes were also assessed every 4 weeks using online questionnaires. A subset of 40 participants also completed in-person functional assessments, and 26 intervention participants underwent semi-structured interviews to feedback on their experiences.
Results
The 12-week progressive home-based exercise and Tai-chi snacking improved SPPB strength (estimated mean difference in week 4: 1.05; week 8: 0.79; and week 12: 0.79) and balance (estimated mean difference in week 4: 0.71; week 8: 0.57; and week 12: 0.65) at each timepoint compared to control group. Timed-up-and-go (estimated mean difference in week 4: 1.94; week 8: 1.58; and week 12: 1.1) and total SPPB scores (estimated mean difference in week 4: 2.24; week 8: 1.79; and week 12: 1.76) were also better in the intervention group compared to the control group in lab subset participants. Based on the qualitative findings, Participants found the programme accessible and beneficial, making it suitable for older adults and increasing self-efficacy in physical activities.
Conclusion
The home-based exercise and Tai-chi snacking programme significantly improved lower extremity strength, balance, and mobility in pre-frail older adults. This programme is considered to be a beneficial, acceptable and easy implemented physical function intervention. |
| doi_str_mv | 10.14283/jfa.2024.32 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3131853048</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3131853048</sourcerecordid><originalsourceid>FETCH-LOGICAL-c314t-a43affbd73b8f4bcf7953844ee47f87d3a917b5e0cab956720bd678774062273</originalsourceid><addsrcrecordid>eNptkU9v0zAYhy3ExKaxG2dkiQsHXPwvccKtVIUhbRpikThGjv269ZbGxU7Q-lX4tLjrYNI0X2zJz-_xK_8QesPojEleiY83Ts845XIm-At0wrkSRApav9yfS0qYkOwYnaXkO1rIWjDFqlfoWNSFynF5gv40a8BL57zRZoeDw4yTnwC3-HsMqwg5-BvwedgA-awTWHw9RhhW4xrrweJGe7JYe7y8g2h8Anw9aHPrhxX2A77qLUQ8t1M_pk94ji_9HVhyCeM62JzY9iHqMcQd_pFVYeP39kUYxhh63ESv-9foyOk-wdnDfoqaL8tmcU4urr5-W8wviBFMjkRLoZ3rrBJd5WRnnKoLUUkJIJWrlBW6ZqorgBrd1UWpOO1sqSqlJC33_3WK3h-02xh-TZDGNs9ioO_1AGFKrWCCVYWgssrouyfoTZjikIe7p8q8ijpTHw6UiSGlCK7dRr_Rcdcy2t631ubW2n1rreAZf_sgnboN2P_wv44yQA5AylfDCuLjq88K_wKY6aDW</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3131666659</pqid></control><display><type>article</type><title>The Efficacy of 12-Week Progressive Home-Based Strength and Tai-Chi Exercise Snacking in Older Adults: A Mixed-Method Exploratory Randomised Control Trial</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Liang, I. J. ; Perkin, O. J. ; Williams, S. ; McGuigan, P. M. ; Thompson, D. ; Western, Max J.</creator><creatorcontrib>Liang, I. J. ; Perkin, O. J. ; Williams, S. ; McGuigan, P. M. ; Thompson, D. ; Western, Max J.</creatorcontrib><description>Background
Maintaining physical function is important for independence and frailty prevention in later life, but very few older adults meet exercise recommendations. Previous studies found that 4-week ‘exercise and Tai-chi snacking’ as a viable alternative to traditional exercise is acceptable to healthy older adults.
Objectives
This study aimed to investigate the effectiveness of a 12-week progressive exercise and Tai-chi snacking programme on physical function and psychological outcomes in pre-frail older adults.
Design
Randomised controlled trial.
Setting
Community-dwelling older adults.
Participants
90 older adults with impaired strength and balance were recruited. Participants were randomly allocated to an intervention or waitlist control group.
Intervention
A 12-week progressive exercise and Tai-chi snacking programme.
Measurements
Physical function (the short physical performance battery (SPPB), single-leg balance test and sit-to-stand test) was remotely measured at participants’ homes via video calls at baseline, 4-, 8-, and 12-weeks. The self-reported psychological outcomes were also assessed every 4 weeks using online questionnaires. A subset of 40 participants also completed in-person functional assessments, and 26 intervention participants underwent semi-structured interviews to feedback on their experiences.
