Effect of a simple and adherent home exercise program on the physical function of community dwelling adults sixty years of age and older with pre-sarcopenia or sarcopenia
[Purpose] To evaluate the effect of a home exercise program on physical function in community dwelling elderly with pre-sarcopenia or sarcopenia. [Subjects and Methods] Fifty-two community-dwelling individuals, over 60 years and meeting the diagnostic criteria for pre-sarcopenia or sarcopenia, were...
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| Published in | Journal of Physical Therapy Science Vol. 28; no. 11; pp. 3183 - 3188 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
01.11.2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.28.3183 |
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| Abstract | [Purpose] To evaluate the effect of a home exercise program on physical function in community dwelling elderly with pre-sarcopenia or sarcopenia. [Subjects and Methods] Fifty-two community-dwelling individuals, over 60 years and meeting the diagnostic criteria for pre-sarcopenia or sarcopenia, were randomly assigned to intervention group (n=34) and control group (n=18). The intervention group completed 6-months home exercise programs, combining walking with lower limb resistance exercises. Body mass index, skeletal mass index, body fat percentage, handgrip strength, single-leg standing, walking speed (comfortable and maximal), and knee extension strength were evaluated at baseline and post-intervention. Activity was assessed using the 25-question Geriatric Locomotive Functional Scale (GLFS-25) and quality of life using the Euro QOL questionnaire. [Results] Pre- and post-training assessments were completed by 76.5% and 77.8% of participants in the intervention and control groups, respectively. The intervention improved single-leg standing (60.5 s to 77.2 s) and knee extension strength (1.38 Nm/kg to 1.69 Nm/kg). In the control group, maximum walking speed (2.02 m/s to 1.86 m/s) and GLFS-25 score (2.9 to 5.1) worsened. Change of pre-sarcopenia/sarcopenia status was comparable for the intervention (15.4%) and control (14.3%) groups. [Conclusion] A 6-month home exercise program improved physical function in community-dwelling individuals with pre-sarcopenia or sarcopenia. |
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| AbstractList | [Purpose] To evaluate the effect of a home exercise program on physical function in community dwelling elderly with pre-sarcopenia or sarcopenia. [Subjects and Methods] Fifty-two community-dwelling individuals, over 60 years and meeting the diagnostic criteria for pre-sarcopenia or sarcopenia, were randomly assigned to intervention group (n=34) and control group (n=18). The intervention group completed 6-months home exercise programs, combining walking with lower limb resistance exercises. Body mass index, skeletal mass index, body fat percentage, handgrip strength, single-leg standing, walking speed (comfortable and maximal), and knee extension strength were evaluated at baseline and post-intervention. Activity was assessed using the 25-question Geriatric Locomotive Functional Scale (GLFS-25) and quality of life using the Euro QOL questionnaire. [Results] Pre- and post-training assessments were completed by 76.5% and 77.8% of participants in the intervention and control groups, respectively. The intervention improved single-leg standing (60.5 s to 77.2 s) and knee extension strength (1.38 Nm/kg to 1.69 Nm/kg). In the control group, maximum walking speed (2.02 m/s to 1.86 m/s) and GLFS-25 score (2.9 to 5.1) worsened. Change of pre-sarcopenia/sarcopenia status was comparable for the intervention (15.4%) and control (14.3%) groups. [Conclusion] A 6-month home exercise program improved physical function in community-dwelling individuals with pre-sarcopenia or sarcopenia. Purpose: To evaluate the effect of a home exercise program on physical