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Effect of physical activity counseling on disability in older people: a 2-year randomized controlled trial.
J Am Geriatr Soc. 2008 Dec; 56(12):2188-94.JA

Abstract

OBJECTIVES

To study the effect of a physical activity counseling intervention on instrumental activity of daily living (IADL) disability.

DESIGN

Primary care-based, single-blind, randomized controlled trial.

SETTING

City of Jyväskylä, central Finland.

PARTICIPANTS

Six hundred thirty-two people aged 75 to 81 who were able to walk 500 meters without assistance, were at most moderately physically active, had a Mini-Mental State Examination score greater than 21, had no medical contraindications for physical activity, and gave informed consent for participation.

INTERVENTION

A single individualized physical activity counseling session with supportive phone calls from a physiotherapist every 4 months for 2 years and annual lectures on physical activity. Control group received no intervention.

MEASUREMENTS

The outcome was IADL disability defined as having difficulties in or inability to perform IADL tasks. Analyses were carried out according to baseline IADL disability, mobility limitation, and cognitive status.

RESULTS

At the end of the follow-up, IADL disability had increased in both groups (P<.001) and was lower in the intervention group, but the group-by-time interaction effect did not reach statistical significance. Subgroup analyses revealed that the intervention prevented incident disability in subjects without disability at baseline (risk ratio=0.68, 95% confidence interval=0.47-0.97) but had no effect on recovery from disability.

CONCLUSION

The physical activity counseling intervention had no effect on older sedentary community-dwelling persons with a wide range of IADL disability, although it prevented incident IADL disability. The results warrant further investigation to explore the benefits of a primary care-based physical activity counseling program on decreasing and postponing IADL disability.

Authors+Show Affiliations

Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland. mikaela.bonsdorff@sport.jyu.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19093917

Citation

von Bonsdorff, Mikaela B., et al. "Effect of Physical Activity Counseling On Disability in Older People: a 2-year Randomized Controlled Trial." Journal of the American Geriatrics Society, vol. 56, no. 12, 2008, pp. 2188-94.
von Bonsdorff MB, Leinonen R, Kujala UM, et al. Effect of physical activity counseling on disability in older people: a 2-year randomized controlled trial. J Am Geriatr Soc. 2008;56(12):2188-94.
von Bonsdorff, M. B., Leinonen, R., Kujala, U. M., Heikkinen, E., Törmäkangas, T., Hirvensalo, M., Rasinaho, M., Karhula, S., Mänty, M., & Rantanen, T. (2008). Effect of physical activity counseling on disability in older people: a 2-year randomized controlled trial. Journal of the American Geriatrics Society, 56(12), 2188-94. https://doi.org/10.1111/j.1532-5415.2008.02000.x
von Bonsdorff MB, et al. Effect of Physical Activity Counseling On Disability in Older People: a 2-year Randomized Controlled Trial. J Am Geriatr Soc. 2008;56(12):2188-94. PubMed PMID: 19093917.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of physical activity counseling on disability in older people: a 2-year randomized controlled trial. AU - von Bonsdorff,Mikaela B, AU - Leinonen,Raija, AU - Kujala,Urho M, AU - Heikkinen,Eino, AU - Törmäkangas,Timo, AU - Hirvensalo,Mirja, AU - Rasinaho,Minna, AU - Karhula,Sirkka, AU - Mänty,Minna, AU - Rantanen,Taina, PY - 2008/12/20/entrez PY - 2008/12/20/pubmed PY - 2009/1/23/medline SP - 2188 EP - 94 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 56 IS - 12 N2 - OBJECTIVES: To study the effect of a physical activity counseling intervention on instrumental activity of daily living (IADL) disability. DESIGN: Primary care-based, single-blind, randomized controlled trial. SETTING: City of Jyväskylä, central Finland. PARTICIPANTS: Six hundred thirty-two people aged 75 to 81 who were able to walk 500 meters without assistance, were at most moderately physically active, had a Mini-Mental State Examination score greater than 21, had no medical contraindications for physical activity, and gave informed consent for participation. INTERVENTION: A single individualized physical activity counseling session with supportive phone calls from a physiotherapist every 4 months for 2 years and annual lectures on physical activity. Control group received no intervention. MEASUREMENTS: The outcome was IADL disability defined as having difficulties in or inability to perform IADL tasks. Analyses were carried out according to baseline IADL disability, mobility limitation, and cognitive status. RESULTS: At the end of the follow-up, IADL disability had increased in both groups (P<.001) and was lower in the intervention group, but the group-by-time interaction effect did not reach statistical significance. Subgroup analyses revealed that the intervention prevented incident disability in subjects without disability at baseline (risk ratio=0.68, 95% confidence interval=0.47-0.97) but had no effect on recovery from disability. CONCLUSION: The physical activity counseling intervention had no effect on older sedentary community-dwelling persons with a wide range of IADL disability, although it prevented incident IADL disability. The results warrant further investigation to explore the benefits of a primary care-based physical activity counseling program on decreasing and postponing IADL disability. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/19093917/Effect_of_physical_activity_counseling_on_disability_in_older_people:_a_2_year_randomized_controlled_trial_ L2 - https://doi.org/10.1111/j.1532-5415.2008.02000.x DB - PRIME DP - Unbound Medicine ER -