title: [A randomized controlled trial of the effects of a comprehensive intervention program for community-dwelling older adults].
abstract: OBJECTIVE
  The objective of this study was to evaluate the effects of a comprehensive intervention program named SPRING, which utilizes a hot spring facility, in community-dwelling older adults in a randomized controlled trial.
  
  
  METHODS
  A total of 60 community-dwelling elderly people (mean age, 72.7±6.0 years) participated in this program. After baseline investigation, participants were randomly assigned to an intervention group (n=31) or a control group (n=29). The intervention group participated in a comprehensive intervention program (including exercise classes, nutrition classes and bathing) twice a week for 3 months. After 3 months and 6 months, we evaluated the effects of the intervention.
  
  
  RESULTS
  The attendance rate of the intervention group was 76%, and there were no accidents or injuries associated with this program. After 3 months, grip strength and one-leg standing with eyes-open scores significantly improved among the intervention group, compared with the control group (p=0.028; p=0.003, respectively). On follow-up, grip strength, one-leg standing with eyes-open scores and the World Health Organization Well-Being Index (WHO-5) scores were statistically significantly maintained or had improved in the intervention group (p=0.001; p=0.024; p=0.027, respectively).
  
  
  CONCLUSIONS
  The comprehensive intervention program SPRING may improve physical function among community-dwelling older adults. In addition, SPRING may have long-term beneficial effects for older adults.
authors: Tokyo Metropolitan Institute of Gerontology.
authors: Ryota
authors: R
authors: Sakurai
authors: Yoshinori
authors: Y
authors: Fujiwara
authors: Hunkyung
authors: H
authors: Kim
authors: Kyoko
authors: K
authors: Saito
authors: Masashi
authors: M
authors: Yasunaga
authors: Kumiko
authors: K
authors: Nonaka
authors: Kazunari
authors: K
authors: Kobayashi
authors: Kishiko
authors: K
authors: Ogawa
authors: Hiroto
authors: H
authors: Yoshida
authors: Chiaki
authors: C
authors: Tanaka
authors: Hayato
authors: H
authors: Uchida
authors: Katsuhiko
authors: K
authors: Suzuki
authors: Shuichiro
authors: S
authors: Watanabe
authors: Shoji
authors: S
authors: Shinkai
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001452:Balneology; D005260:Female; D006299:Health Services for the Aged; D006801:Humans; D057187:Independent Living; D008297:Male