[en] [en] BACKGROUND: Recorded and live online physical exercise (PE) interventions are known to provide health benefits. However, the effects of prioritizing the number of live or recorded sessions remain unclear.
AIMS: To explore which recorded-live sessions ratio leads to the best implementation and benefits in older adults.
METHODS: Forty-six community-dwelling adults (> 60y.o.) were randomized into two groups completing a 12-week online PE intervention. Each group had a different ratio of live-recorded online sessions as follows: Live-Recorded-Live sessions (LRL; n = 22) vs. Recorded-Live-Recorded sessions (RLR; n = 24).
RESULTS: Drop-out rates did not reach significance (LRL:14% vs. RLR: 29%, p = 0.20), and adherence was similar (> 85%) between groups. Both groups reported similar levels of satisfaction (> 70%), enjoyment (> 75%), and perceived exertion (> 60%). Both groups increased physical health and functional capacities, with greater improvements in muscle power (LRL: LRL: + 35 ± 16.1% vs. RLR: + 7 ± 13.9%; p = 0.010) and endurance (LRL: + 34.7 ± 15.4 vs. RLR: + 27.0 ± 26.5, p < 0.001) in the LRL group.
DISCUSSION: Both online PE intervention modalities were adapted to the participants' capacities and led to a high level of enjoyment and retention. The greater physical improvements observed in the LRL group are likely due to the higher presence of the instructor compared to the RLR group. Indeed, participants received likely more feedback to appropriately adjust postures and movements, increasing the quality of the exercises.
CONCLUSION: When creating online PE interventions containing both recorded and live sessions, priority should be given to maximizing the number of live sessions and not the number of recorded sessions.
Disciplines :
Geriatrics
Author, co-author :
Granet, J; Départment des sciences de l'activité physique, Faculté des sciences, Université du Québec à Montréal (UQAM), Montréal, Québec, Canada ; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada
Peyrusqué, E; Départment des sciences de l'activité physique, Faculté des sciences, Université du Québec à Montréal (UQAM), Montréal, Québec, Canada ; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada
Ruiz, F; Départment des sciences de l'activité physique, Faculté des sciences, Université du Québec à Montréal (UQAM), Montréal, Québec, Canada ; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada
Buckinx, Fanny ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé ; Départment des sciences de l'activité physique, Faculté des sciences, Université du Québec à Montréal (UQAM), Montréal, Québec, Canada ; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada
Abdelkader, L Ben; Départment des sciences de l'activité physique, Faculté des sciences, Université du Québec à Montréal (UQAM), Montréal, Québec, Canada ; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada
Dang-Vu, T T; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada ; Department of Health, Kinesiology and Applied Physiology, PERFFORM Centre and Center for Studies in Behavioral Neurobiology, Concordia University, Montréal, Québec, Canada
Sirois, M J; Department of Physiotherapy, Laval University, Québec city, Québec, Canada
Gouin, J P; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada ; Department of Psychology, Concordia University, Montréal, Québec, Canada
Pageaux, B; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada ; Faculté de médecine, École de kinésiologie et des sciences de l'activité physique (EKSAP), Université de Montréal, Montréal, Québec, Canada
Aubertin-Leheudre, M; Départment des sciences de l'activité physique, Faculté des sciences, Université du Québec à Montréal (UQAM), Montréal, Québec, Canada. aubertin-leheudre.mylene@uqam.ca ; Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montréal, Québec, Canada. aubertin-leheudre.mylene@uqam.ca
Language :
English
Title :
Online physical exercise intervention in older adults during lockdown: Can we improve the recipe?
Publication date :
March 2023
Journal title :
Aging Clinical and Experimental Research
ISSN :
1594-0667
eISSN :
1720-8319
Publisher :
Springer Science and Business Media Deutschland GmbH, Germany
FRQS - Fonds de Recherche du Québec - Santé [CA] CIHR - Canadian Institutes of Health Research [CA] IUGM - Institut Universitaire de Gériatrie de Montréal [CA]
Funding text :
This work was supported by operational funds from MAL (UQAM-FRQS). The study’s website ( www.trainingrecommend.com ) was partly supported by a grant from the Centre de recherche de l’Institut Universitaire de Gériatrie de Montréal (CRIUGM COVID-19 grant support). MAL (senior salary award), TDV (senior salary award), BP (junior 1 salary award), and FB (post-doctoral fellowship) were supported by the Fonds de recherche du Québec en santé (FRQS). JPG was supported by a Canada Research Chair grant. FB received also a post-doctoral fellowship from the Canadian Institutes of Health Research (CIHR). JG, EP, and FR received a scholarship from Centre de recherche de l’Institut Universitaire de Gériatrie de Montréal (CRIUGM or CRIUGM-AGEWELL scholarship).
