High-intensity functional exercise program and protein-enriched energy supplement for older persons dependent in activities of daily living: a randomised controlled trialShow others and affiliations
2006 (English)In: Australian Journal of Physiotherapy, ISSN 0004-9514, Vol. 52, no 2, p. 105-13Article in journal (Refereed) 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.
Place, publisher, year, edition, pages
2006. Vol. 52, no 2, p. 105-13
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-2991DOI: 10.1016/S0004-9514(06)70045-9ISI: 000238400400004Scopus ID: 2-s2.0-33745656357Local ID: 0bcaaa10-ba9b-11db-b560-000ea68e967bOAI: oai:DiVA.org:ltu-2991DiVA, id: diva2:975846
Note
Validerad; 2006; 20070206 (andbra)
2016-09-292016-09-292023-09-05Bibliographically approved