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High-intensity functional exercise program and protein-enriched energy supplement for older persons dependent in activities of daily living: a randomised controlled trial
Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
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2006 (Engelska)Ingår i: Australian Journal of Physiotherapy, ISSN 0004-9514, Vol. 52, nr 2, s. 105-13Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aims of this randomised controlled trial were to determine if a high-intensity functional exercise program improves balance, gait ability, and lower-limb strength in older persons dependent in activities of daily living and if an intake of protein-enriched energy supplement immediately after the exercises increases the effects of the training. One hundred and ninety-one older persons dependent in activities of daily living, living in residential care facilities, and with a Mini-Mental State Examination (MMSE) score of ? 10 participated. They were randomised to a high-intensity functional exercise program or a control activity, which included 29 sessions over 3 months, as well as to protein-enriched energy supplement or placebo. Berg Balance Scale, self-paced and maximum gait speed, and one-repetition maximum in lower-limb strength were followed-up at three and six months and analysed by 2 x 2 factorial ANCOVA, using the intention-to-treat principle. At three months, the exercise group had improved significantly in self-paced gait speed compared with the control group (mean difference 0.04 m/s, p = 0.02). At six months, there were significant improvements favouring the exercise group for Berg Balance Scale (1.9 points, p = 0.05), self-paced gait speed (0.05 m/s, p = 0.009), and lower-limb strength (10.8 kg, p = 0.03). No interaction effects were seen between the exercise and nutrition interventions. In conclusion, a high-intensity functional exercise program has positive long-term effects in balance, gait ability, and lower-limb strength for older persons dependent in activities of daily living. An intake of protein-enriched energy supplement immediately after the exercises does not appear to increase the effects of the training.

Ort, förlag, år, upplaga, sidor
2006. Vol. 52, nr 2, s. 105-13
Nationell ämneskategori
Sjukgymnastik
Forskningsämne
Sjukgymnastik
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URN: urn:nbn:se:ltu:diva-2991DOI: 10.1016/S0004-9514(06)70045-9ISI: 000238400400004Scopus ID: 2-s2.0-33745656357Lokalt ID: 0bcaaa10-ba9b-11db-b560-000ea68e967bOAI: oai:DiVA.org:ltu-2991DiVA, id: diva2:975846
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Validerad; 2006; 20070206 (andbra)

Tillgänglig från: 2016-09-29 Skapad: 2016-09-29 Senast uppdaterad: 2023-09-05Bibliografiskt granskad

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Rosendahl, ErikNyberg, Lars

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