Evidence map›Paper›PMID 28168689›Full record

Trial reportJournal of the American Geriatrics Society2017

Effect of Physical Activity on Self-Reported Disability in Older Adults: Results from the LIFE Study.

Todd M Manini, Daniel P Beavers, Marco Pahor, Jack M Guralnik, Bonnie Spring, Timothy S Church, Abby C King, Sara C Folta, Nancy W Glynn, Anthony P Marsh and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Late-life disability following the action for health in diabetes (Look AHEAD) trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Trial
  3. Trial
  4. A Case for Promoting Movement Medicine: Preventing Disability in the LIFE Randomized Controlled Trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
    Trial
  5. Article
  6. Is functional training functional? a systematic review of its effects in community-dwelling older adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Reduced Neural Excitability and Activation Contribute to Clinically Meaningful Weakness in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Todd M ManiniUniversity of Florida, Gainesville, Florida.
Daniel P BeaversWake Forest University & School of Medicine, Winston-Salem, North Carolina.
Marco PahorUniversity of Florida, Gainesville, Florida.
Jack M GuralnikUniversity of Florida, Gainesville, Florida.
Bonnie SpringNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Timothy S ChurchPennington Biomedical Research Center, Los Angeles, California.
Abby C KingStanford University, School of Medicine, Stanford, California.
Sara C FoltaTufts University, Boston, Massachusetts.
Nancy W GlynnUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
Anthony P MarshWake Forest University & School of Medicine, Winston-Salem, North Carolina.
Thomas M GillYale School of Medicine, New Haven, Connecticut.ORCID http://orcid.org/0000-0002-6450-0368
LIFE study investigators

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
UF FIELD CENTERU01AG022376 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PAHOR, MARCO · 2003 to 2015
$83.3M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamie Nicole Justice · 2002 to 2026
$36.4M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI Ravi Jasuja · 2008 to 2026
$23.9M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
TRAINING U54EB020404 · NIBIB · UNIVERSITY OF MEMPHIS · PI KUMAR, SANTOSH · 2014 to 2018
$11.3M
Multiple Behavior Change in Diet and ActivityR01HL075451 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI SPRING, BONNIE · 2004 to 2014
$6.6M
Improving Outcome Measurement for Medical Rehabilitaiton Clinical TrialsR24HD065688 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI JETTE, ALAN MAURICE, ZAFONTE, ROSS DENNIS · 2010 to 2014
$3.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS HHSN261201500014CNCI NIH HHS P30 CA060553NCRR NIH HHS UL1 RR025744NHLBI NIH HHS R01 HL075451NHLBI NIH HHS R01 HL121023NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG024827NIA NIH HHS P30 AG028740NIA NIH HHS P30 AG031679NIA NIH HHS R01 AG042525NIA NIH HHS U01 AG022376NIBIB NIH HHS U54 EB020404NICHD NIH HHS R24 HD065688NIDDK NIH HHS R01 DK097364
6 · The paper itself

Abstract

BACKGROUND/

objectivesTo test the hypothesis that a long-term structured, moderate intensity physical activity (PA) program is more effective than a health education (HE) program in reducing the risk of s elf-reported dependency and disability in basic activities of daily living (BADLs), disability in instrumental ADLs (IADL), and mobility disability.

designThe Lifestyle Interventions and Independence for Elders (LIFE) study was a multicenter, single-blinded randomized trial.

settingUniversity-based research clinic.

participantsThousand six hundred and thirty five sedentary men and women aged 70-89 years, who had functional limitations, defined as a score ≤9 on the Short Physical Performance Battery.

interventionParticipants were randomized to a structured, moderate intensity PA program (n = 818) that included aerobic, resistance, and flexibility exercises or to a HE program (n = 817). MEASUREMENTS: All outcomes were derived by self-report using periodic interviews that asked about the degree of difficulty and receipt of help during the past month. Dependency was defined as "receiving assistance" or "unable" to do ≥1 activities. Disability was defined as having "a lot of difficulty" or "unable" doing ≥1 activities. Severe disability was defined as reporting difficulty or being unable to perform ≥3 activities.

resultsOver an average follow-up of 2.6 years, the cumulative incidence of BADL dependency was 15.2% among PA and 15.1% among HE participants (HR = 1.0, 95% CI = 0.78-0.1.3). Intervention groups had similar rates of incident BADL disability, IADL disability and reported mobility disability. Reporting severe mobility disability (HR = 0.78, 95% CI = 0.64-0.96) and ratings of difficulty on mobility tasks were reduced in the PA group.

conclusionA structured physical activity intervention reduces reported severe mobility disability and difficulty on mobility tasks, but not BADL and IADL disability in older adults with functional limitations.

Indexed as

ExerciseExercise TherapySelf ReportActivities of Daily LivingAgedAged, 80 and overFemaleHealth EducationHumansLongitudinal StudiesMalePersons with DisabilitiesSedentary BehaviorSingle-Blind Methodambulationexercisefrailtyrehabilitation

Identifiers

PMID28168689
PMCPMC5435532

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.