The Impact of Supervised Exercise on the Psychological Well-Being and Health Status of Older Veterans

Abstract

This study examined the impact of supervised exercise on the health status (measured by the Sickness Impact Profile [SIP]) and well-being (measured by the Psychological General Well- Being Index [PGWB]) of a sample of 43 elderly veterans. The intervention consisted of 90 minutes of exercise, 3 days per week at 70% of maximal capacity. Twenty-three (53%) partici pants completed a 1-year follow-up. The mean PGWB score increased significantly from 83.0 ± 15.8 to 89.4 ± 8.9 (p = .01). Cardiovascular fitness (measured by treadmill performance) increased significantly (p = .004). Baseline SIP scores were low (little dysfunction) and changed little. The study suggests that small but significant improvements in well-being accompany physiological benefits that the elderly experience with exercise.

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References

American College of Sports Medicine. (1986 ). Guidelines for exercise testing and prescription Philadelphia: Lea & Febiger.

Badenhop, D.T. , Cleary, P.A. , Schaal, S.F. , Fox, E.L. , & Bartels, R.L. (1983). Physiological adjustments to higher or lower-intensity exercise in elders Medicine and Science in Sports and Exercise , 15,496-502.

Balke, B. , & Ware, R.W. (1959). An experimental study of physical fitness of Air Force personnel United States Armed Forces Medical Journal , 10, 675-688.

Bergner, M. , Bobbitt, R.A. , Carter, W.B. , & Gilson, B.S. (1981). The sickness impact profile: Development and final revision of a health status measure. Medical Care , 19, 787-805.

Blumenthal, J.A. , Emery, C.F. , Madden, D.J. , George, L.K. , Coleman, R.E. , Riddle, M.W. , McKee, D.C. , Reasoner, J. , & Williams, R.S. (1989). Cardiovascular and behavioral effects of aerobic exercise training in healthy older men and women. Journal of Gerontology: Medical Sciences, 44, M147-M157.

Blumenthal, J.A. , Schocken, D. , Needels, T.L. , & Hindle, P. (1982). Psychological and physiological effects of physical conditioning on the elderly. Journal of Psychosomatic Research , 26, 505-510.

Cunningham, D.A. , & Rechnitzer, P.A. (1987). Exercise training of men at retirement: Aclinical trial. Journal of Gerontology , 42, 17-23.

Dienstfrey, S.J. (1984). State profiles of the veteran population: Statistical portraits from the 1980 census Washington, DC: Veterans Administration, Office of Information Management and Statistics, Statistical Policy and Research Service.

Dishman, R. K. (Ed.). (1988). Exercise adherence. Champaign, IL: Human Kinetics Publishers.

10.

Dishman, R.K. , Sallis, J.F. , & Orenstein, D.R. (1985). The determinants of physical activity and exercise. Public Health Reports , 100, 158-171.

11.

Dupuy, H.J. (1984). The psychological general well-being (PGWB) index . In N. K. Wenger, M. E. Mattson, C. D. Furburg, & J. Elinson (Eds.), Assessment of quality of life in clinical trials of cardiovascular therapies (pp. 170-183). New York: Le Jacq Publishing Company.

12.

Fazio, A.F. (1977). A concurrent validation study of the NCHS general well-being schedule. Vital and Health Statistics (Series 2, No. 73; DHEW Publication No. HRA 78-1347, 1-45). Hyattsville, MD: National Center for Health Statistics.

13.

Folkins, C.H. , & Sime, W.E. (1981). Physical fitness training and mental health. American Psychologist, 36, 373-389.

14.

Frontera, W.R. , Meredith, C.N. , O'Reilly, K.P. , Knuttgen, H.G. , & Evans, R.W. (1988). Strength conditioning in older men: Skeletal muscle hypertrophy and improved function. Journal of Applied Physiology, 64, 1038-1044.

15.

Grimby, G. (1988). Physical activity and effects of muscle training in the elderly Annals of Clinical Research, 20, 62-66.

16.

Hart, G.L. , & Evans, R.W. (1987). The functional status of ESRD patients as measured by the SIP. Journal of Chronic Diseases, 40(Suppl. 1), 117S-130S.

17.

Herzog, A.R. , & Rodgers, W.L. (1986). Satisfaction among older adults In F. M. Andrews (Ed.) Research on the quality of life (pp. 235-251). Ann Arbor: University of Michigan.

18.

Karvonen, M. , Kentala, K. , & Mustala, O. (1957). The effects of training heart rate: A longitudinal study. Annals Medicinae Experimentalis at Biologiae Fenniae , 35, 305-315.

19.

McSweeney, A.J. , Grant, I. , Heaton, R.K. , Adams, K.M. , & Timms, R.M. (1982). Life quality of patients with chronic obstructive pulmonary disease. Archives of Internal Medicine , 142, 473-78.

20.

Morey, M.C. , Cowper, P.A. , Feussner, J.R. , DiPasquale, R.C. , Crowley, G.M. , Kitzman, D.W. , & Sullivan, R.J. (1989). Evaluation of a supervised exercise program in a geriatric population. Journal of the American Geriatrics Society, 37 , 348-354.

21.

Norkin, C.S. (1985). Measurement of joint motion: A guide to goniometry Philadelphia, PA: Davis.

22.

Palmore, E. , & Kivett, V. (1977). Change in life satisfaction: A longitudinal study of persons aged 46-70 Journal of Gerontology , 32, 311-316.

23.

Perri, S. , & Templar, D.I. (1984-85). The effects of an aerobic exercise program on psychological variables in older adults. International Journal of Aging and Human Development, 20, 167-171.

24.

Seals, D.R. , Hagberg, J.M. , Hurley, B.F. , Ehsani, A.A. , & Holloszy, J.O. (1984). Endurance training in older men and women: Cardiovascular responses to exercise Journal of Applied Physiology, 57, 1024-1029.

25.

Shephard, R.J. (1985). Physical fitness: Exercise and aging. In S. J. Pathy (Ed.) Principles and practice of geriatric medicine (pp. 163-177). New York: Wiley.

26.

Sidney, K.H. , & Shephard, R.J. (1976). Attitudes towards health and physical activity in the elderly Medicine and Science in Sports, 8, 246-252.

27.

Stacy, C. , Kozma, A. , & Stones, M.J. (1985). Simple cognitive and behavioral changes resulting from improved physical fitness in persons over 50 years of age Canadian Journal on Aging, 4,67-74.

28.

Stamford, B.A. (1972). Physiological effects of training upon institutionalized geriatric men. Journal of Gerontology, 28, 451-455.

29.

Taylor, T. , (1983). The hydrafitness omnikinetic training Belton, TX: Hydra-Fitness Industries.

30.

Yeo, G. , Ingram, L. , Skurnick, J. , & Crapo, L. (1987). Effects of a geriatric clinic on functional health and well-being of elders. Journal of Gerontology , 42, 252-258.