title: Effects of comprehensive health assessment and targeted intervention on chair rise capacity in active and inactive community-dwelling older people.
abstract: BACKGROUND
  Being able to rise from a chair is an important daily life activity that requires sufficient lower extremity muscle power and postural control.
  
  
  OBJECTIVE
  To assess the effects of an individually tailored intervention on the chair rise capacity of active and inactive community-dwelling older men and women.
  
  
  METHODS
  This study included a community-based sample of ≥75-year-olds who were randomized into intervention (n = 299) and control (n = 260) groups. The intervention started in 2004 and ended in December 2006; all the participants of the intervention group received individually targeted physical activity counseling annually and had an opportunity to participate in supervised strength and balance training once a week. Chair rise tests were conducted annually. The mixed model of linear regression was used for unadjusted measurements and age, and the Mini-Mental State Examination and functional comorbidity index adjusted comparisons of effects of the intervention.
  
  
  RESULTS
  The intervention improved the chair rise capacity in physically active women (adjusted mean difference -1.67 s, 95% confidence interval -3.21 to -0.13, p = 0.02). There was no improvement in inactive women or in men, regardless of their physical activity level.
  
  
  CONCLUSIONS
  Intervention showed a positive effect on the chair rise capacity of physically active community-dwelling older women.
authors.affiliation: Social and Health Services, City of Kuopio, Kuopio, Finland. paivitik@student.uef.fi
authors.forename: Päivi
authors.initials: P
authors.lastname: Tikkanen
authors.forename: Eija
authors.initials: E
authors.lastname: Lönnroos
authors.forename: Sarianna
authors.initials: S
authors.lastname: Sipilä
authors.forename: Irma
authors.initials: I
authors.lastname: Nykänen
authors.forename: Raimo
authors.initials: R
authors.lastname: Sulkava
authors.forename: Sirpa
authors.initials: S
authors.lastname: Hartikainen
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D005081:Exercise Therapy; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D053580:Muscle Strength; D004856:Postural Balance; D055070:Resistance Training