Stay Strong, Stay Healthy Outcomes in Older Adults

NCT03990415 | Completed Results

• 1 other identifier: 2014256
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

The University of Missouri's Stay Strong, Stay Healthy (SSSH) program is an eight week strength training class for older adults. Exercise training programs, like SSSH, can increase muscle mass and strength, improve bone density and reduce the risk of osteoporosis and related fractures, improve diabetes, heart disease, arthritis, depression, and obesity; and increase self-confidence, sleep and vitality in older adults. Specifically, the SSSH program has been shown to increase elderly individuals' confidence in their physical abilities. The primary objective of this research study is to track physiologic changes and determine the effectiveness of the SSSH exercise intervention to improve balance and fall risk in older adults. Participant's balance, gait, muscle strength, body composition, and skeletal health will be compared to a walking group and to a sedentary control group prior to and immediately following the eight week exercise intervention. After the intervention period participants will have the opportunity to participate in an interview process to further discuss their experiences and perceptions regarding the intervention and their health.

Conditions

Frail Elderly; Sedentary Lifestyle

Keywords

Elderly; Balance; Strength Training

Outcome Measures

Primary Outcomes (2)

• Change in Balance During a Dynamic Task Using Force Plates.

  Participants will complete the 30 second sit-to-stand dynamic balance task on two force plates, which will allow for a sensitive measure of balance. The pre and post measure will be used to calculate a percent change, with positive values indicating an improvement and a negative value indicating a decline.

  Baseline and at end of intervention period, typically 8 weeks.

• Change in Balance During a Static Task Using Force Plates.

  Participants will complete the CDC 4 stance static balance task on force plates, allowing for a more sensitive measure of balance. The pre and post measure will be used to calculate a percent change, with positive values indicating an improvement and a negative value indicating a decline.

  Baseline and at end of intervention period, typically 8 weeks.

Secondary Outcomes (9)

• Changes in Grip Strength Using a Hand Dynamometer.

  Baseline and at end of intervention period, typically 8 weeks.

• Changes in Walking Speed Using a 10 Meter Course.

  Baseline and at end of intervention period, typically 8 weeks.

• Changes in the Timed Up and Go

  Baseline and at end of intervention period, typically 8 weeks.

• Changes in Upper Body Muscle Flexibility Using the Back Scratch Test.

  Baseline and at end of intervention period, typically 8 weeks.

• Changes in Lower Body Muscle Flexibility Using the Sit and Reach Test.

  Baseline and at end of intervention period, typically 8 weeks.

Study Arms (3)

Stay Strong, Stay Healthy Group

EXPERIMENTAL

The Stay Strong, Stay Healthy strength training group will meet two times per week for an hour, for eight consecutive weeks. This class provides participants a structured program to learn and progress through strength training exercises designed to increase overall fitness, flexibility, and balance.

Behavioral: Exercise

Walking Group

ACTIVE COMPARATOR

The walking group will meet two times per week for an hour, for eight consecutive weeks. This class provides participants a structured walking program to help delineate the effects of the strength training program and exercise in general.

Behavioral: Exercise

Delayed Start Group

NO INTERVENTION

The delayed start group will not make any changes to their sedentary lifestyle and will be encouraged to not begin any exercise programs throughout the duration of the study.

Interventions

Exercise BEHAVIORAL

Exercise is a behavioral intervention, the primary aim of this investigation is to elucidate if strength training is a more effective exercise intervention than walking for the improvement of balance in older adults.

Stay Strong, Stay Healthy Group; Walking Group

Eligibility Criteria

• Age: 60 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Are male or female ≥60 years of age
• Are sedentary (no strength training and \<30min/wk of other physical activity in the past 3 months)
• Are ambulatory (cane or walker permitted)
• Are free from current physical injury or illness preventing physical activity

You may not qualify if:

• Answered YES to two or more questions on the PAR-Q form
• Are female subjects who have not fully gone through menopause
• Were a previous SSSH participant
• Have dementia/Alzheimer's or other cognitive impairments that would limit ability to follow directions

Sponsors & Collaborators

• Dana Duren: lead

Study Sites (1)

University of Missouri

Columbia, Missouri, 65212, United States

Location

Related Publications (10)

• Seguin RA, Economos CD, Hyatt R, Palombo R, Reed PN, Nelson ME. Design and national dissemination of the StrongWomen Community Strength Training Program. Prev Chronic Dis. 2008 Jan;5(1):A25. Epub 2007 Dec 15.

