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A Randomized Controlled Feasibility Trial Evaluating a Resistance Training Intervention With Frail Older Adults in Residential Care: The Keeping Active in Residential Elderly Trial

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Bridgitte Swales
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Gemma C. Ryde
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Anna C. Whittaker
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DOI:
https://doi.org/10.1123/japa.2021-0130
Keywords:
care home residents; frailty; multidimensional health; physical function; strengthening exercise
First Published Online:
11 Sep 2021
In Print:
Volume 30: Issue 3
Page Range:
364–388
Restricted access

Frailty is associated with negative health outcomes, disability, and mortality. Physical activity is an effective intervention to improve functional health status. However, the effect of resistance training on multidimensional health in frail older adults remains unclear. This randomized controlled trial was conducted in a U.K. residential care home to assess feasibility with limited efficacy testing on health and functional outcomes and to inform a future definitive randomized controlled trial. Eleven frail older adults (>65 years) completed a 6-week machine-based resistance training protocol three times a week. Uptake and retention were greater than 80%. The measures and intervention were found to be acceptable and practicable. The analyses indicated large improvements in functional capacity, frailty, and strength in the intervention group compared with the controls. These findings support the feasibility of a definitive randomized controlled trial and reinforce the value of resistance training in this population. This trial was registered with ClinicalTrials.gov: NCT03141879.

The authors are with the Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom.

Swales (bridgitte.swales@stir.ac.uk) is corresponding author.

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  • Alcazar, J., Guadalupe-Grau, A., Garcia-Garcia, F.J., Ara, I., & Alegre, L.M. (2018). Skeletal muscle power measurement in older people: A systematic review of testing protocols and adverse events. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 73(7), 914–924. PubMed ID: 29309534 doi:10.1093/gerona/glx216

    • Crossref
    • Search Google Scholar
    • Export Citation

  • American College of Sports Medicine. (2018). ACSM’S guidelines for exercise testing and prescription (10th ed., D. Riebe, J. Ehrman, G. Liguori, & M. Magal, Eds.). Wolters Kluwer.

    • Search Google Scholar
    • Export Citation

  • Arrieta, H., Rezola-Pardo, C., Gil, S.M., Virgala, J., Iturburu, M., Anton, I., … Rodriguez-Larrad, A. (2019). Effects of multicomponent exercise on frailty in long-term nursing homes: A randomized controlled trial. Journal of the American Geriatrics Society, 67(6), 1145–1151. PubMed ID: 30891748 doi:10.1111/jgs.15824

    • Search Google Scholar
    • Export Citation

  • Arrieta, H., Rezola-Pardo, C., Zarrazquin, I., Echeverria, I., Yanguas, J.J., Iturburu, M., … Irazusta, J. (2018). A multicomponent exercise program improves physical function in long-term nursing home residents: A randomized controlled trial. Experimental Gerontology, 103, 94–100. PubMed ID: 29326087 doi:10.1016/j.exger.2018.01.008

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Baert, V., Gorus, E., Calleeuw, K., De Backer, W., & Bautmans, I. (2016). An administrator’s perspective on the organization of physical activity for older adults in long-term care facilities. Journal of the American Medical Directors Association, 17(1), 75–84. PubMed ID: 26432625 doi:10.1016/j.jamda.2015.08.011

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Bastone Ade, C., & Jacob Filho, W. (2004). Effect of an exercise program on functional performance of institutionalized elderly. Journal of Rehabilitation Research & Development, 41(5), 659–668. PubMed ID: 15558395 doi:10.1682/jrrd.2003.01.0014

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Benjamin, K., Edwards, N., & Caswell, W. (2009). Factors influencing the physical activity of older adults in long-term care: Administrators’ perspectives. Journal of Aging and Physical Activity, 17(2), 181–195. PubMed ID: 19451667

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Bherer, L., Erickson, K.I., & Liu-Ambrose, T. (2013). A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. Journal of Aging Research, 2013, 657508. PubMed ID: 24102028 doi:10.1155/2013/657508

    • Search Google Scholar
    • Export Citation

  • Binder, E.F., Schechtman, K.B., Ehsani, A.A., Steger-May, K., Brown, M., Sinacore, D.R., … Holloszy, J.O. (2002). Effects of exercise training on frailty in community-dwelling older adults: Results of a randomized, controlled trial. Journal of the American Geriatrics Society, 50(12), 1921–1928. doi:10.1046/j.1532-5415.2002.50601.x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Borg, F., Laxåback, G., & Björkgren, M. (2008). Comparison of balance and some other physical characteristics between elderly fallers and non-fallers. Kokkola, Finland: University of Jyväskylä, Chydenius Institute.

