Relationships Between Exercise and Emotion Regulation on Physical Activity in Frail Older Adults



Status:Completed
Conditions:Orthopedic
Therapuetic Areas:Orthopedics / Podiatry
Healthy:No
Age Range:60 - 90
Updated:5/4/2018
Start Date:April 2015
End Date:January 2016

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Does Exercise-induced Improvements in Emotion Regulation Enhance Daily Physical Activity and Well-being in Frail Sedentary Older Adults?

Frailty in older adults is a consequence of physical inactivity, which leads to poor physical
function, disability and poor health outcomes. Nearly 60% of older adults report inactivity.
Emotion regulation strategies have affective, cognitive and social consequences. Positive
emotions are significantly associated with a higher ability to perform activities of daily
living. There is a gap in the understanding of how exercise influences the selection of
emotion regulation strategies (avoidant vs. adaptive) in frail older adults. The
investigators propose to examine the interactions between regular exercise, selection of
emotional regulation strategies, and daily physical activity in frail sedentary older adults.

1. Determine the choice of emotion regulation strategies used by frail sedentary older
adults (60+ years; n=24). Frailty will be defined as a gait speed <0.8 m/sec.

Hypothesis: Frail sedentary older adults will choose avoidant emotion regulation
strategies.

2. Examine whether a peer-led, community-based, group-exercise program lasting 12-weeks
improves the selection of emotion regulation strategies in frail sedentary older adults
as compared to those receiving support services (12/group).

Hypothesis: Exercise will result in higher use of adaptive emotion regulation strategies
than support services.

3. Examine if improved selection of emotional regulation strategies with exercise
translates into increased daily physical activity and reduced sedentary behavior by
frail older adults as compared to those receiving support services.

Hypothesis: Exercise will significantly increase daily physical activity and decrease
sedentary behavior than support services.

4. Determine if improvements in emotional regulation strategy selection and daily physical
activity levels positively influence health and well-being (i.e. health status, physical
function, mood, depressive symptoms, anxiety, and sense of loneliness and isolation).

Hypothesis: Exercise-induced improvements in emotion regulation and increased daily physical
activity will be associated with improved overall health and well-being as compared to
support services.

Inclusion Criteria:

- Community-dwelling older adults 60+ years of age

- Men and women

- Frail older adults with impaired mobility (gait speed < 0.8 m/sec)

- Sedentary older adults

Exclusion Criteria:

- Unable to give consent

- Unable to exercise

- Unable to travel to the community site

- Unstable chronic conditions
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