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- Title
Long-Term Exercise in Older Adults: 4-Year Outcomes of Music-Based Multitask Training.
- Authors
Hars, Mélany; Herrmann, François; Fielding, Roger; Reid, Kieran; Rizzoli, René; Trombetti, Andrea
- Abstract
Prospective controlled evidence supporting the efficacy of long-term exercise to prevent physical decline and reduce falls in old age is lacking. The present study aimed to assess the effects of long-term music-based multitask exercise (i.e., Jaques-Dalcroze eurhythmics) on physical function and fall risk in older adults. A 3-year follow-up extension of a 1-year randomized controlled trial (NCT01107288) was conducted in Geneva (Switzerland), in which 134 community-dwellers aged ≥65 years at increased risk of falls received a 6-month music-based multitask exercise program. Four years following original trial enrolment, 52 subjects (baseline mean ± SD age, 75 ± 8 years) who (i) have maintained exercise program participation through the 4-year follow-up visit ('long-term intervention group', n = 23) or (ii) have discontinued participation following original trial completion ('control group', n = 29) were studied. They were reassessed in a blind fashion, using the same procedures as at baseline. At 4 years, linear mixed-effects models showed significant gait (gait speed, P = 0.006) and balance (one-legged stance time, P = 0.015) improvements in the long-term intervention group, compared with the control group. Also, long-term intervention subjects did better on Timed Up & Go, Five-Times-Sit-to-Stand and handgrip strength tests, than controls ( P < 0.05, for all comparisons). Furthermore, the exercise program reduced the risk of falling (relative risk, 0.69; 95 % confidence interval, 0.5-0.9; P = 0.008). These findings suggest that long-term maintenance of a music-based multitask exercise program is a promising strategy to prevent age-related physical decline in older adults. They also highlight the efficacy of sustained long-term adherence to exercise for falls prevention.
- Subjects
EXERCISE physiology; OLDER people physiology; PHYSICAL training &; conditioning; ACCIDENTAL falls in old age; RANDOMIZED controlled trials; FOLLOW-up studies (Medicine)
- Publication
Calcified Tissue International, 2014, Vol 95, Issue 5, p393
- ISSN
0171-967X
- Publication type
Article
- DOI
10.1007/s00223-014-9907-y