Effects of a physical activity and nutrition program in retirement villages

a cluster randomised controlled trial

Jonine Jancey (Lead / Corresponding author), Anne-Marie Holt, Andy Lee, Deborah Kerr, Suzanne Robinson, Li Tang, A. S. Anderson, Andrew Hills, Peter Howat

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    Abstract

    Background: This cluster randomised controlled trial aimed to determine if a 6 months home-based intervention could improve the physical activity and dietary behaviours of adults aged 60 to 80 years living in retirement villages located in Perth, Western Australia.
    Methods: Participants (n=363) from 38 retirement villages were recruited into the trial and allocated to the intervention (n=197: 17 sites) or control (n=166: 21 sites) group and were blinded. Previously validated instruments-Fat and Fibre Barometer and International Physical Activity Questionnaire, along with anthropometric measures (weight, height, waist and hip circumferences) and blood pressure were collected at baseline and 6 month time period. Comparisons between intervention and control groups were undertaken pre- and post- intervention using univariate chi-square and t-tests. Multi-level mixed regression analyses were then conducted to ascertain the effects of the intervention on changes in the outcome variables over time and between groups.
    Results: A total of 139 (70.5%) intervention and 141 (84.9%) control group participants completed program and post-test assessments. The intervention group demonstrated significant increases in time (80 minutes more per week on average) devoted to moderate-intensity physical activity, engagement in strength exercises (from 23.7% to 48.2%), frequency of fruit consumed as well as fat avoidance and fibre intake scores, in addition to 0.5 kg mean reduction in weight post program, whereas no apparent changes were observed in the control group. Mixed regression results further confirmed statistically significant improvements in weight loss (p<0.05), engagement in strength exercises (p<0.001) and fruit intake (p=0.012) by the intervention participants at post-test relative to their controls.
    Conclusions: Retirement offers a time to reassess lifestyle, and adopt positive health enhancing physical activity and dietary behaviours. This intervention was successful in improving weight, engagement in strength exercises, increasing levels of moderate-intensity physical activity and consumption of fruit among retirement village residents. Further investigation is needed on how to better engage retirement village managers in such programs.
    Trial Registration: Australia and New Zealand Clinical Trial Registry (ACTRN12612001168842) registered November 2, 2012.
    Original languageEnglish
    Article number92
    Pages (from-to)1-10
    Number of pages10
    JournalInternational Journal of Behavioral Nutrition and Physical Activity
    Volume14
    DOIs
    Publication statusPublished - 11 Jul 2017

    Fingerprint

    Retirement
    Randomized Controlled Trials
    Fruit
    Control Groups
    Weight Loss
    Fats
    Weights and Measures
    Western Australia
    Waist Circumference
    Chi-Square Distribution
    New Zealand
    Registries
    Life Style
    Hip
    Regression Analysis
    Clinical Trials
    Blood Pressure
    Health

    Keywords

    • Retirement villages
    • Physical activity
    • Strength exercise
    • Walking
    • Fruit and vegetable intake
    • Weight management

    Cite this

    Jancey, Jonine ; Holt, Anne-Marie ; Lee, Andy ; Kerr, Deborah ; Robinson, Suzanne ; Tang, Li ; Anderson, A. S. ; Hills, Andrew ; Howat, Peter. / Effects of a physical activity and nutrition program in retirement villages : a cluster randomised controlled trial. In: International Journal of Behavioral Nutrition and Physical Activity. 2017 ; Vol. 14. pp. 1-10.
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    title = "Effects of a physical activity and nutrition program in retirement villages: a cluster randomised controlled trial",
    abstract = "Background: This cluster randomised controlled trial aimed to determine if a 6 months home-based intervention could improve the physical activity and dietary behaviours of adults aged 60 to 80 years living in retirement villages located in Perth, Western Australia.Methods: Participants (n=363) from 38 retirement villages were recruited into the trial and allocated to the intervention (n=197: 17 sites) or control (n=166: 21 sites) group and were blinded. Previously validated instruments-Fat and Fibre Barometer and International Physical Activity Questionnaire, along with anthropometric measures (weight, height, waist and hip circumferences) and blood pressure were collected at baseline and 6 month time period. Comparisons between intervention and control groups were undertaken pre- and post- intervention using univariate chi-square and t-tests. Multi-level mixed regression analyses were then conducted to ascertain the effects of the intervention on changes in the outcome variables over time and between groups.Results: A total of 139 (70.5{\%}) intervention and 141 (84.9{\%}) control group participants completed program and post-test assessments. The intervention group demonstrated significant increases in time (80 minutes more per week on average) devoted to moderate-intensity physical activity, engagement in strength exercises (from 23.7{\%} to 48.2{\%}), frequency of fruit consumed as well as fat avoidance and fibre intake scores, in addition to 0.5 kg mean reduction in weight post program, whereas no apparent changes were observed in the control group. Mixed regression results further confirmed statistically significant improvements in weight loss (p<0.05), engagement in strength exercises (p<0.001) and fruit intake (p=0.012) by the intervention participants at post-test relative to their controls.Conclusions: Retirement offers a time to reassess lifestyle, and adopt positive health enhancing physical activity and dietary behaviours. This intervention was successful in improving weight, engagement in strength exercises, increasing levels of moderate-intensity physical activity and consumption of fruit among retirement village residents. Further investigation is needed on how to better engage retirement village managers in such programs.Trial Registration: Australia and New Zealand Clinical Trial Registry (ACTRN12612001168842) registered November 2, 2012.",
    keywords = "Retirement villages, Physical activity, Strength exercise, Walking, Fruit and vegetable intake, Weight management",
    author = "Jonine Jancey and Anne-Marie Holt and Andy Lee and Deborah Kerr and Suzanne Robinson and Li Tang and Anderson, {A. S.} and Andrew Hills and Peter Howat",
    note = "Funding: Healthway, Australia; Western Australian Health Promotion Foundation.",
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    Effects of a physical activity and nutrition program in retirement villages : a cluster randomised controlled trial. / Jancey, Jonine (Lead / Corresponding author); Holt, Anne-Marie; Lee, Andy; Kerr, Deborah; Robinson, Suzanne; Tang, Li; Anderson, A. S.; Hills, Andrew ; Howat, Peter.

