The Adapted Lifestyle-Integrated Functional Exercise Program for Preventing Functional Decline in Young Seniors: Development and Initial Evaluation

Michael Schwenk, Ronny Bergquist, Elisabeth Boulton, Jeanine M Van Ancum, Corinna Nerz, Michaela Weber, Carolin Barz, Nini H Jonkman, Kristin Taraldsen, Jorunn L Helbostad, Beatrix Vereijken, Mirjam Pijnappels, Andrea B Maier, Wei Zhang, Clemens Becker, Chris Todd, Lindy Clemson, Helen Hawley-Hague

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: The Lifestyle-integrated Functional Exercise (LiFE) program is an intervention integrating balance and strength activities into daily life, effective at reducing falls in at-risk people ≥70 years. There is potential for LiFE to be adapted to young seniors in order to prevent age-related functional decline.

OBJECTIVE: We aimed to (1) develop an intervention by adapting Lifestyle-integrated Functional Exercise (aLiFE) to be more challenging and suitable for preventing functional decline in young seniors in their 60s and (2) perform an initial feasibility evaluation of the program. Pre-post changes in balance, mobility, and physical activity (PA) were also explored.

METHODS: Based on a conceptual framework, a multidisciplinary expert group developed an initial aLiFE version, including activities for improving strength, neuromotor performances, and PA. Proof-of-concept was evaluated in a 4-week pre-post intervention study measuring (1) feasibility including adherence, frequency of practice, adverse events, acceptability (i.e., perceived helpfulness, adaptability, level of difficulty of single activities), and safety, and (2) changes in balance/mobility (Community Balance and Mobility Scale) and PA (1 week activity monitoring). The program was refined based on the study results.

RESULTS: To test the initial aLiFE version, 31 young seniors were enrolled and 30 completed the study (mean age 66.4 ± 2.7 years, 60% women). Of a maximum possible 16 activities, participants implemented on average 12.1 ± 1.8 activities during the intervention, corresponding to mean adherence of 76%. Implemented activities were practiced 3.6-6.1 days/week and 1.8-7.8 times/day, depending on the activity type. One noninjurious fall occurred during practice, although the participant continued the intervention. The majority found the activities helpful, adaptable to individual lifestyle, appropriately difficult, and safe. CMBS score increased with medium effect size (d = 0.72, p = 0.001). Increase in daily walking time (d = 0.36) and decrease in sedentary time (d = -0.10) were nonsignificant. Refinements included further increasing the task challenge of some strength activities and defining the most preferred activities in the trainer's manual to facilitate uptake of the program.

CONCLUSION: aLiFE has the potential to engage young seniors in regular lifestyle-integrated activities. Effectiveness needs to be evaluated in a randomized controlled trial.

Original languageEnglish
Pages (from-to)362-374
Number of pages13
JournalGerontology
Volume65
Issue number4
Early online date21 May 2019
DOIs
Publication statusPublished - Jul 2019

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Life Style
Exercise
Program Evaluation
Walking
Randomized Controlled Trials
Safety

Bibliographical note

© 2019 S. Karger AG, Basel.

