Frail Elderly Clinical Trial
Official title:
Resistance Training to Optimize Health in Pre-frail Older Adults
Exercise programs, particularly resistance training programs using weights or resistance bands, can help improve or maintain mobility and function in older adults, preserve independent living, and improve quality of life. This study will examine the safety and feasibility of a novel, higher intensity resistance training program in older adults, and compare the effects with standard care, lower intensity training. It is anticipated that both programs will be safe and feasible, but higher-intensity training will lead to greater improvements in quality of life, mobility and strength, which are part of the physical phenotype definition of frailty and markers of mobility disability.
It is critically important to identify effective strategies to reduce the risk and impact of
mobility disability and frailty in older adults. Exercise, particularly resistance training
(RT), has the potential to influence a person's ability to navigate around their environment
and impact the components of the frailty phenotype which include weakness, physical
inactivity, and slowness. Higher training intensities have been used with athletes and
younger adults to achieve greater gains in strength, but the feasibility and effectiveness is
less established in older persons who exhibit preclinical disability, or are at-risk for
mobility decline where conservative protocols are typically employed. Higher intensity RT may
be an innovative and effective strategy in preclinical disability pre-frailty to reduce the
risk and impact of future frailty and mobility decline.
This study aims to examine: 1) the safety and feasibility of a 12-week higher intensity RT
protocol in community dwelling older adults at risk for mobility disability, and 2) the
effects of this protocol on walking, balance, muscle strength, quality of life compared to
lower intensity RT
It is hypothesized that the higher intensity RT: 1) is safe and feasible for at-risk
community-dwelling older adults, 2) more effective in improving walking, balance, muscle
strength, and quality of life than lower intensity RT
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