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https://www.readbyqxmd.com/read/29783928/physical-activity-intervention-for-elderly-patients-with-reduced-physical-performance-after-acute-coronary-syndrome-hulk-study-rationale-and-design-of-a-randomized-clinical-trial
#1
Elisabetta Tonet, Elisa Maietti, Giorgio Chiaranda, Francesco Vitali, Matteo Serenelli, Giulia Bugani, Gianni Mazzoni, Rossella Ruggiero, Jonathan Myers, Giovanni Quinto Villani, Ursula Corvi, Giovanni Pasanisi, Simone Biscaglia, Rita Pavasini, Giulia Ricci Lucchi, Gianluigi Sella, Roberto Ferrari, Stefano Volpato, Gianluca Campo, Giovanni Grazzi
BACKGROUND: Reduced physical performance and impaired mobility are common in elderly patients after acute coronary syndrome (ACS) and they represent independent risk factors for disability, morbidity, hospital readmission and mortality. Regular physical exercise represents a means for improving functional capacity. Nevertheless, its clinical benefit has been less investigated in elderly patients in the early phase after ACS. The HULK trial aims to investigate the clinical benefit of an early, tailored low-cost physical activity intervention in comparison to standard of care in elderly ACS patients with reduced physical performance...
May 21, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29778642/benefits-of-a-multicomponent-falls-unit-based-exercise-program-in-older-adults-with-falls-in-real-life
#2
Rafael García Molina, Marta Carolina Ruíz Grao, Alicia Noguerón García, Marta Martínez Reig, Mariano Esbrí Víctor, Míkel Izquierdo Redín, Pedro Abizanda Soler
BACKGROUND/OBJECTIVES: Multicomponent exercise programs are the cornerstone in preventing gait and balance impairments and falls in older adults. However, the effects of these programs in usual clinical practice have been poorly analyzed. DESIGN: 4-Month, twice-a-week multicomponent exercise program cohort study in real-life. SETTING: Falls Unit, Complejo Hospitalario Universitario of Albacete, Spain. PARTICIPANTS: Sixty-seven participants who had experienced a fall in the previous year were included...
May 17, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29742287/a-mobile-health-technology-enabled-home-based-intervention-to-treat-frailty-in-adult-lung-transplant-candidates-a-pilot-study
#3
Jonathan P Singer, Allison Soong, Alan Bruun, Ayana Bracha, Greg Chin, Steven R Hays, Jasleen Kukreja, Julia Rigler, Jeff A Golden, John R Greenland, Chris Garvey
BACKGROUND: Frailty is prevalent in lung transplant candidates (LTC) and is associated with waitlist delisting or death. We performed a pilot study to assess the safety and feasibility of a home-based, mobile-health technology facilitated intervention to treat frailty in LTC. METHODS: We performed an 8-week, non-randomized, home-based exercise and nutrition intervention in LTC with Short Physical Performance Battery (SPPB) frailty scores of ≤11. The intervention utilized a customized, mobile device application ("app") enabling monitoring and progression of the intervention in real-time...
May 9, 2018: Clinical Transplantation
https://www.readbyqxmd.com/read/29736553/effects-of-tai-chi-on-balance-and-gait-in-stroke-survivors-a-systematic-meta-analysis-of-randomized-controlled-trials
#4
Gai Yan Li, Wei Wang, Gong Liang Liu, Ying Zhang
OBJECTIVE: To investigate the effects of tai chi on balance and gait in stroke survivors. METHODS: A systematic meta-analysis of randomized controlled trials on the effects of tai chi on balance and gait in stroke survivors. RESULTS: Five randomized controlled trials, with a total of 346 patients, were included in the meta-analysis. All of these studies had a high bias based on the Cochrane Collaboration recommendation, and a relatively small sample size...
May 8, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29734698/disparate-habitual-physical-activity-and-dietary-intake-profiles-of-elderly-men-with-low-and-elevated-systemic-inflammation
#5
Dimitrios Draganidis, Athanasios Z Jamurtas, Theodoros Stampoulis, Vasiliki C Laschou, Chariklia K Deli, Kalliopi Georgakouli, Konstantinos Papanikolaou, Athanasios Chatzinikolaou, Maria Michalopoulou, Constantinos Papadopoulos, Panagiotis Tsimeas, Niki Chondrogianni, Yiannis Koutedakis, Leonidas G Karagounis, Ioannis G Fatouros
The development of chronic, low-grade systemic inflammation in the elderly (inflammaging) has been associated with increased incidence of chronic diseases, geriatric syndromes, and functional impairments. The aim of this study was to examine differences in habitual physical activity (PA), dietary intake patterns, and musculoskeletal performance among community-dwelling elderly men with low and elevated systemic inflammation. Nonsarcopenic older men free of chronic diseases were grouped as ‘low’ (LSI: n = 17; 68...
