Rhythmically Entrained Exercise in Community-Dwelling Older Adults

Not Applicable

Completed

• Conditions: Exercise; Gait; Caregiver Burden; Respite Care; Mental Health; Balance; Memory Disorders; Healthy Aging; Cognitive Impairment; Psychosocial Intervention
• Interventions: Behavioral: Group exercise program

• Registration Number: NCT05462977
• Lead Sponsor: University of North Carolina, Greensboro

Brief Summary

Researchers at the University of North Carolina at Greensboro conduct a single-arm intervention trial to investigate the efficacy of a music-based group exercise program for community-dwelling older adults. Up to forty participants will be recruited to participate in a music-based light-to-moderate intensity group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week), which is designed for older adults with or without functional limitations to exercise with chairs for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace. During the exercise sessions, participants will be trained to move in time with music playlists in synchronous tempos. Primary outcomes are cognitive performance, mobility, and health-related quality of life measured before and after the intervention. Secondary outcomes are adherence to the exercise program as a potential mediator of the treatment.

Detailed Description

Researchers at the University of North Carolina at Greensboro are conducting a single-arm intervention trial to investigate the efficacy of a music-based group exercise program for community-dwelling older adults. Up to forty participants will be recruited to participate in a music-based light-to-moderate intensity group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week), which is designed for older adults with or without functional limitations to exercise with chairs for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace. During the exercise sessions, participants will be trained to move in time with music playlists in synchronous tempos. Primary outcomes are cognitive performance, mobility, and health-related quality of life measured before and after the intervention. Secondary outcomes are adherence to the exercise program as a potential mediator of the treatment. The research team aims to determine whether (1) a music-based light-to-moderate intensity group exercise intervention beneficially impacts mobility, cognitive function, and health-related quality of life in community-dwelling older adults; (2) the treatment effect is mediated by adherence to physical activity; and (3) the treatment effect is moderated by cognitive impairment or functional limitations.

Study Timeline

• Study First Submitted: 2021-10-13
• Study Start: 2022-05-01
• Study First Submitted QC: 2022-07-13
• Study First Posted: 2022-07-18
• Primary Completion: 2023-04-28
• Study Completion: 2023-09-30
• Status Verified: 2023-10
• Last Update Submitted: 2023-10-31
• Last Update Posted: 2023-11-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 18

Inclusion Criteria

• 55 - 99 years old
• Capable of being ambulatory with or without an assistive device.
• No cardiac or pulmonary conditions or any neurological or musculoskeletal comorbidity or pain that would make light-intensity exercise dangerous, determined by the Physical Activity Readiness Questionnaire for Everyone or confirmed by their local medical practitioner if necessary.
• Having adequate hearing for a conversation (including with hearing aids)
• Capable of following the study procedures
• No severe anxiety or depression
• Mild to moderate cognitive impairment

Exclusion Criteria

• Age younger than 55 or older than 99
• Severe anxiety or depression
• Severe cognitive impairment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Group exercise with beat-accented synchronous music stimulation	Group exercise program	Participants will be asked to participate in a music-based group exercise program for 24 weeks (up to 6 days/week, 30 - 45 min/day), which is designed for older adults with functional limitations to safely exercise on a chair or in a supported standing posture for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace based on the tempo of the beat-accented synchronous music playlists.

Primary Outcome Measures

Name	Time	Method
Change of walking endurance	Baseline and change from baseline at month 5	Participants' gait and walking endurance will be measured by 6-Minute Walk Test
Change of health-related quality of life	Baseline and change from baseline at month 5	EuroQol Health Questionnaire
Change of fall risks	Baseline and change from baseline at month 5	Participants' fall risks will be measured by Timed Up \& Go Test
Change of balance control	Baseline and change from baseline at month 5	Participants' balance control will be measured by 4-Stage Balance Test
Change of cognitive function	Baseline and change from baseline at month 5	Participants' cognitive function will be measured through Montreal Cognitive Assessment , Flanker Inhibitory Control and Attention test, and Pattern Comparison Processing Speed Test.
Change of lower body strength	Baseline and change from baseline at month 5	Participants' lower body strength will be measured by 30-second Chair Stand Test

Trial Locations

Locations (1)

UNC Greensboro; 🇺🇸 Greensboro, North Carolina, United States