The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults

David M. Buchner, M. Elaine Cress, Barbara Jane De Lateur, Peter C. Esselman, Anthony J. Margherita, Robert Price, Edward H. Wagner

Research output: Contribution to journalArticle

Abstract

Background. The study tested the effect of strength and endurance training on gait, balance, physical health status, fall risk, and health services use in older adults. Methods. The study was a single-blinded, randomized controlled trial with intention-to-treat analysis. Adults (n = 105) age 68-85 with at least mild deficits in strength and balance were selected from a random sample of enrollees in a health maintenance organization. The intervention was supervised exercise (1-h sessions, three per week, for 24-26 weeks), followed by self-supervised exercise. Exercise groups included strength training using weight machines (n = 25), endurance training using bicycles (n = 25), and strength and endurance training (n = 25). Study outcomes included gait tests, balance tests, physical health status measures, self-reported falls (up to 25 months of follow-up), and inpatient and outpatient use and costs. Results. There were no effects of exercise on gait, balance, or physical health status. Exercise had a protective effect on risk of falling (relative hazard = .53, 95% CI = .30- .91). Between 7 and 18 months after randomization, control subjects had more outpatient clinic visits (p <.06) and were more likely to sustain hospital costs over $5000 (p <.05). Conclusions. Exercise may have beneficial effects on fall rates and health care use in some subgroups of older adults. In community-living adults with mainly mild impairments in gait, balance, and physical health status, short-term exercise may not have a restorative effect on these impairments.

Original languageEnglish (US)
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume52
Issue number4
StatePublished - 1997

Fingerprint

Resistance Training
Gait
Health Services
Exercise
Health Status
Accidental Falls
Intention to Treat Analysis
Health Maintenance Organizations
Hospital Costs
Ambulatory Care
Random Allocation
Ambulatory Care Facilities
Inpatients
Outpatients
Randomized Controlled Trials
Outcome Assessment (Health Care)
Delivery of Health Care
Weights and Measures
Costs and Cost Analysis

ASJC Scopus subject areas

  • Aging

Cite this

The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. / Buchner, David M.; Cress, M. Elaine; De Lateur, Barbara Jane; Esselman, Peter C.; Margherita, Anthony J.; Price, Robert; Wagner, Edward H.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 52, No. 4, 1997.

Research output: Contribution to journalArticle

@article{4eb0dbb47bab4a3bbc35856a0b649419,
title = "The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults",
abstract = "Background. The study tested the effect of strength and endurance training on gait, balance, physical health status, fall risk, and health services use in older adults. Methods. The study was a single-blinded, randomized controlled trial with intention-to-treat analysis. Adults (n = 105) age 68-85 with at least mild deficits in strength and balance were selected from a random sample of enrollees in a health maintenance organization. The intervention was supervised exercise (1-h sessions, three per week, for 24-26 weeks), followed by self-supervised exercise. Exercise groups included strength training using weight machines (n = 25), endurance training using bicycles (n = 25), and strength and endurance training (n = 25). Study outcomes included gait tests, balance tests, physical health status measures, self-reported falls (up to 25 months of follow-up), and inpatient and outpatient use and costs. Results. There were no effects of exercise on gait, balance, or physical health status. Exercise had a protective effect on risk of falling (relative hazard = .53, 95{\%} CI = .30- .91). Between 7 and 18 months after randomization, control subjects had more outpatient clinic visits (p <.06) and were more likely to sustain hospital costs over $5000 (p <.05). Conclusions. Exercise may have beneficial effects on fall rates and health care use in some subgroups of older adults. In community-living adults with mainly mild impairments in gait, balance, and physical health status, short-term exercise may not have a restorative effect on these impairments.",
author = "Buchner, {David M.} and Cress, {M. Elaine} and {De Lateur}, {Barbara Jane} and Esselman, {Peter C.} and Margherita, {Anthony J.} and Robert Price and Wagner, {Edward H.}",
year = "1997",
language = "English (US)",
volume = "52",
journal = "Journals of Gerontology - Series A Biological Sciences and Medical Sciences",
issn = "1079-5006",
publisher = "Oxford University Press",
number = "4",

}

TY - JOUR

T1 - The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults

AU - Buchner, David M.

AU - Cress, M. Elaine

AU - De Lateur, Barbara Jane

AU - Esselman, Peter C.

AU - Margherita, Anthony J.

AU - Price, Robert

AU - Wagner, Edward H.

PY - 1997

Y1 - 1997

N2 - Background. The study tested the effect of strength and endurance training on gait, balance, physical health status, fall risk, and health services use in older adults. Methods. The study was a single-blinded, randomized controlled trial with intention-to-treat analysis. Adults (n = 105) age 68-85 with at least mild deficits in strength and balance were selected from a random sample of enrollees in a health maintenance organization. The intervention was supervised exercise (1-h sessions, three per week, for 24-26 weeks), followed by self-supervised exercise. Exercise groups included strength training using weight machines (n = 25), endurance training using bicycles (n = 25), and strength and endurance training (n = 25). Study outcomes included gait tests, balance tests, physical health status measures, self-reported falls (up to 25 months of follow-up), and inpatient and outpatient use and costs. Results. There were no effects of exercise on gait, balance, or physical health status. Exercise had a protective effect on risk of falling (relative hazard = .53, 95% CI = .30- .91). Between 7 and 18 months after randomization, control subjects had more outpatient clinic visits (p <.06) and were more likely to sustain hospital costs over $5000 (p <.05). Conclusions. Exercise may have beneficial effects on fall rates and health care use in some subgroups of older adults. In community-living adults with mainly mild impairments in gait, balance, and physical health status, short-term exercise may not have a restorative effect on these impairments.

AB - Background. The study tested the effect of strength and endurance training on gait, balance, physical health status, fall risk, and health services use in older adults. Methods. The study was a single-blinded, randomized controlled trial with intention-to-treat analysis. Adults (n = 105) age 68-85 with at least mild deficits in strength and balance were selected from a random sample of enrollees in a health maintenance organization. The intervention was supervised exercise (1-h sessions, three per week, for 24-26 weeks), followed by self-supervised exercise. Exercise groups included strength training using weight machines (n = 25), endurance training using bicycles (n = 25), and strength and endurance training (n = 25). Study outcomes included gait tests, balance tests, physical health status measures, self-reported falls (up to 25 months of follow-up), and inpatient and outpatient use and costs. Results. There were no effects of exercise on gait, balance, or physical health status. Exercise had a protective effect on risk of falling (relative hazard = .53, 95% CI = .30- .91). Between 7 and 18 months after randomization, control subjects had more outpatient clinic visits (p <.06) and were more likely to sustain hospital costs over $5000 (p <.05). Conclusions. Exercise may have beneficial effects on fall rates and health care use in some subgroups of older adults. In community-living adults with mainly mild impairments in gait, balance, and physical health status, short-term exercise may not have a restorative effect on these impairments.

UR - http://www.scopus.com/inward/record.url?scp=0030741339&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030741339&partnerID=8YFLogxK

M3 - Article

C2 - 9224433

AN - SCOPUS:0030741339

VL - 52

JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences

SN - 1079-5006

IS - 4

ER -