Results
The 12-week progressive home-based exercise and Tai-chi snacking improved SPPB strength (estimated mean difference in week 4: 1.05; week 8: 0.79; and week 12: 0.79) and balance (estimated mean difference in week 4: 0.71; week 8: 0.57; and week 12: 0.65) at each timepoint compared to control group. Timed-up-and-go (estimated mean difference in week 4: 1.94; week 8: 1.58; and week 12: 1.1) and total SPPB scores (estimated mean difference in week 4: 2.24; week 8: 1.79; and week 12: 1.76) were also better in the intervention group compared to the control group in lab subset participants. Based on the qualitative findings, Participants found the programme accessible and beneficial, making it suitable for older adults and increasing self-efficacy in physical activities.
Conclusion
The home-based exercise and Tai-chi snacking programme significantly improved lower extremity strength, balance, and mobility in pre-frail older adults. This programme is considered to be a beneficial, acceptable and easy implemented physical function intervention.</description><identifier>ISSN: 2260-1341</identifier><identifier>ISSN: 2273-4309</identifier><identifier>EISSN: 2273-4309</identifier><identifier>DOI: 10.14283/jfa.2024.32</identifier><identifier>PMID: 39574284</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aged, 80 and over ; Control groups ; Exercise ; Exercise Therapy - methods ; Female ; Frail ; Geriatric Assessment - methods ; Geriatrics/Gerontology ; Health care ; Home based ; Humans ; Independent Living ; Internal Medicine ; Intervention ; Lower limbs ; Male ; Medicine ; Medicine & Public Health ; Mental health ; Mobility ; Muscle strength ; Muscle Strength - physiology ; Older people ; Original Research ; Physical ability ; Physical fitness ; Postural Balance - physiology ; Resistance Training - methods ; Rheumatology ; Self-efficacy ; Snack foods ; Tai Ji - methods ; Video teleconferencing</subject><ispartof>Journal of Frailty & Aging, 2024, Vol.13 (4), p.572-581</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c314t-a43affbd73b8f4bcf7953844ee47f87d3a917b5e0cab956720bd678774062273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39574284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liang, I. J.</creatorcontrib><creatorcontrib>Perkin, O. J.</creatorcontrib><creatorcontrib>Williams, S.</creatorcontrib><creatorcontrib>McGuigan, P. M.</creatorcontrib><creatorcontrib>Thompson, D.</creatorcontrib><creatorcontrib>Western, Max J.</creatorcontrib><title>The Efficacy of 12-Week Progressive Home-Based Strength and Tai-Chi Exercise Snacking in Older Adults: A Mixed-Method Exploratory Randomised Control Trial</title><title>Journal of Frailty & Aging</title><addtitle>J Frailty Aging</addtitle><addtitle>J Frailty Aging</addtitle><description>Background
Maintaining physical function is important for independence and frailty prevention in later life, but very few older adults meet exercise recommendations. Previous studies found that 4-week ‘exercise and Tai-chi snacking’ as a viable alternative to traditional exercise is acceptable to healthy older adults.
Objectives
This study aimed to investigate the effectiveness of a 12-week progressive exercise and Tai-chi snacking programme on physical function and psychological outcomes in pre-frail older adults.
Design
Randomised controlled trial.
Setting
Community-dwelling older adults.
Participants
90 older adults with impaired strength and balance were recruited. Participants were randomly allocated to an intervention or waitlist control group.
Intervention
A 12-week progressive exercise and Tai-chi snacking programme.
Measurements
Physical function (the short physical performance battery (SPPB), single-leg balance test and sit-to-stand test) was remotely measured at participants’ homes via video calls at baseline, 4-, 8-, and 12-weeks. The self-reported psychological outcomes were also assessed every 4 weeks using online questionnaires. A subset of 40 participants also completed in-person functional assessments, and 26 intervention participants underwent semi-structured interviews to feedback on their experiences.
