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Effects of Multi-component Exercise on Physical Performance and Sleep Quality in Older Adults

18. maj 2026 opdateret af: Yi-Ling Tseng, Tunghai University

Effects of a Multi-component Group Exercise Program on Physical Performance and Sleep Quality in Older Adults: A Quasi-Experimental Study

This quasi-experimental study evaluated the effects of an 8-week multi-component group exercise program on physical performance and sleep quality among community-dwelling older adults in Taiwan. Participants were recruited from four community care sites in central Taiwan. The intervention group participated in a structured exercise program consisting of aerobic, resistance, balance, and flexibility training conducted at a university-affiliated senior fitness club, while the control group maintained their usual community activities.

Primary outcomes included physical performance and sleep quality. Physical performance was assessed using gait speed, chair stand, arm curl, grip strength, balance, and walking tests. Sleep quality was measured using the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI). Heart rate recovery was evaluated as a secondary outcome. Pre- and post-intervention assessments were conducted to determine the effectiveness of the intervention.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Population ageing increases the importance of interventions that promote healthy ageing and prevent functional decline. Exercise interventions have demonstrated benefits for mobility, muscular strength, balance, cardiovascular health, and quality of life in older adults. However, evidence regarding structured multi-component exercise programs integrated with senior-friendly smart fitness equipment and their effects on sleep quality remains limited.

This study aimed to evaluate the effects of an 8-week multi-component group exercise program on physical performance and sleep quality in community-dwelling older adults in Taiwan. The intervention was designed according to the American College of Sports Medicine (ACSM) recommendations for older adults and incorporated aerobic exercise, resistance training, balance training, and flexibility exercises.

Participants in the intervention group attended weekly 100-minute exercise sessions consisting of warm-up activities, whole-body vibration training, treadmill or stationary bicycle aerobic exercise, hydraulic-based isokinetic resistance training, and cool-down exercises. Exercise intensity was monitored using heart rate and session rating of perceived exertion (sRPE). The control group maintained their regular community activities without structured exercise intervention.

The primary outcomes were changes in physical performance and sleep quality. Secondary outcomes included heart rate recovery as an indicator of cardiovascular fitness. This study provides evidence regarding the feasibility and effectiveness of community-based multi-component exercise programs for older adults.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

80

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Taiwan
      • Taichung, Taiwan, 407224
        • Tunghai University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Ældre voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Community-dwelling older adults aged 65 to 90 years.
  • Able to communicate in Mandarin or Taiwanese.
  • Able to participate in exercise activities.
  • Provided written informed consent.

Exclusion Criteria:

  • Contraindications to exercise, including recent myocardial infarction, acute cardiovascular events, acute infection, or renal disease symptoms.
  • Use of ambulatory assistive devices.
  • Regular physical activity exceeding 150 minutes per week.
  • Positive responses indicating elevated exercise risk on the Physical Activity Readiness Questionnaire (PAR-Q).

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: an 8-week multi-component group exercise program
Participants attended weekly 100-minute supervised exercise sessions including warm-up stretching, aerobic exercise using treadmills and stationary bicycles, whole-body vibration training, resistance exercise using hydraulic isokinetic equipment, and cool-down activities. Exercise intensity was monitored using heart rate and perceived exertion.
Adfærdsmæssigt: Multi-component Group Exercise Program
Participants attended weekly 100-minute supervised exercise sessions including warm-up stretching, aerobic exercise using treadmills and stationary bicycles, whole-body vibration training, resistance exercise using hydraulic isokinetic equipment, and cool-down activities. Exercise intensity was monitored using heart rate and perceived exertion.
Andre navne:
  • Dyrke motion
Ingen indgriben: Routine community activities
Control Group: Participants continued their routine community activities without participating in the structured exercise intervention.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
the 4-meter Gait Speed Test
Tidsramme: Baseline and week 8
4-meter Gait Speed Test
Baseline and week 8
Chair Stand Test
Tidsramme: Baseline and week 8
The Chair Stand Test assesses lower-body muscle strength by measuring the time required for participants to complete five chair stands consecutively with arms crossed over the chest.
Baseline and week 8
30-second Arm Curl Test
Tidsramme: baseline and week 8
The 30-second Arm Curl Test assesses upper-body muscle endurance by counting the number of arm curls completed within 30 seconds using a dumbbell weighing 2.27 kg for women and 3.63 kg for men.
baseline and week 8
Grip Strength Test
Tidsramme: baseline and week 8
The Grip Strength Test assesses hand muscle strength using a hand dynamometer. Participants perform maximal grip force with the dominant hand, and the measured force is recorded in kilograms.
baseline and week 8
Side-by-Side Stand Test
Tidsramme: baseline and week 8
The Side-by-Side Stand Test assesses static balance by measuring the participant's ability to maintain a side-by-side standing position without assistance.
baseline and week 8
Tandem Stand Test
Tidsramme: baseline and week 8
The Tandem Stand Test assesses static balance by measuring the length of time participants can maintain a heel-to-toe standing position, up to a maximum of 10 seconds.
baseline and week 8
2.44-meter Timed Walk Test
Tidsramme: baseline and week 8
The 2.44-meter Timed Walk Test assesses mobility and dynamic balance by recording the time required for participants to stand up from a seated position, walk 2.44 meters around a cone, and return to the chair.
baseline and week 8
Sleep Quality
Tidsramme: Baseline and week 8
Assessment of sleep quality using the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI)
Baseline and week 8

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Heart Rate Recovery
Tidsramme: baseline and weekly from Week 1 to Week 8
Assessment of cardiovascular recovery using heart rate recovery measured two minutes after treadmill exercise
baseline and weekly from Week 1 to Week 8

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Tunghai University

Samarbejdspartnere

Ministry of Education, Taiwan

Efterforskere

  • Ledende efterforsker: Yi-Ling Tseng, MSN, Tunghai University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

29. maj 2024

Primær færdiggørelse (Faktiske)

19. december 2024

Studieafslutning (Faktiske)

18. maj 2025

Datoer for studieregistrering

Først indsendt

12. maj 2026

Først indsendt, der opfyldte QC-kriterier

18. maj 2026

Først opslået (Faktiske)

20. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

20. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

18. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • CS1-24033

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