Feasibility of home online exercise among older adults over 70 years of age: results of randomized control study
Authors:
Macháčová Kateřina 1; Fasnerová Lenka 1; Šteffl Michal 2; Bartová Alžběta 1,3; Novotná Blanka 1; Holmerová Iva 1
Authors‘ workplace:
Centrum pro studium dlouhověkosti a dlouhodobé péče, Fakulta humanitních studií, Univerzita Karlova, Praha
1; Fakulta tělesné výchovy a sportu, Univerzita Karlova, Praha
2; Husitská teologická fakulta, Univerzita Karlova, Praha
3
Published in:
Geriatrie a Gerontologie 2024, 13, č. 4: 199-206
Category:
Original Article
doi:
https://doi.org/10.61568/geri/50-6431/20241226/139524
Overview
The importance of physical activity increases throughout life, not only from a personal but also from a social perspective. Yet most people in old age do not move enough. The consequences are felt in all areas of life and affect the quality of life. The aim of this study was to assess the acceptability, manageability and effectiveness of an innovative movement-education programme inspired by the principles of developmental kinesiology to promote functional fitness in people over 70 years of age.
Participants in the study included 82 home-dwelling older adults (mean age 73.7 ± 3.4; 77 % female) who were randomly assigned to intervention (n = 45) and control (n = 37) groups. Participants in the intervention group exercised for 15 minutes at least 6 days per week for 12 weeks from home according to video reports. Acceptability and manageability were assessed by diary entries and questionnaires. Efficacy was assessed by field objective and subjective tests of selected components of functional fitness. Data were analyzed in SPSS using descriptive statistics, t-tests, chi-square and ANOVA.
The results confirmed not only acceptability and manageability but also efficacy. The compliance rate was 99.9%. The program was rated as understandable, meaningful and manageable. All participants in the intervention group would recommend the program to their peers and 91% expressed an intention to continue. Participants felt more fit after the intervention (T = 4.96, p < .001; F = 4.83, p < .05) and improved in both static balance (T = −3.45, p = .001) and dynamic balance (ES = .05) parameters. Handshake strength was not affected.
Home-based online exercise has the potential to become a welcome part of seniors‘ daily lives, contributing to improving or maintaining baseline components of functional fitness necessary for active living in late life.
Keywords:
community dwellig older adults, online program, education, exercise, functional fitness, feasibility
Sources
Korespondenční adresa: Mgr. Kateřina Macháčová Centrum pro studium dlouhověkosti Fakulta humanitních studií, Univerzita Karlova Pátkova 2137/5 182 00 Praha 8-Libeň e-mail: katerina.machacova@pohybprozivot.cz |
1. WHO. Leaving no one behind in an ageing world. World social report: 2023; United Nations.
2. Dent E, Daly RM, Hoogendijk EO, et al. Exercise to prevent and manage frailty and fragility fractures. Curr Osteoporos Rep 2023; 21(2): 205–215.
3. Musich S, Wang SS, Hawkins K, et al. The frequency and health benefits of physical activity for older adults. Popul Health Manag 2017; 20(3): 199–207.
4. Sherrington C, Fairhall N, Wallbank G, et al. Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review. Br J Sports Med 2020; 54(15): 885–891.
5. WHO. Global action plan on physical activity 2018–2030: more active people for a healthier Word 2018; Geneva.
6. Dong B, Yue Y, Wang Z. Association between physical activity, peak expiratory flow, and cognitive function in aging: a cross-sectional analysis. BMC Geriatr 2024; 24(460).
7. Bueno-Antequera J, Munguía-Izquierdo, D. Physical inactivity, sedentarism, and low fitness: a worldwide pandemic for public health. In: Rezaei N, editor. Integrated Science of Global Epidemics: Integrated Science. Springer, Cham 2023: 14.
8. Lee IM, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012; 380(9838): 219–229.
9. Macera CA, Cavanaugh A, Bellettiere J. State of the Art Review: Physical activity and older adults. Am J Lifestyle Med 2017; 11(1): 42–57.
10. Stults-Kolehmainen MA. Humans have a basic physical and psychological need to move the body: Physical activity as a primary drive. Front Psychol 2023; eCollection.
11. Woessner MN, Tacey A, Levinger-Limor A, et al. The evolution of technology and physical inactivity: the good, the bad, and the way forward. Front Public Health 2021; 9: 655491.