Cite this

Schwenk, M., Bergquist, R., Boulton, E., Van Ancum, J. M., Nerz, C., Weber, M., ... Hawley-Hague, H. (2019). The Adapted Lifestyle-Integrated Functional Exercise Program for Preventing Functional Decline in Young Seniors: Development and Initial Evaluation. Gerontology, 65(4), 362-374. https://doi.org/10.1159/000499962
Schwenk, Michael ; Bergquist, Ronny ; Boulton, Elisabeth ; Van Ancum, Jeanine M ; Nerz, Corinna ; Weber, Michaela ; Barz, Carolin ; Jonkman, Nini H ; Taraldsen, Kristin ; Helbostad, Jorunn L ; Vereijken, Beatrix ; Pijnappels, Mirjam ; Maier, Andrea B ; Zhang, Wei ; Becker, Clemens ; Todd, Chris ; Clemson, Lindy ; Hawley-Hague, Helen. / The Adapted Lifestyle-Integrated Functional Exercise Program for Preventing Functional Decline in Young Seniors : Development and Initial Evaluation. In: Gerontology. 2019 ; Vol. 65, No. 4. pp. 362-374.
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abstract = "BACKGROUND: The Lifestyle-integrated Functional Exercise (LiFE) program is an intervention integrating balance and strength activities into daily life, effective at reducing falls in at-risk people ≥70 years. There is potential for LiFE to be adapted to young seniors in order to prevent age-related functional decline.OBJECTIVE: We aimed to (1) develop an intervention by adapting Lifestyle-integrated Functional Exercise (aLiFE) to be more challenging and suitable for preventing functional decline in young seniors in their 60s and (2) perform an initial feasibility evaluation of the program. Pre-post changes in balance, mobility, and physical activity (PA) were also explored.METHODS: Based on a conceptual framework, a multidisciplinary expert group developed an initial aLiFE version, including activities for improving strength, neuromotor performances, and PA. Proof-of-concept was evaluated in a 4-week pre-post intervention study measuring (1) feasibility including adherence, frequency of practice, adverse events, acceptability (i.e., perceived helpfulness, adaptability, level of difficulty of single activities), and safety, and (2) changes in balance/mobility (Community Balance and Mobility Scale) and PA (1 week activity monitoring). The program was refined based on the study results.RESULTS: To test the initial aLiFE version, 31 young seniors were enrolled and 30 completed the study (mean age 66.4 ± 2.7 years, 60{\%} women). Of a maximum possible 16 activities, participants implemented on average 12.1 ± 1.8 activities during the intervention, corresponding to mean adherence of 76{\%}. Implemented activities were practiced 3.6-6.1 days/week and 1.8-7.8 times/day, depending on the activity type. One noninjurious fall occurred during practice, although the participant continued the intervention. The majority found the activities helpful, adaptable to individual lifestyle, appropriately difficult, and safe. CMBS score increased with medium effect size (d = 0.72, p = 0.001). Increase in daily walking time (d = 0.36) and decrease in sedentary time (d = -0.10) were nonsignificant. Refinements included further increasing the task challenge of some strength activities and defining the most preferred activities in the trainer's manual to facilitate uptake of the program.CONCLUSION: aLiFE has the potential to engage young seniors in regular lifestyle-integrated activities. Effectiveness needs to be evaluated in a randomized controlled trial.",
author = "Michael Schwenk and Ronny Bergquist and Elisabeth Boulton and {Van Ancum}, {Jeanine M} and Corinna Nerz and Michaela Weber and Carolin Barz and Jonkman, {Nini H} and Kristin Taraldsen and Helbostad, {Jorunn L} and Beatrix Vereijken and Mirjam Pijnappels and Maier, {Andrea B} and Wei Zhang and Clemens Becker and Chris Todd and Lindy Clemson and Helen Hawley-Hague",
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Schwenk, M, Bergquist, R, Boulton, E, Van Ancum, JM, Nerz, C, Weber, M, Barz, C, Jonkman, NH, Taraldsen, K, Helbostad, JL, Vereijken, B, Pijnappels, M, Maier, AB, Zhang, W, Becker, C, Todd, C, Clemson, L & Hawley-Hague, H 2019, 'The Adapted Lifestyle-Integrated Functional Exercise Program for Preventing Functional Decline in Young Seniors: Development and Initial Evaluation' Gerontology, vol. 65, no. 4, pp. 362-374. https://doi.org/10.1159/000499962

The Adapted Lifestyle-Integrated Functional Exercise Program for Preventing Functional Decline in Young Seniors : Development and Initial Evaluation. / Schwenk, Michael; Bergquist, Ronny; Boulton, Elisabeth; Van Ancum, Jeanine M; Nerz, Corinna; Weber, Michaela; Barz, Carolin; Jonkman, Nini H; Taraldsen, Kristin; Helbostad, Jorunn L; Vereijken, Beatrix; Pijnappels, Mirjam; Maier, Andrea B; Zhang, Wei; Becker, Clemens; Todd, Chris; Clemson, Lindy; Hawley-Hague, Helen.

In: Gerontology, Vol. 65, No. 4, 07.2019, p. 362-374.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - The Adapted Lifestyle-Integrated Functional Exercise Program for Preventing Functional Decline in Young Seniors

T2 - Development and Initial Evaluation

AU - Schwenk, Michael

AU - Bergquist, Ronny

AU - Boulton, Elisabeth

AU - Van Ancum, Jeanine M

AU - Nerz, Corinna

AU - Weber, Michaela

AU - Barz, Carolin

AU - Jonkman, Nini H

AU - Taraldsen, Kristin

AU - Helbostad, Jorunn L

AU - Vereijken, Beatrix

AU - Pijnappels, Mirjam

AU - Maier, Andrea B

AU - Zhang, Wei

AU - Becker, Clemens

AU - Todd, Chris

AU - Clemson, Lindy

AU - Hawley-Hague, Helen

N1 - © 2019 S. Karger AG, Basel.