function in community dwelling elderly with pre-sarcopenia or sarcopenia. Subjects and Methods: Fifty-two community-dwelling individuals, over 60 years and meeting the diagnostic criteria for pre-sarcopenia or sarcopenia, were randomly assigned to intervention group (n=34) and control group (n=18). The intervention group completed 6-months home exercise programs, combining walking with lower limb resistance exercises. Body mass index, skeletal mass index, body fat percentage, handgrip strength, single-leg standing, walking speed (comfortable and maximal), and knee extension strength were evaluated at baseline and post-intervention. Activity was assessed using the 25-question Geriatric Locomotive Functional Scale (GLFS-25) and quality of life using the Euro QOL questionnaire. Results: Pre- and post-training assessments were completed by 76.5% and 77.8% of participants in the intervention and control groups, respectively. The intervention improved single-leg standing (60.5 s to 77.2 s) and knee extension strength (1.38 Nm/kg to 1.69 Nm/kg). In the control group, maximum walking speed (2.02 m/s to 1.86 m/s) and GLFS-25 score (2.9 to 5.1) worsened. Change of pre-sarcopenia/sarcopenia status was comparable for the intervention (15.4%) and control (14.3%) groups. Conclusion: A 6-month home exercise program improved physical function in community-dwelling individuals with pre-sarcopenia or sarcopenia. [Purpose] To evaluate the effect of a home exercise program on physical function in community dwelling elderly with pre-sarcopenia or sarcopenia. [Subjects and Methods] Fifty-two community-dwelling individuals, over 60 years and meeting the diagnostic criteria for pre-sarcopenia or sarcopenia, were randomly assigned to intervention group (n=34) and control group (n=18). The intervention group completed 6-months home exercise programs, combining walking with lower limb resistance exercises. Body mass index, skeletal mass index, body fat percentage, handgrip strength, single-leg standing, walking speed (comfortable and maximal), and knee extension strength were evaluated at baseline and post-intervention. Activity was assessed using the 25-question Geriatric Locomotive Functional Scale (GLFS-25) and quality of life using the Euro QOL questionnaire. [Results] Pre- and post-training assessments were completed by 76.5% and 77.8% of participants in the intervention and control groups, respectively. The intervention improved single-leg standing (60.5 s to 77.2 s) and knee extension strength (1.38 Nm/kg to 1.69 Nm/kg). In the control group, maximum walking speed (2.02 m/s to 1.86 m/s) and GLFS-25 score (2.9 to 5.1) worsened. Change of pre-sarcopenia/sarcopenia status was comparable for the intervention (15.4%) and control (14.3%) groups. [Conclusion] A 6-month home exercise program improved physical function in community-dwelling individuals with pre-sarcopenia or sarcopenia.[Purpose] To evaluate the effect of a home exercise program on physical function in community dwelling elderly with pre-sarcopenia or sarcopenia. [Subjects and Methods] Fifty-two community-dwelling individuals, over 60 years and meeting the diagnostic criteria for pre-sarcopenia or sarcopenia, were randomly assigned to intervention group (n=34) and control group (n=18). The intervention group completed 6-months home exercise programs, combining walking with lower limb resistance exercises. Body mass index, skeletal mass index, body fat percentage, handgrip strength, single-leg standing, walking speed (comfortable and maximal), and knee extension strength were evaluated at baseline and post-intervention. Activity was assessed using the 25-question Geriatric Locomotive Functional Scale (GLFS-25) and quality of life using the Euro QOL questionnaire. [Results] Pre- and post-training assessments were completed by 76.5% and 77.8% of participants in the intervention and control groups, respectively. The