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[Development and Effects of Combined Exercise Program for Older Adults with Sarcopenia Based on Transtheoretical
1Department of Nursing, Daegu Science University, Daegu, Korea.
Journal of Korean Academy of Nursing
|January 8, 2019
Summary
This study shows a combined exercise program, based on the transtheoretical model (TTM), effectively improved muscle health and physical performance in older adults with sarcopenia.
Area of Science:
- Gerontology
- Exercise Science
- Behavioral Medicine
Background:
- Sarcopenia is a significant health concern in older adults, leading to reduced muscle mass and physical function.
- The transtheoretical model (TTM) provides a framework for understanding and intervening in behavior change, including exercise adoption.
- Targeting older adults with sarcopenia in early stages of TTM readiness is crucial for effective intervention.
Purpose of the Study:
- To develop and evaluate a combined exercise program for older adults diagnosed with sarcopenia.
- To integrate transtheoretical model (TTM) strategies into the exercise program to enhance behavioral change.
- To assess the program's impact on exercise behavior, self-efficacy, muscle parameters, and physical performance.
Main Methods:
- A non-equivalent control group, pretest-posttest design was employed with 43 older adults with sarcopenia.
- The experimental group (n=22) participated in a 12-week program combining 60 minutes of exercise and 10 minutes of TTM-based strategies per session.
- Data analysis included independent t-tests and Mann-Whitney U tests to compare outcomes between groups.
Main Results:
- The experimental group demonstrated significant improvements in the process of exercise behavior change compared to the control group.
- Participants in the intervention group showed enhanced decisional balance regarding exercise behavior and increased exercise self-efficacy.
- Significant positive changes were observed in muscle parameters and overall physical performance levels in the intervention group.
Conclusions:
- The developed combined exercise program, grounded in the transtheoretical model (TTM), proved effective for older adults with sarcopenia.
- This TTM-based intervention can be recommended as a valuable nursing strategy to manage sarcopenia in the elderly.
- The findings highlight the potential of tailored, behaviorally informed exercise programs to improve health outcomes in aging populations.
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