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| Name | Class |
|---|---|
| University of Eastern Finland | OTHER |
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Apparently healthy and well-functioning community dwelling 70-80 year-olds will be recruited to the study. All subjects undergo pre-screening for suitability and a physicians examination, as well as 7-day habitual daily steps are measured to ascertain baseline physical activity. Half of the recruited subjects (n=40) will be randomized into the intervention group and half (n=40) randomized into the control group. The intervention group is then required to reduce their daily steps to <2000 for a 2-week period. Thereafter, the intervention group participates to a 4-week strength+endurance training rehabilitation program and no longer has restricted daily step count. The control group continues their normal habitual physical activity level throughout the 6-week study period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Two weeks of daily step reduction (limited to 2000 steps per day) followed by four weeks of supervised gym-based exercise rehabilitation (twice per week strength training and twice per week cycle endurance training) |
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| Control group | No Intervention | Continued monitoring of habitual daily step count without structured intervention. Classic control. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Step-reduction/Exercise Rehab | Behavioral | 2-week limited daily steps (<2000), and then 4 weeks of typical strength+endurance exercise for older adults |
|
| Measure | Description | Time Frame |
|---|---|---|
| Lean leg mass | DXA-measured total lean mass of the legs | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Whole-body fat mass | DXA-measured total body fat mass | 6 weeks |
| Maximum isometric leg extension force | Maximum strength of legs | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Simon Walker, PhD | University of Jyväskylä, Finland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Jyväskylä | Jyväskylä | Central Finland | 40014 | Finland |
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| ID | Term |
|---|---|
| D001836 | Body Weight Changes |
| D051346 | Mobility Limitation |
| ID | Term |
|---|---|
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Randomized Controlled Trial, with 2 parallel groups
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| Walking economy | Oxygen uptake while walking at 3 and 5 km.h-1 | 6 weeks |
| Short Physical Performance Battery (SPPB) | Walking, balance and chair-rise tests | 6 weeks |
| Blood pressure | Systolic and diastolic blood pressure during rest (sitting) | 6 weeks |
| HOMA indices | Blood glucose and insulin concentration based calculations related to insulin resistance and beta-cell function | 6 weeks |
| White blood cell respiration | Isolated white blood cell respiration as a marker for mitochondrial function | 6 weeks |