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Adapted physical activity to promote active and healthy ageing: the PoliFIT pilot randomized waiting list-controlled trial

  • Giuseppina Bernardelli
  • Carlotta Roncaglione
  • Sarah Damanti
  • Daniela Mari
  • Matteo Cesari
  • Maura Marcucci
Original Article

Abstract

Background

Physical activities can prevent disability in elderly.

Aims

To evaluate the feasibility and impact on physical function of an adapted physical activity (APA) programme in community-dwelling people of ≥ 70 years old.

Methods

Non-blinded randomized trial with a waiting list control. Eligible people (n = 186) were randomly allocated to 4 months of weekly APA classes of 45 min or in control group performing usual lifestyle activity. Primary outcome: time to walk 400 m. Secondary outcomes: short physical performance battery (SPPB), pain (visual analogic scale, McGill Questionnaire), Oswestry Disability Index (ODI), Geriatric Depression Scale (GDS), handgrip strength, accesses to Emergency Department and falls.

Results

Participants were allocated to the intervention (n = 130) or to the control (n = 56) group (80% females aged 75.6 ± 4.6 years). We found statistically significant difference in the time to walk 400 m only in the subgroup intervention with the lower performance at baseline (p for interaction 0.031). SPPB improved and VAS decreased more in the intervention group. No significant differences for McGill questionnaire, ODI, GDS, accesses to ER and falls were showed.

Discussion

Despite the good rate of attendance (71%) and satisfaction (97%), our APA programme was associated with no benefit on the time to walk 400 m and small benefit on SPPB and VAS. The efficacy of the intervention was likely limited by the short duration and low intensity and by the already good performance of our population at baseline.

Conclusions

We designed this initiative as a pilot study intending to implement research of this type in the future.

Keywords

Adapted physical activity Active aging Healthy aging Disability Prevention Physical function 

Notes

Acknowledgements

This research was funded in part by a Grant from Italian Ministry of Health, Conto Capitale IRCCS 2012. The funders played no role in the design, methods, subject recruitment, data collection, analysis or preparation of the paper.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

All procedures in this study that involved human participants were performed in accordance with the ethical standards of the local ethical committee [approval number 813_2015] and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Research involving animals

