Brief daily functional strength training to improve functional performance in older adults with mobility disability: A randomized trial

TL;DR

A short, daily strength training program improved mobility in older adults with walking difficulties, showing better performance in functional tests.

Contribution

A brief, home-based functional strength training program was shown to be effective and feasible for older adults with mobility issues.

Findings

The FAST-2 intervention reduced the time for the Five-Times Sit-to-Stand test by 2.3 seconds.

Participants in the intervention group increased their One-Legged Stance Test time by 3.6 seconds.

The program improved the number of chair stands by 4.2 repetitions in 12 weeks.

Abstract

Mobility disability is associated with functional decline in older adults. Resistance training (RT) improves mobility disability, but adherence to national RT guidelines is poor. We evaluated the effects of a 12-week brief, home-based functional RT program, FAST (Functional Activity Strength Training)-2, on adherence and functional impairment in older, inactive adults ≥ 65 years of age, with pre-existing walking difficulty.

Eligible older adults were randomized using stratified assignment based on biological sex and age (65−72 and 73+) to either the FAST-2 intervention involving a 4-minute daily workout of four exercises lasting 30 seconds each or the delayed treatment control condition. Video coaching at baseline and at weeks 2, 4 and 8, provided feedback on exercise form, modifications and progression. Daily email reminders were sent for workout completion, and to report exercise performance and rate perceived exertion. Performance and adherence feedback were emailed biweekly. Functional performance was measured by video using the Five-Times Sit-to-Stand (FTSTS) test, One-Legged Stance Test (OLST) and the 30-second chair stand test at baseline and at weeks 6 and 12.

Ninety-seven participants were randomized to either the FAST-2 treatment intervention (n = 44) or the delayed treatment control condition (n = 53). The linear mixed-effect model showed the intervention group decreased the FTSTS by 2.3 seconds (95% CI: 0.5–4.1, p = 0.01), increased OLST by 3.6 seconds (95% CI: 0.6–6.5, p = 0.02) and increased the number of chair stands by 4.2 repetitions (95% CI: 2.8–5.7, p < 0.001) more than the control group over 12 weeks. Intervention participants completed the workout 81% of the days. No significant adverse events were reported.

The 12-week FAST-2 intervention, including only 60-seconds of lower extremity exercises in older individuals with pre-existing walking difficulty, yielded improvement in functional performance.

ClinicalTrials.gov: ID NCT05697497

Study Details | NCT05697497 | Functional Activity Strength Training | ClinicalTrials.gov

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