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Titolo:
A RANDOMIZED TRIAL COMPARING AEROBIC EXERCISE AND RESISTANCE EXERCISEWITH A HEALTH-EDUCATION PROGRAM IN OLDER ADULTS WITH KNEE OSTEOARTHRITIS - THE FITNESS ARTHRITIS AND SENIORS TRIAL (FAST)
Autore:
ETTINGER WH; BURNS R; MESSIER SP; APPLEGATE W; REJESKI WJ; MORGAN T; SHUMAKER S; BERRY MJ; OTOOLE M; MONU J; CRAVEN T;
Indirizzi:
MED CTR BLVD WINSTON SALEM NC 27157 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT INTERNAL MED WINSTON SALEM NC 27103 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT PUBL HLTH SCI WINSTON SALEMNC 27103 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT RADIOL WINSTON SALEM NC 27103 WAKE FOREST UNIV,DEPT HLTH & SPORT SCI WINSTON SALEM NC 27103 UNIV TENNESSEE,DEPT INTERNAL MED MEMPHIS TN 00000 UNIV TENNESSEE,DEPT PREVENT MED MEMPHIS TN 00000 UNIV TENNESSEE,DEPT ORTHOPAED SURG MEMPHIS TN 00000
Titolo Testata:
JAMA, the journal of the American Medical Association
fascicolo: 1, volume: 277, anno: 1997,
pagine: 25 - 31
SICI:
0098-7484(1997)277:1<25:ARTCAE>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
OSTEO-ARTHRITIS; DISABILITY; PERFORMANCE; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
W.H. Ettinger et al., "A RANDOMIZED TRIAL COMPARING AEROBIC EXERCISE AND RESISTANCE EXERCISEWITH A HEALTH-EDUCATION PROGRAM IN OLDER ADULTS WITH KNEE OSTEOARTHRITIS - THE FITNESS ARTHRITIS AND SENIORS TRIAL (FAST)", JAMA, the journal of the American Medical Association, 277(1), 1997, pp. 25-31

Abstract

Objective.-To determine the effects of structured exercise programs on self-reported disability in older adults with knee osteoarthritis. Setting and Design.-A randomized, single-blind clinical trial lasting 18 months conducted at 2 academic medical centers, Participants.-A total of 439 community-dwelling adults, aged 60 years or order, with radiographically evident knee osteoarthritis, pain, and self-reported physical disability. Interventions.-An aerobic exercise program, a resistance exercise program, and a health education program. Main Outcome Measures.-The primary outcome was self-reported disability score (range, 1-5). The secondary outcomes were knee pain score (range, 1-6), performance measures of physical function, x-ray score, aerobic capacity, andknee muscle strength. Results.-A total of 365 (83%) participants completed the trial, Overall compliance with the exercise prescription was68% in the aerobic training group and 70% in the resistance training group. Postrandomization, participants in the aerobic exercise group had a 10% lower adjusted mean (+/-SE) score on the physical disability questionnaire (1.71+/-0.03 vs 1.90+/-0.04 units; P<.001), a 12% lower score on the knee pain questionnaire (2.1+/-0.05 vs 2.4+/-0.05 units; P=.001), and performed better (mean [+/-SE]) on the 6-minute walk test(1507+/-16 vs 1349+/-16 ft; P<,001), mean (+/-SE) time to climb and descend stairs (12.7+/-0.4 vs 13.9+/-0.4 seconds; P=.05), time to lift and carry 10 pounds (9.1+/-0.2 vs 10.0+/-0.1 seconds; P<,001), and mean (+/-SE) time to get in and out of a car (8.7+/-0.3 vs 10.6+/-0.3 seconds; P<.001) than the health education group, The resistance exercisegroup had an 8% lower score on the physical disability questionnaire (1.74+/-0.04 vs 1.90+/-0.03 units; P=.003), 8% lower pain score (2.2+/-0.06 vs 2,4+/-0.05 units; P=.02), greater distance on the 6-minute walk (1406+/-17 vs 1349+/-16 ft; P=.02), faster times on the lifting andcarrying task (9.3+/-0.1 vs 10.0+/-0.16 seconds; P=.001), and the cartask (9.0+/-0.3 vs 10.6+/-0.3 seconds; P=.003) than the health education group. There were no differences in x-ray scores between either exercise group and the health education group, Conclusions.-Older disabled persons with osteoarthritis of the knee had modest improvements in measures of disability, physical performance, and pain from participating in either an aerobic or a resistance exercise program. These data suggest that exercise should be prescribed as part of the treatment for knee osteoarthritis.

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Documento generato il 28/11/20 alle ore 09:48:18