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Falls older adults

Vera Stara, Richard Harte, Mirko Di Rosa, Liam Glynn, Monica Casey, Patrick Hayes, Lorena Rossi, Anat Mirelman, Paul M A Baker, Leo R Quinlan, Gearóid ÓLaighin
BACKGROUND: User-centred design (UCD) is a process whereby the end-user is placed at the centre of the design process. The WIISEL (Wireless Insole for Independent and Safe Elderly Living) system is designed to monitor fall risk and to detect falls, and consists of a pair of instrumented insoles and a smartphone app. The system was designed using a three-phase UCD process carried out in Ireland, which incorporated the input of Irish end-users and multidisciplinary experts throughout. OBJECTIVE: In this paper we report the results of a usability and user experience (UX) assessment of the WIISEL system in multiple countries and thus establish whether the UCD process carried out in Ireland produced positive usability and UX results outside of Ireland...
August 2018: Maturitas
David Shulman, Abbigale Spencer, Lori Ann Vallis
BACKGROUND: A common technique to regain stability following an unexpected perturbation is reactive stepping, aimed to control the accelerated center of mass (COM). Many older adults (OA) struggle to execute the fast, coordinated stepping strategy required to arrest COM movement within the base of support (BOS) during these unexpected events, likely due to age-related physiological declines. Recent ecological data also suggests that many falls in OA occur due to errors in transferring or shifting body weight during activities of daily living...
June 7, 2018: Gait & Posture
Rosangela Alice Batistela, Alison Oates, Renato Moraes
Understanding the effects of haptic input while performing a cognitive-visual task on postural control can broaden comprehension of the functional integration hypothesis in older adults with and without a history of falls. We aimed to investigate the effect of haptic input provided by light touch (LT) and the anchors while performing a cognitive-visual task in faller and non-faller older adults when standing upright. Twenty-two fallers and twenty-two non-fallers older adults participated in this study. They stood upright with feet together and performed six experimental conditions combining haptic cues (none, LT, and anchors) and the presence/absence of the cognitive-visual task (the adapted visual Stroop test)...
June 11, 2018: Human Movement Science
Anna Hafström
Background: Severe diminished foot somatosensation, for example, caused by neuropathies and advanced aging, contributes to balance deficits and increased fall risk. However, little is known about somatosensory impairment and functional and subjective balance problems in relatively healthy elderly. Method: Vibration perception thresholds (VPTs) were assessed with a biothesiometer and tactile pressure sensation thresholds (TPSTs) with 20 monofilaments in 34 relatively healthy community-dwelling older adults ( M = 69...
January 2018: Gerontology & Geriatric Medicine
Kevin Yau, Janine F Farragher, S Joseph Kim, Olusegun Famure, Sarbjit V Jassal
Background: Functional disability is defined as the need for assistance with self-care tasks. Objective: To document changes in functional status over time among older prevalent renal transplant recipients. Design: Single center, prospective, follow-up study. Setting: Single center, tertiary care transplant center. Patients: Patients, with a functioning kidney transplant, aged 65 years or older who underwent assessment of functional status approximately 12 months previously...
2018: Canadian Journal of Kidney Health and Disease
Peggy M Cawthon, Eric S Orwoll, Katherine E Peters, Kristine E Ensrud, Jane A Cauley, Deborah M Kado, Marcia L Stefanick, James M Shikany, Elsa S Strotmeyer, Nancy W Glynn, Paolo Caserotti, Mahalakshmi Shankaran, Marc Hellerstein, Steven R Cummings, William J Evans
Background: Direct assessment of skeletal muscle mass in older adults is clinically challenging. Relationships between lean mass and late-life outcomes have been inconsistent. The D3-creatine dilution method provides a direct assessment of muscle mass. Methods: Muscle mass was assessed by D3-creatine (D3Cr) dilution in 1,382 men (mean age, 84.2 yrs). Participants completed the Short Physical Performance Battery (SPPB); usual walking speed (6 meters); and DXA lean mass...
June 12, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Daniel J Goble, Harsimran S Baweja
AIM: Postural sway measured using force plate technology is a known risk factor for falls in older adults, but is currently underutilized due to the high cost and lack of portability issues associated with most force plate systems. The Balance Tracking System (BTrackS) is a new force plate that alleviates these barriers and has potential for widespread use. The present study provides important normative data for the BTrackS Balance Test of postural sway that improves its translational value to the field of gerontology...