    • Search Google Scholar
    • Export Citation

  • Bossers, W.J., Scherder, E.J., Boersma, F., Hortobagyi, T., van der Woude, L.H., & van Heuvelen, M.J. (2014). Feasibility of a combined aerobic and strength training program and its effects on cognitive and physical function in institutionalized dementia patients. A pilot study. PLoS One, 9(5), e97577. PubMed ID: 24844772 doi:10.1371/journal.pone.0097577

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Bowen, D.J., Kreuter, M., Spring, B., Cofta-Woerpel, L., Linnan, L., Weiner, D., … Fernandez, M. (2009). How we design feasibility studies. American Journal of Preventive Medicine, 36(5), 452–457. PubMed ID: 19362699 doi:10.1016/j.amepre.2009.02.002

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

  • Burton, E., Farrier, K., Lewin, G., Pettigrew, S., Hill, A.M., Airey, P., … Hill, K.D. (2017). Motivators and barriers for older people participating in resistance training: A systematic review. Journal of Aging and Physical Activity, 25(2), 311–324. PubMed ID: 27620535 doi:10.1123/japa.2015-0289

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Cadore, E.L., Casas-Herrero, A., Zambom-Ferraresi, F., Idoate, F., Millor, N., Gomez, M., … Izquierdo, M. (2014). Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age, 36(2), 773–785. doi:10.1007/s11357-013-9586-z

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Cassilhas, R.C., Antunes, H.K., Tufik, S., & de Mello, M.T. (2010). Mood, anxiety, and serum IGF-1 in elderly men given 24 weeks of high resistance exercise. Perceptual and Motor Skills, 110(1), 265–276. PubMed ID: 20391891 doi:10.2466/PMS.110.1.265-276

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Cassilhas, R.C., Viana, V.A., Grassmann, V., Santos, R.T., Santos, R.F., Tufik, S., & Mello, M.T. (2007). The impact of resistance exercise on the cognitive function of the elderly. Medicine & Science in Sports & Exercise, 39(8), 1401–1407. PubMed ID: 17762374 doi:10.1249/mss.0b013e318060111f

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Chan, A.W., Tetzlaff, J.M., Gotzsche, P.C., Altman, D.G., Mann, H., Berlin, J.A., … Moher, D. (2013). SPIRIT 2013 explanation and elaboration: Guidance for protocols of clinical trials. BMJ, 346, e7586. doi:10.1136/bmj.e7586

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Clegg, A., Young, J., Iliffe, S., Rikkert, M.O., & Rockwood, K. (2013). Frailty in elderly people. The Lancet, 381(9868), 752–762. PubMed ID: 23395245 doi:10.1016/S0140-6736(12)62167-9

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York, NY: Lawrence Erlbaum Associates. Retrieved from https://books.google.co.uk/books?id=FnW8tAEACAAJ

    • Search Google Scholar
    • Export Citation

  • Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of health and social behavior,  385–396.

    • Search Google Scholar
    • Export Citation

  • Cohen, S., Mermelstein, R., Kamarck, T., & Hoberman, H.M. (1985). Measuring the functional components of social support. In I. G. Sarason & B. R. Sarason (Eds.), Social support: Theory, research and applications (pp. 73–94). The Hague, Holland: Martinus Nijhoff.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Conlon, J.A., Haff, G.G., Tufano, J.J., & Newton, R.U. (2018). Training load indices, perceived tolerance, and enjoyment among different models of resistance training in older adults. The Journal of Strength & Conditioning Research, 32(3), 867–875. PubMed ID: 29112052

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Davies, D., Atherton, F., McBride, M., & Calderwood, C. (2019). UK chief medical officers’ physical activity guidelines(pp. 1–65). London, UK: Department of Health and Social Care.

