Abstract

The broad, long-term objective of this study is to develop an intervention for older patients that can be used to increase compliance to physical activity prescriptions in rehabilitation programs with chronic diseases. The goal of the present study is to contrast a traditional 3 month outpatient cardiac rehabilitation program with a lifestyle activity intervention of a long term (12-month) maintenance physical activity. The lifestyle intervention program uses both group and individual behavior change strategies to motivate and teach participants how to self-regulate the level of physical activity in their daily lives. Th primary a priori hypothesis to be evaluated is that the lifestyle group will have a higher weekly frequency and total volume of physical activity at the 12 month assessment period than will participants in the traditional group. Secondary outcomes of interest include 12 month effects of the treatments on physiologic function, disability and health- related quality of life. To this end we will recruit 160 men and women between the ages of 60 and 80 years. Fifty percent of the sample recruited will be women with 20 per cent of the sample being African American.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Comprehensive Center (P60)
Project #
2P60AG010484-07
Application #
6267562
Study Section
Project Start
1998-07-01
Project End
1999-06-30
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
7
Fiscal Year
1998
Total Cost
Indirect Cost

  Institution

Name
Wake Forest University Health Sciences
Department
Type
DUNS #
041418799
City
Winston-Salem
State
NC
Country
United States
Zip Code
27106

  Publications

Li, Yanhong; Levy, Wayne C; Neilson, Matthew P et al. (2014) Associations between seattle heart failure model scores and medical resource use and costs: findings from HF-ACTION. J Card Fail 20:541-7
Li, Yanhong; Neilson, Matthew P; Whellan, David J et al. (2013) Associations between Seattle Heart Failure Model scores and health utilities: findings from HF-ACTION. J Card Fail 19:311-6
Flynn, Kathryn E; Lin, Li; Moe, Gordon W et al. (2012) Relationships between changes in patient-reported health status and functional capacity in outpatients with heart failure. Am Heart J 163:88-94.e3
Swank, Ann M; Horton, John; Fleg, Jerome L et al. (2012) Modest increase in peak VO2 is related to better clinical outcomes in chronic heart failure patients: results from heart failure and a controlled trial to investigate outcomes of exercise training. Circ Heart Fail 5:579-85
Miller, G D; Nicklas, B J; Davis, C C et al. (2012) Basal growth hormone concentration increased following a weight loss focused dietary intervention in older overweight and obese women. J Nutr Health Aging 16:169-74
Reed, Shelby D; Li, Yanhong; Dunlap, Mark E et al. (2012) In-hospital resource use and medical costs in the last year of life by mode of death (from the HF-ACTION randomized controlled trial). Am J Cardiol 110:1150-5
Reed, Shelby D; Li, Yanhong; Ellis, Stephen J et al. (2012) Associations between hemoglobin level, resource use, and medical costs in patients with heart failure: findings from HF-ACTION. J Card Fail 18:784-91
Morris, Peter E; Griffin, Leah; Berry, Michael et al. (2011) Receiving early mobility during an intensive care unit admission is a predictor of improved outcomes in acute respiratory failure. Am J Med Sci 341:373-7
Messier, S P; Legault, C; Loeser, R F et al. (2011) Does high weight loss in older adults with knee osteoarthritis affect bone-on-bone joint loads and muscle forces during walking? Osteoarthritis Cartilage 19:272-80
Arena, Ross; Myers, Jonathan; Abella, Joshua et al. (2011) Cardiopulmonary exercise testing is equally prognostic in young, middle-aged and older individuals diagnosed with heart failure. Int J Cardiol 151:278-83

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