Structured exercise programs can help
keep sedentary seniors from losing their
independence, new research shows.
"Compared with those who received
health education [only], participants
in the physical activity group had a lower
risk of becoming unable to walk 400 meters,"
or about a quarter-mile, said lead researcher
Dr. Marco Pahor of the University of Florida,
Gainesville.
The study, conducted at four centers
across the United States, also found it's
largely safe for many older adults to
start a moderate exercise program.
The study was funded by the U.S. National
Institute on Aging (NIA) and included
424 people, ages 70 to 89, who exercised
less than 20 minutes a week and had low
scores on three physical performance assessments
-- walking speed, balance and the ability
to get out of chair. They also had to
walk 400 meters (about a quarter of a
mile) within 15 minutes without sitting
or using a cane or any other kind of assistive
device.
Half the participants were assigned to
a control group that took part in a "successful
aging" health-education program that
offered information about nutrition, foot
care, medications, preventive services,
and other health topics. It also included
arm-and-shoulder flexibility exercises
led by an instructor.
The other participants were enrolled
in an exercise program that included individualized
counseling and supervised and home-based
exercises that focused on areas such as
endurance, strengthening, flexibility
and balance.
After 6 months and 12 months, seniors
in the exercise group had significantly
higher physical performance scores than
those in the control group and were more
likely to maintain their walking speed
through the 400-meter walking test.
The findings, published in the November
issue of the Journal of Gerontology:
Medical Sciences, were to be presented
Friday at a meeting of the Gerontological
Society of America.
The researchers said their findings from
this pilot study confirm the feasibility
and safety of testing this kind of exercise
program in a larger study.
"As U.S. life expectancy rises,
functional decline and disability among
older people are growing public health
and clinical concerns," Dr. Richard
J. Hodes, NIA director, said in a prepared
statement.
"This pilot study helps us to understand
better the relationship between exercise
training and mobility, which is a key
to maintaining older adults' independence
and quality of life, and provides a basis
for designing more definitive large-scale
clinical trials," Hodes said.