ABSTRACT
BACKGROUND: People with intellectual disabilities (ID) have low levels of physical activity (PA) together with accelerated aging profiles. Adherence to PA interventions for persons with ID is low based on barriers such as motivation. The IDEA study aims to determine the effect of two types of exercise programs, continuous aerobic (CAEP) vs sprint interval training (SIT), designed for seniors with ID on health-related physical fitness, cardiovascular parameters, quality of life (QoL), and emotional and cognitive function. METHODS: In this trial, ninety seniors with ID between the ages of 40 and 75 yrs. from occupational health centers from the Autonomous Region of Catalonia (Spain) will be recruited. Participants will be randomly allocated to the CAEP, SIT, and control group. Both intervention groups will train 3 days/week, 1.5 h/day over 6 months. Outcome variables will be assessed at baseline, 6 months and 12 months. The outcome variables include weight, height, body composition, cardiorespiratory fitness, muscle strength, balance, flexibility, cardiovascular parameters (blood pressure, pulse-wave velocity, pulse-wave analysis), QoL and cognitive function. The intervention effect will be determined with mixed models with repeated measures to assess changes in the outcome variables over time (baseline to month 12) and between study arms. Relationship between variables will be analyzed with appropriate regression analyses. DISCUSSION: Various studies reported on CAEP and SIT as exercise interventions for persons with ID with beneficial outcomes on body composition, fitness and blood pressure. To our knowledge, this is the first trial designed to analyse the positive changes on fitness, PA levels, cardiovascular, QoL and cognitive function promoted by CAEP training and SIT in seniors with ID. The findings of this study will assist in the development of more effective exercise interventions to ensure better compliance and adherence to exercise in seniors with ID. TRIAL REGISTRATION: The trial is registered at the ISRCTN registry. Registration number: ISRCTN43594228 . Registered 11 February 2019 - Retrospectively registered.
Subject(s)
Aging , Cognition , Emotions , Exercise Therapy/methods , Exercise , Intellectual Disability/complications , Physical Fitness , Activities of Daily Living , Adult , Aged , Body Composition , Cardiorespiratory Fitness , Exercise/physiology , Exercise/psychology , Exercise Therapy/psychology , Female , Health Services for Persons with Disabilities , Health Services for the Aged , Humans , Intellectual Disability/psychology , Male , Middle Aged , Muscle Strength/physiology , Physical Fitness/physiology , Physical Fitness/psychology , Quality of Life , Randomized Controlled Trials as Topic , Research Design , Sedentary Behavior , SpainABSTRACT
Resumen Barnet-López, S., Arbonés-García, M., Pérez-Testor, S. y Guerra-Balic., M. (2017). Construcción del registro de observación para el análisis del movimiento fundamentado en la teoría de Laban. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 15(2), 1-21. En este artículo se describe el proceso de construcción de un Registro de Observación inspirado en el Análisis del Movimiento de Laban (ROAM) en personas con Discapacidad Intelectual (DI). La aplicación del ROAM permite obtener una medida objetiva y estandarizada sobre las tendencias generales de movimiento de la persona, además de poder utilizarse en observaciones pre y post intervenciones y así conocer los cambios de movimiento del individuo. El del ROAM se desarrolló en varias fases, en la primera de las cuales se identificaron los elementos básicos para el registro y se realizaron diversas versiones del ROAM mediante la técnica de jueces expertos. En las fases posteriores se realizó el estudio exploratorio, utilizando el registro para evaluar dos sesiones de danza movimiento terapia en un grupo de adultos con DI. Los resultados muestran que el ROAM presenta unos buenos índices de validez de contenido y de fiabilidad inter e intra observadores (0.72), por tanto, el ROAM permitió analizar las características generales del movimiento de las personas con DI que participaron en el estudio exploratorio.
Abstract Barnet-López, S., Arbonés-García, M., Pérez-Testor, S. & Guerra-Balic., M. (2017). Development of an Observation Instrument for Recording Movement Analysis based on Laban's Theory. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 15(2), 1-21. This paper describes the development process of an observation record inspired in Laban's Movement Analysis (ROAM) for Intellectually Disabled (ID) people. An objective and standardized measurement of a person's general movement tendencies can be obtained from ROAM, in addition to making observations before and after an intervention, therefore learning about movement changes of an individual. The design of ROAM was developed in several stages: for the first one, basic elements were identified for the record and different versions of ROAM were created using the expert judges technique. Later stages involved an exploratory study, where two sessions of movement-dance therapy were evaluated in a group of ID adults using the record. Our results show that ROAM exhibits good indexes for content validity as well as intra- and inter-observer reliability (0.72). Thus, we conclude that ROAM allowed us to analyze the general movement characteristics of intellectually disabled individuals participating in this exploratory study.
Resumo Barnet-López, S., Arbonés-García, M., Pérez-Testor, S. & Guerra-Balic., M. (2017). Construção do registro de observação para a análise do movimento fundamentado na teoría de Laban. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 15(2), 1-21. Neste artigo se descreve o processo de construção de um Registro de Observação inspirado na Análise do Movimento de Laban (ROAM) em pessoas com Deficiência Intelectual (DI). A aplicação do ROAM permite obter uma medida objetiva e padronizada sobre as tendências gerais de movimento da pessoa, além de ser possível sua utilização em observações pré e pós intervenções e assim conhecer as mudanças de movimento do indivíduo. O desenho do ROAM foi desenvolvido em várias fases, na primeira das quais se identificaram os elementos básicos para o registro e realizaram diversas versões de ROAM através da técnica de juízes peritos. Nas fases posteriores foi realizado o estudo exploratório, utilizando o registro para avaliar duas sessões de dança movimento terapia em um grupo de adultos com DI. Os resultados mostram que o ROAM apresenta alguns bons índices de validade de conteúdo e de fiabilidade inter e intraobservadores (0,72), portanto, o ROAM permitiu analisar as características gerais do movimento das pessoas com DI que participaram no estudo exploratório.