    • Search Google Scholar
    • Export Citation

  • Devereux-Fitzgerald, A., Powell, R., Dewhurst, A., & French, D.P. (2016). The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis. Social Science & Medicine, 158, 14–23. PubMed ID: 27104307 doi:10.1016/j.socscimed.2016.04.006

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Dionigi, R.A., & Cannon, J. (2009). Older adults’ perceived changes in physical self-worth associated with resistance training. Research Quarterly for Exercise and Sport, 80(2), 269–280. PubMed ID: 19650393 doi:10.1080/02701367.2009.10599562

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Doody, P., Lord, J.M., & Whittaker, A.C. (2019). Assessing the feasibility and impact of an adapted resistance training intervention, aimed at improving the multi-dimensional health and functional capacity of frail older adults in residential care settings: Protocol for a feasibility study. Pilot and Feasibility Studies, 5, 86. PubMed ID: 31321070 doi:10.1186/s40814-019-0470-1

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Eldridge, S.M., Chan, C.L., Campbell, M.J., Bond, C.M., Hopewell, S., Thabane, L., … Lancaster, G.A. (2016). CONSORT 2010 statement: Extension to randomised pilot and feasibility trials. BMJ, 355, i5239.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ferreira, C.B., Teixeira, P.D.S., Alves Dos Santos, G., Dantas Maya, A.T., Americano do Brasil, P., Souza, V.C., … Nobrega, O.T. (2018). Effects of a 12-week exercise training program on physical function in institutionalized frail elderly. Journal of Aging Research, 2018, 7218102. doi:10.1155/2018/7218102

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ferrucci, L., Guralnik, J.M., Studenski, S., Fried, L.P., Cutler, G.B., Jr., & Walston, J.D. (2004). Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: A consensus report. Journal of the American Geriatrics Society, 52(4), 625–634. doi:10.1111/j.1532-5415.2004.52174.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation

  • Fien, S., Henwood, T., Climstein, M., & Keogh, J.W. (2016). Feasibility and benefits of group-based exercise in residential aged care adults: A pilot study for the GrACE programme. PeerJ, 4, e2018. doi:10.7717/peerj.2018

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Fien, S., Henwood, T., Climstein, M., Rathbone, E., & Keogh, J.W.L. (2019). Exploring the feasibility, sustainability and the benefits of the GrACE + GAIT exercise programme in the residential aged care setting. PeerJ, 7, e6973. doi:10.7717/peerj.6973

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Finnegan, S., Bruce, J., Lamb, S.E., & Griffiths, F. (2015). Predictors of attendance to group exercise: A cohort study of older adults in long-term care facilities. BMC Geriatrics, 15(1), 37. doi:10.1186/s12877-015-0043-y

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Forster, A., Lambley, R., & Young, J.B. (2010). Is physical rehabilitation for older people in long-term care effective? Findings from a systematic review. Age and Ageing, 39(2), 169–175. PubMed ID: 20097661 doi:10.1093/ageing/afp247

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Fragala, M.S., Cadore, E.L., Dorgo, S., Izquierdo, M., Kraemer, W.J., Peterson, M.D., & Ryan, E.D. (2019). Resistance training for older adults: Position statement from the national strength and conditioning association. The Journal of Strength & Conditioning Research, 33(8), 2019–2052. PubMed ID: 31343601 doi:10.1519/JSC.0000000000003230

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Franco, M.R., Tong, A., Howard, K., Sherrington, C., Ferreira, P.H., Pinto, R.Z., & Ferreira, M.L. (2015). Older people’s perspectives on participation in physical activity: A systematic review and thematic synthesis of qualitative literature. British Journal of Sports Medicine, 49(19), 1268–1276. doi:10.1136/bjsports-2014-094015

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Freiberger, E., Kemmler, W., Siegrist, M., & Sieber, C. (2016). Frailty und Trainingsinterventionen: Evidenz und Barrieren fur Bewegungsprogramme [Frailty and exercise interventions: Evidence and barriers for exercise programs]. Zeitschrift für Gerontologie und Geriatrie, 49(7), 606–611. doi:10.1007/s00391-016-1134-x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Fried, L.P., Tangen, C.M., Walston, J., Newman, A.B., Hirsch, C., Gottdiener, J., … Burke, G. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56(3), M146–M157.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Gearhart, R.F., Jr., Lagally, K.M., Riechman, S.E., Andrews, R.D., & Robertson, R.J. (2009). Strength tracking using the OMNI resistance exercise scale in older men and women. The Journal of Strength & Conditioning Research, 23(3), 1011–1015. PubMed ID: 19387373