12. Guthold R, Stevens GA, Riley LM, et al. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health 2018; 6(10): 1077–1086.
13. Yoshimura J, Tanimura C, Matsumoto H, et al. Relationship of physical activity to self-care agency and physical condition among older adults in a rural area. Yonago Acta Med 2021; 64(1): 18–29.
14. Olanrewaju O, Kelly S, Cowan A, et al. Physical activity in community dwelling older people: a systematic review of reviews of interventions and context. PLoS One 2016; 11(12): e0168614.
15. Holmerová I, Macháčová, K. Aktivní gerontologie aneb Jak stárnout dobře. Praha: Mladá fronta 2019.
16. Dipietro L, Campbell WW, Buchner DM, et al. Physical activity, injurious falls, and physical function in aging: an umbrella review. Med Sci Sports Exerc 2019; 51 (6): 1303–1313.
17. Weber M, Belala N, Clemson L, et al. Feasibility and effectiveness of intervention programmes integrating functional exercise into daily life of older adults: a systematic review. Gerontology 2018; 64(2): 172–187.
18. Anderson T, Neupert G. Pressing reset, original strength reloaded: A FontLife Publication, LLC; 2015.
19. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. Int J Sports Phys Ther 2013; 8(1): 62–73.
20. Kobesova A, Kolar P. Developmental kinesiology: three levels of motor control in the assessment and treatment of the motor system. J Bodyw Mov Ther 2014; 18(1): 23–33.
21. Fyfe JJ, Dalla Via J, Jansons P, et al. Feasibility and acceptability of a remotely delivered, home-based, pragmatic resistance‚ exercise snacking‘ intervention in community-dwelling older adults: a pilot randomised controlled trial. BMC Geriatr 2022; 22(1): 521.
22. Daly RM, Gianoudis J, Hall T, et al. Feasibility, usability, and enjoyment of a home-based exercise program delivered via an exercise app for musculoskeletal health in community-dwelling older adults: short-term prospective pilot study. JMIR Mhealth Uhealth 2021; 9(1): e21094.
23. Valenzuela T, Okubo Y, Woodbury A, et al. Adherence to technology-based exercise programs in older adults: a systematic review. J Geriatr Phys Ther 2018; 41(1): 49–
61.
24. Lim SER, Meredith SJ, Agnew S. Volunteer-led online group exercise for community-dwelling older people: a feasibility and acceptability study. BMC Geriatrics 2023; 23(461).
25. Oba K, Kagiwada, Y, Kamada, M. Evaluating the feasibility of a remote-based training program supported by information and communications technology in the older adults living at home. BMC Geriatrics 2022; 22(574).
26. Říhova M, Jandová, T, Větrovský T, et al. Effectiveness of home-based video exercise programmes on physical fitness in older adults – systematic review and meta-analysis. Acta Univ Carol Kinanthropologica 2023; 59(2): 93–112.
27. Bates A, Furber S, Sherrington C. Effectiveness of workshops to teach a home-based exercise program (BEST at Home) for preventing falls in community-dwelling people aged 65 years and over: a pragmatic randomised controlled trial. BMC Geriatrics 2022; 22(366).
28. Brand R, Cheval B. Theories to explain exercise motivation and physical inactivity: Ways of expanding our current theoretical perspective. Front Psychol 2019; 10: 1147.
29. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials, 2010.
30. Podsiadlo D, Richardson S. The timed „Up & Go“: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991; 39(2): 142–148.
31. Springer BA, Marin R, Cyhan T, et al. Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther 2007; 30(1): 8–15.
32. Lauretani F, Russo CR, Bandinelli S, et al. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol 2003; 95(5): 1851–
1860.
33. Chan KOW, Yuen PP, Fong BY.
Effectiveness of telehealth in preventive care: a study protocol for a randomised controlled trial of tele-exercise programme involving older people with possible sarcopenia or at risk of fall. BMC Geriatrics 2023; 23(845).
Labels
Geriatrics General practitioner for adults Orthopaedic prostheticsArticle was published in
Geriatrics and Gerontology

2024 Issue 4
Most read in this issue
- Urinary tract infections in old age
- Overview of falls in patients at the Geriatric Ward of Olomouc University Hospital in relation to pharmacotherapy and other risk factors
- Outcomes of type 2 diabetes management: one center experience 2015–2023
- Electrostimulation in the treatment of dysphagia