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Balance and older adults

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https://www.readbyqxmd.com/read/28731949/cancer-screening-in-the-elderly-a-review-of-breast-colorectal-lung-and-prostate-cancer-screening
#1
Ashwin A Kotwal, Mara A Schonberg
There are relatively limited data on outcomes of screening older adults for cancer; therefore, the decision to screen older adults requires balancing the potential harms of screening and follow-up diagnostic tests with the possibility of benefit. Harms of screening can be amplified in older and frail adults and include discomfort from undergoing the test itself, anxiety, potential complications from diagnostic procedures resulting from a false-positive test, false reassurance from a false-negative test, and overdiagnosis of tumors that are of no threat and may result in overtreatment...
July 2017: Cancer Journal
https://www.readbyqxmd.com/read/28731266/a-randomized-double-blind-placebo-controlled-crossover-study-of-the-effects-of-levetiracetam-on-cognition-mood-and-balance-in-healthy-older-adults
#2
Mike R Schoenberg, Ruba S Rum, Katie E Osborn, Mary Ann Werz
OBJECTIVE: The cognitive and mood effects of levetiracetam (LEV) in older adults are not known. This study compared the cognitive and mood effects of LEV to placebo in healthy older adults. METHODS: Cognitive, mood, and balance variables were compared between LEV and placebo using a randomized, double-blind, placebo-controlled crossover study with two 5-week treatment periods. Healthy volunteers (n = 20) aged 65-80 (mean age 72.4) received either LEV or placebo in which the LEV target dose was 1,000 mg/day...
July 21, 2017: Epilepsia
https://www.readbyqxmd.com/read/28729887/whole-body-vibration-training-improves-balance-control-and-sit-to-stand-performance-among-middle-aged-and-older-adults-a-pilot-randomized-controlled-trial
#3
Ming-Chen Ko, Long-Shan Wu, Sangwoo Lee, Chien-Chun Wang, Po-Fu Lee, Ching-Yu Tseng, Chien-Chang Ho
BACKGROUND: Aging is associated with decreased balance, which increases falling risk. The objective of the current study was to determine the feasibility and effects of whole-body vibration (WBV) training on knee extensor muscle power, limits of stability, and sit-to-stand performance among community-dwelling middle-aged and older adults in the United States. METHODS: A randomized pilot study with participant blinding was conducted. Feasibility outcomes included recruitment and compliance rate...
2017: European Review of Aging and Physical Activity
https://www.readbyqxmd.com/read/28728460/acute-effects-of-moderate-alcohol-consumption-on-postural-stability-in-older-adults
#4
Helen Z Wu, Lisa C Barry, Yinghui Duan, Richard W Bohannon, Jonathan M Covault, James J Grady
This study involved healthy community-living older adults in an investigation of the association between moderate alcohol consumption (AC) and acute changes in postural stability and whether the association differed according to pre-AC balance skills. Thirty-nine moderate drinkers aged ≥ 65 years (62% women; mean age: 73.9 ± 6.1 years) consumed a moderate dose of alcohol (0.4 g/kg; administered as two drinks). Breath alcohol concentration and postural stability were measured at five time points (pre-AC and 40, 80, 120, and 160 minutes post-AC)...
January 1, 2017: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/28727592/nutrition-exercise-and-skin-integrity-among-frail-older-adults-in-taiwan
#5
Chia-Te Chen, Heng-Hsin Tung, Tao-Hsin Tung, Jong-Chyou Denq
OBJECTIVE: The purpose was to determine the correlation between nutrition status and skin integrity in the frail older adult population. DESIGN AND SETTING: Participants (N = 94) in this cross-sectional study were recruited through convenience sampling from the neurology and geriatrics outpatient department at a regional teaching hospital in Northern Taiwan. Study tools included a Basic Participant Profile Fill-in Sheet, which assesses demographic and exercise habit; the Comorbidity Index; Skin Integrity Evaluation Chart; Mini-Nutritional Assessment-Short Form; and Taiwan International Physical Activity Questionnaire Form...
August 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/28725986/patterns-of-alcohol-consumption-and-risk-of-falls-in-older-adults-a-prospective-cohort-study
#6
R Ortolá, E García-Esquinas, I Galán, P Guallar-Castillón, E López-García, J R Banegas, F Rodríguez-Artalejo
Falls are a major health problem in older adults, but their relationship with alcohol consumption in this population remains unclear. In a cohort with 2170 older adults followed up for 3.3 years, both moderate drinking and the Mediterranean drinking pattern were associated with a lower risk of falls and injurious falls. INTRODUCTION: This study aims to examine the association between certain patterns of alcohol consumption, including the Mediterranean drinking pattern (MDP), and the risk of falls in older adults...
