Effects of rural community-based integrated exercise and health education programs on the mobility function of older adults with knee osteoarthritis.

Health education Integrated intervention program Mobility function Osteoarthritis Resistance training Rural area

Journal

Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 26 08 2019
accepted: 03 01 2020
pubmed: 6 2 2020
medline: 19 11 2021
entrez: 6 2 2020
Statut: ppublish

Résumé

To examine the effects of a rural community-based program integrating health education and self-directed home-based resistance training on the mobility function of older women with knee osteoarthritis (OA). Participants were assigned to the control (CON) or intervention (INT) group. Participants completed a mobility function assessment and questionnaire evaluation. The CON group received only the health education program and the INT group also participated in resistance training for 5 months. Primary outcomes were mobility function measured using a timed chair stand (TCS), timed up & go (TUG), gait speed (GS), and knee extensor strength (KES). We evaluated body composition and questionnaire results (WOMAC score, SARC-F scale, and SOF index) as secondary outcomes. There were significant differences in the interactions of group-by-time effects for TCS (p < 0.001), TUG (p = 0.006), GS (p = 0.020), and knee strength (p = 0.010). In the CON group, TCS (p = 0.003) and TUG (p = 0.005) increased compared with baseline, while in the INT group, TCS decreased significantly (p < 0.001) and TUG tended to decrease after the intervention. The INT group showed improvement in GS (p < 0.001) and KES (p = 0.003) after the intervention. By contrast, the CON group showed decreasing GS (p = 0.021) and KES (p = 0.011) compared with baseline. The SARC-F scale differed significantly in the interaction of group-by-time effects (p = 0.030), while the body composition, SOF index, and WOMAC score did not differ. These results suggest that an integrated intervention program combining self-directed home-based resistance training with health education effectively improves the mobility function of older adults with knee OA dwelling in rural areas.

Identifiants

pubmed: 32020485
doi: 10.1007/s40520-020-01474-7
pii: 10.1007/s40520-020-01474-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3005-3014

Subventions

Organisme : National Research Foundation of Korea
ID : NRF-2016R1D1A1B03935518
Organisme : Sunchang County through the Institute on Aging Seoul National University
ID : 0564-20160006

Informations de copyright

© 2020. Springer Nature Switzerland AG.

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Auteurs

Seung-Lyul Oh (SL)

Aging & Mobility Biophysics Laboratory, Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.

Day-Young Kim (DY)

Aging & Mobility Biophysics Laboratory, Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.

Jun-Hyun Bae (JH)

Aging & Mobility Biophysics Laboratory, Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.

Jae-Young Lim (JY)

Aging & Mobility Biophysics Laboratory, Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea. drlim1@snu.ac.kr.
Institute on Aging, Seoul National University, Seoul, South Korea. drlim1@snu.ac.kr.

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