Loss of muscle strength, flexibility, and balance are strong predictors of falls in the elderly. Objectives: The goal of this research was to investigate the effectiveness of a 10-week, strength-based exercise program delivered by Extension professionals. Methods: Matched pair t tests were used to compare differences in five measures of fitness collected from 808 participants (mean age = 65.4 years) at the start and finish of the exercise program. Results: Following programming, participants significantly improved strength, flexibility, and balance. Discussion: Results indicate that an evidence-based program can be translated into a community Extension program that is able to improve the fitness level of seniors.
AlexanderN. B.SchultzA. B.WarwickD. N. (1991). Rising from a chair: Effects of age and functional ability on performance biomechanics. Journal of Gerontology, 46, M91-M98.
2.
CollinsF. S. (2011). Reengineering translational science: The time is right. Science Translational Medicine, 3, Article 90cm17. doi:10.1126/scitranslmed.3002747
3.
CsukaM.McCartyD. J. (1985). Simple method for measurement of lower extremity muscle strength. American Journal of Medicine, 78, 77-81.
4.
FieldingR. A.RejeskiW. J.BlairS.ChurchT.EspelandM. A.GillT. M.. . .PahorM. (2011). The lifestyle interventions and independence for elders study: Design and methods. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 66, 1226-1237. doi:10.1093/gerona/gln041
5.
GehlsenG. M.WhaleyM. H. (1990). Falls in the elderly: Part II, Balance, strength, and flexibility. Archives of Physical Medicine and Rehabilitation, 71, 739-741.
6.
JetteA. M.BranchL. G.BerlinJ. (1990). Musculoskeletal impairments and physical disablement among the aged. Journal of Gerontology, 45, M203-M208.
7.
KangM.RussR. (2009). Activities that promote wellness for older adults in rural communities. Journal of Extension, 47, Article RIB2. Retrieved from http://www.joe.org/joe/2009october/rb2.php
8.
Klotzbach-ShimomuraK. (2001). Project health bones: An osteoporosis prevention program for older adults. Journal of Extension, 39, Article 3IAW6. Retrieved from http://www.joe.org/joe/2001june/iw6.php
9.
LimS. S.VosT.FlaxmanA. D.DanaeiG.ShibuyaK.Adair-RohaniH.. . .MemishZ. A. (2013). A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380, 2224-2260.
10.
LordS. R.WardJ. A.WilliamsP.AnsteyK. J. (1994). Physiological factors associated with falls in older community-dwelling women. Journal of the American Geriatrics Society, 42, 1110-1117.
11.
MacCullochP. A.GardnerT.BonnerA. (2007). Comprehensive fall prevention programs across settings: A review of the literature. Geriatric Nursing, 28, 306-311.
12.
MacraeP. G.LacourseM.MoldavonR. (1992). Physical performance measures that predict faller status in community-dwelling older adults. Journal of Orthopeadic & Sports Physical Therapy, 16, 123-128.
13.
MarottoliR. A.RichardsonE. D.StoweM. H.MillerE. G.BrassL. M.CooneyL. M.Jr.TinettiM. E. (1998). Development of a test battery to identify older drivers at risk for self-reported adverse driving events. Journal of American Geriatric Society, 46, 562-568.
14.
MartinM.KressigR. W.RöckeC. (2011). Maintaining and promoting mobility and functional independence in older adults. Gerontology, 57, 237-238. doi:10.1159/000322193
15.
MorelandJ. D.RichardsonJ. A.GoldsmithC. H.ClaseC. M. (2004). Muscle weakness and falls in older adults: A systematic review and meta-analysis. Journal of the American Geriatrics Society, 52, 1121-1129.
16.
NelsonM. (2000). Special supplement to Tufts University Health & Nutrition Letter. In School of Nutritional Science and Policy (Ed.) Tufts University.
17.
NelsonM. E.FiataroneM. A.MorgantiC. M.TriceI.GreenbergR. A.EvansW. J. (1994). Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. The Journal of the American Medical Association, 272, 1909-1914.
18.
OrrR.de VosN. J.SinghN. A.RossD. A.StavrinosT. M.Fiatarone-SinghM. A. (2006). Power training improves balance in healthy older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 61, 78-85.
19.
PodsiadloD.RichardsonS. (1991). The timed “up & go”: A test of basic functional mobility for frail elderly persons. Journal of American Geriatric Society, 39, 142-148.
RoseD. J.JonesC. J.LuccheseN. (2002). Predicting the probability of falls in community residng older adults using the 8-foot up-and-go: A new measure of functional mobility. Journal of Aging and Physical Activity, 10, 446-475.
22.
ShortK. R.VittoneJ. L.BigelowM. L.ProctorD. N.NairK. S. (2004). Age and aerobic exercise training effects on whole body and muscle protein metabolism. American Journal of Physiology-Endocrinology and Metabolism, 286, E92-E101.
23.
TinettiM. E.WilliamsT. F.MayewskiR. (1986). Fall risk index for elderly patients based on number of chronic disabilities. American Journal of Medicine, 80, 429-434.
24.
VisserM.SchaapL. A. (2011). Consequences of sarcopenia. Clinics in Geriatric Medicine, 27, 387-399.
25.
WiacekM.HagnerW. (2008). The history and economic impact on the functional fitness of elderly in the South-Eastern region of Poland: A comparison with US citizens. Archive of Gerontology and Geriatrics, 46, 221-226. doi:10.1016/j.archger.2007.04.002