Results
The 12-week progressive home-based exercise and Tai-chi snacking improved SPPB strength (estimated mean difference in week 4: 1.05; week 8: 0.79; and week 12: 0.79) and balance (estimated mean difference in week 4: 0.71; week 8: 0.57; and week 12: 0.65) at each timepoint compared to control group. Timed-up-and-go (estimated mean difference in week 4: 1.94; week 8: 1.58; and week 12: 1.1) and total SPPB scores (estimated mean difference in week 4: 2.24; week 8: 1.79; and week 12: 1.76) were also better in the intervention group compared to the control group in lab subset participants. Based on the qualitative findings, Participants found the programme accessible and beneficial, making it suitable for older adults and increasing self-efficacy in physical activities.
Conclusion
The home-based exercise and Tai-chi snacking programme significantly improved lower extremity strength, balance, and mobility in pre-frail older adults. This programme is considered to be a beneficial, acceptable and easy implemented physical function intervention.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Control groups</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Frail</subject><subject>Geriatric Assessment - methods</subject><subject>Geriatrics/Gerontology</subject><subject>Health care</subject><subject>Home based</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Internal Medicine</subject><subject>Intervention</subject><subject>Lower limbs</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Mobility</subject><subject>Muscle strength</subject><subject>Muscle Strength - physiology</subject><subject>Older people</subject><subject>Original Research</subject><subject>Physical ability</subject><subject>Physical fitness</subject><subject>Postural Balance - physiology</subject><subject>Resistance Training - methods</subject><subject>Rheumatology</subject><subject>Self-efficacy</subject><subject>Snack foods</subject><subject>Tai Ji - methods</subject><subject>Video teleconferencing</subject><issn>2260-1341</issn><issn>2273-4309</issn><issn>2273-4309</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNptkU9v0zAYhy3ExKaxG2dkiQsHXPwvccKtVIUhbRpikThGjv269ZbGxU7Q-lX4tLjrYNI0X2zJz-_xK_8QesPojEleiY83Ts845XIm-At0wrkSRApav9yfS0qYkOwYnaXkO1rIWjDFqlfoWNSFynF5gv40a8BL57zRZoeDw4yTnwC3-HsMqwg5-BvwedgA-awTWHw9RhhW4xrrweJGe7JYe7y8g2h8Anw9aHPrhxX2A77qLUQ8t1M_pk94ji_9HVhyCeM62JzY9iHqMcQd_pFVYeP39kUYxhh63ESv-9foyOk-wdnDfoqaL8tmcU4urr5-W8wviBFMjkRLoZ3rrBJd5WRnnKoLUUkJIJWrlBW6ZqorgBrd1UWpOO1sqSqlJC33_3WK3h-02xh-TZDGNs9ioO_1AGFKrWCCVYWgssrouyfoTZjikIe7p8q8ijpTHw6UiSGlCK7dRr_Rcdcy2t631ubW2n1rreAZf_sgnboN2P_wv44yQA5AylfDCuLjq88K_wKY6aDW</recordid><startdate>2024</startdate><enddate>2024</enddate><creator>Liang, I. J.</creator><creator>Perkin, O. J.</creator><creator>Williams, S.</creator><creator>McGuigan, P. M.</creator><creator>Thompson, D.</creator><creator>Western, Max J.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>2024</creationdate><title>The Efficacy of 12-Week Progressive Home-Based Strength and Tai-Chi Exercise Snacking in Older Adults: A Mixed-Method Exploratory Randomised Control Trial</title><author>Liang, I. J. ; Perkin, O. J. ; Williams, S. ; McGuigan, P. M. ; Thompson, D. ; Western, Max J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-a43affbd73b8f4bcf7953844ee47f87d3a917b5e0cab956720bd678774062273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Control groups</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Frail</topic><topic>Geriatric Assessment - methods</topic><topic>Geriatrics/Gerontology</topic><topic>Health care</topic><topic>Home based</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Internal Medicine</topic><topic>Intervention</topic><topic>Lower limbs</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Mobility</topic><topic>Muscle strength</topic><topic>Muscle Strength - physiology</topic><topic>Older people</topic><topic>Original Research</topic><topic>Physical ability</topic><topic>Physical fitness</topic><topic>Postural Balance - physiology</topic><topic>Resistance Training - methods</topic><topic>Rheumatology</topic><topic>Self-efficacy</topic><topic>Snack foods</topic><topic>Tai Ji - methods</topic><topic>Video teleconferencing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liang, I. J.</creatorcontrib><creatorcontrib>Perkin, O. J.</creatorcontrib><creatorcontrib>Williams, S.