intervention improved single-leg standing (60.5 s to 77.2 s) and knee extension strength (1.38 Nm/kg to 1.69 Nm/kg). In the control group, maximum walking speed (2.02 m/s to 1.86 m/s) and GLFS-25 score (2.9 to 5.1) worsened. Change of pre-sarcopenia/sarcopenia status was comparable for the intervention (15.4%) and control (14.3%) groups. [Conclusion] A 6-month home exercise program improved physical function in community-dwelling individuals with pre-sarcopenia or sarcopenia. [Purpose] To evaluate the effect of a home exercise program on physical function in community dwelling elderly with pre-sarcopenia or sarcopenia. [Subjects and Methods] Fifty-two community-dwelling individuals, over 60 years and meeting the diagnostic criteria for pre-sarcopenia or sarcopenia, were randomly assigned to intervention group (n=34) and control group (n=18). The intervention group completed 6-months home exercise programs, combining walking with lower limb resistance exercises. Body mass index, skeletal mass index, body fat percentage, handgrip strength, single-leg standing, walking speed (comfortable and maximal), and knee extension strength were evaluated at baseline and post-intervention. Activity was assessed using the 25-question Geriatric Locomotive Functional Scale (GLFS-25) and quality of life using the Euro QOL questionnaire. [Results] Pre- and post-training assessments were completed by 76.5% and 77.8% of participants in the intervention and control groups, respectively. The intervention improved single-leg standing (60.5 s to 77.2 s) and knee extension strength (1.38 Nm/kg to 1.69 Nm/kg). In the control group, maximum walking speed (2.02 m/s to 1.86 m/s) and GLFS-25 score (2.9 to 5.1) worsened. Change of pre-sarcopenia/sarcopenia status was comparable for the intervention (15.4%) and control (14.3%) groups. [Conclusion] A 6-month home exercise program improved physical function in community-dwelling individuals with pre-sarcopenia or sarcopenia. |
| Author | Yamaguchi, Haruyasu Maruya, Kohei Arai, Tomoyuki Fujita, Hiroaki Asakawa, Yasuyoshi Ishibashi, Hideaki |
| Author_xml | – sequence: 1 fullname: Fujita, Hiroaki organization: Department of Physical Therapy, Faculty of Health and Medical Care, Saitama Medical University: 981 Kawakado, Irumagun, Saitama 350-0496, Japan – sequence: 1 fullname: Ishibashi, Hideaki organization: Orthopedic Surgery, Ina Hospital, Japan – sequence: 1 fullname: Maruya, Kohei organization: Graduate School of Health Sciences, Gunma University, Japan – sequence: 1 fullname: Asakawa, Yasuyoshi organization: Faculty of Health Sciences, Tokyo Metropolitan University, Japan – sequence: 1 fullname: Arai, Tomoyuki organization: Department of Physical Therapy, Faculty of Health and Medical Care, Saitama Medical University: 981 Kawakado, Irumagun, Saitama 350-0496, Japan – sequence: 1 fullname: Yamaguchi, Haruyasu organization: Graduate School of Health Sciences, Gunma University, Japan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27942146$$D View this record in MEDLINE/PubMed |
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| References | 9) Binder EF, Yarasheski KE, Steger-May K, et al.: Effects of progressive resistance training on body composition in frail older adults: results of a randomized, controlled trial. J Gerontol A Biol Sci Med Sci, 2005, 60: 1425–1431. 12) Maruya K, Fujita H, Arai T, et al.: Exercise interventions for improving motor function in community-dwelling middle-aged and elderly: effects due to differences in body mass index. Osteoporo Jpn, 2015, 23: 99–107 (in Japanese). 2) Chen LK, Liu LK, Woo J, et al.: Sarcopenia in Asia: consensus report of the Asian working group for sarcopenia. J Am Med Dir Assoc, 2014, 15: 95–101. 6) Kim BJ, Ahn SH, Kim HM, et al.: Low skeletal muscle mass associates with low femoral neck strength, especially in older Korean women: the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). Osteoporos Int, 2015, 26: 737–747. 