Journal
JOURNAL OF AGING AND PHYSICAL ACTIVITY
Volume 21, Issue 3, Pages 241-259Publisher
HUMAN KINETICS PUBL INC
DOI: 10.1123/japa.21.3.241
Keywords
elderly; fully supervised; balance
Categories
Funding
- Sao Paulo State Funding Agency, FAPESP [2006/59222-9]
- Coordination for the improvement of higher level-or educational-personnel, CAPES [4639-09-0]
- University of Michigan Claude D. Pepper Older Americans Independence Center, Biomechanics Core Human Subjects Assessment Core, and Research Career Development Core [AG08808]
- K24 Mid-Career Investigator Award in Patient-Oriented Research [AG109675]
- Office of Research and Development, Medical Service and Rehabilitation Research and Development Service of the Department of Veterans Affairs
- Dorothy and Herman Miller Fund for Mobility Research in Older Adults
- National Institute on Aging, NIA [AG024824]
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Few studies have evaluated the benefit of providing exercise to underprivileged older adults at risk for falls. Economically and educationally disadvantaged older adults with previous falls (mean age 79.06, SD = 4.55) were randomized to 4 mo of multimodal exercise provided as fully supervised center-based (FS, n = 45), minimally supervised home-based (MS, n = 42), or to nonexercise controls (C, n = 32). Comparing groups on the mean change in fall-relevant mobility task performance between baseline and 4 mo and compared with the change in C, both FS and MS had significantly greater reduction in timed up-and-go, F(2,73) = 5.82, p = .004, eta(2)(p) = .14, and increase in tandem-walk speed, F(2,73) = 7.71, p < .001 eta(2)(p) = .17. Change in performance did not statistically differ between FS and MS. In community-dwelling economically and educationally disadvantaged older adults with a history of falls, minimally supervised home-based and fully supervised center-based exercise programs may be equally effective in improving fall-relevant functional mobility.
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