    In: International Journal of Behavioral Nutrition and Physical Activity, Vol. 14, 92, 11.07.2017, p. 1-10.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Effects of a physical activity and nutrition program in retirement villages

    T2 - a cluster randomised controlled trial

    AU - Jancey, Jonine

    AU - Holt, Anne-Marie

    AU - Lee, Andy

    AU - Kerr, Deborah

    AU - Robinson, Suzanne

    AU - Tang, Li

    AU - Anderson, A. S.

    AU - Hills, Andrew

    AU - Howat, Peter

    N1 - Funding: Healthway, Australia; Western Australian Health Promotion Foundation.

    PY - 2017/7/11

    Y1 - 2017/7/11

    N2 - Background: This cluster randomised controlled trial aimed to determine if a 6 months home-based intervention could improve the physical activity and dietary behaviours of adults aged 60 to 80 years living in retirement villages located in Perth, Western Australia.Methods: Participants (n=363) from 38 retirement villages were recruited into the trial and allocated to the intervention (n=197: 17 sites) or control (n=166: 21 sites) group and were blinded. Previously validated instruments-Fat and Fibre Barometer and International Physical Activity Questionnaire, along with anthropometric measures (weight, height, waist and hip circumferences) and blood pressure were collected at baseline and 6 month time period. Comparisons between intervention and control groups were undertaken pre- and post- intervention using univariate chi-square and t-tests. Multi-level mixed regression analyses were then conducted to ascertain the effects of the intervention on changes in the outcome variables over time and between groups.Results: A total of 139 (70.5%) intervention and 141 (84.9%) control group participants completed program and post-test assessments. The intervention group demonstrated significant increases in time (80 minutes more per week on average) devoted to moderate-intensity physical activity, engagement in strength exercises (from 23.7% to 48.2%), frequency of fruit consumed as well as fat avoidance and fibre intake scores, in addition to 0.5 kg mean reduction in weight post program, whereas no apparent changes were observed in the control group. Mixed regression results further confirmed statistically significant improvements in weight loss (p<0.05), engagement in strength exercises (p<0.001) and fruit intake (p=0.012) by the intervention participants at post-test relative to their controls.Conclusions: Retirement offers a time to reassess lifestyle, and adopt positive health enhancing physical activity and dietary behaviours. This intervention was successful in improving weight, engagement in strength exercises, increasing levels of moderate-intensity physical activity and consumption of fruit among retirement village residents. Further investigation is needed on how to better engage retirement village managers in such programs.Trial Registration: Australia and New Zealand Clinical Trial Registry (ACTRN12612001168842) registered November 2, 2012.

    AB - Background: This cluster randomised controlled trial aimed to determine if a 6 months home-based intervention could improve the physical activity and dietary behaviours of adults aged 60 to 80 years living in retirement villages located in Perth, Western Australia.Methods: Participants (n=363) from 38 retirement villages were recruited into the trial and allocated to the intervention (n=197: 17 sites) or control (n=166: 21 sites) group and were blinded. Previously validated instruments-Fat and Fibre Barometer and International Physical Activity Questionnaire, along with anthropometric measures (weight, height, waist and hip circumferences) and blood pressure were collected at baseline and 6 month time period. Comparisons between intervention and control groups were undertaken pre- and post- intervention using univariate chi-square and t-tests. Multi-level mixed regression analyses were then conducted to ascertain the effects of the intervention on changes in the outcome variables over time and between groups.Results: A total of 139 (70.5%) intervention and 141 (84.9%) control group participants completed program and post-test assessments. The intervention group demonstrated significant increases in time (80 minutes more per week on average) devoted to moderate-intensity physical activity, engagement in strength exercises (from 23.7% to 48.2%), frequency of fruit consumed as well as fat avoidance and fibre intake scores, in addition to 0.5 kg mean reduction in weight post program, whereas no apparent changes were observed in the control group. Mixed regression results further confirmed statistically significant improvements in weight loss (p<0.05), engagement in strength exercises (p<0.001) and fruit intake (p=0.012) by the intervention participants at post-test relative to their controls.Conclusions: Retirement offers a time to reassess lifestyle, and adopt positive health enhancing physical activity and dietary behaviours. This intervention was successful in improving weight, engagement in strength exercises, increasing levels of moderate-intensity physical activity and consumption of fruit among retirement village residents. Further investigation is needed on how to better engage retirement village managers in such programs.Trial Registration: Australia and New Zealand Clinical Trial Registry (ACTRN12612001168842) registered November 2, 2012.

    KW - Retirement villages

    KW - Physical activity

    KW - Strength exercise

    KW - Walking

    KW - Fruit and vegetable intake

    KW - Weight management

    U2 - 10.1186/s12966-017-0543-6

    DO - 10.1186/s12966-017-0543-6

    M3 - Article

    VL - 14

    SP - 1

    EP - 10

    JO - International Journal of Behavioral Nutrition and Physical Activity

    JF - International Journal of Behavioral Nutrition and Physical Activity

    SN - 1479-5868

    M1 - 92

    ER -