</creatorcontrib><creatorcontrib>McGuigan, P. M.</creatorcontrib><creatorcontrib>Thompson, D.</creatorcontrib><creatorcontrib>Western, Max J.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Frailty & Aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liang, I. J.</au><au>Perkin, O. J.</au><au>Williams, S.</au><au>McGuigan, P. M.</au><au>Thompson, D.</au><au>Western, Max J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Efficacy of 12-Week Progressive Home-Based Strength and Tai-Chi Exercise Snacking in Older Adults: A Mixed-Method Exploratory Randomised Control Trial</atitle><jtitle>Journal of Frailty & Aging</jtitle><stitle>J Frailty Aging</stitle><addtitle>J Frailty Aging</addtitle><date>2024</date><risdate>2024</risdate><volume>13</volume><issue>4</issue><spage>572</spage><epage>581</epage><pages>572-581</pages><issn>2260-1341</issn><issn>2273-4309</issn><eissn>2273-4309</eissn><abstract>Background
Maintaining physical function is important for independence and frailty prevention in later life, but very few older adults meet exercise recommendations. Previous studies found that 4-week ‘exercise and Tai-chi snacking’ as a viable alternative to traditional exercise is acceptable to healthy older adults.
Objectives
This study aimed to investigate the effectiveness of a 12-week progressive exercise and Tai-chi snacking programme on physical function and psychological outcomes in pre-frail older adults.
Design
Randomised controlled trial.
Setting
Community-dwelling older adults.
Participants
90 older adults with impaired strength and balance were recruited. Participants were randomly allocated to an intervention or waitlist control group.
Intervention
A 12-week progressive exercise and Tai-chi snacking programme.
Measurements
Physical function (the short physical performance battery (SPPB), single-leg balance test and sit-to-stand test) was remotely measured at participants’ homes via video calls at baseline, 4-, 8-, and 12-weeks. The self-reported psychological outcomes were also assessed every 4 weeks using online questionnaires. A subset of 40 participants also completed in-person functional assessments, and 26 intervention participants underwent semi-structured interviews to feedback on their experiences.
Results
The 12-week progressive home-based exercise and Tai-chi snacking improved SPPB strength (estimated mean difference in week 4: 1.05; week 8: 0.79; and week 12: 0.79) and balance (estimated mean difference in week 4: 0.71; week 8: 0.57; and week 12: 0.65) at each timepoint compared to control group. Timed-up-and-go (estimated mean difference in week 4: 1.94; week 8: 1.58; and week 12: 1.1) and total SPPB scores (estimated mean difference in week 4: 2.24; week 8: 1.79; and week 12: 1.76) were also better in the intervention group compared to the control group in lab subset participants. Based on the qualitative findings, Participants found the programme accessible and beneficial, making it suitable for older adults and increasing self-efficacy in physical activities.
Conclusion
The home-based exercise and Tai-chi snacking programme significantly improved lower extremity strength, balance, and mobility in pre-frail older adults. This programme is considered to be a beneficial, acceptable and easy implemented physical function intervention.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>39574284</pmid><doi>10.14283/jfa.2024.32</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2260-1341 |
| ispartof | Journal of Frailty & Aging, 2024, Vol.13 (4), p.572-581 |
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| subjects | Aged Aged, 80 and over Control groups Exercise Exercise Therapy - methods Female Frail Geriatric Assessment - methods Geriatrics/Gerontology Health care Home based Humans Independent Living Internal Medicine Intervention Lower limbs Male Medicine Medicine & Public Health Mental health Mobility Muscle strength Muscle Strength - physiology Older people Original Research Physical ability Physical fitness Postural Balance - physiology Resistance Training - methods Rheumatology Self-efficacy Snack foods Tai Ji - methods Video teleconferencing |
| title | The Efficacy of 12-Week Progressive Home-Based Strength and Tai-Chi Exercise Snacking in Older Adults: A Mixed-Method Exploratory Randomised Control Trial |
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