aging; Covid-19; Exercise; functional status; gerontechnology; mobility; Medicine (miscellaneous); Nutrition and Dietetics; Geriatrics and Gerontology
Abstract :
[en] Objectives: To assess whether remote physical exercise interventions helped maintain function in daily life, level of physical activities, basic mobility and frailty status in pre-disabled seniors during the first Covid-19 lockdown. Design: This is an interventional study conducted from May 2020 to May 2021. Setting: Community-dwelling older adults in 2 Canadian cities. Participants: 84 pre-disabled seniors. Intervention: 12-week physical exercise programs (1 hour/ 3 times/ week) in kinesiologist-guided groups using Zoom or phone-supervised individual booklet-based home-program (n=44) vs. Control (usual life habits; n=40). Measurements: Functional status in daily activities (OARS scale); Daily level of aerobic (TAPA-1) and strengthening/flexibility (TAPA-2) physical activities; Basic mobility abilities (SPPB: balance, lower limbs strength, walking speed; Timed Up-and-Go) and Frailty (SOF index) were assessed at baseline and at 3, 6, 9 and 12-month follow-ups. Results: The participants’ mean age was 78.5 ± 7.2 and 76.5 % were women. There was a group * time effect for the OARS scale (p=0.02), the TAPA-1 (p=0.06) and the TAPA-2 (p=0.007) scores. For these outcomes, scores significantly improved during the first 3 months of follow-up and then stabilised in the intervention group whereas they remained constant in the control group over time. There was an overall time effect for the SPPB (p=0.004), the 4-m walking speed (p=0.02) and for the SOF index (p=0.004), with no between-group differences. Finally, no effect was observed for the TUG. Conclusion: Remote home-based physical exercise interventions and monitoring during the first Covid-19 lockdown seemed to have helped maintain seniors’ level of physical activities without impacting on basic mobility abilities. Further studies are needed to identify parameters of remote exercise programs that can improve daily function and mobility in this population.
Disciplines :
Geriatrics
Author, co-author :
Buckinx, Fanny ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé ; Centre de recherche, Institut universitaire de gériatrie de Montréal (IUGM), CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Canada ; Département des Sciences de l’activité physique, Faculté des sciences, Université du Québec à Montréal, Montréal, Canada
Aubertin-Leheudre, M.; Centre de recherche, Institut universitaire de gériatrie de Montréal (IUGM), CIUSSS du Centre-Sud-de-l’Île-de-Montréal, Montreal, Canada ; Département des Sciences de l’activité physique, Faculté des sciences, Université du Québec à Montréal, Montréal, Canada
Daoust, R.; Département de médecine de famille et médecine d’urgence, Université de Montréal, Montréal, Canada ; Centre d’étude en médecine d’urgence, Hôpital Sacré-Cœur de Montréal, CIUSSS NIM, Montréal, Canada
Hegg, S.; Centre d’Excellence sur le Vieillissement de Québec, Québec, Canada ; Centre de recherche du CHU de Québec-Université Laval, Québec, Canada
Martel, D.; Département de médecine de famille et médecine d’urgence, Université de Montréal, Montréal, Canada ; Centre d’étude en médecine d’urgence, Hôpital Sacré-Cœur de Montréal, CIUSSS NIM, Montréal, Canada
Martel-Thibault, M.; Centre de recherche du CHU de Québec-Université Laval, Québec, Canada
Sirois, Marie-Josée; Centre d’Excellence sur le Vieillissement de Québec, Québec, Canada ; Centre de recherche du CHU de Québec-Université Laval, Québec, Canada ; Département de réadaptation, Université Laval, Québec, Canada ; Québec, Canada
Language :
English
Title :
Impacts of Remote Physical Exercises on Functional Status and Mobility among Community-Dwelling Pre-Disabled Seniors during the Covid-19 Lockdown
This study was funded by the Fonds de Recherche du Québec–Santé (FRQ-S), the Quebec Network for Research on Aging (RQRV) and the Canadian Institutes for Health Research (CIHR-PJT 148877).
