The Effects of Group and Home-Based Exercise Programs in Elderly with Sarcopenia: A Randomized Controlled Trial
Open accessAbstract
Physical exercise is effective for sarcopenic elderly but evidence for the most effective mode of exercise is conflicting. The objective of this study was to investigate the effects of a three-month group-based versus home-based exercise program on muscular, functional/physical performance and quality of life (QoL) across elderly with sarcopenia. 54 elderly (47 women, 7 men aged 72.87 ± 7 years) were randomly assigned to one of three interventions: supervised group (n = 18), individualized home-based exercise (n = 18) and control group (n = 18). Body composition was determined by bioelectrical impedance analysis, calf measurement with inelastic tape and strength assessments (grip and knee muscle strength) via hand-held and isokinetic dynamometers. Functional assessments included four-meter (4 m), Τimed-Up and Go (TUG) and chair stand (CS) tests. QoL was assessed with Greek Sarcopenia Quality of Life (SarQol_GR) questionnaire. Outcomes were assessed at baseline, immediately post-intervention (week 12), and 3 months post-intervention (week 24). Significant group x time interactions (p < 0.001) were observed in QoL, calf circumference, TUG, CS, and 4 m tests, grip and knee muscle strength. Group-based compared to home-based exercise yielded significant improvements (p < 0.05) in muscle mass index, CS and 4 m tests, calf circumference, muscle strength at 12 weeks. Most improvements at 24 weeks were reported with grouped exercise. No changes were found across the control group. Results suggest group-based exercise was more effective than home-based for improving functional performance.
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Evidence for the most effective type of exercise for sarcopenia is conflicting.
“In practice, exercise is the fundamental intervention for sarcopenia, but evidence for the most effective type of exercise is conflicting. 16 , 17 , 18 , 19 , 20”
From Exercise for sarcopenia in older people: A systematic review and network meta‐analysis (2023) · cites this paper as [17]
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- Authors
- Tsekoura, M., Billis, E., Tsepis, E., Dimitriadis, Z., Matzaroglou, C., Tyllianakis, M., Panagiotopoulos, E., & Gliatis, J.
- Affiliations
- Department of Physiotherapy, School of Health and Welfare, Technological Educational Institute (TEI) of Western Greece, 25100 Aigio, Greece
- Technological Educational Institute of Western Greece (GR)
- University General Hospital Attikon (GR)
- University of Patras (GR)
- ORCID
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2018-11-26
- Volume
- 7
- Issue
- 12
- Pages
- 480
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC6306785
- OpenAlex
- W2902825479
- Cited by
- 142
- References
- 77
- Citations by year
- 2026: 15 · 2025: 14 · 2024: 22 · 2023: 26 · 2022: 17 · 2021: 25 · 2020: 18 · 2019: 4 · 2017: 1
- FWCI
- 8.06
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- sarcopenia, older adults, group exercise, home-based exercise, supervised exercise, muscle strength, functional performance, quality of life, muscle mass index, calf circumference, grip strength, knee muscle strength, Timed Up and Go test, chair stand test, 4-meter walk test
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