Author
COCORAN, MICHAEL - Friedman School Of Nutrition | |
NELSON, MIRIAM - Friedman School Of Nutrition | |
SACHECK, JENNIFER - Jean Mayer Human Nutrition Research Center On Aging At Tufts University | |
REID, KIERAN - Jean Mayer Human Nutrition Research Center On Aging At Tufts University | |
KIRN, DYLAN - Jean Mayer Human Nutrition Research Center On Aging At Tufts University | |
FIELDING, ROGER - Jean Mayer Human Nutrition Research Center On Aging At Tufts University | |
CHUI, KENNETH - Tufts University | |
FOLTA, SARA - Friedman School Of Nutrition |
Submitted to: Journal of Aging and Physical Activity
Publication Type: Peer Reviewed Journal Publication Acceptance Date: 12/3/2016 Publication Date: 6/28/2017 Citation: Cocoran, M., Nelson, M.E., Sacheck, J., Reid, K.F., Kirn, D., Fielding, R.A., Chui, K.K., Folta, S.C. 2017. Efficacy of an exercise and nutritional supplement program on physical performance and nutritional status in older adults with mobility limitations residing at senior living facilities. Journal of Aging and Physical Activity. 25(3):453-463. https://doi.org/10.1123/japa.2016-0173. Interpretive Summary: This study was designed to determine the effects of a 6-month exercise-nutritional supplement program (ENP) on physical function and nutritional status for older adults and the feasibility of implementing this program in a senior living setting. Twenty senior living facilities were randomized to either a 3 day per week group-based ENP led by a trained facility staff member or a health education program (SAP). Participants completed a short physical performance battery, 400-m walk, handgrip strength test, and mini-nutrition assessment. 25-hydroxyvitamin D [25(OH)D], insulin-like growth-factor 1 (IGF-1), and activity level were also measured. The ENP did not significantly improve physical function or nutritional status compared with the SAP. Compared with baseline, participants in the ENP engaged in 39 min less physical activity per week at 6 months. Several facility characteristics hindered implementation of the ENP. This study highlights the complexity of implementing an evidence-based program in a field setting. Technical Abstract: This cluster-randomized trial was designed to determine the efficacy of a 6-month exercise-nutritional supplement program (ENP) on physical function and nutritional status for older adults and the feasibility of implementing this program in a senior living setting. Twenty senior living facilities were randomized to either a three day per week group-based ENP led by a trained facility staff member or a health education program (SAP). Participants (N=121) completed a short physical performance battery, 400 meter walk, handgrip strength test, and mini-nutrition assessment. 25-hydroxyvitamin D [25(OH)D], 8 Insulin-like growth-factor 1 (IGF-1) and activity level were also measured. The ENP did not significantly improve physical function or nutritional status compared with the SAP. Compared with baseline, participants in the ENP engaged in 39 minutes less physical activity per week at 6-months. Several facility characteristics hindered implementation of the ENP. This study highlights the complexity of implementing an evidence-based program in a field setting. |