11) Ito S, Hashimoto M, Aduma S, et al.: Effectiveness of locomotion training in a home visit preventive care project: one-group pre-intervention versus post-intervention design study. J Orthop Sci, 2015, 20: 1078–1084. 10) Kemmler W, von Stengel S, Engelke K, et al.: Exercise, body composition, and functional ability: a randomized controlled trial. Am J Prev Med, 2010, 38: 279–287. 14) Katoh M, Isozaki K: Reliability of isometric knee extension muscle strength measurements of healthy elderly subjects made with a hand-held dynamometer and a belt. J Phys Ther Sci, 2014, 26: 1855–1859. 7) Di Monaco M, Castiglioni C, De Toma E, et al.: Presarcopenia and sarcopenia in hip-fracture women: prevalence and association with ability to function in activities of daily living. Aging Clin Exp Res, 2015, 27: 465–472. 3) Lee ES, Park HM: Prevalence of sarcopenia in healthy Korean elderly women. J Bone Metab, 2015, 22: 191–195. 4) Landi F, Liperoti R, Russo A, et al.: Sarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study. Clin Nutr, 2012, 31: 652–658. 18) Mizumoto A, Takeuchi O: Basics and considerations for reporting effect sizes in research papers. Stud Engl Lang Teach, 2008, 31: 57–66 (in Japanese). 19) Miyahara Y, Takeshita T: Relationship of competence to factors in community dwelling elderly. Sogo Rehabil, 2004, 32: 1187–1190 (in Japanese). 16) Seichi A, Hoshino Y, Doi T, et al.: Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-question Geriatric Locomotive Function Scale. J Orthop Sci, 2012, 17: 163–172. 20) Watanabe M, Tanimoto Y, Shibuya T, et al.: Search for an objective predictor relevant to the decrease of instrumental activities of daily living among elderly persons. J Osaka Med Coll, 2005, 64: 186–192 (in Japanese). 13) The Japanese Orthopaedic Association: Locomotive syndrome pamphlet 2013 Locomotive Syndrome. https://locomo-joa.jp/en/index.pdf (Accessed Dec. 11, 2015 8) Kim HK, Suzuki T, Saito K, et al.: Effects of exercise and amino acid supplementation on body composition and physical function in community-dwelling elderly Japanese sarcopenic women: a randomized controlled trial. J Am Geriatr Soc, 2012, 60: 16–23. 1) Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. European Working Group on Sarcopenia in Older People: Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing, 2010, 39: 412–423. 15) Nishimura S, Tsuchiya A, Hisashige A, et al.: The development of the Japanese EuroQol instrument. Iryo Shakai, 1998, 8: 109–123 (in Japanese). 5) Baumgartner RN, Koehler KM, Gallagher D, et al.: Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol, 1998, 147: 755–763. 17) Pisters MF, Veenhof C, Schellevis FG, et al.: Exercise adherence improving long-term patient outcome in patients with osteoarthritis of the hip and/or knee. Arthritis Care Res (Hoboken), 2010, 62: 1087–1094. 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 10 25540481 - J Phys Ther Sci. 2014 Dec;26(12):1855-9 25576254 - Aging Clin Exp Res. 2015 Aug;27(4):465-72 26290221 - J Orthop Sci. 2015 Nov;20(6):1078-84 22142410 - J Am Geriatr Soc. 2012 Jan;60(1):16-23 16339329 - J Gerontol A Biol Sci Med Sci. 2005 Nov;60(11):1425-31 22222445 - J Orthop Sci. 2012 Mar;17(2):163-72 20235201 - Arthritis Care Res (Hoboken). 2010 Aug;62(8):1087-94 24461239 - J Am Med Dir Assoc. 2014 Feb;15(2):95-101 26713310 - J Bone Metab. 2015 Nov;22(4):191-5 25391247 - Osteoporos Int. 2015 Feb;26(2):737-47 20392703 - Age Ageing. 2010 Jul;39(4):412-23 20171529 - Am J Prev Med. 2010 Mar;38(3):279-87 9554417 - Am J Epidemiol. 1998 Apr 15;147(8):755-63 22414775 - Clin Nutr. 2012 Oct;31(5):652-8 |
