Exploring the Effects of Exercise Training on PTSD Symptoms and Physical Health in Older Veterans with PTSD
探索运动训练对患有 PTSD 的老年退伍军人的 PTSD 症状和身体健康的影响
基本信息
- 批准号:10322646
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-02-01 至 2024-01-31
- 项目状态:已结题
- 来源:
- 关键词:AerobicAerobic ExerciseAffectAfghanistanAge-YearsAgingAreaAttenuatedBehavior TherapyBehavioralBicyclingBiologicalCaringChronicChronic DiseaseChronic Post Traumatic Stress DisorderCognitionCognitiveComplexControl GroupsDataDisease ManagementEducational CurriculumElderlyElectronic MailElementsEquilibriumExcess MortalityExerciseFutureGait speedGeneral PopulationHealthHealth PromotionHealth StatusHealth behavior changeHealth educationImpairmentIndividualIraqJointsLegLinear ModelsLiteratureMeasuresMediatingMental DepressionMental HealthMental disordersMissionModelingMonitorMotivationMuscleNeckNewsletterObesityOutcomeOutcome StudyParticipantPathway interactionsPatientsPersonal SatisfactionPhysical FunctionPhysical PerformancePhysical activityPilot ProjectsPopulationPost-Traumatic Stress DisordersPrevention strategyProtocols documentationPublishingQuality of lifeRandomizedRandomized Controlled TrialsRecording of previous eventsReportingResearchResearch PersonnelRiskRisk FactorsSamplingSeriesSleepSleep disturbancesSpecialistStructureSupervisionSymptomsTestingTheoretical modelTimeTrainingTraining ProgramsVeteransVeterans Health AdministrationVietnamWalkingWorkarmattentional controlbasecognitive functioncognitive performancecohortcomorbiditydaily functioningdeconditioningdepressive symptomsdesigndisabilityeffective therapyendurance exerciseexercise capacityexercise interventionexercise prescriptionexercise programexercise trainingexperienceflexibilityfollow-upfunctional disabilityfunctional outcomeshealthy agingimprovedinterestintervention effectmetermilitary veteranmodifiable riskmortalitypatient orientedpatient populationpeerphysical conditioningphysically handicappedpost interventionpreferenceprimary outcomeprogramspsychologicpsychosocialrandomized controlled designrandomized trialrecruitresiliencesecondary outcomesedentary activitysleep qualitystrength trainingstress related disordertelehealththerapy developmenttreadmilltreatment armtwo-arm studywebinar
项目摘要
Posttraumatic stress disorder (PTSD) is prevalent among military Veterans, and affects over 30% of older,
Vietnam-era Veterans. These servicemembers have endured nearly 40 years with these symptoms, and as a
result, have significantly poorer health, higher rates of chronic disease and obesity, and an excess mortality
rate 3 times higher than the general population. Clearly PTSD is more than just a psychological disorder. There
is evidence to suggest that the pathway from PTSD to poor health is mediated by behavioral risk factors, such
as exercise. Structured exercise is a highly effective, pluripotent strategy for the prevention, treatment, and
management of chronic physical and psychological health conditions in older adults. To date, only a few pilot
studies of exercise and PTSD have been published, and all suffer a major limitation: a singular focus on
outcomes “above the neck.” These studies do not report the impact of exercise on physical health- and
mobility-related outcomes that contribute to long-term impairment and disability in Veterans with PTSD. There
have been no studies of exercise and PTSD done in older adults, representing a significant research gap. This
research examines a wellness-based approach to promoting health in older Veterans with PTSD, targeting
exercise, a major modifiable risk factor. The objective of this study is to compare the impact of a supervised
exercise program on PTSD symptoms and related health outcomes versus a healthy aging attention control
group (HA-ATC).
This study will be a randomized controlled trial of a 6-month, supervised exercise program among 188
Veterans ≥60 years of age with PTSD at the Durham VAHCS. Participants will be randomly assigned to
Supervised Exercise or HA-ATC. The exercise arm will include 3 weekly exercise sessions, each one lasting
approximately 60 minutes, led by an exercise specialist. The HA-ATC will receive a health education program
and materials modeled on the 10 KeysTM to Healthy Aging curriculum and the National Council on Aging’s
“Aging Mastery Program.” The HA-ATC will include an 8-week face-to-face group program followed by 4
monthly sessions, the latter of which will be further supplemented with mailed informational packets, email
newsletters, webinars, and group video telehealth sessions. Participants in the Exercise intervention arm will
receive an individualized exercise prescription based on the individual’s exercise history, current exercise
capacity, personal preferences, and current health status. This will be a multicomponent program that includes
a selection of 8 to 12 strengthening, balance, and flexibility exercises targeting the major muscle groups as
well as primary joints. Participants will also be instructed in endurance exercise, including treadmill walking or
recumbent bicycle. The exercise protocol will consist of a 5-10 minute warm-up, followed by a series of
progressive aerobic and strengthening exercises, and will end with a 5 minute cool-down. The primary
outcome for this study will be PTSD symptoms assessed with the CAPS-5. Physical function, another outcome
of primary interest will be measured objectively with a Physical Performance Battery. This test battery
assesses aspects of daily function including balance (single leg stance), gait speed (4 meter walk), and chair
stands (# in 30 seconds). Aerobic endurance, the investigators’ primary functional outcome, will be assessed
with the 6-minute walk test (6MWT). Secondary outcomes include depression, sleep, and cognitive function.
Outcomes will be assessed at baseline, 3 months, and 6 months. Assessments will be repeated 12 weeks
post-intervention (9 months) to examine whether any observed exercise intervention effects are maintained.
Mixed linear models will be used to compare outcomes for the two study arms.
创伤后应激障碍(PTSD)在退伍军人中很普遍,影响了超过30%的老年人,
项目成果
期刊论文数量(0)
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Katherine Shepherd Hall其他文献
Katherine Shepherd Hall的其他文献
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{{ truncateString('Katherine Shepherd Hall', 18)}}的其他基金
Exercise as an Adjuvant Therapy for Veterans with PTSD
运动作为患有创伤后应激障碍 (PTSD) 退伍军人的辅助疗法
- 批准号:
9136712 - 财政年份:2014
- 资助金额:
-- - 项目类别:
Exercise as an Adjuvant Therapy for Veterans with PTSD
运动作为患有创伤后应激障碍 (PTSD) 退伍军人的辅助疗法
- 批准号:
8783388 - 财政年份:2014
- 资助金额:
-- - 项目类别:
Exploring strategies to restore function in older Veterans with PTSD.
探索恢复患有创伤后应激障碍 (PTSD) 的老年退伍军人功能的策略。
- 批准号:
8424821 - 财政年份:2012
- 资助金额:
-- - 项目类别:
Exploring strategies to restore function in older Veterans with PTSD.
探索恢复患有创伤后应激障碍 (PTSD) 的老年退伍军人功能的策略。
- 批准号:
8201483 - 财政年份:2012
- 资助金额:
-- - 项目类别:
Research Core 2: Health and Mobility Measures Core (RC2)
研究核心 2:健康和流动性措施核心 (RC2)
- 批准号:
10670276 - 财政年份:2006
- 资助金额:
-- - 项目类别:
Research Core 2: Health and Mobility Measures Core (RC2)
研究核心 2:健康和流动性措施核心 (RC2)
- 批准号:
10291439 - 财政年份:2006
- 资助金额:
-- - 项目类别:
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