July 19, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28718297/determination-of-aerobic-capacity-via-cycle-ergometer-exercise-testing-in-alzheimer-s-disease
#7
Ulf G Bronas, Dereck Salisbury, Kaitlin Kelly, Arthur Leon, Lisa Chow, Fang Yu
BACKGROUND: Older adults with Alzheimer's disease (AD) may be unable to perform treadmill testing due to balance issues. We investigated whether older adults with AD could successfully complete a peak cycle ergometer test. METHODS: Peak oxygen consumption (peak [Formula: see text]) assessed via a cycle ergometer test in 44 participants with AD (age 78.4 ± 6.8). Physical function was assessed via the incremental shuttle walk, 6-minute walk, and the Short Physical Performance Battery (SPPB)...
January 1, 2017: American Journal of Alzheimer's Disease and Other Dementias
https://www.readbyqxmd.com/read/28717812/a-new-adaptive-home-based-exercise-technology-among-older-adults-living-in-nursing-home-a-pilot-study-on-feasibility-acceptability-and-physical-performance
#8
V Valiani, M Lauzé, D Martel, M Pahor, T M Manini, S Anton, M Aubertin-Leheudre
OBJECTIVES: To explore the feasibility and acceptability of a new home-based exercise technology among older adults and to evaluate its efficacy on physical performance measures. DESIGN: Longitudinal clinical trial. SETTING: Oak Hammock at the University of Florida, a nursing home located in Gainesville, Florida. PARTICIPANTS: Twelve pre-disabled older adults (≥75 years) living in a nursing home with a Short Physical Performance Battery (SPPB) score between 6 and 9 and no diagnosis of dementia...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28717805/relationship-between-diet-related-indicators-and-overweight-and-obesity-in-older-adults-in-rural-japan
#9
M Ishikawa, S Moriya, T Yokoyama
OBJECTIVES: To identify the relationship between diet-related indicators and overweight and obesity in older adults in rural Japan. DESIGN: Cross-sectional survey. SETTING: Obira, Hokkaido, Japan. PARTICIPANTS: Local residents aged between 65 and 74 years, except for those with poor health, were included. INTERVENTION: A health- and diet-related questionnaire was applied to participants house-to-house by trained health professionals...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28716003/eccentric-versus-traditional-resistance-exercise-for-older-adult-fallers-in-the-community-a-randomized-trial-within-a-multi-component-fall-reduction-program
#10
Paul LaStayo, Robin Marcus, Leland Dibble, Bob Wong, Ginette Pepper
BACKGROUND: Addressing muscle deficits within a multi-component exercise fall reduction program is a priority, especially for the highest risk older adults, i.e., those who have fallen previously. Eccentric resistance exercise with its high-force producing potential, at a low energetic cost, may be ideally-suited to address muscle impairments in this population. The purpose of this study was to compare the effects of resistance exercise via negative, eccentrically-induced, work (RENEW) versus traditional (TRAD) resistance exercise on mobility, balance confidence, muscle power and cross sectional area, as well as the number of days high fall risk older adults survived without a fall event over a 1 year period...
July 17, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28714802/binocular-vision-disorders-and-visual-attention-associations-with-balance-and-mobility-in-older-adults
#11
Mohammed M Althomali, Susan J Leat
Understanding which aspects of vision are related to falls is important. We examine the associations between tests of balance, mobility, fear of falling (FES-1) and aspects of vision in 72 adults aged 70+. Balance and mobility were examined using the One Legged Stance test (OLST), the Sit to Stand test (STST) and the 5 Meter Walking test (5MWT). Visual measures included visual acuity (VA), contrast sensitivity, stereoacuity, binocular vision (BV) measurements, Useful field of View (UFV) and Attended Field of View (AFOV)...
July 17, 2017: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/28708414/feasibility-and-acceptability-of-qigong-exercise-in-community-dwelling-older-adults-in-the-united-states
#12
Pei-Shiun Chang, M Tish Knobf, Marjorie Funk, Byeongsang Oh
OBJECTIVES: Qigong exercise has been shown to improve physical and psychological well-being in adults with chronic conditions, but little is known about the feasibility and acceptability of engaging in a qigong exercise program in community-dwelling older adults in the United States. The purpose of this study was to explore the feasibility, acceptance, and adherence to an 8-week qigong exercise intervention in community-dwelling American older adults. DESIGN: An exploratory study design...
July 14, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28694204/the-mind-body-wellness-in-supportive-housing-mi-wish-study-design-and-rationale-of-a-cluster-randomized-controlled-trial-of-tai-chi-in-senior-housing
#13
Peter M Wayne, Margaret M Gagnon, Eric A Macklin, Thomas G Travison, Bradley Manor, Margie Lachman, Cindy P Thomas, Lewis A Lipsitz
Supporting the health of growing numbers of frail older adults living in subsidized housing requires interventions that can combat frailty, improve residents' functional abilities, and reduce their health care costs. Tai Chi is an increasingly popular multimodal mind-body exercise that incorporates physical, cognitive, social, and meditative components in the same activity and offers a promising intervention for ameliorating many of the conditions that lead to poor health and excessive health care utilization...
