Dr Jason Crandall ACSM EPc Assistant Professor of

® Dr. Jason Crandall ACSM EPc Assistant Professor of Exercise Science Center for Gerontology Research Fellow Western Kentucky University School of Kinesiology, Recreation, & Sport

Why are older adults physically inactive?

n. Fear n. Poor health n. Lack of guidance n. Lack of opportunities Boehm, J. , et al. , Barriers and motivators to exercise for older adults: a focus on those living in rural and remote areas of Australia. Aust J Rural Health, 2013. 21(3): p. 141 -9.

Why are older adults physically active?

n. Socialization n. Improve health n. Guidance n. Enjoyment Boehm, J. , et al. , Barriers and motivators to exercise for older adults: a focus on those living in rural and remote areas of Australia. Aust J Rural Health, 2013. 21(3): p. 141 -9.

Bingocize® n Addresses the common barriers and focuses on reported benefits of physical activity n Planned multi-component exercise program that incorporates the game of bingo n CV, flexibility, balance, muscle strengthening

Pre Post N Average Change Body Weight (kgs) 17 77. 62 77. 20 -. 42 Body Mass Index 17 30. 36 29. 98 -. 38 Body Fat (%) 15 42. 79 42. 11 -. 68 Chair Stand Test (# of stands) 16 10. 13 11. 71 1. 58* Arm Curl Test (# of repetitions) 17 9. 78 12. 35 2. 57* 16 -1. 85 1. 62 3. 47* 16 -5. 13 -3. 91 1. 22* 8 Foot Up-&-Go Test (seconds) 16 9. 07 8. 81 . 26* 2 -Minute Step Test (# of steps) 15 75. 07 92. 20 17. 13* Senior Fitness Tests Chair Sit & Reach Test (inches +/-) Back Scratch Test (inches +/-)

® Bingocize n Addition of health education component to the game n Nutrition, exercise, stress management/mental health, medications, communicating with health professionals

® Bingocize n Exercise n Health education n Cognition

® Bingocize n 10 week study at Glasgow Senior Center n 2 times per week n 13 experimental, 15 controls

Experimental (n=13) Control (n=15) Difference P value Body Weight (kgs) -2. 15 . 44 . 001 Body Mass Index -. 77 . 18 . 001 Diastolic Blood Pressure (mm. Hg) -3. 38 5. 85 . 025 Chair Stand Test (# of stands) 1. 07 -1. 14 . 013 Arm Curl Test (# of repetitions) 2. 61 -3. 64 . 000 2. 58 . 65 . 062 2. 65 -1. 07 . 013 8 Foot Up-&-Go Test (seconds) -1. 34 . 42 . 018 2 -Minute Step Test (# of steps) 13. 00 -12. 30 . 010 Senior Fitness Tests Chair Sit & Reach Test (inches +/-) Back Scratch Test (inches +/-)

• Mobile application has more advantages • Easily modified • Easy client/patient tracking • Remote play

Future Directions n Other special populations • Alzheimer’s/dementia care • Adult day cares • Rehabilitation/transitional care centers n General population • Fitness centers • Community bingo games • Children n Additional categories of health topics

Contact n Jason. Crandall@wku. edu n www. wku. edu/krs