June 13, 2018: Geriatrics & Gerontology International
Gianluca Testa, Alice Ceccofiglio, Chiara Mussi, Giuseppe Bellelli, Franco Nicosia, Mario Bo, Daniela Riccio, Francesco Curcio, Anna Maria Martone, Gabriele Noro, Francesco Landi, Andrea Ungar, Pasquale Abete
OBJECTIVES: To determine whether hypotensive drugs may play a pivotal role in inducing orthostatic hypotension (OH)-related syncope. DESIGN: Prospective, observational, multicenter study. SETTING: Acute care wards, syncope units, and centers for the diagnosis of dementia. PARTICIPANTS: Individuals aged 65 and older with a diagnosis of dementia and 1 or more episodes of transient loss of consciousness of a suspected syncopal nature or unexplained falls during the previous 3 months MEASUREMENTS: Blood pressure was measured in the supine position and in the orthostatic position after 1 and 3 minutes...
June 13, 2018: Journal of the American Geriatrics Society
Samuel D Towne, Yajuan Li, Shinduk Lee, Matthew Lee Smith, Gang Han, Cindy Quinn, Yuxian Du, Mark Benden, Marcia G Ory
INTRODUCTION: Physical activity declines are seen with increasing age; however, the US CDC recommends most older adults (age 65 and older) engage in the same levels of physical activity as those 18-64 to lessen risks of injuries (e.g., falls) and slow deteriorating health. We aimed to identify whether older adults participating in a short (approx. 90-minute sessions) 20 session (approximately 10-weeks) health and wellness program delivered in a community setting saw improvements in physical activity and whether these were sustained over time...
2018: PloS One
Viral N Shah, Mengdi Wu, Nicole Foster, Ruban Dhaliwal, Mona Al Mukaddam
We evaluated fall frequency and factors affecting falls among middle-aged and older adults with type 1 diabetes (T1D) from T1D Exchange Registry. Twenty-nine percent of T1D participants reported falls within the past 12 months. Severe hypoglycemia, diabetic peripheral neuropathy, and depression were associated with falls in adults with T1D. PURPOSE: Fall is an important risk factor for osteoporotic fracture; we evaluated fall frequency and factors affecting falls among middle-aged and older adults with type 1 diabetes (T1D)...
June 12, 2018: Archives of Osteoporosis
Yanli Zeng, Xiaoyi Hu, Lingling Xie, Zengli Han, Yun Zuo, Ming Yang
OBJECTIVES: To investigate the prevalence and associated factors of sarcopenia defined by different criteria in nursing home residents. DESIGN: A cross-sectional study. SETTING: Four nursing homes in Chengdu, China. PARTICIPANTS: Elderly adults aged 65 years or older. MEASUREMENTS: We applied 4 diagnostic criteria [European Working Group on Sarcopenia in Older People (EWGSOP), Asia Working Group for Sarcopenia (AWGS), International Working Group on Sarcopenia (IWGS), and Foundation for the National Institutes of Health (FNIH)] to define sarcopenia...
June 8, 2018: Journal of the American Medical Directors Association
Melissa J Black, Adam A Lucero, Philip W Fink, Lee Stoner, Sarah P Shultz, Sally D Lark, David S Rowlands
The increased risk of falls associated with advancing age has increased demand for methods to improve balance and mobility. The primary purpose of the study was to determine whether wearing Aqua Titan-treated stockings could improve balance and walking performance in an older population; secondary was to elucidate the mechanisms. In a randomized, double-blind crossover, 16 healthy older adults (age, 67.9 ± 4.2 years; BMI, 24.8 ± 3.1 kg/m²) performed two 4-day trials composed of baseline measures and fatiguing exercise on Day 1, with recovery measures at 14, 38 and 62 h post-exercise, wearing Aqua Titan and control stockings...
June 8, 2018: Journal of Functional Biomaterials
Somayeh Fahimnia, Hadi Mirhedayati Roudsari, John Doucette, Armin Shahrokni
Falls are common among older adults. However, not much is known about the prevalence of falls among older patients with cancer. In 2015, older patients with cancer referred to Geriatrics service for preoperative evaluation were assessed for fall history, basic and instrumental activities of daily living (ADL and IADL), KPS, and use of assistive device. Of 806 patients, 215 (26.7%) patients reported fall. Incidence of last fall inside and outside home was 54.4% and 45.5%, respectively. Among patients with no falls, 33...