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Guralnik, J.M., Simonsick, E.M., Ferrucci, L., Glynn, R.J., Berkman, L.F., Blazer, D.G., … Wallace, R.B. (1994). A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology, 49(2), M85–M94. PubMed ID: 8126356 doi:10.1093/geronj/49.2.m85

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hassan, B.H., Hewitt, J., Keogh, J.W., Bermeo, S., Duque, G., & Henwood, T.R. (2016). Impact of resistance training on sarcopenia in nursing care facilities: A pilot study. Geriatric Nursing, 37(2), 116–121. PubMed ID: 26694694 doi:10.1016/j.gerinurse.2015.11.001

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hawley-Hague, H., Horne, M., Skelton, D.A., & Todd, C. (2016). Older adults’ uptake and adherence to exercise classes: Instructors’ perspectives. Journal of Aging and Physical Activity, 24(1), 119–128. PubMed ID: 26214265 doi:10.1123/japa.2014-0108

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Helms, E.R., Cronin, J., Storey, A., & Zourdos, M.C. (2016). Application of the repetitions in reserve-based rating of perceived exertion scale for resistance training. Strength and Conditioning Journal, 38(4), 42. PubMed ID: 27531969

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hertzog, M.A. (2008). Considerations in determining sample size for pilot studies. Research in Nursing & Health, 31(2), 180–191. PubMed ID: 18183564 doi:10.1002/nur.20247

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hewitt, J., Carter, B., McCarthy, K., Pearce, L., Law, J., Wilson, F.V., … Myint, P.K. (2019). Frailty predicts mortality in all emergency surgical admissions regardless of age. An observational study. Age and Ageing, 48(3), 388–394. PubMed ID: 30778528 doi:10.1093/ageing/afy217

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hruda, K.V., Hicks, A.L., & McCartney, N. (2003). Training for muscle power in older adults: Effects on functional abilities. Canadian Journal of Applied Physiology, 28(2), 178–189. PubMed ID: 12825328

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Johnen, B., & Schott, N. (2018). Feasibility of a machine vs free weight strength training program and its effects on physical performance in nursing home residents: A pilot study. Aging Clinical and Experimental Research, 30(7), 819–828. PubMed ID: 28980220 doi:10.1007/s40520-017-0830-8

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kalinowski, S., Wulff, I., Kölzsch, M., Kopke, K., Kreutz, R., & Dräger, D. (2012). Physical activity in nursing homes—Barriers and facilitators: A cross-sectional study. Journal of Aging and Physical Activity, 20(4), 421–441. PubMed ID: 22234875

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Katz, S., Downs, T.D., Cash, H.R., & Grotz, R.C. (1970). Progress in development of the index of ADL. The Gerontologist, 10(1, Pt. 1), 20–30.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kwon, S., Perera, S., Pahor, M., Katula, J., King, A., Groessl, E., & Studenski, S. (2009). What is a meaningful change in physical performance? Findings from a clinical trial in older adults (the LIFE-P Study). The Journal of Nutrition, Health & Aging, 13(6), 538–544.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Latham, N.K., Bennett, D.A., Stretton, C.M., & Anderson, C.S. (2004). Systematic review of progressive resistance strength training in older adults. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 59(1), 48–61. PubMed ID: 14718486 doi:10.1093/gerona/59.1.m48

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lazarus, N.R., & Harridge, S.D.R. (2018). The inherent human aging process and the facilitating role of exercise. Frontiers in Physiology, 9, 1135. doi:10.3389/fphys.2018.01135

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lazowski, D.-A., Ecclestone, N.A., Myers, A.M., Paterson, D.H., Tudor-Locke, C., Fitzgerald, C., … Cunningham, D.A. (1999). A randomized outcome evaluation of group exercise programs in long-term care institutions. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 54(12), M621–M628. doi:10.1093/gerona/54.12.M621

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Liu, C.J., & Latham, N.K. (2009). Progressive resistance strength training for improving physical function in older adults. Cochrane Database of Systematic Reviews, (3), CD002759. doi:10.1002/14651858.CD002759.pub2

    • Search Google Scholar
    • Export Citation

  • Lord, S.R., Castell, S., Corcoran, J., Dayhew, J., Matters, B., Shan, A., & Williams, P. (2003). The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: A randomized, controlled trial. Journal of the American Geriatrics Society, 51(12), 1685–1692. PubMed ID: 14687345

