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• W2617376427 abstract "PURPOSE: Gerofit is an outpatient facility-based clinical exercise program for Veterans ≥65 years that was developed at the Durham VA Medical Center. This model was implemented at the Baltimore VA Medical Center (BVAMC) Geriatric Research Education and Clinical Center (GRECC) in 2013. Participants in Gerofit receive individualized exercise programs based on their functional assessments to improve function and mobility. We assessed lower extremity function and mobility changes in Veterans who completed 2 years of Gerofit. METHODS: Older Veterans (≥65 yr) with primary care at the BVAMC were referred to Gerofit. Veterans attended Gerofit sessions up to 3 d/wk. Assessments included measures of: lower extremity function (Short Physical Performance Battery (SPPB); 30 second chair stands), endurance (six-minute walk (6MW)), gait speed (10 meter walk), agility (8 foot up and go (TUG)) and balance (four-square step test (FSST)). A repeated measure ANOVA was used to compare function and mobility changes at baseline, 1 and 2 yrs of participation. When significant differences were found a Bonferroni Post-hoc was used. RESULTS: Twenty-five Veterans (24 male, 69.7 ± 4.2 yr (mean ± SD), 72% African American, BMI 32.9 ± 6.5 kg/m2) completed 2 yr of Gerofit. Data are presented as baseline, 1 yr, 2 yr. Lower extremity function improved 37% between baseline and 2 yr testing as measured by chair stands (12.1 ± 5, 15.6 ± 7.1, 16.6 ± 8.1; p < 0.01). Endurance increased 12% (502.8 ± 146.1, 533.5 ± 179.6, 563.9 ± 176; p < 0.01). TUG scores decreased 15% (7.6 ± 2.2, 6.9 ± 2.6, 6.7 ± 2.7; p < 0.05) and FSST decreased 8.7% (11.2 ± 3.8, 9.8 ± 3.3,10.3 ± 5.6; p< 0.05). SPPB and 10 meter walk did not significantly improve (p= 0.15 and p= 0.78). No test resulted in significant changes between 1 yr and 2 yr (p≥ 0.20). CONCLUSIONS: Veterans who participated in two years of Gerofit demonstrated significant improvements in dynamic balance, including lower body function, endurance, and agility. The SPPB did not significantly change and this may be due to a ceiling effect as baseline scores were 10 out of 12. These results demonstrate participation in Gerofit results in the significant changes in function after 1 year. These changes are maintained with exercise for a second year and suggest the importance of adhering to an exercise program to maintain physical function with aging." @default.
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• W2617376427 date "2017-05-01" @default.
• W2617376427 modified "2023-10-18" @default.
• W2617376427 title "Continued Improvement and Maintenance in Older Veterans After Two Years of Gerofit Exercise Program" @default.
• W2617376427 doi "https://doi.org/10.1249/01.mss.0000518555.77177.25" @default.
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