2018: Current Gerontology and Geriatrics Research
Sobhan Sobhani, Ehsan Sinaei, Alireza Motealleh, Fatemeh Hooshyar, Niloofar Sami Kashkooli, Amin Kordi Yoosefinejad
OBJECTIVE: The purpose of this study was to compare the efficacy of 4 weeks of whole body vibration training on balance in older adults who word two different types of shoes: unstable (unstable group) versus standard shoes (stable group). DESIGN: Randomized, single-blind clinical trial. PARTICIPANTS: Seventy eight eligible older adults were initially enrolled; 59 participants (mean age 69.7±5.3 years) completed the program. INTERVENTION: Participants were randomized 1:1 to an intervention group that received whole body vibration with unstable shoes, and a control group that received whole body vibration with standard shoes...
May 30, 2018: Archives of Gerontology and Geriatrics
Kim T J Bongers, Yvonne Schoon, Marcel G M Olde Rikkert
PURPOSE OF STUDY: The first aim is to evaluate, in a sub-study, the recruitment process of the Senior Step Study, which was an intervention study on the self-management of mobility and fall risk; the second aim is to explore the reasons mentioned by older people, from three different settings, for (not) participating. METHODS: Subjects were community-dwelling older persons, residents of homes for the elderly, and older persons regularly visiting community centres...
May 31, 2018: Archives of Gerontology and Geriatrics
Yu-Ling Chen, Yu-Cheng Pei
Background/aims: Dual-task training may improve dual-task gait performance, balance, and cognition in older adults with and without cognitive impairment. Although music has been widely utilized in dementia management, there are no existing protocols for music-based dual-task training. This randomized controlled study developed a Musical Dual-Task Training (MDTT) protocol that patients with dementia can use to practice walking and making music simultaneously, to enhance attention control in patients during dual-tasking...
2018: Neuropsychiatric Disease and Treatment
Barbara Resnick, Elizabeth Galik, Marie Boltz, Sarah Holmes, Steven Fix, Erin Vigne, Shijun Zhu, Regina Lewis
OBJECTIVE: The purpose of this study was to describe medication use and polypharmacy in assisted living settings. We hypothesized that: 1) age, gender, race, setting, multi-morbidity, and cognitive status would influence polypharmacy; and 2) polypharmacy would be associated with falls, emergency room visits, and hospitalizations. DESIGN: This was a descriptive study using data from a larger study testing the Dissemination and Implementation of Function Focused Care for Assisted Living (FFC-AL-EIT)...
June 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
Kamalesh K Gulia, Velayudhan Mohan Kumar
In contrast to newborns, who spend 16-20 h in sleep each day, adults need only about sleep daily. However, many elderly may struggle to obtain those 8 h in one block. In addition to changes in sleep duration, sleep patterns change as age progresses. Like the physical changes that occur during old age, an alteration in sleep pattern is also a part of the normal ageing process. As people age, they tend to have a harder time falling asleep and more trouble staying asleep. Older people spend more time in the lighter stages of sleep than in deep sleep...
May 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Wolfgang Kemmler, Anja Weissenfels, Sebastian Willert, Mahdieh Shojaa, Simon von Stengel, Andre Filipovic, Heinz Kleinöder, Joshua Berger, Michael Fröhlich
Exercise positively affects most risk factors, diseases and disabling conditions of middle to advanced age, however the majority of middle-aged to older people fall short of the exercise doses recommended for positively affecting cardio-metabolic, musculoskeletal and neurophysiological fitness or disabling conditions. Whole-Body Electromyostimulation (WB-EMS) may be a promising exercise technology for people unable or unmotivated to exercise conventionally. However, until recently there has been a dearth of evidence with respect to WB-EMS-induced effects on health-related outcomes...
2018: Frontiers in Physiology
Andrea P Rossi, Francesco Fantin, Pasquale Abete, Giuseppe Bellelli, Mario Bo, Antonio Cherubini, Francesco Corica, Mauro Di Bari, Marcello Maggio, Giovanna Maria Manca, Maria Rosaria Rizzo, Lara Bianchi, Francesco Landi, Stefano Volpato
OBJECTIVE: To compare the prognostic value of dynapenia, as evaluated by handgrip, and body mass index (BMI) on length of stay (LOS), days of bed rest, and other hospitalization-related outcomes in a population of older adults admitted to 12 italian acute care divisions. METHODS: Data on age, weight, BMI, comorbidities, ADL, physical activity level, muscle strength, were recorded at hospital admission. LOS, days of bed rest, intrahospital falls, and discharge destination were also recorded during the hospitalization...
June 5, 2018: European Journal of Clinical Nutrition
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