Exercise - It's never too late: The Strong-for-Life program

Objectives. This investigation determined whether an in-home resistance tra ining program achieved health benefits in older adults with disabilities. Methods. A randomized controlled trial compared the effects of assigning 21 5 older persons to either a home-based resistance exercise training group o r a waiting list control group. Assessments were conducted at baseline and at 3 and 6 months following randomization. The program consisted of videota ped exercise routines performed with elastic bands of varying thickness. Results. High rates of exercise adherence were achieved, with 89% of the re commended exercise sessions performed over 6 months. Relative to controls, subjects who participated in the program achieved statistically significant lower extremity strength improvements of 6% to 12%, a 20% improvement in t andem gait, and a 15% to 18% reduction in physical and overall disability a t the 6-month follow-up. No adverse health effects were encountered. Conclusions. These findings provide important evidence that home-based resi stance exercise programs designed for older persons with disabilities hold promise as an effective public health strategy.