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"Exercise falls"

Ann-Sofi C Kammerlind, Marie Ernsth Bravell, Eleonor I Fransson
BACKGROUND: Dizziness is highly prevalent among older people and associated with many health factors. The aim of the study was to determine the prevalence of and factors related to dizziness among community-dwelling older adults in Sweden. In contrast to previous studies, the subjects with dizziness were divided into two groups, mild and substantial dizziness, according to the frequency and intensity of dizziness. METHODS: A sample of 305 older persons between 75 and 90 years of age (mean age 81 years) were interviewed and examined...
2016: BMC Geriatrics
Adriane Ribeiro Teixeira, Mariane Heckmann Wender, Andréa Kruger Gonçalves, Cíntia de La Rocha Freitas, Ana Maria Pujol Vieira Dos Santos, Cristina Loureiro Chaves Soldera
Introduction Dizziness is a symptom that can lead to falls, which, in turn, undermine onés independence and autonomy, leading to several comorbidities. The practice of physical exercise, however, can help prevent falls. Objective The objective of this study is to confirm the association between physical exercise, dizziness, probability of falling, and depressive symptoms in a group of middle-aged adults and seniors. Methods The authors evaluated subjects based on history, the Geriatric Depression Scale, and functional reach test...
April 2016: International Archives of Otorhinolaryngology
Erik C Prout, Avril Mansfield, William E McIlroy, Dina Brooks
PURPOSE: To describe patient perspectives of aerobic exercise during inpatient stroke rehabilitation, including their self-efficacy and beliefs towards exercise, as well as their perceptions of barriers. METHOD: A survey was conducted at three Canadian rehabilitation centres to evaluate individuals' (N = 33) self-efficacy and outcome expectations for exercise. In addition, patient perceptions of other people recovering from stroke, social support, and aerobic exercise as part of rehabilitation were assessed...
March 26, 2016: Disability and Rehabilitation
Elin T G Kersten, Anne M Akkerman-Nijland, Jean M M Driessen, Zuzana Diamant, Bernard J Thio
RATIONALE: Exercise-induced bronchoconstriction (EIB) can be prevented by a single dose of montelukast (MLK). The effect is variable, similar to the variable responsiveness observed after daily treatment with MLK. We hypothesized that the effect of a single MLK-dose (5 or 10 mg) on EIB could predict the clinical effectiveness of longer term once daily treatment. METHODS: This was a prospective, open-label study. Twenty-four asthmatic adolescents (12-17 years) suboptimally controlled by low-dose inhaled corticosteroids, with ≥10% post-exercise fall in FEV1 , were included...
May 2016: Pediatric Pulmonology
Kamil Przyborowski, Marta Wojewoda, Barbara Sitek, Agnieszka Zakrzewska, Agnieszka Kij, Krystyna Wandzel, Jerzy Andrzej Zoladz, Stefan Chlopicki
1-Methylnicotinamide (MNA), which was initially considered to be a biologically inactive endogenous metabolite of nicotinamide, has emerged as an anti-thrombotic and anti-inflammatory agent with the capacity to release prostacyclin (PGI2). In the present study, we characterized the effects of MNA on exercise capacity and the endothelial response to exercise in diabetic mice. Eight-week-old db/db mice were untreated or treated with MNA for 4 weeks (100 mg·kg-1), and their exercise capacity as well as NO- and PGI2-dependent response to endurance running were subsequently assessed...
2015: PloS One
Lesley Day, Margaret J Trotter, Alex Donaldson, Keith D Hill, Caroline F Finch
The study aim was to evaluate the implementation of group- and home-based exercise falls prevention programs delivered through community health agencies to community-dwelling older people. Interviews with program staff were guided by the Diffusion of Innovations theory. Highly consistent themes emerged for the two types of programs. Both had high overall compatibility, high relative advantage, good observability and high inherent trialability--all factors known to strengthen implementation. The level of complexity and low financial compatibility emerged as the strongest potential inhibitors to program implementation in the context examined...