PY - 2019/7

Y1 - 2019/7

N2 - BACKGROUND: The Lifestyle-integrated Functional Exercise (LiFE) program is an intervention integrating balance and strength activities into daily life, effective at reducing falls in at-risk people ≥70 years. There is potential for LiFE to be adapted to young seniors in order to prevent age-related functional decline.OBJECTIVE: We aimed to (1) develop an intervention by adapting Lifestyle-integrated Functional Exercise (aLiFE) to be more challenging and suitable for preventing functional decline in young seniors in their 60s and (2) perform an initial feasibility evaluation of the program. Pre-post changes in balance, mobility, and physical activity (PA) were also explored.METHODS: Based on a conceptual framework, a multidisciplinary expert group developed an initial aLiFE version, including activities for improving strength, neuromotor performances, and PA. Proof-of-concept was evaluated in a 4-week pre-post intervention study measuring (1) feasibility including adherence, frequency of practice, adverse events, acceptability (i.e., perceived helpfulness, adaptability, level of difficulty of single activities), and safety, and (2) changes in balance/mobility (Community Balance and Mobility Scale) and PA (1 week activity monitoring). The program was refined based on the study results.RESULTS: To test the initial aLiFE version, 31 young seniors were enrolled and 30 completed the study (mean age 66.4 ± 2.7 years, 60% women). Of a maximum possible 16 activities, participants implemented on average 12.1 ± 1.8 activities during the intervention, corresponding to mean adherence of 76%. Implemented activities were practiced 3.6-6.1 days/week and 1.8-7.8 times/day, depending on the activity type. One noninjurious fall occurred during practice, although the participant continued the intervention. The majority found the activities helpful, adaptable to individual lifestyle, appropriately difficult, and safe. CMBS score increased with medium effect size (d = 0.72, p = 0.001). Increase in daily walking time (d = 0.36) and decrease in sedentary time (d = -0.10) were nonsignificant. Refinements included further increasing the task challenge of some strength activities and defining the most preferred activities in the trainer's manual to facilitate uptake of the program.CONCLUSION: aLiFE has the potential to engage young seniors in regular lifestyle-integrated activities. Effectiveness needs to be evaluated in a randomized controlled trial.

AB - BACKGROUND: The Lifestyle-integrated Functional Exercise (LiFE) program is an intervention integrating balance and strength activities into daily life, effective at reducing falls in at-risk people ≥70 years. There is potential for LiFE to be adapted to young seniors in order to prevent age-related functional decline.OBJECTIVE: We aimed to (1) develop an intervention by adapting Lifestyle-integrated Functional Exercise (aLiFE) to be more challenging and suitable for preventing functional decline in young seniors in their 60s and (2) perform an initial feasibility evaluation of the program. Pre-post changes in balance, mobility, and physical activity (PA) were also explored.METHODS: Based on a conceptual framework, a multidisciplinary expert group developed an initial aLiFE version, including activities for improving strength, neuromotor performances, and PA. Proof-of-concept was evaluated in a 4-week pre-post intervention study measuring (1) feasibility including adherence, frequency of practice, adverse events, acceptability (i.e., perceived helpfulness, adaptability, level of difficulty of single activities), and safety, and (2) changes in balance/mobility (Community Balance and Mobility Scale) and PA (1 week activity monitoring). The program was refined based on the study results.RESULTS: To test the initial aLiFE version, 31 young seniors were enrolled and 30 completed the study (mean age 66.4 ± 2.7 years, 60% women). Of a maximum possible 16 activities, participants implemented on average 12.1 ± 1.8 activities during the intervention, corresponding to mean adherence of 76%. Implemented activities were practiced 3.6-6.1 days/week and 1.8-7.8 times/day, depending on the activity type. One noninjurious fall occurred during practice, although the participant continued the intervention. The majority found the activities helpful, adaptable to individual lifestyle, appropriately difficult, and safe. CMBS score increased with medium effect size (d = 0.72, p = 0.001). Increase in daily walking time (d = 0.36) and decrease in sedentary time (d = -0.10) were nonsignificant. Refinements included further increasing the task challenge of some strength activities and defining the most preferred activities in the trainer's manual to facilitate uptake of the program.CONCLUSION: aLiFE has the potential to engage young seniors in regular lifestyle-integrated activities. Effectiveness needs to be evaluated in a randomized controlled trial.

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DO - 10.1159/000499962

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JO - Gerontology

JF - Gerontology

SN - 0304-324X

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