Personalized multicomponent exercise programs using smartphone technology among older people: protocol for a randomized controlled trial.

Background: Optimal application of the recently updated World Health Organization (WHO) guidelines for exercise in advanced age necessitates an accurate adjustment for the age-related increasing variability in biological age and fitness levels, alongside detailed recommendations across a range of motor fitness components, including balance, strength, and flexibility. We previously developed and validated a novel tool, designed to both remotely assess these fitness components, and subsequently deliver a personalized exercise program via smartphone. We describe the design of a prospective randomized control trial, comparing the effectiveness of the remotely delivered personalized multicomponent exercise program to either WHO exercise guidelines or no intervention.

Personalized Exercise Programs Based upon Remote Assessment of Motor Fitness: A Pilot Study among Healthy People Aged 65 Years and Older.

Background: The World Health Organization has recently updated exercise guidelines for people aged >65 years, emphasizing the inclusion of multiple fitness components. However, without adequate recognition of individual differences, these guidelines may be applied using an approach that "one-size-fits-all." Within the shifting paradigm toward an increasingly personalized approach to medicine and health, it is apparent that fitness components display a significant age-related increase in variability.

Aerobic fitness and multidomain cognitive function in advanced age.

Background: Studies generally describe the relationship between physical fitness and cognitive function by measuring only one or two specific cognitive tasks. In addition, in spite of the significant increase in life expectancy, the age of participants in these studies does not extend beyond a mean age of 70 years. This study was thus designed to examine the relationship between physical fitness and function in multiple cognitive domains in subjects older than those previously reported.

Fitness's moderation of the facilitative effect of acute exercise on cognitive flexibility in older women.

A recent study indicated that acute aerobic exercise improves cognitive flexibility in adults. The current study assessed age, habitual physical activity, and physical fitness as moderators of this improvement and examined whether the gains still exist an hour after the exercise session. The alternative-uses test, assessing cognitive flexibility, was administered individually to 20 older (age 63.

Use of a device to support standing during a physical activity program to improve function of individuals with disabilities who reside in a nursing home.

Purpose: To demonstrate the feasibility of an innovative program of physical activity using a standing-support device targeted towards adult residents of a nursing home who are unable to transfer or stand independently.

Method: Intervention study.

Participants: Thirteen residents, age 82 +/- 11 years, at the Beit Bayer Nursing Home, Jerusalem, Israel, who were unable to transfer or stand independently.