This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Word Health Organisation (2015) World report on ageing and health: Global Age Watch Index—Geneva, Switzerland. http://www.who.int/ageing/events/world-report-2015-launch/en/
  2. 2.
    Pahor M, Guralnik JM, Ambrosius WT et al (2014) Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. JAMA 311:2387–2396.  https://doi.org/10.1001/jama.2014.5616 CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Hallal PC, Andersen LB, Bull FC et al (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 380:247–257.  https://doi.org/10.1016/S0140-6736(12)60646-1 CrossRefPubMedGoogle Scholar
  4. 4.
    Word Health Organisation (2011) Global strategy on diet, physical activity and health. http://www.who.int/dietphysicalactivity/publications/recommendations65yearsold/en/
  5. 5.
    Franco MR, Tong A, Howard K et al (2015) Older people’s perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. Br J Sports Med 49:1268–1276.  https://doi.org/10.1136/bjsports-2014-094015 CrossRefPubMedGoogle Scholar
  6. 6.
    International Federation for Adapted Physical Activity (2014) http://ifapa.net/what-is-apa/
  7. 7.
    Kats S, Ford AB, Moskowitz RW et al (1963) Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. J Am Med Assoc 185:914–919CrossRefGoogle Scholar
  8. 8.
    Katz S, Downs HR, Cash HR et al (1970) Progress in development of the index of ADL. Gerontologist 10:20–30CrossRefPubMedGoogle Scholar
  9. 9.
    Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198.  https://doi.org/10.1016/0022-3956(75)90026-6 CrossRefPubMedGoogle Scholar
  10. 10.
    Charlson ME, Pompei P, Ales KL et al (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40:373–383CrossRefPubMedGoogle Scholar
  11. 11.
    Mahoney FI, Barthel DW (1965) Functional evaluation: the Barthel Index. Md State Med J 14:61–65PubMedGoogle Scholar
  12. 12.
    Vellas B, Guigoz Y, Garry PJ et al (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 15:116–122CrossRefPubMedGoogle Scholar
  13. 13.
    Guralnik JM, Simonsick EM, Ferrucci L et al (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 49:M85–M94CrossRefPubMedGoogle Scholar
  14. 14.
    Rantanen T, Era P, Kauppinen M et al (1994) Maximal isometric muscle strength and socioeconomic status, health, and physical activity in 75-year-old persons. J Aging Phys Act 2:206–220CrossRefGoogle Scholar
  15. 15.
    Mathiowetz V, Kashman N, Volland G et al (1985) Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil 66:69–74PubMedGoogle Scholar
  16. 16.
    Fried LP, Tangen CM, Walston J et al (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56:M146–M156CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Sheikh JI, Yesavage JA (1986) Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol 5:165–173CrossRefGoogle Scholar
  18. 18.
    Price DD, McGrath PA, Rafii A et al (1983) The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 17:45–56CrossRefPubMedGoogle Scholar
  19. 19.
    Melzack R (1975) The McGill Pain Questionnaire: major properties and scoring methods. Pain 1:277–299CrossRefPubMedGoogle Scholar
  20. 20.
    Fairbank JC, Couper J, Davies JB et al (1980) The Oswestry Low Back Pain Questionnaire. Physiotherapy 66:271–273PubMedGoogle Scholar
  21. 21.
    Hulley SB, Cummings SR, Browner WS et al (2007) Designing clinical research, 3rd edn. Wolters, Kluwer, Lippincott, Williams & Wilkins, PhiladelphiaGoogle Scholar
  22. 22.
    Darker CD, Frenchb DP, Eves FF et al (2010) An intervention to promote walking amongst the general population based on an ‘extended’ theory of planned behaviour: a waiting list randomised controlled trial. Psychol Health 25:71–88CrossRefPubMedGoogle Scholar
  23. 23.
    Kwon S, Perera S, Pahor M et al (2009) What is a meaningful change in physical performance? Findings from a clinical trial in older adults (the LIFE-P study). J Nutr Health Aging 13:538–544CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Brach JS, Simonsick EM, Kritchevsky S et al (2004) The association between physical function and lifestyle activity and exercise in the health, aging and body composition study. J Am Geriatr Soc 52:502–509CrossRefPubMedGoogle Scholar
  25. 25.
    Simonsick EM, Montgomery PS, Newman AB et al (2001) Measuring fitness in healthy older adults: the Health ABC Long Distance Corridor Walk. J Am Geriatr Soc 49:1544–1548.  https://doi.org/10.1046/j.1532-5415.2001.4911247.x CrossRefPubMedGoogle Scholar
  26. 26.
    Newman AB, Simonsick EM, Naydeck BL et al (2006) Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. JAMA 295:2018–2026.  https://doi.org/10.1001/jama.295.17.2018 CrossRefPubMedGoogle Scholar
  27. 27.
    Cesari M, Fielding RA, Pahor M et al (2012) Biomarkers of sarcopenia in clinical trials-recommendations from the International Working Group on Sarcopenia. J Cachexia Sarcopenia Muscle 3:181–190.  https://doi.org/10.1007/s13539-012-0078-2 CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Cadore EL, Rodríguez-Mañas L, Sinclair A et al (2013) Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review. Rejuvenation Res 16:105–114.  https://doi.org/10.1089/rej.2012.1397 CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Ku PW, Fox KR, Liao Y et al (2016) Prospective associations of objectively assessed physical activity at different intensities with subjective well-being in older adults. Qual Life Res 25:2909–2919.  https://doi.org/10.1007/s11136-016-1309-3 CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Giuseppina Bernardelli
    • 1
  • Carlotta Roncaglione
    • 2
  • Sarah Damanti
    • 1
    • 2
  • Daniela Mari
    • 2
  • Matteo Cesari
    • 1
    • 2
  • Maura Marcucci
    • 2
    • 3
  1. 1.Department of Clinical Sciences and Community HealthUniversity of MilanMilanItaly
  2. 2.Geriatric UnitFondazione IRCCS Ca’ Granda Ospedale Maggiore PoliclinicoMilanItaly
  3. 3.Department of Health Research Methods, Evidence, and ImpactMcMaster UniversityHamiltonCanada

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