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Exploring how exercise frequency impacts muscle strength and balance in institutionalized older adults: Protocol for a randomized controlled trial

datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
dc.contributor.authorRodrigues, Filipe
dc.contributor.authorPereira, Bernardo
dc.contributor.authorSilva, Elisabete
dc.contributor.authorMonteiro, Diogo
dc.contributor.authorAntunes, Raul
dc.date.accessioned2025-12-05T12:02:12Z
dc.date.available2025-12-05T12:02:12Z
dc.date.embargo2027-01-01
dc.date.issued2026-01-01en_US
dc.date.updated2025-12-04T07:20:12Z
dc.description.abstractThis protocol for a randomized controlled trial aims to evaluate the impact of exercise frequency on muscle strength, balance, and fall risk among institutionalized older adults. Recognizing the unique physical and functional limitations of this population, the study will test whether two or three weekly sessions of multicomponent exercise yield differential outcomes. Sixty participants residing in nursing homes will be randomly assigned to one of two groups: a control group performing exercise twice weekly and an experimental group training three times weekly, over a 12-week intervention period. All sessions will follow international guidelines for older adults, incorporating aerobic, strength, balance, and flexibility training at light-to-moderate intensity. Primary outcomes include lower- and upper-body strength and dynamic balance; secondary outcomes comprise waist circumference, body mass index, and fall incidence. The program is designed with progressive adaptation and safety in mind, employing the Talk Test to regulate intensity and standardized measures to monitor physiological responses. The rationale stems from the gap in existing literature regarding optimal exercise frequency for institutionalized populations. While two sessions per week have been associated with functional improvements, it remains unclear whether an additional weekly session provides significant incremental benefits. By isolating frequency as the primary variable, the trial addresses the need to define the minimum effective dose of structured exercise for enhancing physical activity, functional capacity, and reducing fall risk. Results are expected to inform tailored physical activity guidelines and implementation strategies in long-term care settings, balancing clinical efficacy with feasibility and safety constraints typical of institutional environments.eng
dc.description.sponsorshipThis work was funded by National Funds by FCT - Foundation for Science and Technology under the following project UID/04045: Research Center in Sports Sciences, Health Sciences, and Human Development.
dc.description.versionN/A
dc.identifier.citationilipe Rodrigues, Bernardo Pereira, Elisabete Silva, Diogo Monteiro, Raul Antunes, Exploring how exercise frequency impacts muscle strength and balance in institutionalized older adults: Protocol for a randomized controlled trial, Experimental Gerontology, Volume 213, 2026, 112985, ISSN 0531-5565, https://doi.org/10.1016/j.exger.2025.112985.
dc.identifier.doi10.1016/j.exger.2025.112985en_US
dc.identifier.issn0531-5565en_US
dc.identifier.slugcv-prod-4616036
dc.identifier.urihttp://hdl.handle.net/10400.8/14912
dc.language.isoeng
dc.peerreviewedyes
dc.publisherScience Direct
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S0531556525003146?via%3Dihub
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectDose-response relationship
dc.subjectFrail elderly
dc.subjectMulticomponent exercise
dc.subjectRandomized controlled trial
dc.titleExploring how exercise frequency impacts muscle strength and balance in institutionalized older adults: Protocol for a randomized controlled trialeng
dc.typeresearch articleen_US
dspace.entity.typePublication
oaire.citation.startPage112985
oaire.citation.titleExperimental Gerontologyen_US
oaire.citation.volume213en_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameRodrigues
person.familyNameMonteiro
person.familyNameAntunes
person.givenNameFilipe
person.givenNameDiogo
person.givenNameRaul
person.identifier613329
person.identifierF-1202-2015
person.identifier.ciencia-id9B18-7FE1-74AF
person.identifier.ciencia-idED1F-6228-E26F
person.identifier.ciencia-id8B16-73A3-A66E
person.identifier.orcid0000-0003-1327-8872
person.identifier.orcid0000-0002-7179-6814
person.identifier.orcid0000-0002-5485-9430
person.identifier.ridA-8152-2019
person.identifier.scopus-author-id57206270107
person.identifier.scopus-author-id56437945500
person.identifier.scopus-author-id57194044687
rcaap.cv.cienciaidED1F-6228-E26F | Diogo Manuel Teixeira Monteiro
rcaap.rightsembargoedAccessen_US
relation.isAuthorOfPublication661e2126-79f7-445a-bda0-eb4c9d0bb0e2
relation.isAuthorOfPublication79dcae83-d54a-4acc-a9a1-8268c7776ab9
relation.isAuthorOfPublication292d3773-ef00-4441-a4b8-9f53e3cba456
relation.isAuthorOfPublication.latestForDiscovery661e2126-79f7-445a-bda0-eb4c9d0bb0e2

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