Ballin M, Hult A, Björk S, Lundberg E, Nordström P, Nordström A (2020) Web-based exercise versus supervised exercise for decreasing visceral adipose tissue in older adults with central obesity: a randomized controlled trial. BMC Geriatrics 20:173. 10.1186/s12877-020-01577-w DOI: 10.1186/s12877-020-01577-w
Pischke CR, Voelcker-Rehage C, Ratz T, Peters M, Buck C, Meyer J, von Holdt K, Lippke S (2022) Web-based versus print-based physical activity intervention for community-dwelling older adults: crossover randomized trial. JMIR Mhealth Uhealth 10:e32212. 10.2196/32212 DOI: 10.2196/32212
Granet J, Peyrusqué E, Ruiz F, Buckinx F, Abdelkader LB, Dang-Vu TT, Sirois MJ, Gouin JP, Pageaux B, Aubertin-Leheudre M (2022) Web-based physical activity interventions are feasible and beneficial solutions to prevent physical and mental health declines in community-dwelling older adults during isolation periods. J Gerontol A Biol Sci Med Sci Jun 8:glac127. 10.1093/gerona/glac127 DOI: 10.1093/gerona/glac127
Schwartz H, Har-Nir I, Wenhoda T, Halperin I (2021) Staying physically active during the COVID-19 quarantine: exploring the feasibility of live, online, group training sessions among older adults. Transl Behav Med 11:314–322. 10.1093/tbm/ibaa141 DOI: 10.1093/tbm/ibaa141
Wichmann F, Pischke CR, Jürgens D et al (2020) Requirements for (web-based) physical activity interventions targeting adults above the age of 65 years - qualitative results regarding acceptance and needs of participants and non-participants. BMC Public Health 20:907. 10.1186/s12889-020-08927-8 DOI: 10.1186/s12889-020-08927-8
Franco MR, Tong A, Howard K, Sherrington C, Ferreira PH, Pinto RZ, Ferreira ML (2015) Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. Br J Sports Med 49:1268–1276. 10.1136/bjsports-2014-094015 DOI: 10.1136/bjsports-2014-094015
Topolski TD, LoGerfo J, Patrick DL, Williams B, Walwick J, Patrick MB (2006) The Rapid Assessment of Physical Activity (RAPA) among older adults. Prev Chronic Dis 3:A118
Ensrud KE, Ewing SK, Taylor BC, Fink HA, Stone KL, Cauley JA, Tracy JK, Hochberg MC, Rodondi N, Cawthon PM; Study of Osteoporotic Fractures Research Group (2007) Frailty and risk of falls, fracture, and mortality in older women: the study of osteoporotic fractures. J Gerontol A Biol Sci Med Sci 62:744–751. 10.1093/gerona/62.7.744 DOI: 10.1093/gerona/62.7.744
Newkirk LA, Kim JM, Thompson JM, Tinklenberg JR, Yesavage JA, Taylor JL (2004) Validation of a 26-point telephone version of the Mini-Mental State Examination. J Geriatr Psychiatry Neurol 17:81–87. 10.1177/0891988704264534 DOI: 10.1177/0891988704264534
Martel D, Lauzé M, Agnoux A, Fruteau de Laclos L et al (2018) Comparing the effects of a home-based exercise program using a gerontechnology to a community-based group exercise program on functional capacities in older adults after a minor injury. Exp Gerontol 108:41–47. 10.1016/j.exger.2018.03.016 DOI: 10.1177/0891988704264534
Peyrusqué E, Kergoat MJ, Bolduc A, Buckinx F, Law C, Veillette N, Fonseca R, Aubertin-Leheudre M (2021) Maintenance of Autonomy Through exercise in Hospital Setting (MATCH): a feasibility study. J Am Med Dir Assoc 22:873–875. 10.1016/j.jamda.2020.12.043 DOI: 10.1016/j.jamda.2020.12.043
Guralnik JM, Simonsick EM, Ferrucci L, Glynn R.J, Berkman LF. Blazer DG, Scherr PA, Wallace RB (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 49:M85–M94. 10.1093/geronj/49.2.m85 DOI: 10.1093/gerona/55.4.m221
