Evaluating the impact of aerobic and resistance green exercises on the fitness, aerobic and intrinsic capacity of older individuals

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dc.contributor.authorYıldırım Ayaz, Elif
dc.contributor.authorDinçer, Berna
dc.contributor.authorMete, Emel
dc.contributor.authorKaygusuz Benli, Reyhan
dc.contributor.authorCinbaz, Gülser
dc.contributor.authorKaracan, Esra
dc.contributor.authorCankül, Ayşegül
dc.contributor.authorMesçi, Banu
dc.date.accessioned2023-12-18T06:49:13Z
dc.date.available2023-12-18T06:49:13Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractObjective: Our study determined the impact of 12-week aerobic exercise (AE) and aerobic + resistance exercises (AE + RE) within the green exercise concept, on senior fitness, aerobic capacity, and intrinsic capacity (IC). Methods: The study was a multicenter, randomized controlled study conducted at two senior living facilities with individuals aged 65 and above whose cardiorespiratory and musculoskeletal conditions are suitable for moderate exercise and who have normal cognition levels. Block randomization was applied to 96 participants in a ratio of 1:1:1 to be assigned to AE, AE + RE, and control (C) groups. Intervention groups received exercise sessions led by physiotherapists within the senior living facilitiy gardens, with a frequency of once a week for 50 min, for 12 weeks. Also, they were prescribed additional exercise sessions on two additional days of the week. At the commencement of the study and 12th week, shuttle walking test, senior fitness test (SFT), intrinsic capacity assessment (with Timed Up and Go test, Mini Mental State Examination, Geriatric Depression Scale-15, Mini Nutritional Assessment, handgrip strength test) was conducted of all participants. The primary outcome was the Z score of IC, secondary outcomes were VO2max and SFT subparameters. The study was registered in the Protocol Registry and Results System (Clinicaltrials.gov PRS) with the registration number NCT05958745. Results: 90 participants successfully completed the study, with 30 individuals in each of the AE, AE + RE, and C groups. By the end of the 12th week, the arm curl score was significantly higher in the AE + RE compared to the C (mean difference: 3.96, 95 % CI= 2.47 to 5.46, p = 0.01). There were significant differences in chair stand, two-minute step, 8-foot up-and-go, chair sit and reach, and back scratch tests in both AE and AE + RE compared to C. AE and AE + RE exhibited significantly higher shuttle test distances and VO2max values compared to the C (p < 0.0001). AE + RE achieved a significantly higher total IC score than the C (mean difference: 0.59, %95 CI= -0.07 to 1.26, p = 0.025). Conclusion: In this study within the green exercise concept, both AE and AE + RE led to similar improvements in strength, flexibility, mobility, endurance, and aerobic capacity. Notably, AE + RE demonstrated an additional benefit by increasing the total IC, while AE alone did not exhibit the same effect.
dc.description.sponsorshipMinistry of Family and Social Servicesen_US
dc.identifier.citationYıldırım Ayaz, E., Dinçer, B., Mete, E., Kaygusuz Benli, R., Cinbaz, G., Karacan, E. ... Mesçi, B. (2024). Evaluating the impact of aerobic and resistance green exercises on the fitness, aerobic and intrinsic capacity of older individuals. Archives of Gerontology and Geriatrics, 118. https://dx.doi.org/10.1016/j.archger.2023.105281
dc.identifier.doi10.1016/j.archger.2023.105281
dc.identifier.issn0167-4943
dc.identifier.issn1872-6976
dc.identifier.pmid38056100
dc.identifier.scopus2-s2.0-85179054983
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://dx.doi.org/10.1016/j.archger.2023.105281
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12016
dc.identifier.volume118
dc.identifier.wos001134945100001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorCankül, Ayşegül
dc.language.isoen
dc.publisherElsevier Ireland Ltd
dc.relation.ispartofArchives of Gerontology and Geriatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAerobic Capacity
dc.subjectGreen Exercise
dc.subjectIntrinsic Capacity
dc.subjectOlder Individuals
dc.subjectSenior Fitness
dc.titleEvaluating the impact of aerobic and resistance green exercises on the fitness, aerobic and intrinsic capacity of older individuals
dc.typeArticle

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