January 2016: Journal of Aging and Physical Activity
Steve Iliffe, Denise Kendrick, Richard Morris, Tahir Masud, Heather Gage, Dawn Skelton, Susie Dinan, Ann Bowling, Mark Griffin, Deborah Haworth, Glen Swanwick, Hannah Carpenter, Arun Kumar, Zoe Stevens, Sheena Gawler, Cate Barlow, Juliette Cook, Carolyn Belcher
BACKGROUND: Regular physical activity (PA) reduces the risk of falls and hip fractures, and mortality from all causes. However, PA levels are low in the older population and previous intervention studies have demonstrated only modest, short-term improvements. OBJECTIVE: To evaluate the impact of two exercise promotion programmes on PA in people aged ≥ 65 years. DESIGN: The ProAct65+ study was a pragmatic, three-arm parallel design, cluster randomised controlled trial of class-based exercise [Falls Management Exercise (FaME) programme], home-based exercise [Otago Exercise Programme (OEP)] and usual care among older people (aged ≥ 65 years) in primary care...
August 2014: Health Technology Assessment: HTA
Jacqueline Wesson, Lindy Clemson, Henry Brodaty, Stephen Lord, Morag Taylor, Laura Gitlin, Jacqueline Close
BACKGROUND: People with dementia have a disproportionately high rate of falls and fractures and poorer outcomes, yet there is currently no evidence to guide falls prevention in this population. METHODS: A randomised trial design was used to test feasibility of study components and acceptability of a home hazard reduction and balance and strength exercise fall prevention program. The program was tailored to participant's individual cognitive levels and implemented as a carer-supported intervention...
2013: BMC Geriatrics
Itsushi Takai
AIM: It is important to promote self-efficacy for exercise for developing exercise habit. The purpose of this study was to investigate factors influenced by self-efficacy for exercise among community-dwelling elderly men in urban areas. METHODS: The subjects were 69 elderly men (mean age of 74.2±2.0 SD) who had given approval for participation in the study. We examined the following factors: family situation, history of falls, frequency of going out, stage model of a change, self-efficacy for exercise, fall efficacy scale (FES), geriatric depression scale (GDS), subjective health, functional ability and motor function (5 m walking time, chair stand test-5times)...
2012: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
Ichiro Tatsuno, Takashi Terano, Mitsugu Nakamura, Kiminori Suzuki, Kazuko Kubota, Jyunichi Yamaguchi, Tomohiko Yoshida, Sawako Suzuki, Tomaki Tanaka, Makio Shozu
Osteoporosis causes an enormous health and economic impact in Japan. We investigated the relation between lifestyle and bone fracture in middle-aged and elderly women. This was a population-based, multicenter, cross-sectional survey for postmenopausal osteoporosis in Chiba City, Japan (Chiba bone survey). This survey included 64,809 Japanese women aged > 40 years. All participants underwent anthropometric measurements including bone mineral density (BMD) and completed a structured, nurse-assisted, self-administered questionnaire also including patient lifestyle...
2013: Endocrine Journal
Terri M Wensel, Maryam M Iranikhah, Teresa W Wilborn
Osteoporosis is a degenerative bone disease affecting approximately 10 million American adults. Several options are available to prevent development of the disease or slow and even stop its progression. Nonpharmacologic measures include adequate intake of calcium and vitamin D, exercise, fall prevention, and avoidance of tobacco and excessive alcohol intake. Current drug therapy includes bisphosphonates, calcitonin, estrogen or hormone therapy, selective estrogen receptor modulators, and teriparatide. Denosumab, a receptor activator of nuclear factor-K B ligand (RANKL) inhibitor, was recently approved by the United States Food and Drug Administration for treatment of postmenopausal osteoporosis...
May 2011: Pharmacotherapy
Jeffrey P Levine
Prevention of osteoporotic fractures is of major importance from a public health perspective. Despite the large burden the disease exacts on individuals and society, not all patients with osteoporosis receive optimal treatment. Since only 1 in 3 patients with osteoporosis is diagnosed, clinicians need to improve their ability to identify patients who are candidates for bone mineral density (BMD) screening. Although limited data exist about the direct correlation between effective screening and fracture morbidity and mortality, it has been proved that increases in fractures are associated with increases in morbidity and mortality...
