ARTÍCULO
TITULO

Multicomponent Training in Progressive Phases Improves Functional Capacity, Physical Capacity, Quality of Life, and Exercise Motivation in Community-Dwelling Older Adults: A Randomized Clinical Trial

Emilio Jofré-Saldía    
Álvaro Villalobos-Gorigoitía    
Cristián Cofré-Bolados    
Gerson Ferrari and Gemma María Gea-García    

Resumen

Objective: To evaluate the effect of a multicomponent progressive training program (MPTP) on functionality, quality of life (QoL) and motivation to exercise (EM) in a group of older adults (OA) of a community. Methods: A total of 55 participants of 69.42 ± 6.01 years of age were randomized into two groups; experimental (EG:35) and control (CG:20), and subjected to 27 weeks of MPTP. Functionality (pre/post-intervention) was assessed using the Short Physical Performance Battery (SPPB), Time Up and Go (TUG), Walking While Talking Test (WWT), Manual Dynamometry (MD), Forced Expiratory Volume in the first second (FEV1), Sit and Reach (SR), Back Scratch (BS), and walk for 2 min (2 mST). QoL was assessed using the SF-36 questionnaire and EM using the BREQ-3. The Kolmogorov?Smirnov and Levene tests were applied. A two-way repeated measures ANOVA was applied. A significance level of p < 0.05 was accepted for all comparisons. Results: The EG compared to the CG improved in SPPB (?EG/CG: 29.67%/p < 0.001), TUG (?EG/CG: 35.70%/p < 0.05), WWT (?EG/CG: 42.93%/p < 0.001), MD (?EG/CG: 20.40%/p < 0.05), FEV1 (?EG/CG: 21.37%/p < 0.05), BS (?EG/CG: 80.34%/p < 0.05), 2 mST (?EG/CG: 33.02%/p < 0.05), SF-36 (?EG/CG: 13.85%/p < 0.001), and Intrinsic Regulation (?EG/CG: 27.97%/p < 0.001); Identified by regulation (?EG/CG: 9.29%/p < 0.05). Conclusion: An MPTP improves functionality, QoL and EM, and is a safe and effective method for community OAs.

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