| References_xml | – reference: 12) Maruya K, Fujita H, Arai T, et al.: Exercise interventions for improving motor function in community-dwelling middle-aged and elderly: effects due to differences in body mass index. Osteoporo Jpn, 2015, 23: 99–107 (in Japanese). – reference: 16) Seichi A, Hoshino Y, Doi T, et al.: Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-question Geriatric Locomotive Function Scale. J Orthop Sci, 2012, 17: 163–172. – reference: 14) Katoh M, Isozaki K: Reliability of isometric knee extension muscle strength measurements of healthy elderly subjects made with a hand-held dynamometer and a belt. J Phys Ther Sci, 2014, 26: 1855–1859. – reference: 3) Lee ES, Park HM: Prevalence of sarcopenia in healthy Korean elderly women. J Bone Metab, 2015, 22: 191–195. – reference: 4) Landi F, Liperoti R, Russo A, et al.: Sarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study. Clin Nutr, 2012, 31: 652–658. – reference: 18) Mizumoto A, Takeuchi O: Basics and considerations for reporting effect sizes in research papers. Stud Engl Lang Teach, 2008, 31: 57–66 (in Japanese). – reference: 20) Watanabe M, Tanimoto Y, Shibuya T, et al.: Search for an objective predictor relevant to the decrease of instrumental activities of daily living among elderly persons. J Osaka Med Coll, 2005, 64: 186–192 (in Japanese). – reference: 9) Binder EF, Yarasheski KE, Steger-May K, et al.: Effects of progressive resistance training on body composition in frail older adults: results of a randomized, controlled trial. J Gerontol A Biol Sci Med Sci, 2005, 60: 1425–1431. – reference: 7) Di Monaco M, Castiglioni C, De Toma E, et al.: Presarcopenia and sarcopenia in hip-fracture women: prevalence and association with ability to function in activities of daily living. Aging Clin Exp Res, 2015, 27: 465–472. – reference: 1) Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. European Working Group on Sarcopenia in Older People: Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing, 2010, 39: 412–423. – reference: 6) Kim BJ, Ahn SH, Kim HM, et al.: Low skeletal muscle mass associates with low femoral neck strength, especially in older Korean women: the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). Osteoporos Int, 2015, 26: 737–747. – reference: 11) Ito S, Hashimoto M, Aduma S, et al.: Effectiveness of locomotion training in a home visit preventive care project: one-group pre-intervention versus post-intervention design study. J Orthop Sci, 2015, 20: 1078–1084. – reference: 15) Nishimura S, Tsuchiya A, Hisashige A, et al.: The development of the Japanese EuroQol instrument. Iryo Shakai, 1998, 8: 109–123 (in Japanese). – reference: 2) Chen LK, Liu LK, Woo J, et al.: Sarcopenia in Asia: consensus report of the Asian working group for sarcopenia. J Am Med Dir Assoc, 2014, 15: 95–101. – reference: 17) Pisters MF, Veenhof C, Schellevis FG, et al.: Exercise adherence improving long-term patient outcome in patients with osteoarthritis of the hip and/or knee. Arthritis Care Res (Hoboken), 2010, 62: 1087–1094. – reference: 5) Baumgartner RN, Koehler KM, Gallagher D, et al.: Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol, 1998, 147: 755–763. – reference: 8) Kim HK, Suzuki T, Saito K, et al.: Effects of exercise and amino acid supplementation on body composition and physical function in community-dwelling elderly Japanese sarcopenic women: a randomized controlled trial. J Am Geriatr Soc, 2012, 60: 16–23. – reference: 13) The Japanese Orthopaedic Association: Locomotive syndrome pamphlet 2013 Locomotive Syndrome. https://locomo-joa.jp/en/index.pdf (Accessed Dec. 11, 2015) – reference: 10) Kemmler W, von Stengel S, Engelke K, et al.: Exercise, body composition, and functional ability: a randomized controlled trial. Am J Prev Med, 2010, 38: 279–287. – reference: 19) Miyahara Y, Takeshita T: Relationship of competence to factors in community dwelling elderly. 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| Title | Effect of a simple and adherent home exercise program on the physical function of community dwelling adults sixty years of age and older with pre-sarcopenia or sarcopenia |
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