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Title: Resistance training versus aerobic exercise to improve physical function in older adults
Authors: Privitera, Gianluca
Keywords: Weight training
Exercise for older people
Aerobic exercises
Issue Date: 2018
Citation: Privitera, G. (2018). Resistance training versus aerobic exercise to improve physical function in older adults (Bachelor's dissertation).
Abstract: Overview of Topic: Ground-breaking advancements in medicine, health status and social policy have led to an increased life expectancy (Davies, 2011). Physical inactivity is associated with ability-threatening conditions, which can be prevented through regular physical activity. Physical function is often defined as the ability to independently carry out activities of daily living. This study aims to address the effectiveness of resistance training versus aerobic exercise, to improve physical function in older adults. Research Question: ‘Is resistance training more effective in improving physical function in older adults, when compared to aerobic exercise?’ PICO Framework: The population (P) addressed in the research question was ‘older adults’; this includes adults over the age of 60. The intervention (I) studied was ‘aerobic exercise’. This intervention was compared (C) to resistance training. The final outcome (O) observed was ‘improved physical function’. Inclusion Criteria: This dissertation includes systematic reviews and randomised controlled trials (RCTs), articles published after 2007, articles available in the English language, articles available in full text, populations of older adults with no contraindications to exercise, studies which research the effects of aerobic exercise versus resistance exercise and studies featuring measurements of physical function. Exclusion Criteria: This dissertation excludes articles published prior to 2007, publications in languages other than English, abstract only articles, populations younger than 60 years, studies which only include a combination of resistance and aerobic exercise and cognitive outcomes of physical exercise. Outcome of the Search: Five randomised controlled trials (RCTs) were identified to be relevant to the research question. Method: The keywords were used as search terms, using the Boolean operator ‘AND’ to create different combinations. The inclusion and exclusion criteria were used to narrow the search through limiters. Five databases were searched; CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Science Direct and PubMed. The results were manually screened for eligibility, using the inclusion and exclusion criteria. The CASP Randomised Controlled Trials Checklist was used to appraise the studies identified. Results: Five key studies were identified, all of which were randomised controlled trials. The results were inconclusive and did not prove resistance training to be more effective in improving physical function, when compared to aerobic exercise. However, a combination of both modes of exercise was suggested. Conclusions:While it could be concluded that a combination of both interventions would effectively improve physical function in older adults, more studies are required to identify the effects of specific training modes on different components of physical function, to be able to be used as effective treatment in older adults. Implications and Recommendations: Implementing evidence-based measures into practice would require efforts of management, education, research and practice. The most important recommendations include creating frameworks and protocols in order to standardise care and educating nurses through a variety of efforts, in order to implement the findings into rehabilitative and preventive practices.
Description: B.SC.(HONS)NURSING
Appears in Collections:Dissertations - FacHSc - 2018
Dissertations - FacHScNur - 2018

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