Cunningham C, O’Sullivan, Caserotti P, Tully MA. Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian Journal of Medicine & Science in Sports. May 2020;30(5):816–827. doi:10.1111/sms.13616 DOI: 10.1111/sms.13616
Bouchard DR, Janssen I. Dynapenic-obesity and physical function in older adults. The journals of Gerontology Series A, biological sciences and medical sciences. Jan 2010;65(1):71–7. doi:10.1093/gerona/glp159 DOI: 10.1093/gerona/glp159
Meyer J, Herring M, McDowell C, et al. Joint prevalence of physical activity and sitting time during COVID-19 among US adults in April 2020. Preventive medicine reports. Dec 2020;20:101256. doi:10.1016/j.pmedr.2020.101256 DOI: 10.1016/j.pmedr.2020.101256
Aubertin-Leheudre M, Rolland Y. The Importance of Physical Activity to Care for Frail Older Adults During the COVID-19 Pandemic. Journal of the American Medical Directors Association. Jul 2020;21(7):973–976. doi:10.1016/j.jamda.2020.04.022 DOI: 10.1016/j.jamda.2020.04.022
Chambonniere C, Lambert C, Tardieu M, et al. Physical Activity and Sedentary Behavior of Elderly Populations during Confinement: Results from the FRENCH COVID-19 ONAPS Survey. Experimental Aging Research. Apr 7 2021:1–13. doi: https://doi.org/10.1080/0361073x.2021.1908750
Dulac MC, Aubertin-Leheudre M. Exercise: An Important Key to Prevent Physical and Cognitive Frailty. The Journal of Frailty & Aging. 2016;5(1):3–5. doi:10.14283/jfa.2015.72
Chan DC, Tsou HH, Yang RS, et al. A pilot randomized controlled trial to improve geriatric frailty. BMC geriatrics. Sep 25 2012;12:58. doi:10.1186/1471-2318-12-58 DOI: 10.1186/1471-2318-12-58
Izquierdo M, Merchant RA, Morley JE, et al. International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. The Journal of Nutrition, Health & Aging. 2021;25(7):824–853. doi:10.1007/s12603-021-1665-8 DOI: 10.1007/s12603-021-1665-8
Chaabene H, Prieske O, Herz M, et al. Home-based exercise programmes improve physical fitness of healthy older adults: A PRISMA-compliant systematic review and meta-analysis with relevance for COVID-19. Ageing Research Reviews. May 2021;67:101265. doi:10.1016/j.arr.2021.101265 DOI: 10.1016/j.arr.2021.101265
Liu-Ambrose T, Donaldson MG, Ahamed Y, et al. Otago home-based strength and balance retraining improves executive functioning in older fallers: a randomized controlled trial. Journal of the American Geriatrics Society. Oct 2008;56(10):1821–30. doi:10.1111/j.1532-5415.2008.01931.x DOI: 10.1111/j.1532-5415.2008.01931.x
Choi SD, Guo L, Kang D, Xiong S. Exergame technology and interactive interventions for elderly fall prevention: A systematic literature review. Applied Ergonomics. Nov 2017;65:570–581. doi:10.1016/j.apergo.2016.10.013 DOI: 10.1016/j.apergo.2016.10.013
Buckinx F, Waters DL, Aubertin-Leheudre M. Letter to the Editor: Implementing Home-Based Exercise Technology in a Nursing Home: Does MCI Status Matter? The Journal of Frailty & Aging. 2021;10(1):77–78. doi:10.14283/jfa.2020.34
Vaportzis E, Clausen MG, Gow AJ. Older Adults Perceptions of Technology and Barriers to Interacting with Tablet Computers: A Focus Group Study. Frontiers in Psychology. Oct 4 2017;8:1687. doi:10.3389/fpsyg.2017.01687 DOI: 10.3389/fpsyg.2017.01687
Machado CLF, Pinto RS, Brusco CM, Cadore EL, Radaelli R. COVID-19 pandemic is an urgent time for older people to practice resistance exercise at home. Experimental Gerontology. Nov 2020;141:111101. doi:10.1016/j.exger.2020.111101 DOI: 10.1016/j.exger.2020.111101
van Boekel LC, Peek ST, Luijkx KG. Diversity in Older Adults’ Use of the Internet: Identifying Subgroups Through Latent Class Analysis. Journal of Medical Internet Research. May 24 2017;19(5):e180. doi:10.2196/jmir.6853 DOI: 10.2196/jmir.6853
Buckinx F, Aubertin-Leheudre M, Daoust R, et al. 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. The Journal of Nutrition, Health & Aging. 2021;25(9):1106–1111. doi:10.1007/s12603-021-1688-1 DOI: 10.1007/s12603-021-1688-1
Peyrusqué E, Granet J, Pageaux B, Buckinx F, Aubertin-Leheudre M. Assessing Physical Performance in Older Adults during Isolation or Lockdown Periods: Web-Based Video Conferencing as a Solution. The Journal of Nutrition, Health & Aging. 2022;26(1):52–56. doi:10.1007/s12603-021-1699-y DOI: 10.1007/s12603-021-1699-y
McCusker J, Bellavance F, Cardin S, Belzile E. Validity of an activities of daily living questionnaire among older patients in the emergency department. Journal of Clinical Epidemiology. Nov 1999;52(11):1023–30. doi:10.1016/s0895-4356(99)00084-0 DOI: 10.1016/S0895-4356(99)00084-0
Mayer CJ, Steinman L, Williams B, Topolski TD, LoGerfo J. Developing a Telephone Assessment of Physical Activity (TAPA) questionnaire for older adults. Preventing Chronic Disease. Jan 2008;5(1):A24.
Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology. Mar 1994;49(2):M85–94. DOI: 10.1093/geronj/49.2.M85
Gawel J VD, Collins J, et al. The short physical performance battery as a predictor for long term disability or institutionalization in the community dwelling population aged 65 years old or older. Physical Therapy Reviews. 2012;17:37–44. DOI: 10.1179/1743288X11Y.0000000050
Goldberg A, Schepens S. Measurement error and minimum detectable change in 4-meter gait speed in older adults. Aging Clinical and Experimental Research. Oct–Dec 2011;23(5–6):406–12. doi:10.1007/bf03325236 DOI: 10.1007/BF03325236
Dulac MC, Pion CH, Lemieux F, et al. Differences in muscle adaptation to a 12-week mixed power training in elderly men, depending on usual protein intake. Experimental Gerontology. Apr 2018;104:78–85. doi:10.1016/j.exger.2018.02.001 DOI: 10.1016/j.exger.2018.02.001
Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. Feb 1991;39(2):142–8. DOI: 10.1111/j.1532-5415.1991.tb01616.x
Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the “get-up and go” test. Archives of Physical Medicine and Rehabilitation. Jun 1986;67(6):387–9.
Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research. 1982;17(1):37–49. doi:10.1016/0022-3956(82)90033-4 DOI: 10.1016/0022-3956(82)90033-4
Ensrud KE, Ewing SK, Taylor BC, et al. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Archives of Internal Medicine. Feb 25 2008;168(4):382–9. doi:10.1001/archinternmed.2007.113 DOI: 10.1001/archinternmed.2007.113
Knopman DS, Roberts RO, Geda YE, et al. Validation of the telephone interview for cognitive status-modified in subjects with normal cognition, mild cognitive impairment, or dementia. Neuroepidemiology. 2010;34(1):34–42. doi:10.1159/000255464 DOI: 10.1159/000255464
Kempen GI, Yardley L, van Haastregt JC, et al. The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age and Ageing. Jan 2008;37(1):45–50. doi:10.1093/ageing/afm157 DOI: 10.1093/ageing/afm157
Tak E, Kuiper R, Chorus A, Hopman-Rock M. Prevention of onset and progression of basic ADL disability by physical activity in community dwelling older adults: a meta-analysis. Ageing Research Reviews. Jan 2013;12(1):329–38. doi:10.1016/j.arr.2012.10.001 DOI: 10.1016/j.arr.2012.10.001
Sirois M. L’exercice pour prévenir le déclin fonctionnel et la mobilité des personnes âgées évaluées aux services d’urgence pour des blessures traumatiques mineures. l’Année Gérontologique; 2022;36(1)
Topolski TD, LoGerfo J, Patrick DL, Williams B, Walwick J, Patrick MB. The Rapid Assessment of Physical Activity (RAPA) among older adults. Preventing Chronic Disease. Oct 2006;3(4):A118.
Freire AN, Guerra RO, Alvarado B, Guralnik JM, Zunzunegui MV. Validity and reliability of the short physical performance battery in two diverse older adult populations in Quebec and Brazil. Journal of Aging and Health. Aug 2012;24(5):863–78. doi:10.1177/0898264312438551 DOI: 10.1177/0898264312438551
Papalia GF, Papalia R, Diaz Balzani LA, The Effects of Physical Exercise on Balance and Prevention of Falls in Older People: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. Aug 11 2020;9(8)doi: https://doi.org/10.3390/jcm9082595
Chase JD, Phillips LJ, Brown M. Physical Activity Intervention Effects on Physical Function Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis. Journal of Aging and Physical Activity. Jan 2017;25(1):149–170. doi:10.1123/japa.2016-0040 DOI: 10.1123/japa.2016-0040
Hortobágyi T, Lesinski M, Gäbler M, VanSwearingen JM, Malatesta D, Granacher U. Effects of Three Types of Exercise Interventions on Healthy Old Adults’ Gait Speed: A Systematic Review and Meta-Analysis. Sports Medicine (Auckland, NZ). Dec 2015;45(12):1627–43. doi:10.1007/s40279-015-0371-2 DOI: 10.1007/s40279-015-0371-2
Morley JE, Vellas B, van Kan GA, et al. Frailty consensus: a call to action. Journal of the American Medical Directors Association. Jun 2013;14(6):392–7. doi:10.1016/j.jamda.2013.03.022 DOI: 10.1016/j.jamda.2013.03.022
Silva RB, Aldoradin-Cabeza H, Eslick GD, Phu S, Duque G. The Effect of Physical Exercise on Frail Older Persons: A Systematic Review. The Journal of Frailty & Aging. 2017;6(2):91–96. doi:10.14283/jfa.2017.7
de Boer DR, Hoekstra F, Huetink KIM, Hoekstra T, Krops LA, Hettinga FJ. Physical Activity, Sedentary Behavior and Well-Being of Adults with Physical Disabilities and/or Chronic Diseases during the First Wave of the COVID-19 Pandemic: A Rapid Review. International Journal of Environmental Research and Public Health. Jun 11 2021;18(12) doi: https://doi.org/10.3390/ijerph18126342