  PMID: 18082014 BACKGROUND

• Seguin RA, Folta SC, Nelson ME, Hanson KL, LaCroix AZ. Long-Term Body Weight Maintenance among StrongWomen-Healthy Hearts Program Participants. J Environ Public Health. 2017;2017:4372048. doi: 10.1155/2017/4372048. Epub 2017 Mar 2.

  PMID: 28352287 BACKGROUND

• Guizelini PC, de Aguiar RA, Denadai BS, Caputo F, Greco CC. Effect of resistance training on muscle strength and rate of force development in healthy older adults: A systematic review and meta-analysis. Exp Gerontol. 2018 Feb;102:51-58. doi: 10.1016/j.exger.2017.11.020. Epub 2017 Nov 28.

  PMID: 29196141 BACKGROUND

• Foster C, Armstrong MEG. What types of physical activities are effective in developing muscle and bone strength and balance? J Frailty Sarcopenia Falls. 2018 Jun 1;3(2):58-65. doi: 10.22540/JFSF-03-058. eCollection 2018 Jun.

  PMID: 32300694 BACKGROUND

• Beavers KM, Walkup MP, Weaver AA, Lenchik L, Kritchevsky SB, Nicklas BJ, Ambrosius WT, Stitzel JD, Register TC, Shapses SA, Marsh AP, Rejeski WJ. Effect of Exercise Modality During Weight Loss on Bone Health in Older Adults With Obesity and Cardiovascular Disease or Metabolic Syndrome: A Randomized Controlled Trial. J Bone Miner Res. 2018 Dec;33(12):2140-2149. doi: 10.1002/jbmr.3555. Epub 2018 Aug 7.

  PMID: 30088288 BACKGROUND

• Northey JM, Cherbuin N, Pumpa KL, Smee DJ, Rattray B. Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis. Br J Sports Med. 2018 Feb;52(3):154-160. doi: 10.1136/bjsports-2016-096587. Epub 2017 Apr 24.

  PMID: 28438770 BACKGROUND

• Syed-Abdul, M.M., Peterson, E.C., Mills-Gray, S.L., Parks, E.J. & Ball, S.D. Stay Strong, Stay Healthy: University of Missouri-Extension's Strength-Training Program for Older Adults in Community Settings. Med Sci Sports Exer 48:5, 125-125 (2016).

  BACKGROUND

• Crowe EM, Ball SD. Effectiveness of Advanced Stay Strong, Stay Healthy in Community Settings. Gerontol Geriatr Med. 2015 Aug 3;1:2333721415596462. doi: 10.1177/2333721415596462. eCollection 2015 Jan-Dec.

  PMID: 28138461 BACKGROUND

• Ball S, Gammon R, Kelly PJ, Cheng AL, Chertoff K, Kaume L, Abreu EL, Brotto M. Outcomes of Stay Strong, Stay Healthy in community settings. J Aging Health. 2013 Dec;25(8):1388-97. doi: 10.1177/0898264313507318. Epub 2013 Oct 22.

  PMID: 24150062 BACKGROUND

• Baker BS, Weitzel KJ, Royse LA, Miller K, Guess TM, Ball SD, Duren DL. Efficacy of an 8-Week Resistance Training Program in Older Adults: A Randomized Controlled Trial. J Aging Phys Act. 2021 Feb 1;29(1):121-129. doi: 10.1123/japa.2020-0078. Epub 2020 Aug 12.

  PMID: 32788412 DERIVED

Related Links

• The home SSSH link

MeSH Terms

Conditions

Sedentary Behavior

Interventions

Exercise

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Results Point of Contact

• Title: Dr. Dana Duren
• Organization: University of Missouri

durendl@health.missouri.edu

(573) 884-7023

Study Officials

• Dana L Duren, PhD

  Director of Orthopaedic Research at the University of Missouri

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: The primary investigator (Dr. Duren) will randomize participants into each of the three study groups. The research team responsible for assessments and analysis will be blinded to each participant's assignment. Dr. Duren will unblind the research team after the intervention period and data collection and analysis has been completed.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor and Director of Orthopaedic Research at the Missouri Orthopaedic Institute

Model Details: Participants will be randomized into three groups of equal size. The experimental group (Stay Strong, Stay Healthy strength training program), the walking exercise group, and the sedentary control group will participate in the trial in parallel for up to ten weeks. After the intervention period, participants from each group will have the opportunity to participate in an interview about their experiences.

Study Record Dates

• First Submitted: June 6, 2019
• First Posted: June 19, 2019
• Study Start: May 23, 2019
• Primary Completion: December 31, 2019
• Study Completion: December 31, 2019
• Last Updated: March 3, 2021
• Results First Posted: March 3, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)