Community-based Physical Fitness Exercise on the Older Adults' Functional Fitness and Adherence to Physical Activity
- Conditions
- Older Adult
- Interventions
- Behavioral: Structural exercise courseBehavioral: Autonomous group class
- Registration Number
- NCT05081505
- Brief Summary
Maintaining adequate physical activity (PA) and regularly exercising are very important to promote the good physical and mental health of the elderly. According to the transtheoretical model (TTM) framework, previous research studies have formulated many strategies to promote exercise behaviors, such as incentive strategies, combines municipal resources and links up with the referral of primary care institutions, or including patients in the decision-making process about exercise choices to enable patients to have greater autonomy. In addition, in terms of the strategic aspects of achieving goals, competitive incentives are also an effective strategy. Therefore, this study aims to find out the effects of the community-based physical fitness exercise course, which is given according to TTM, on improving functional fitness and exercise persistence of the older adults.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- age between 65 to 90 years old
- can stand up from a chair without armrests
- can walk independently for 2 minutes without relying on any mechanical assistance
- no medical issues according to the PAR-Q+ form assessment
- can complete the Senior Fitness Test (SFT)
- diagnosed with severe dementia (unable to understand and/or follow verbal commands)
- suffering from stroke, severe hypertension, heart disease, and diabetes
- hip or knee replacement surgery in the past 6 months
- hip fracture
- having undergoing rehabilitation plan
- unable to complete the pre-tests or post-test
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Community-based physical fitness exercise course Autonomous group class Included 12-week structural exercise course (0-12 weeks) and 12-week autonomous group class (12-24 weeks). Community-based physical fitness exercise course Structural exercise course Included 12-week structural exercise course (0-12 weeks) and 12-week autonomous group class (12-24 weeks).
- Primary Outcome Measures
Name Time Method Senior Fitness Test - Waist-hip ratio basal, 12, 24 weeks follow up The waist-hip ratio is the dimensionless ratio of the circumference of the waist to that of the hips.
Outcome Expectations for Exercise Scale basal, 12, 24 weeks follow up The Outcome Expectations for Exercise Scale contains 9 statements rated by participants using a 5-point Likert scale from 1 "Strongly Disagree" to 5 "Strongly Agree". It can help identify older adults with low outcome expectations for exercise.
Senior Fitness Test - 30s Chair stand basal, 12, 24 weeks follow up Evaluates the lower body strength according to the number of times the individual stood up and sat down in 30 seconds. Characterized as continuous numeric variable
Exercise Self-efficacy Scale basal, 12, 24 weeks follow up The Exercise Self-efficacy Scale measures an individual's perceived ability to overcome various obstacles to perform physical activity, with higher scores indicating more confidence in performing the exercise.
Senior Fitness Test - Body Mass Index (BMI) basal, 12, 24 weeks follow up Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters.
Senior Fitness Test - 30s Arm curl basal, 12, 24 weeks follow up Evaluates the upper body strength and endurance according to the number of arm curls in 30 seconds. Characterized as continuous numeric variable.
Exercise stage of change questionnaire basal, 12, 24 weeks follow up Exercise Change Stage Short Question Form is a 5 item scale. It has only one question, used to categorizes individuals into one of the five stages of change: (1) Precontemplation (2) Contemplation (3) Preparation (4) Action (5) Maintenance.
Physical Activity Scale for the Elderly (PASE) basal, 12, 24 weeks follow up PASE is used to assess the physical activity level of elderly individuals, the factors affecting the activity level, the relationship between physical activity and health profile. The minimum and maximum score that can be obtained from the scale is 0 and 400.The higher score indicates better level of physical activity.
Physical Activity Survey basal, 12, 24 weeks follow up The physical activity survey is measured according to the PASE items. It is calculated by the frequency value (hours per day in the one-week reporting period) for low-intensity, medium-intensity, high-intensity, and muscle strengthening exercise. The higher score indicates the more time spent on the physical activity at each level.
Senior Fitness Test - Back scratch basal, 12, 24 weeks follow up Evaluates the flexibility of the upper limbs. It measures the distance in inches between the tips of the fingers in the back area. Characterized as continuous numeric variable
Open-eyes one leg stand basal, 12, 24 weeks follow up Evaluates the balance ability. The standing time on one leg, keep eyes open. Characterized as continuous numeric variable.
Attendance rate 12 and 24 weeks The attendance rate of the subjects participating in structured exercise courses and autonomous group classes
Senior Fitness Test - 8-Foot Up-&-Go basal, 12, 24 weeks follow up Assesses motor agility and dynamic balance. Evaluates the time in seconds and hundredths in an established path of 2.44 meters on the route to go and return to starting position. Characterized as continuous numerical variable.
Senior Fitness Test - Chair Sit-&-Reach basal, 12, 24 weeks follow up Evaluates the lower back and hamstring flexibility according to the distance measured between the tip of the finger tips and the toes. Characterized as continuous numerical variable.
Senior Fitness Test - 2-Minute Step basal, 12, 24 weeks follow up Evaluates aerobic endurance. Total double past stationary in 2 minutes. Characterized as continuous numeric variable.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Kaohsiung Medical University
🇨🇳Kaohsiung, Taiwan