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Controlled randomized trial of walking exercise with positive education on cardiovascular fitness and happiness in retired older adults.

Geriatrics & gerontology international
September 1, 2019
Tony Szu-Hsien Lee et al. (4 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether combining regular walking exercise with positive education improves cardiovascular fitness and happiness more than walking alone in retired older adults.

Results Summary

The study found that participants who combined walking with positive education (PEPWET) had higher rates of regular walking, better cardiovascular fitness, and greater happiness compared to those who only walked (PWE). The PEPWET group also showed significantly higher happiness scores than the walking-only training group (PWET).

Population

Retired older adults

Effective Dosage

45 minutes per session, three times per week

Duration

12 weeks

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
pedometer walking exercise training (PWET)
increase
percentage of participants who practiced regular walking exercise (RWE)
retired older adults
75%
was significantly higher
#1
positive education and pedometer walking exercise training (PEPWET)
increase
percentage of participants who practiced regular walking exercise (RWE)
retired older adults
96.7%
was significantly higher
#2
pedometer walking exercise (PWE)
increase
percentage of participants who practiced regular walking exercise (RWE)
retired older adults
40%
was significantly higher
#3
pedometer walking exercise training (PWET)
increase
cardiovascular fitness
retired older adults
-
was significantly better than
#4
positive education and pedometer walking exercise training (PEPWET)
increase
cardiovascular fitness
retired older adults
-
was significantly better than
#5
pedometer walking exercise (PWE)
increase
cardiovascular fitness
retired older adults
-
was significantly better than
#6
pedometer walking exercise training (PWET)
increase
Chinese Happiness Inventory scores
retired older adults
-
were significantly higher than
#7
positive education and pedometer walking exercise training (PEPWET)
increase
Chinese Happiness Inventory scores
retired older adults
-
were significantly higher than
#8
pedometer walking exercise (PWE)
increase
Chinese Happiness Inventory scores
retired older adults
-
were significantly higher than
#9
positive education and pedometer walking exercise training (PEPWET)
increase
Chinese Happiness Inventory scores
retired older adults
-
showed significantly higher
#10
Abstract

AIM: Regular walking exercise (RWE) is associated with increased cardiovascular fitness and might elevate subjective psychological well-being. Positive education links positive psychology concepts with self-efficacy through the curriculum, which helps foster well-being. This study examines if regular walking exercise with positive education has better effects on cardiovascular fitness and happiness than RWE alone in retired older adults. METHODS: Three arms of experimental design were used: pedometer walking exercise training (PWET); positive education and pedometer walking exercise training (PEPWET); and pedometer walking exercise (PWE). Trained walking exercise was provided to the PWET and PEPWET groups by a walking exercise coach three times per week, for 45 min per session for 12 weeks. Positive education was designed and led by a licensed PhD psychologist every other week. Of 150 participants, 60, 60 and 30 were randomly assigned to PWET, PEPWET and PWE, respectively. Demographic information, Chinese Happiness Inventory, RWE, and 6-min walking distance were assessed before and after the intervention. RESULTS: The percentage of participants who practiced RWE after 12 weeks was significantly higher in the PEPWET group (96.7%), followed by the PWET (75%) and PWE groups (40%). Cardiovascular fitness in the PWET and PEPWET groups was significantly better than in the PWE group. Chinese Happiness Inventory scores in the PWET and PEPWET groups were significantly higher than in the PWE group, and the PEPWET group also showed significantly higher Chinese Happiness Inventory scores than the PWET group. CONCLUSIONS: In addition to RWE, the study findings show that positive education can be beneficial to promote older adults' RWE, cardiovascular fitness and happiness. Geriatr Gerontol Int 2019; 19: 879-884.

Medical Subject Headings (MeSH)
AgedCardiorespiratory FitnessCardiovascular DiseasesExercise TestExercise TherapyFemaleHappinessHealth PromotionHumansMalePsychology, PositiveQuality of LifeRetirementWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations4
Citations/Year0.7
Relative Citation Ratio0.32
NIH Percentile17%
Research Impact Scores
APT Score0.25
Weight Score2.02
Normalized Score0.70
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