Skip to main content
Log in

The effect of a weighted vest on perceived health status and bone density in older persons

  • Research Papers
  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

To assess the effect of an exercise intervention using a weighted vest on perceived health status and bone density in older persons, we enrolled 36 seniors in a randomized controlled trial. The vest-use group met weekly for 1 h for a low level exercise class. They wore a weighted vest during the class and as tolerated at home. The discussion controls met for 1 h weekly. At baseline and follow-up (20 weeks), subjects completed a questionnaire that incuded the 20 item MOS Short-Form Health Survey, Multidimensional Health Locus of Control Scale, and Philadelphia Geriatric Center Morale Scale, and bone density was measured by dual energy X-ray absorptiometry. Subjects also completed daily activity diaries. Subjects in the vest group reported a statistically significant dicrease in bodily pain, improved physical functioning, and increased internal health locus of control. Bone density increased by 1% in the vest group and decreased by 0.6% in the controls (p=0.12). We conclude that our exercise intervention had a positive effect on some measures of perceived health in older persons.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Fries JF. The compression of morbidity. Milbank Mem Fund Q 1983; 61: 397–419.

    Google Scholar 

  2. Fries JF, Green LW, Levine S. Health promotion and the compression of morbidity. Lancet 1989; i: 418–483.

    Google Scholar 

  3. Cummings SR, Black DM, Rubin SM. Lifetime risk of hip, colles, or vertebral fracture and coronary heart disease among white postmenopausal women. Arch Intern Med 1989; 148: 2445–2448.

    Google Scholar 

  4. Marcus R, Carter D. Exercise and the regulation of bone mass. Arch Intern Med 1989; 149: 2170–2171.

    Google Scholar 

  5. Blumenthal JA, Emery CF, Madden DJ, et al. Cardiovascular and behavioral effects of aerobic exercise training in men and women. J Gerontol Med Sci 1989; 44: 147–157.

    Google Scholar 

  6. Emery CF, Blumenthal JA. Perceived change among participants in an exercise program for older adults. Gerontologist 1990; 30: 516–521.

    Google Scholar 

  7. Parfitt AM. The cellular basis of bone remodelling: the quantum concept reexamined in light of recent advances in the cell biology of bone. Calcif Tiss Int 1984; 36: S37-S45.

    Google Scholar 

  8. Raisz LG. Local and systemic factors in the pathogenesis of osteoporosis. N Engl J Med 1988; 318: 818–827.

    Google Scholar 

  9. Hayes WC, Gerhart TN. Biomechanics of bone: Applications for assessment of bone strength. In: Peck WA, ed. Bone and Mineral Research 3rd edn. B.V., New York: Elsevier Science Publishers, 1985: 259–294.

    Google Scholar 

  10. Whalen RT, Carter DR, Steele CR. Influence of physical activity on the regulation of bone density. J Biomechanics 1988; 21: 825–837.

    Google Scholar 

  11. Fiatarone MA, Marks EC, Ryan ND, et al. High intensity strength training in nonagenarians. JAMA 1990; 263: 3029–3034.

    Google Scholar 

  12. American College of Sports Medicine. Guidelines for Exercise Testing and Prescription. Philadelphia: Lea & Febiger, 1991.

    Google Scholar 

  13. Shephard RJ. Physical Activity and Aging. London: Croom Helm, 1987.

    Google Scholar 

  14. Ware JE, Sherbourne CD, Davies AR. Developing and testing the MOS 20-item short-form health survey: a general population application. In: Stewart AL and Ware JE, eds. Measuring Functioning and Well-Being: The Medical Outcomes Study Approach. Durham, NC: Duke University Press: 1992: 277–290.

    Google Scholar 

  15. Stewart AL, Hays RD, Ware JE. The MOS Short-Form General Health Survey: Reliability and validity in a patient population. Med Care 1988; 26: 724–735.

