ArticlesFunctional tasks exercise versus resistance exercise to improve daily function in older women: A feasibility study
Section snippets
Design
This study is a single-blind, randomized pilot trial and was approved by the Medical Ethics Board of the University Medical Center Utrecht, the Netherlands. Exercise sessions were held at a local leisure center in the Utrecht region from September 2000 to December 2000, and assessments were performed at the Mobility Laboratory of the Department of Geriatric Medicine at the University Medical Center Utrecht. Written informed consent was obtained from all participants after they had read the
Participants
Of the 52 respondents to the advertisement in the newspaper, 44 were considered potentially eligible after screening by telephone. Those eligible to participate received information brochures by mail. Thirty-three of these participants were willing to participate after reading the information and were invited for the medical examination. Two participants failed the examination, one because of an arm fracture 1 week earlier and the other because of a recent depressive illness. Seven participants
Discussion
Our newly developed functional tasks exercise program appears feasible and is well tolerated by women over the age of 70 years living in the community. The drop-out rate of both exercise programs (17% in the function group, 8% in the resistance group) was comparable to that of other exercise studies involving older community-living subjects.11, 12 The high attendance and the results of the satisfaction questionnaire showed the high acceptance for both programs. Overall, the resistance exercise
Conclusions
We showed that the newly designed functional tasks exercise program was feasible and associated with an improvement in functional performance. In comparison to a resistance exercise program, the impact on functional performance was larger, with effect sizes in the range of moderate to large. A study with an adequate sample size is needed to draw more definitive conclusions.
Acknowledgments
We gratefully acknowledge key personnel: exercise instructors Karin Samson, Mark Nieuwenhuisen, and Joke Bruintjes and research assistant Anne Cornelissen.
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