Springer BA, Marin R, Cyhan T, Roberts H, Gill NW (2007) Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther 30:8–15. 10.1519/00139143-200704000-00003 DOI: 10.1519/00139143-200704000-00003
Unver B, Baris RH, Yuksel E, Cekmece S, Kalkan S, Karatosun V (2017) Reliability of 4-meter and 10-meter walk tests after lower extremity surgery. Disabil Rehabil 39:2572–2576. 10.1080/09638288.2016.1236153 DOI: 10.1080/09638288.2016.1236153
Shumway-Cook A, Brauer S, Woollacott M (2000) Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther 80:896–903 DOI: 10.1093/ptj/80.9.896
Takai Y, Ohta M, Akagi R, Kanehisa H, Kawakami Y, Fukunaga T (2009) Sit-to-stand test to evaluate knee extensor muscle size and strength in the elderly: a novel approach. J Physiol Anthropol 28:123–128. 10.2114/jpa2.28.123 DOI: 10.2114/jpa2.28.123
Jones CJ, Rikli RE, Beam WC (1999) A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport 70:113–119. 10.1080/02701367.1999.10608028 DOI: 10.1080/02701367.1999.10608028
Balestroni G, Bertolotti G (2012) L'EuroQol-5D (EQ-5D): uno strumento per la misura della qualità della vita [EuroQol-5D (EQ-5D): an instrument for measuring quality of life]. Monaldi Archives for Chest Disease = Archivio Monaldi per le malattie del torace 78:155–159. 10.4081/monaldi.2012.121 DOI: 10.4081/monaldi.2012.121
Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32:959–976. 10.1017/s0033291702006074 DOI: 10.1017/s0033291702006074
Russell DW (1996) UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. J Pers Assess 66:20–40. 10.1207/s15327752jpa6601_2 DOI: 10.1207/s15327752jpa6601_2
Boiché J, Gourlan M, Trouilloud D, Sarrazin P (2019) Development and validation of the 'Echelle de Motivation envers l'Activité Physique en contexte de Santé': a motivation scale towards health-oriented physical activity in French. J Health Psychol 24:386–396. 10.1177/1359105316676626 DOI: 10.1177/1359105316676626
Cohen J (2013) Statistical power analysis for the behavioral sciences. Routledge
Devereux-Fitzgerald A, Powell R, Dewhurst A, French DP (2016) The acceptability of physical activity interventions to older adults: a systematic review and meta-synthesis. Soc Sci Med 158:14–23. 10.1016/j.socscimed.2016.04.006 DOI: 10.1016/j.socscimed.2016.04.006
Allender S, Cowburn G, Foster C (2006)Understanding participation in sport and physical activity among children and adults: a review of qualitative studies. Health Educ Res 21:826–835. 10.1093/her/cyl063 DOI: 10.1093/her/cyl063
Finch H (1997) Health Education, Physical activity "at our age": qualitative research among people over the age of 50. London: Health Education Authority
Franke T, Sims-Gould J, Nettlefold L, Ottoni C, McKay HA (2021) "It makes me feel not so alone": features of the Choose to Move physical activity intervention that reduce loneliness in older adults. BMC Public Health 21:312. 10.1186/s12889-021-10363-1 DOI: 10.1186/s12889-021-10363-1
Beauchamp MR, Liu Y, Dunlop WL, Ruissen GR, Schmader T, Harden SM, Wolf SA, Puterman E, Sheel AW, Rhodes RE (2021) Psychological mediators of exercise adherence among older adults in a group-based randomized trial. Health Psychol 40:166–177. 10.1037/hea0001060 DOI: 10.1037/hea0001060
Sebastião E, Mirda D (2021) Group-based physical activity as a means to reduce social isolation and loneliness among older adults. Aging Clin Exp Res 33:2003–2006. 10.1007/s40520-020-01722-w DOI: 10.1007/s40520-020-01722-w