    Google Scholar 

  16. Stewart AL, Greenfield S, Hays RD, et al. Functional status and well being in patients with chronic conditions. JAMA 1989; 262: 907–913.

    Google Scholar 

  17. Wallston BS, DeVellis R. Development of the multidimensional health locus of control scale. Health Education Monographs. Health Educ Q 1978; 6: 160–170.

    Google Scholar 

  18. Lawton MP. The Philadelphia Geriatric Morale Scale: a revision. J Gerontol 1975; 30: 85–89.

    Google Scholar 

  19. Csuka M, McCarthy DJ. Simple method for measurement of lower extremity muscle strength. Am J Med 1985; 78: 77–81.

    Google Scholar 

  20. Cronbach L. Coefficient alpha and the internal structure of tests. Psychometrika 1959; 16: 297–334.

    Google Scholar 

  21. Colton T. Statistics in Medicine. Boston: Little Brown & Co. Inc., 1974.

    Google Scholar 

  22. Mickey R, Greenland S. The impact of confounder selection criteria on effect estimation. Am J Epidemiol 1989; 129: 125–137.

    Google Scholar 

  23. Nunnally JC. Psychometric Theory, 2nd edn. New York: McGraw-Hill; 1978.

    Google Scholar 

  24. Wallston KA, Wallston BS. Health locus of control scales. In: Lefcourt J, ed. Advances and Innovations in Locus of Control Research. New York: Academic Press, 1981: 189–243.

    Google Scholar 

  25. Hale WD, Cochran CD. Locus of control across the adult life span. Psychol Rep 1986; 59: 311–313.

    Google Scholar 

  26. Lumpkin JR. The relationship between locus of control and age: new evidence. J Soc Behav Pers 1986; 1: 245–252.

    Google Scholar 

  27. Knoop R. Locus of control: a work-related variable? J Soc Psychol 1989; 129: 101–106.

    Google Scholar 

  28. Aasen N. Interventions to facilitate personal control. J Gerontol Nurs 1987; 13: 20–28.

    Google Scholar 

  29. Tulloch AJ, Moore V. A randomized controlled trial of geriatric screening in general practice. J R Coll Gen Pract 1979; 29: 733–739.

    Google Scholar 

  30. Levkoff SE, Cleary PD, Wetle T, Besdene RW. Illness behavior in the aged. J Am Geriatr Soc 1988; 36: 622–629.

    Google Scholar 

  31. Rubenstein LV, Calkins DR, Greenfield S, et al. Health status assessment for elderly patients. J Am Geriatr Soc 1988; 37: 562–569.

    Google Scholar 

  32. Stewart AL, Kings AC, Preston S, et al. Functioning and well-being associated with older adults' participation in exercise. Gerontologist 1991; II: 9.

    Google Scholar 

  33. Lindsay R. Estrogen therapy in the prevention and management of osteoporosis. Am J Obstet Gynecol 1987; 156: 1347–1351.

    Google Scholar 

  34. Chow R, Harrison J, Notarius C. Effect of two randomized programmes on bone mass in health postmenopausal women. Br Med J 1987; 295: 1441–1444.

    Google Scholar 

  35. Haskell, WL, Leon, AS, Casperson, CL, et al. Cardiovascular benefits and assessment of physical fitness in adults. Med Sci Sports Exercise 1992; 24: S201.

    Google Scholar 

  36. Incidence of injury during moderate and high-intensity walking training in the elderly. J Gerontol Med Sci 1992; 47: M61–66.

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work was supported by grants from the Charles A. Dana Foundation, the UCLA Academic Senate, and the Bureau of Health Professions Mid-Career Faculty Training Grant.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Greendale, G.A., Hirsch, S.H. & Hahn, T.J. The effect of a weighted vest on perceived health status and bone density in older persons. Qual Life Res 2, 141–152 (1993). https://doi.org/10.1007/BF00435733

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00435733

Key words

Navigation