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lui, C.W., Warburton, J., & Bartlett, H. (2009). Doing good and feeling good: The experiences of older volunteers in a university research registry. Educational Gerontology, 35(6), 553–569. doi:10.1080/03601270902834528

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Maestroni, L., Read, P., Bishop, C., Papadopoulos, K., Suchomel, T.J., Comfort, P., & Turner, A. (2020). The benefits of strength training on musculoskeletal system health: Practical applications for interdisciplinary care. Sports Medicine, 50(8), 1431–1450. PubMed ID: 32564299 doi:10.1007/s40279-020-01309-5

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Mård, M., Vaha, J., Heinonen, A., Portegijs, E., Sakari-Rantala, R., Kallinen, M., … Sipilä, S. (2008). The effects of muscle strength and power training on mobility among older hip fracture patients. Advances in Physiotherapy, 10(4), 195–202.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Martin, K.A., & Sinden, A.R. (2001). Who will stay and who will go? A review of older adults’ adherence to randomized controlled trials of exercise. Journal of Aging and Physical Activity, 9(2), 91–114.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • McGill, S. (2006). Ultimate back fitness and performance. Ontario, Canada: Wabuno, Backfitpro Inc.

  • McGill, S. (2010). Core training: Evidence translating to better performance and injury prevention. Strength & Conditioning Journal, 32(3), 33–46.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • McGill, S. (2015). Low back disorders: evidence-based prevention and rehabilitation. Champaign, IL: Human Kinetics.

  • McLeod, J.C., Stokes, T., & Phillips, S.M. (2019). Resistance exercise training as a primary countermeasure to age-related chronic disease [mini review]. Frontiers in Physiology, 10, 645. doi:10.3389/fphys.2019.00645

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Mody, L., Miller, D.K., McGloin, J.M., Freeman, M., Marcantonio, E.R., Magaziner, J., & Studenski, S. (2008). Recruitment and retention of older adults in aging research. Journal of the American Geriatrics Society, 56(12), 2340–2348. doi:10.1111/j.1532-5415.2008.02015.x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Moir, T. (2012). Muscular strength. In Miller G.L. (Ed.), Science of strength and conditioning series: NSCA’s guide to tests and assessment (pp. 147–191). Champaign, IL: Human Kinetics.

    • Search Google Scholar
    • Export Citation

  • Molloy, D.W., Alemayehu, E., & Roberts, R. (1991). Reliability of a standardized mini-mental state examination compared with the traditional mini-mental state examination. American Journal of Psychiatry, 148(1), 102–105.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Morley, J.E., Vellas, B., van Kan, G.A., Anker, S.D., Bauer, J.M., Bernabei, R., … Walston, J. (2013). Frailty consensus: A call to action. Journal of the American Medical Directors Association, 14(6), 392–397. PubMed ID: 23764209 doi:10.1016/j.jamda.2013.03.022

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Mulasso, A., Roppolo, M., Liubicich, M.E., Settanni, M., & Rabagliett, E. (2015). A multicomponent exercise program for older adults living in residential care facilities: Direct and indirect effects on physical functioning. Journal of Aging and Physical Activity, 23(3), 409–416. PubMed ID: 25184507 doi:10.1123/japa.2013-0061

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Neil, S.E., Myring, A., Peeters, M.J., Pirie, I., Jacobs, R., Hunt, M.A., … Campbell, K.L. (2013). Reliability and validity of the Performance Recorder 1 for measuring isometric knee flexor and extensor strength. Physiotherapy Theory and Practice, 29(8), 639–647. PubMed ID: 23724831 doi:10.3109/09593985.2013.779337

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Newton, R., Cormie, P., & Cardinale, M. (2011). Principles of athlete testing. In M. Cardinale, R. Newton, & K. Nosaka (Eds.), Strength and conditioning—Biological principles and practical applications. West Sussex, UK: Wiley Blackwell.