May 4, 2018: Nutrients
https://www.readbyqxmd.com/read/29724663/effect-of-problem-solving-therapy-versus-supportive-management-in-older-adults-with-low-back-pain-and-depression-while-on-antidepressant-pharmacotherapy
#6
Jordan F Karp, Xiaotian Gao, Abdus S Wahed, Jennifer Q Morse, Bruce L Rollman, Debra K Weiner, Charles F Reynolds
OBJECTIVE: Testing stepped-care approaches that address both depression and low back pain are needed to optimize outcomes in older adults. METHODS: This university-based late-life depression research center assessed 227 adults aged ≥ 60 years with chronic low back pain and depression. In Phase 1 participants received 6 weeks of low-dose venlafaxine (≤150 mg/day). Nonresponders were randomized to 10 weeks of high-dose venlafaxine (up to 300 mg/day) plus problem-solving therapy (PST) or high-dose venlafaxine with supportive management...
March 30, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29715295/mobility-limitations-related-to-reduced-pulmonary-function-among-aging-people-with-chronic-obstructive-pulmonary-disease
#7
Francesc Medina-Mirapeix, Roberto Bernabeu-Mora, Mª Piedad Sánchez-Martínez, Joaquina Montilla-Herrador, Myriam Bernabeu-Mora, Pilar Escolar-Reina
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major cause of disability. We aimed to analyse the impact of reduced pulmonary function on non-respiratory impairments and mobility activity limitations in an elderly population with COPD and to elucidate which specific limitations on mobility are related to reduced pulmonary function. METHODS: Cross-sectional study of 110 patients with COPD, recruited from public and university hospital. The effect of impaired pulmonary function on the risk of non-respiratory impairments and mobility limitations was analysed using validated measures, including: the 6-Minute Walk Test (6MWT), skeletal muscle strength, the Short Physical Performance Battery (SPPB), and self-reported mobility questionnaire...
2018: PloS One
https://www.readbyqxmd.com/read/29671766/protein-intake-and-distribution-in-relation-to-physical-functioning-and-quality-of-life-in-community-dwelling-elderly-people-acknowledging-the-role-of-physical-activity
#8
Dominique S M Ten Haaf, Ellen J I van Dongen, Malou A H Nuijten, Thijs M H Eijsvogels, Lisette C P G M de Groot, Maria T E Hopman
Increasing total protein intake and a spread protein intake distribution are potential strategies to attenuate sarcopenia related loss of physical function and quality of life. The aim of this cross-sectional study was to investigate whether protein intake and protein intake distribution are associated with muscle strength, physical function and quality of life in community-dwelling elderly people with a wide range of physical activity. Dietary and physical activity data were obtained from two studies (N = 140, age 81 ± 6, 64% male), with the following outcome measures: physical functioning (Short Physical Performance Battery (SPPB), comprising balance, gait speed and chair rise tests), handgrip strength and quality of life (EQ-5D-5L)...
April 19, 2018: Nutrients
https://www.readbyqxmd.com/read/29667786/frailty-phenotypes-and-mortality-after-lung-transplantation-a-prospective-cohort-study
#9
Jonathan P Singer, Joshua M Diamond, Michaela R Anderson, Patricia P Katz, Ken Covinsky, Michelle Oyster, Tatiana Blue, Allison Soong, Laurel Kalman, Pavan Shrestha, Selim M Arcasoy, John R Greenland, Lori Shah, Jasleen Kukreja, Nancy P Blumenthal, Imaani Easthausen, Jeffrey A Golden, Amika McBurnie, Ed Cantu, Joshua Sonett, Steven Hays, Hilary Robbins, Kashif Raza, Matthew Bacchetta, Rupal J Shah, Frank D'Ovidio, Aida Venado, Jason D Christie, David J Lederer
Frailty is associated with increased mortality among lung transplant candidates. We sought to determine the association between frailty, as measured by the Short Physical Performance Battery (SPPB), and mortality after lung transplantation. In a multicenter prospective cohort study of adults who underwent lung transplantation, preoperative frailty was assessed with the SPPB (n = 318) and, in a secondary analysis, the Fried Frailty Phenotype (FFP; n = 299). We tested the association between preoperative frailty and mortality following lung transplantation with propensity score-adjusted Cox models...
