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Effect of Telephone Exercise Counseling on Frailty in Older Veterans: Project LIFE
Matthew J. Peterson, PhD*,
Richard Sloane, MS, MPH,
Harvey Jay Cohen, MD,
Gail M. Crowley, MSN, RN, ANP,
Carl F. Pieper, DrPH,
and
Miriam C. Morey, PhD
Durham VA Medical Center, Duke University Medical Center
* To whom correspondence should be addressed. E-mail: peter076{at}mc.duke.edu.
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Abstract |
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This study sought to determine if telephone exercise counseling attenuates frailty in older, male veterans through increased levels of physical activity. Eighty-one elderly, male veterans (age = 78.4 ± 4.9 years) randomized to intervention (n = 39) or combined control groups (n = 42) completed baseline and 6-month follow-up measures of gait velocity, 6-min walk, chair stands, body mass index, and physical activity. Adapting the Fried frailty model, deficits in one or more of these outcomes indicated frailty. The intervention group had a 6-month decrease of 18% in the proportion of frail to not frail participants, whereas the control groups had no change in proportions (Fisher’s p = .08). Frail participants had a mean 6-month decrease in physical activity levels of 124 kilocalories/week, whereas the not frail group increased by 619 kilocalories/week (p = .07). There was a clinically meaningful change
in frailty status with intensive, telephone exercise counseling. Improvement in frailty status was likely due to improvement in functional limitations.
First published on October 3, 2007, doi:10.1177/1557988307306153
American Journal of Men's Health 2007;1:326.
A more recent version of this article appeared on December 1, 2007
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