Abellan van Kan G, Rolland Y, Andrieu S, Bauer J, Beauchet O et al (2009) Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging 13:881–889. 10.1007/s12603-009-0246-z DOI: 10.1007/s12603-009-0246-z
Stel VS, Smit JH, Pluijm SM, Lips P (2004) Consequences of falling in older men and women and risk factors for health service use and functional decline. Age Ageing 33:58–65. 10.1093/ageing/afh028 DOI: 10.1093/ageing/afh028
Vasunilashorn S, Coppin AK, Patel KV, Lauretani F, Ferrucci L, Bandinelli S, Guralnik JM (2009) Use of the Short Physical Performance Battery Score to predict loss of ability to walk 400 meters: analysis from the InCHIANTI study. J Gerontol A Biol Sci Med Sci 64:223–229. 10.1093/gerona/gln022 DOI: 10.1093/gerona/gln022
Perera S, Mody SH, Woodman RC, Studenski SA (2006) Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc 54:743–749. 10.1111/j.1532-5415.2006.00701.x DOI: 10.1111/j.1532-5415.2006.00701.x
Sari N (2011) Exercise, physical activity and healthcare utilization: A review of literature for older adults. Maturitas 70:285–289. 10.1016/j.maturitas.2011.08.004 DOI: 10.1016/j.maturitas.2011.08.004
Ratamess NA, Faigenbaum AD, Hoffman JR, Kang J (2008) Self-selected resistance training intensity in healthy women: the influence of a personal trainer. J Strength Cond Res 22:103–111. 10.1519/JSC.0b013e31815f29cc DOI: 10.1519/JSC.0b013e31815f29cc
Berg-Weger M, Morley JE (2020) Editorial: loneliness and social isolation in older adults during the COVID-19 pandemic: implications for gerontological social work. J Nutr Health Aging 24:456–458. 10.1007/s12603-020-1366-8 DOI: 10.1007/s12603-020-1366-8
Kahlon MK, Aksan N, Aubrey R, Clark N, Cowley-Morillo M, Jacobs EA, Mundhenk R, Sebastian KR, Tomlinson S (2021) Effect of layperson-delivered, empathy-focused program of telephone calls on loneliness, depression, and anxiety among adults during the COVID-19 pandemic: a randomized clinical trial. JAMA Psychiatry 78:616–622. 10.1001/jamapsychiatry.2021.0113 DOI: 10.1001/jamapsychiatry.2021.0113
Buckinx F, Aubertin-Leheudre M, Daoust R, Hegg S, Martel D, Martel-Thibault M, Sirois MJ (2021) Feasibility and acceptability of remote physical exercise programs to prevent mobility loss in pre-disabled older adults during isolation periods such as the COVID-19 pandemic. J Nutr Health Aging 25:1106–1111. 10.1007/s12603-021-1688-1 DOI: 10.1007/s12603-021-1688-1
Rincé G, Couturier C, Berrut G, Dylis A, Montero-Odasso M, Deschamps T (2021) Impact of an individual personalised rehabilitation program on mobility performance in older-old people. Aging Clin Experimental Res 33:2821–2830. 10.1007/s40520-021-01812-3 DOI: 10.1007/s40520-021-01812-3
Lippi L, Uberti F, Folli A, Turco A, Curci C, d'Abrosca F, de Sire A, Invernizzi M (2022) Impact of nutraceuticals and dietary supplements on mitochondria modifications in healthy aging: a systematic review of randomized controlled trials. Aging Clin Exp Res 34:2659–2674. 10.1007/s40520-022-02203-y DOI: 10.1007/s40520-022-02203-y
Lippi L, de Sire A, Mezian K, Curci C, Perrero L, Turco A, Andaloro S, Ammendolia A, Fusco N, Invernizzi M (2022) Impact of exercise training on muscle mitochondria modifications in older adults: a systematic review of randomized controlled trials. Aging Clin Exp Res 34:1495–1510. 10.1007/s40520-021-02073-w DOI: 10.1007/s40520-021-02073-w
