Gait parameters in physically active and inactive elderly as well as young community-living people.

BACKGROUND: This study aimed to reveal the effects of a complex exercise program on gait among older people through analyzing the gait parameters in three groups: 1) older individuals participating in complex exercise program called 60+; 2) older individuals who were physically inactive; and 3) young individuals. METHODS: Fifty-seven community-living individuals were enrolled in this study. Variability of step length, step time, step width, and double support ratio as well as automaticity were measured. RESULTS: We found that the variability of step length, step time, and double support ratio, as well as the cognitive automaticity index of physically inactive elderly individuals were significantly worse compared to both physically active elderly (step length P=0.007; step time P=0.002; double support ratio P=0.036; cognitive automaticity index P=0.006) and young individuals (step length P<0.001; step time P<0.001; double support ratio P=0.001; cognitive automaticity index P=0.003). However, the variability of gait step width did not differ among the three groups. CONCLUSIONS: This study demonstrated that 60+ program has beneficial effects on gait parameters. Thus, the 60+ program can enrich the range of geriatric exercise programs aiming to improve gait safety.

Study of the effects of multimodal exercise program on physical fitness and health perception in community-living Hungarian older adults.

BACKGROUND: The aim of this study was to investigate the effects on fitness indicators and subjective health-perception of a multimodal exercise program provided by a district in Budapest among community-living seniors. METHODS: Sixty community-living older adults aged over 60 years formed beginner group (who were at the beginning of the exercise program), advanced group (who had been in the programme for 3-6 months), active group (who had been participating in the exercise program for at least 6 months, in addition to Nordic walking program) and a physically inactive control group. Balance, functional mobility, lower and upper limb strength, lower and upper body flexibility, aerobic endurance and self-reported health perception were measured at baseline, and after a 12-week follow-up period. RESULTS: The beginner group and the advanced group improved in upper body flexibility (beginner Δ=1.2; d=0.83; advanced: Δ=1.7; d=1.39), lower body flexibility (beginner: Δ=1.7, d=0.484; advanced: Δ=1.9; d=1.55), lower limb strength (beginner: Δ=1.47; d=0.84; advanced: Δ=1.57; d=0.72), and functional mobility (beginner: Δ=-0.6; d=0.54; advanced: Δ=-0.4; d=0.90). There were also improvements in aerobic endurance (Δ=11.06; d=0.96) and balance (Δ=1.6; d=0.62) of beginner group. These indicators declined in the control group. Indicators of the active group did not change. The self-perceived health status declined (Δ=-13.9; d=0.73) in the control group but did not change in any exercising groups. CONCLUSIONS: This multimodal exercise program can be effective among community-living older adults, even in Hungary, a country where geriatric physical activity is not widespread. Therefore, it would be useful to extend this model program to other settlements as well.