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ORIGINAL ARTICLE  EPIDEMIOLOGY AND CLINICAL MEDICINE 

The Journal of Sports Medicine and Physical Fitness 2018 May;58(5):669-77

DOI: 10.23736/S0022-4707.17.07492-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Study of the effects of multimodal exercise program on physical fitness and health perception in community-living Hungarian older adults

Anikó VIRÁG 1, 2, Izabella HARKÁNYI 3, Csilla K. KARÓCZI 3, Zsolt VASS 3, Éva KOVÁCS 3

1 Department of Physiotherapy, Institute of Applied Health Sciences, Faculty of Health Scienses, Semmelweis University, Budapest, Hungary; 2 Manu-Med Bt., Budapest, Hungary; 3 Department of Morphology and Physiology, Institute of Applied Health Sciences, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary


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BACKGROUND: The aim of this study was to investigate the effects on fitness indicators and subjective health-perception of a multimodal exercise program provided by a district in Budapest among community-living seniors.
METHODS: Sixty community-living older adults aged over 60 years formed beginner group (who were at the beginning of the exercise program), advanced group (who had been in the programme for 3-6 months), active group (who had been participating in the exercise program for at least 6 months, in addition to Nordic walking program) and a physically inactive control group. Balance, functional mobility, lower and upper limb strength, lower and upper body flexibility, aerobic endurance and self-reported health perception were measured at baseline, and after a 12-week follow-up period.
RESULTS: The beginner group and the advanced group improved in upper body flexibility (beginner Δ=1.2; d=0.83; advanced: Δ=1.7; d=1.39), lower body flexibility (beginner: Δ=1.7, d=0.484; advanced: Δ=1.9; d=1.55), lower limb strength (beginner: Δ=1.47; d=0.84; advanced: Δ=1.57; d=0.72), and functional mobility (beginner: Δ=-0.6; d=0.54; advanced: Δ=-0.4; d=0.90). There were also improvements in aerobic endurance (Δ=11.06; d=0.96) and balance (Δ=1.6; d=0.62) of beginner group. These indicators declined in the control group. Indicators of the active group did not change. The self-perceived health status declined (Δ=-13.9; d=0.73) in the control group but did not change in any exercising groups.
CONCLUSIONS: This multimodal exercise program can be effective among community-living older adults, even in Hungary, a country where geriatric physical activity is not widespread. Therefore, it would be useful to extend this model program to other settlements as well.


KEY WORDS: Physical fitness - Postural balance - Healthy people programs - Walking - Aged

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