{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:56:55Z","timestamp":1783652215505,"version":"3.55.0"},"reference-count":0,"publisher":"Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Promot Chronic Dis Prev Can"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<sec>\n         <title>Background<\/title>\n         <p>This 8-week pilot stepped-wedge randomized controlled trial evaluated the MoveStrong program for teaching adults who have frailty\/pre-frailty about balance and functional strength training and sufficient protein intake to prevent falls and improve mobility.<\/p>\n       <\/sec>\n       <sec>\n         <title>Methods<\/title>\n         <p>We recruited individuals aged 60 years and over, with a FRAIL scale score of 1 or higher and at least one chronic condition, who were not currently strength training. The program included 16 exercise physiologist-led hour-long group sessions and two dietitian-led hour-long nutrition sessions. We analyzed secondary outcomes\u2014weight, gait speed, grip strength, physical capacity (fatigue levels), sit-to-stand functioning, dynamic balance, health-related quality of life (HRQoL), physical activity levels and protein intake\u2014using a paired t test and a generalized estimating equation (GEE).<\/p> \n       <\/sec>\n       <sec>\n         <title>Results<\/title>\n         <p>Of 44 participants (mean [SD] age 79 [9.82] years), 35 were pre-frail and 9 were frail. At follow-up, participants had significantly improved grip strength (1.63 kg,95% CI: 0.62 to 2.63); sit-to-stand functioning (2 sit-to-stands, 95% CI: 1 to 3); and dynamic balance (1.68 s, 95% CI: 0.47 to 2.89). There were no significant improvements in gait speed, HRQoL index scores, self-rated health, physical activity levels (aerobic activity and strength training) or protein intake. GEE analysis revealed an interaction between exposure to MoveStrong and gait speed, sit-to-stand functioning, dynamic balance and HRQoL index scores. The total cost to administer the program and purchase equipment was CAD 14 700, equivalent to CAD 377 per participant.<\/p>\n       <\/sec>\n\t   <sec>\n         <title>Conclusion<\/title>\n         <p>Exploratory analyses suggest MoveStrong exercises may improve gait speed, sit-to-stand functioning, dynamic balance and HRQoL index scores in older individuals who are frail and pre-frail.<\/p>\n       <\/sec>","DOI":"10.24095\/hpcdp.42.6.02","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T11:38:41Z","timestamp":1656329921000},"page":"238-251","source":"Crossref","is-referenced-by-count":7,"title":["Encouraging older adults with pre-frailty and frailty to \u201cMoveStrong\u201d: an analysis of secondary outcomes for a pilot randomized controlled trial"],"prefix":"10.24095","volume":"42","author":[{"given":"Isabel B.","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin B.","family":"Wagler","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Keller","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada"},{"name":"Schlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lehana","family":"Thabane","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary J.","family":"Weston","sequence":"additional","affiliation":[{"name":"Waterloo Wellington Local Health Integration Network, Waterloo, Ontario, Canada"},{"name":"Faculty of Science, Wilfrid Laurier University, Waterloo, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon E.","family":"Straus","sequence":"additional","affiliation":[{"name":"CLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, Unity Health Toronto, Toronto, Ontario, Canada"},{"name":"Department of Geriatric Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Papaioannou","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada"},{"name":"Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Mourtzakis","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Milligan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanrudee","family":"Isaranuwatchai","sequence":"additional","affiliation":[{"name":"CLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, Unity Health Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desmond","family":"Loong","sequence":"additional","affiliation":[{"name":"CLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, Unity Health Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Jain","sequence":"additional","affiliation":[{"name":"Canadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larry","family":"Funnell","sequence":"additional","affiliation":[{"name":"Canadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela M.","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila","family":"Brien","sequence":"additional","affiliation":[{"name":"Canadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen C.","family":"Ashe","sequence":"additional","affiliation":[{"name":"Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lora M.","family":"Giangregorio","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada"},{"name":"Schlegel-UW Research Institute for Aging, University of Waterloo, Waterloo, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10188","container-title":["Health Promotion and Chronic Disease Prevention in Canada"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-42-no-6-2022\/encouraging-adults-frailty-movestrong-analysis-secondary-outcomes-pilot-randomized-controlled-trial.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T15:32:00Z","timestamp":1657294320000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-42-no-6-2022\/encouraging-adults-frailty-movestrong-analysis-secondary-outcomes-pilot-randomized-controlled-trial.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":0,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.24095\/hpcdp.42.6.02","archive":["Internet Archive"],"relation":{},"ISSN":["2368-738X"],"issn-type":[{"value":"2368-738X","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}