Exercise--it's never too late: the strong-for-life program

Am J Public Health. 1999 Jan;89(1):66-72. doi: 10.2105/ajph.89.1.66.


Objectives: This investigation determined whether an in-home resistance training program achieved health benefits in older adults with disabilities.

Methods: A randomized controlled trial compared the effects of assigning 215 older persons to either a home-based resistance exercise training group or a waiting list control group. Assessments were conducted at baseline and at 3 and 6 months following randomization. The program consisted of videotaped exercise routines performed with elastic bands of varying thickness.

Results: High rates of exercise adherence were achieved, with 89% of the recommended exercise sessions performed over 6 months. Relative to controls, subjects who participated in the program achieved statistically significant lower extremity strength improvements of 6% to 12%, a 20% improvement in tandem gait, and a 15% to 18% reduction in physical and overall disability at the 6-month follow-up. No adverse health effects were encountered.

Conclusions: These findings provide important evidence that home-based resistance exercise programs designed for older persons with disabilities hold promise as an effective public health strategy.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged*
  • Disabled Persons / rehabilitation*
  • Exercise Therapy / organization & administration*
  • Female
  • Follow-Up Studies
  • Gait
  • Geriatric Assessment
  • Home Care Services / organization & administration*
  • Humans
  • Male
  • Program Evaluation
  • Videotape Recording