    • Search Google Scholar
    • Export Citation

  • Nowell, L.S., Norris, J.M., White, D.E., & Moules, N.J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1–13. doi:10.1177/1609406917733847

    • Crossref
    • Search Google Scholar
    • Export Citation

  • O’Cathain, A., Hoddinott, P., Lewin, S., Thomas, K.J., Young, B., Adamson, J., Jansen, Y.J., Mills, N., Moore, G., & Donovan, J.L. (2015). Maximising the impact of qualitative research in feasibility studies for randomised controlled trials: Guidance for researchers. Pilot and Feasibility Studies, 1, 32. PubMed ID: 27965810 doi:10.1186/s40814-015-0026-y

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Paw, M.J.C.A., Chin, A., van Uffelen, J.G., Riphagen, I., & van Mechelen, W. (2008). The functional effects of physical exercise training in frail older people. Sports Medicine, 38(9), 781–793.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Perera, S., Mody, S.H., Woodman, R.C., & Studenski, S.A. (2006). Meaningful change and responsiveness in common physical performance measures in older adults. Journal of the American Geriatrics Society, 54(5), 743–749. doi:10.1111/j.1532-5415.2006.00701.x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Peri, K., Kerse, N., Robinson, E., Parsons, M., Parsons, J., & Latham, N. (2008). Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS). Age and Ageing, 37(1), 57–63. doi:10.1093/ageing/afm135

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Provencher, V., Mortenson, W.B., Tanguay-Garneau, L., Bélanger, K., & Dagenais, M. (2014). Challenges and strategies pertaining to recruitment and retention of frail elderly in research studies: A systematic review. Archives of Gerontology and Geriatrics, 59(1), 18–24. PubMed ID: 24745811 doi:10.1016/j.archger.2014.03.006

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Rhodes, R.E., Martin, A.D., Taunton, J.E., Rhodes, E.C., Donnelly, M., & Elliot, J. (1999). Factors associated with exercise adherence among older adults. An individual perspective. Sports Medicine, 28(6), 397–411. PubMed ID: 10623983 doi:10.2165/00007256-199928060-00003

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ribeiro, A.S., Nunes, J.P., & Schoenfeld, B.J. (2020). Selection of resistance exercises for older individuals: the forgotten variable. Sports Medicine, 50(6), 1051–1057. PubMed ID: 32008175 doi:10.1007/s40279-020-01260-5

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Rydeskog, A., Frändin, K., & Hansson Scherman, M. (2009). Elderly people’s experiences of resistance training. Advances in Physiotherapy, 7(4), 162–169. doi:10.1080/14038190500239591

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sahin, U.K., Kirdi, N., Bozoglu, E., Meric, A., Buyukturan, G., Ozturk, A., & Doruk, H. (2018). Effect of low-intensity versus high-intensity resistance training on the functioning of the institutionalized frail elderly. International Journal of Rehabilitation Research, 41(3), 211–217. doi:10.1097/MRR.0000000000000285

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Schober, P., Bossers, S.M., & Schwarte, L.A. (2018). Statistical significance versus clinical importance of observed effect sizes: What do p values and confidence intervals really represent? Anesthesia & Analgesia, 126(3), 1068–1072. PubMed ID: 29337724 doi:10.1213/ANE.0000000000002798

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Serra-Rexach, J.A., Bustamante-Ara, N., Hierro Villarán, M., González Gil, P., Sanz Ibáñez, M.J., Blanco Sanz, N., … Lucia, A. (2011). Short-term, light- to moderate-intensity exercise training improves leg muscle strength in the oldest old: A randomized controlled trial. Journal of the American Geriatrics Society, 59(4), 594–602. PubMed ID: 21453381 doi:10.1111/j.1532-5415.2011.03356.x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sheppard, J.M., & Triplett, N. (2016). Program design for resistance training. In G.G. Haff & N.T. Triplett (Eds.), Essentials of strength training and conditioning (4th ed., pp. 439–470). Champaign, IL: Human Kinetics.

    • Search Google Scholar
    • Export Citation

  • Shvedko, A., Whittaker, A.C., Thompson, J.L., & Greig, C.A. (2018). Physical activity interventions for treatment of social isolation, loneliness or low social support in older adults: A systematic review and meta-analysis of randomised controlled trials. Psychology of Sport and Exercise, 34, 128–137. doi:10.1016/j.psychsport.2017.10.003

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Skelton, D.A., & Mavroeidi, A. (2018). How do muscle and bone strengthening and balance activities (MBSBA) vary across the life course, and are there particular ages where MBSBA are most important? J Frailty Sarcopenia Falls, 3(2), 74–84. doi:10.22540/JFSF-03-074

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Slade, S.C., Dionne, C.E., Underwood, M., & Buchbinder, R. (2016). Consensus on Exercise Reporting Template (CERT): Explanation and elaboration statement. British Journal of Sports Medicine, 50(23), 1428–1437. doi:10.1136/bjsports-2016-096651

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Smith, G.L., Banting, L., Eime, R., O’Sullivan, G., & Van Uffelen, J.G. (2017). The association between social support and physical activity in older adults: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 1–21.