April 18, 2018: American Journal of Transplantation
https://www.readbyqxmd.com/read/29665854/a-community-based-physical-activity-intervention-to-prevent-mobility-related-disability-for-retired-older-people-retirement-in-action-react-study-protocol-for-a-randomised-controlled-trial
#10
Afroditi Stathi, Janet Withall, Colin J Greaves, Janice L Thompson, Gordon Taylor, Antonieta Medina-Lara, Colin Green, James Bilzon, Selena Gray, Heidi Johansen-Berg, Claire E Sexton, Max J Western, Jolanthe L de Koning, Jessica C Bollen, Sarah J Moorlock, Naiara Demnitz, Poppy Seager, Jack M Guralnik, W Jack Rejeski, Ken R Fox
BACKGROUND: The REtirement in ACTion (REACT) study is a multi-centre, pragmatic, two-arm, parallel-group randomised controlled trial (RCT) with an internal pilot phase. It aims to test the effectiveness and cost-effectiveness of a community, group-based physical activity intervention for reducing, or reversing, the progression of functional limitations in older people who are at high risk of mobility-related disability. METHODS/DESIGN: A sample of 768 sedentary, community-dwelling, older people aged 65 years and over with functional limitations, but who are still ambulatory (scores between 4 and 9 out of 12 in the Short Physical Performance Battery test (SPPB)) will be randomised to receive either the REACT intervention, delivered over a period of 12 months by trained facilitators, or a minimal control intervention...
April 17, 2018: Trials
https://www.readbyqxmd.com/read/29644435/sexual-health-in-patients-with-rheumatoid-arthritis-and-the-association-between-physical-fitness-and-sexual-function-a-cross-sectional-study
#11
Thomas Ernst Dorner, Carolin Berner, Sandra Haider, Igor Grabovac, Thomas Lamprecht, Karl Heinrich Fenzl, Ludwig Erlacher
The aim of this study was to examine sexual health in patients with rheumatoid arthritis (RA), and to analyse factors associated with sexual health with a focus on physical fitness. One hundred RA patients aged between 18 and 65 years were included in a cross-sectional study. Handgrip strength and knee extensor strength were measured with a dynamometer, and physical performance with the Short Physical Performance Battery (SPPB). Fifty-four patients, mean age 47.8 (SD 10.6) years, 61% female, answered a questionnaire about sexual health...
April 11, 2018: Rheumatology International
https://www.readbyqxmd.com/read/29630006/reliability-and-validity-of-the-patient-specific-functional-scale-in-community-dwelling-older-adults
#12
Ruth Ann Mathis, J David Taylor, Brian H Odom, Chad Lairamore
BACKGROUND AND PURPOSE: Clinical measurement of physical function that is both specific to the individual and generates comparable outcome data is a fundamental need in physical therapy examination. The Patient-Specific Functional Scale (PSFS) has been found to be a reliable and valid measure of physical function in patients with musculoskeletal disorders and may have applications for other patient populations. However, the reliability and the validity of the PSFS have not been evaluated in older adults...
April 6, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29569564/pilot-study-effectiveness-of-a-training-program-about-autonomy-in-elderly-patients-hospitalized-after-an-acute-episode
#13
Antoine Vignoles, Sophie Watelet, Thomas Gilbert, Mahdi Harchaoui, Marine Haution-Bitker, Joanna Jacoud, Claire Falandry, Marc Bonnefoy
Patients hospitalized in rehabilitation after an acute episode is at high risk of functional impairment and require active measures to prevent loss of autonomy. Resistance training has been proved beneficial to improve physical performances of aged subjects in the community. However, the feasibility and effects of training programs has never been assessed among hospitalized patients after an acute medical episode. In this pilot study, we aimed to evaluate a personalized training program of adapted physical education teacher combining muscular reinforcement and endurance training among patients over 65 year-old hospitalized in a geriatric rehabilitation care setting...
March 1, 2018: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/29560331/association-between-asymmetry-in-knee-extension-strength-and-balance-in-a-community-dwelling-elderly-population-a-cross-sectional-analysis
#14
Jinmann Chon, Hee-Sang Kim, Jong Ha Lee, Seung Don Yoo, Dong Hwan Yun, Dong Hwan Kim, Seung Ah Lee, Yoo Jin Han, Yunsoo Soh, Yong Kim, Young Rok Han, Chang Won Won, Seonyoung Han
Objective: To evaluate the association between balance function and asymmetry of knee extension strength in an elderly Korean population. Methods: The strength of the knee extensors in each leg was measured in 306 community-dwelling elderly subjects (age, 76.70±4.85 years) and 25 young healthy subjects (age, 34.23±8.93 years). Based on the difference in strength of both legs, the elderly subjects were divided into symmetric (n=128) and asymmetric (n=178) strength groups using an asymmetry cutoff 20%...
February 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29555215/-detection-of-the-largest-population-susceptible-to-prescription-of-a-program-of-exercises-in-primary-care-to-prevent-frailty
#15
Ana María Rosas Hernández, Sergio Alejandre Carmona, Javier Enrique Rodríguez Sánchez, Maria Victoria Castell Alcalá, Ángel Otero Puime
AIM: Identify the population over 70 year's old treated in primary care who should participate in a physical exercise program to prevent frailty. Analyze the concordance among 2criteria to select the beneficiary population of the program. DESIGN: Population-based cross-sectional study. SETTINGS: Primary Care. PARTICIPANTS: Elderly over 70 years old, living in the Peñagrande neighborhood (Fuencarral district of Madrid) from the Peñagrande cohort, who accepted to participate in 2015 (n = 332)...
