Ergometer-cycling with strict versus minimal contact supervision among the oldest adults: A cluster-randomised controlled trial.

Abstract:

OBJECTIVE:To evaluate the feasibility and short- and long-term effects of two 10-wk structured ergometer-cycling programs among elderly in assisted-living residences. DESIGN, SETTING, AND PARTICIPANTS:Eight assisted-living residences (N=95; age=81.2±5.9years) were randomly assigned to one of three conditions: 1) ergometer-cycling with strict coach-supervision (STRICT, N=3; n=35); 2) ergometer-cycling with autonomy-supportive minimal contact coach-supervision (AUT; N=3; n=36); or 3) control condition (CON; N=2, n=24). INTERVENTION:Three-weekly progressive ergometer-cycling sessions for 10 weeks. MAIN OUTCOME MEASURES:Feasibility, physical activity (PA), muscular strength, functional performance and quality of life (baseline, post-intervention (10weeks) and 6-month follow-up). RESULTS:83 participants were analyzed post-intervention, 75 at follow-up. Adherence was higher in STRICT than AUT during the intervention (p=0.001), but not during follow-up. Compared with CON, both programs showed positive short- and long-term effects on moderate-intensity PA (p=0.034). With regard to strength, functional performance and well-being, no time-by-group interaction effects were found. When comparing high-adherers (adherence≥80%) to low-adherers, a greater increase in functional performance and in well-being and a trend towards a lower decrease in strength were found in the short-term (p=0.047, p<0.001 and p=0.054, respectively). CONCLUSION:Both interventions were feasible and equally effective to increase long-term engagement in PA, irrespective of the type of supervision. When adherence is high, positive effects on strength, performance and well-being can be expected.

journal_name

Arch Gerontol Geriatr

authors

Van Roie E,Martien S,Hurkmans E,Pelssers J,Seghers J,Boen F,Delecluse C

doi

10.1016/j.archger.2017.01.010

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

112-122

eissn

0167-4943

issn

1872-6976

pii

S0167-4943(17)30051-1

journal_volume

70

pub_type

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