    • Search Google Scholar
    • Export Citation

  • Tarazona-Santabalbina, F.J., Gomez-Cabrera, M.C., Perez-Ros, P., Martinez-Arnau, F.M., Cabo, H., Tsaparas, K., … Vina, J. (2016). A multicomponent exercise intervention that reverses frailty and improves cognition, emotion, and social networking in the community-dwelling frail elderly: A randomized clinical trial. Journal of the American Medical Directors Association, 17(5), 426–433. PubMed ID: 26947059 doi:10.1016/j.jamda.2016.01.019

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Theou, O., Cann, L., Blodgett, J., Wallace, L.M., Brothers, T.D., & Rockwood, K. (2015). Modifications to the frailty phenotype criteria: Systematic review of the current literature and investigation of 262 frailty phenotypes in the Survey of Health, Ageing, and Retirement in Europe. Ageing Research Reviews, 21, 78–94. PubMed ID: 25846451 doi:10.1016/j.arr.2015.04.001

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Theou, O., Stathokostas, L., Roland, K.P., Jakobi, J.M., Patterson, C., Vandervoort, A.A., & Jones, G.R. (2011). The effectiveness of exercise interventions for the management of frailty: A systematic review. Journal of Aging Research, 2011, 569194. PubMed ID: 21584244 doi:10.4061/2011/569194

    • Crossref
    • Search Google Scholar
    • Export Citation

  • United Nations Department of Economic and Social Affairs Population Division. (2019). World population ageing 2019: Highlights (ST/ESA/SER.A/430). New York, NY: United Nations.

    • Search Google Scholar
    • Export Citation

  • Valenzuela, T. (2012). Efficacy of progressive resistance training interventions in older adults in nursing homes: A systematic review. Journal of the American Medical Directors Association, 13(5), 418–428. PubMed ID: 22169509 doi:10.1016/j.jamda.2011.11.001

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Valenzuela, T., Okubo, Y., Woodbury, A., Lord, S.R., & Delbaere, K. (2018). Adherence to technology-based exercise programs in older adults: A systematic review. Journal of Geriatric Physical Therapy, 41(1), 49–61. PubMed ID: 27362526 doi:10.1519/JPT.0000000000000095

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Verkhoshansky, Y., & Siff, M.C. (2009). Supertraining. Rome, Italy: Verkhoshansky SSTM.

  • Whittaker, A.C., Asamane, E.A., Aunger, J.A., Bondarev, D., Cabbia, A., Doody, P.D., … Rodrigues, B. (2019). Physical Activity and Nutrition INfluences in Ageing: Current findings from the PANINI project. Advances in Geriatric Medicine and Research, 1, e190005. doi:10.20900/agmr20190005

    • Search Google Scholar
    • Export Citation

  • Wilson, K.S., & Spink, K.S. (2006). Exploring older adults’ social influences for physical activity. Activities, Adaptation & Aging, 30(3), 47–60. doi:10.1300/J016v30n03_03

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Windle, G., Hughes, D., Linck, P., Russell, I., & Woods, B. (2010). Is exercise effective in promoting mental well-being in older age? A systematic review. Aging & Mental Health, 14(6), 652–669. PubMed ID: 20686977 doi:10.1080/13607861003713232

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Xue, Q.L. (2011). The frailty syndrome: Definition and natural history. Clinics in Geriatric Medicine, 27(1), 1–15. PubMed ID: 21093718 doi:10.1016/j.cger.2010.08.009

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Yesavage, J.A., Brink, T.L., Rose, T.L., Lum, O., Huang, V., Adey, M., & Leirer, V.O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–49.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Zigmond, A.S., & Snaith, R.P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. PubMed ID: 6880820 doi:10.1111/j.1600-0447.1983.tb09716.x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Zourdos, M.C., Klemp, A., Dolan, C., Quiles, J.M., Schau, K.A., Jo, E., … Blanco, R. (2016). Novel resistance training–specific rating of perceived exertion scale measuring repetitions in reserve. The Journal of Strength & Conditioning Research, 30(1), 267–275. PubMed ID: 26049792 doi:10.1519/jsc.0000000000001049

    • Crossref
    • Search Google Scholar
    • Export Citation
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