March 16, 2018: Atencion Primaria
https://www.readbyqxmd.com/read/29555099/prevalence-of-sarcopenia-and-its-association-with-activities-of-daily-living-among-japanese-nursing-home-residents
#16
Tomohiko Kamo, Hideaki Ishii, Keisuke Suzuki, Yuusuke Nishida
Sarcopenia is an important predictor of adverse outcomes in elderly people. Based on a common clinical experience, sarcopenia may be associated with activities of daily living (ADL). To our knowledge, no study has investigated the association between sarcopenia and ADL in nursing home residents requiring long-term care. This cross-sectional study included 250 nursing home residents. Nutritional status, physical function, ADL and cognitive function were assessed using Mini Nutritional Assessment-Short Form (MNA-SF), Short Physical Performance Battery (SPPB), Barthel Index (BI) and Mini-Mental State Examination (MMSE)...
March 16, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/29548300/the-combined-effect-of-parathyroid-hormone-1-34-and-whole-body-vibration-exercise-in-the-treatment-of-osteoporosis-pavos-study-protocol-for-a-randomized-controlled-trial
#17
Ditte Beck Jepsen, Jesper Ryg, Niklas Rye Jørgensen, Stinus Hansen, Tahir Masud
BACKGROUND: PaVOS is a randomized controlled trial (RCT) which aims to address the use of whole-body vibration exercise (WBV) in combination with parathyroid hormone 1-34 fragment teriparatide (PTH 1-34) treatment in patients with osteoporosis. PTH 1-34 is an effective but expensive anabolic treatment for osteoporosis. WBV has been found to stimulate muscle and bone growth. Animal studies have shown a beneficial effect on bone when combining PTH 1-34 with mechanical loading. A combined treatment with PTH 1-34 and WBV may potentially have beneficial effects on bone and muscles, and reduce fracture risk...
March 16, 2018: Trials
https://www.readbyqxmd.com/read/29523640/prospective-associations-between-white-matter-hyperintensities-and-lower-extremity-function
#18
So Young Moon, Philipe de Souto Barreto, Yves Rolland, Marie Chupin, Ali Bouyahia, Ludovic Fillon, Jean François Mangin, Sandrine Andrieu, Matteo Cesari, Bruno Vellas
OBJECTIVE: To evaluate the relationship of white matter hyperintensities (WMH) with decline in lower extremity function (LEF) over approximately 3 years in dementia-free older adults with memory complaints. METHODS: We obtained brain MRI data from 458 community-dwelling adults, aged 70 years or over, at baseline, and from 358 adults over an average follow-up of 963 days. We evaluated LEF using the Short Physical Performance Battery (SPPB). We related baseline WMH volumes and progression to SPPB scores over time, using mixed-effect linear regressions...
April 10, 2018: Neurology
https://www.readbyqxmd.com/read/29505321/functional-measures-show-improvements-after-a-home-exercise-program-following-supervised-balance-training-in-older-adults-with-elevated-fall-risk
#19
Kristen Tisher, Kimberly Mann, Sarah VanDyke, Charity Johansson, Srikant Vallabhajosula
Supervised balance training shows immediate benefit for older adults at fall risk. The long-term effectiveness of such training can be enhanced by implementing a safe and simple home exercise program (HEP). We investigated the effects of a12-week unsupervised HEP following supervised clinic-based balance training on functional mobility, balance, fall risk, and gait. Six older adults with an elevated fall risk obtained an HEP and comprised the HEP group (HEPG) and five older adults who were not given an HEP comprised the no HEP group (NoHEPG)...
March 5, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29504574/calf-muscle-density-is-independently-associated-with-physical-function-in-overweight-and-obese-older-adults
#20
David Scott, Catherine Shore-Lorenti, Lachlan B McMillan, Jakub Mesinovic, Ross A Clark, Alan Hayes, Kerrie M Sanders, Gustavo Duque, Peter R Ebeling
OBJECTIVES: To determine whether associations of calf muscle density with physical function are independent of other determinants of functional decline in overweight and obese older adults. METHODS: This was a secondary analysis of a cross-sectional study of 85 community-dwelling overweight and obese adults (mean±SD age 62.8±7.9 years; BMI 32.3±6.1 kg/m2; 58% women). Peripheral quantitative computed tomography assessed mid-calf muscle density (66% tibial length) and dual-energy X-ray absorptiometry determined visceral fat area...
March 1, 2018: Journal of Musculoskeletal & Neuronal Interactions
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