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Participants (N\u2009=\u2009121) completed a short physical performance battery, 400-m walk, handgrip strength test, and mini-nutrition assessment. 25-hydroxyvitamin D [25(OH)D], insulin-like growth-factor 1 (IGF-1), and activity level were also measured. The ENP did not significantly improve physical function or nutritional status compared with the SAP. Compared with baseline, participants in the ENP engaged in 39 min less physical activity per week at 6 months. Several facility characteristics hindered implementation of the ENP. This study highlights the complexity of implementing an evidence-based program in a field setting.<\/jats:p>","DOI":"10.1123\/japa.2016-0173","type":"journal-article","created":{"date-parts":[[2017,1,17]],"date-time":"2017-01-17T19:12:52Z","timestamp":1484680372000},"page":"453-463","source":"Crossref","is-referenced-by-count":14,"title":["Efficacy of an Exercise and Nutritional Supplement Program on Physical Performance and Nutritional Status in Older Adults With Mobility Limitations Residing at Senior Living Facilities"],"prefix":"10.1123","volume":"25","author":[{"given":"Michael P.","family":"Corcoran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam E.","family":"Nelson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"Sacheck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieran F.","family":"Reid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan","family":"Kirn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger A.","family":"Fielding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth K.H.","family":"Chui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara C.","family":"Folta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"6","key":"r1","series-title":"European Journal of Endocrinology,","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1530\/EJE-13-0510","article-title":"Vitamin D increases circulating IGF1 in adults: potential implication for the treatment of GH deficiency","volume":"169","author":"Ameri, P.","year":"2013","unstructured":"Ameri, P., Giusti, A., Boschetti, M., Bovio, M., Teti, C., Leoncini, G., \u2026 Minuto, F. 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