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Feasibility of an Online Delivered, Home-Based Resistance Training Program for Older Adults - A Mixed Methods Approach
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Umeå University. (Swedish Winter Sports Research Centre)
Umeå Univ, Dept Publ Hlth & Clin Med, Sect Sustainable Hlth, Umeå, Sweden.;Umeå Univ, Dept Nursing, Umeå, Sweden.;Umeå Univ, Umeå Sch Sport Sci, Umeå, Sweden..
Umeå Univ, Dept Publ Hlth & Clin Med, Sect Sustainable Hlth, Umeå, Sweden.;UiT Arctic Univ Norway, Sch Sports Sci, Tromso, Norway.;Umeå Univ, Dept Community Med & Rehabil Geriatr Med, Umeå, Sweden..
Umeå Univ, Dept Community Med & Rehabil Geriatr Med, Umeå, Sweden..
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2022 (English)In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 13, article id 869573Article in journal (Refereed) Published
Abstract [en]

BackgroundPhysical inactivity and low muscle mass are risk factors for falls, fractures and overall poor health. However, physical activity is reduced with increased age and only a fraction of older adults engages in resistance training (RT). Thus, strategies that facilitate RT among older adults are needed. The aim of the present study was to evaluate the effectiveness and user experience, and explore barriers and motivators toward an online delivered, home-based RT program in older adults with low muscle mass. MethodsThirty men and women, 70-71 years of age with low muscle mass were assigned home-based RT with online exercise videos (3 times/week, 45 min/session for 10 weeks) accompanied with an initial supervised try-out session. Quantitative outcome measures included changes in lean body mass and physical function. Semi structured one-to-one interviews with a subset of the participants (n = 8) were also conducted to generate a greater understanding of the participants experience of the digitally supported RT. The material was transcribed and analyzed with qualitative content analysis. ResultsTwenty-seven participants (90%) completed the trial. Lean body mass increased by 0.39 kg (95% CI: 0.06-0.72, p < 0.05) and chair stand time improved by 1.6 s (95% CI: 0.8-2.3, p < 0.001). No significant improvements were seen for balance or gait speed. The theme "Engaging in Digital Resistance Training with Personal Adaptation Leads to a Sense of Strength and Vitality" captured the participants experience of the intervention, where a sense of how the body was changing toward a more active lifestyle was described. Instructions, feedback, and intrinsic motivation were identified as key elements for compliance. ConclusionThe online delivered RT program for older adults with low muscle mass was feasible based on high compliance, user satisfaction, increased lean mass and improved chair-stand time. The participant experiences may explain the high compliance to the intervention and effects on outcomes. Based on these results, online delivered RT could be an accessible exercise routine for older adults with low muscle mass. More research is needed to verify the present findings and assess changes in a long-term perspective.

Place, publisher, year, edition, pages
2022. Vol. 13, article id 869573
Keywords [en]
home-based exercise, online training, elderly, e-health, ageing, functional strength, sarcopenia, motivation
National Category
Geriatrics Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-45743DOI: 10.3389/fpsyg.2022.869573ISI: 000816009700001PubMedID: 35726270Scopus ID: 2-s2.0-85133348400OAI: oai:DiVA.org:miun-45743DiVA, id: diva2:1685327
Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2022-08-02Bibliographically approved

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Vikberg, Sanna

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