July 8, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28690550/targeting-inflammation-and-downstream-protein-metabolism-in-sarcopenia-a-brief-up-dated-description-of-concurrent-exercise-and-leucine-based-multimodal-intervention
#14
REVIEW
Zhi Xia, Jason Cholewa, Yan Zhao, Hua-Yu Shang, Yue-Qin Yang, Kassiana Araújo Pessôa, Quan-Sheng Su, Fernanda Lima-Soares, Nelo Eidy Zanchi
Sarcopenia is defined as the progressive loss of muscle mass with age, and poses a serious threat to the physiological and psychological health of the elderly population with consequential economic and social burdens. Chronic low-grade inflammation plays a central role in the development of sarcopenia such that it alters cellular protein metabolism to favor proteolysis over synthesis, and thereby accelerates muscular atrophy. The purpose of this review is to highlight how exercise and nutrition intervention strategies can attenuate or treat sarcopenia...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28688367/postural-motor-learning-in-parkinson-s-disease-the-effect-of-practice-on-continuous-compensatory-postural-regulation
#15
Karen Van Ooteghem, James S Frank, Fay B Horak
INTRODUCTION: Although balance training is considered the most effective treatment for balance impairments in Parkinson's disease (PD), few studies have examined if learning for balance control remains intact with PD. This study aimed to determine if learning for automatic postural responses is preserved in people with PD. METHODS: Eleven participants with moderate PD (68±6.4years; H&Y: 2-3) on their usual medication maintained balance on a platform that oscillated forward and backward with variable amplitude and constant frequency...
June 28, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28687055/psychometric-properties-of-the-swedish-version-of-the-falls-efficacy-scale-international-for-older-adults-with-osteoporosis-self-reported-balance-deficits-and-fear-of-falling
#16
Alexandra Halvarsson, Agneta Ståhle
PURPOSE: Investigate the psychometric properties of the Swedish version of the Falls Efficacy Scale-International (FES-I). METHOD: Cross-sectional study. Community-dwelling older adults with self-reported balance deficits and fear of falling were recruited from an ongoing randomised controlled study to evaluate the psychometric properties of the FES-I using Rasch model analysis. RESULTS: The Rasch model analysis revealed good category function, the questionnaire measured one dimension with an explained variance of 68...
July 7, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28685440/age-related-changes-in-physiological-reactivity-to-a-stress-task-a-near-infrared-spectroscopy-study
#17
A Brugnera, C Zarbo, R Adorni, A Gatti, A Compare, K Sakatani
Aging is associated with changes in biological functions, such as reduced cardiovascular responses to stressful tasks. However, less is known about the influence of age on the reactivity of the prefrontal cortex (PFC) to acute stressors. Therefore, this study aimed to investigate the effects of a computerized-controlled stress task on the PFC and autonomic system activity in a sample of older and younger adults. We recruited a total of 55 healthy, right-handed persons (26 older adults with mean age 69.5, SD 5...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28684213/a-generalisable-methodology-for-stability-assessment-of-walking-aid-users
#18
E Costamagna, S B Thies, L P J Kenney, D Howard, A Liu, D Ogden
To assist balance and mobility, older adults are often prescribed walking aids. Nevertheless, surprisingly their use has been associated with increased falls-risk. To address this finding we first need to characterise a person's stability while using a walking aid. Therefore, we present a generalisable method for the assessment of stability of walking frame (WF) users. Our method, for the first time, considers user and device as a combined system. We define the combined centre of pressure (CoPsystem) of user and WF to be the point through which the resultant ground reaction force for all feet of both the WF and user acts if theresultant moment acts only around an axisperpendicular tothe ground plane...
July 3, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28682801/upping-the-ante-working-harder-to-address-physical-inactivity-in-older-adults
#19
Denise Taylor, Elizabeth Binns, Nada Signal
PURPOSE OF REVIEW: Physical inactivity in older adults is associated with declining functional capacity, sarcopenia, metabolic changes, and cognitive changes. Current Physical Activity Guidelines recommend 150 min of moderate-intensity exercise along with strengthening and balance exercises. Despite the guidelines there is little evidence of a population-based change in physical activity. RECENT FINDINGS: There is a growing body of research investigating the use of high-intensity interval training in older adult to improve health-related outcomes...
July 5, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28681134/effect-of-body-mass-index-and-fat-mass-on-balance-force-platform-measurements-during-a-one-legged-stance-in-older-adults
#20
Camila Pereira, Rubens A da Silva, Marcio R de Oliveira, Rejane D N Souza, Renata J Borges, Edgar R Vieira
The purpose of this study was to evaluate the impact of body mass index (BMI) and fat mass on balance force platform measurements in older adults. The sample consisted of 257 participants who were stratified into four groups by BMI: low weight, normal weight, pre-obesity and obesity. For fat mass variables, older individuals were classified into low and high-fat mass. All groups investigated performed three trials of one-legged stance balance on a force platform. Center of pressure (COP) domain parameters were computed from the mean across trials...
July 5, 2017: Aging Clinical and Experimental Research
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