May 2011: American Journal of Managed Care
Anne-Marie Hill, Tammy Hoffmann, Christopher Beer, Steven McPhail, Keith D Hill, David Oliver, Sandra G Brauer, Terry P Haines
PURPOSE: The aim of this study was to examine whether older people are prepared to engage in appropriate falls prevention strategies after discharge from hospital. DESIGN AND METHODS: We used a semi-structured interview to survey older patients about to be discharged from hospital and examined their knowledge regarding falls prevention strategies to utilize in the post-discharge period. The study was part of a prospective cohort study, nested within a larger, randomized controlled trial...
October 2011: Gerontologist
Patrícia Bueno Lima, Ilka Lopes Santoro, Lilian Ballini Caetano, Anna Lúcia de Barros Cabral, Ana Luisa Godoy Fernandes
OBJECTIVE: There is an indirect relationship between airway obstruction in asthma and the intensity of breathlessness (dyspnea). A word labeled visual analog dyspnea scale with a 0-3 score has been widely used for the assessment of the degree of bronchoconstriction, although the perception of such obstruction varies considerably. The objective of this study was to determine whether children and adolescents are able to perceive acute exercise-induced bronchoconstriction (EIB), as well as to measure the discriminatory power of a word labeled visual analog dyspnea scale in relation to the intensity of the EIB...
September 2010: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
James Frith, Christopher P Day, Lisa Robinson, Chris Elliott, David E J Jones, Julia L Newton
BACKGROUND & AIMS: The management of non-alcoholic liver disease (NAFLD) concerns lifestyle modification and exercise; however, adherence is poor. Factors such as lack of confidence to exercise, poor understanding of the benefits of exercise, and a fear of falling all influence engagement in physical activity. To increase exercise in NAFLD it is important to understand the barriers to performing it. METHODS: Three chronic liver disease cohorts were identified from the Newcastle Liver Database: NAFLD (n=230), alcoholic liver disease (ALD, n=110) and primary biliary cirrhosis (PBC, n=97)...
January 2010: Journal of Hepatology
Elin T G Kersten, Jean M M Driessen, Julianne D van der Berg, Bernard J Thio
BACKGROUND: Bronchial hyperresponsiveness (BHR), a characteristic feature of asthma, can be assessed through standardized bronchial provocation tests (BPT). Exercise as a BPT is used in diagnosing and monitoring exercise induced bronchoconstriction (EIB). Recently a novel osmotic BPT has been developed, using dry powder mannitol. The aim of this study was to investigate the clinical utility of the mannitol challenge to identify asthmatic children with EIB. MATERIALS AND METHODS: Thirty-three clinically stable children, aged 9-18 years, with a history of EIB, performed both mannitol and exercise provocation challenges...
July 2009: Pediatric Pulmonology
Brenna M Lynn, Christopher T Minson, John R Halliwill
It has been reported that endurance exercise-trained men have decreases in cardiac output with no change in systemic vascular conductance during post-exercise hypotension, which differs from sedentary and normally active populations. As inadequate hydration may explain these differences, we tested the hypothesis that fluid replacement prevents this post-exercise fall in cardiac output, and further, exercise in a warm environment would cause greater decreases in cardiac output. We studied 14 trained men (VO2,peak 4...
July 15, 2009: Journal of Physiology
Mara A Schonberg, Meghan York, Nisha Basu, Daniele Olveczky, Edward R Marcantonio
PURPOSE: We sought to examine the use of preventive health services among older women and to assess how age and illness burden influence care patterns. METHODS: The charts of 299 women aged > or =80 and 229 women aged 65-79 years who did not have dementia or terminal illness at 1 academic primary care practice in Boston were reviewed between July and December 2005 to determine receipt of screening tests (e.g., mammography), counseling on healthy lifestyle (e...
July 2008: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Laura L Tosi, Richard Gliklich, Krishna Kannan, Kenneth J Koval
BACKGROUND: The American Orthopaedic Association initiated its Own the Bone pilot project in 2005 in order (1) to assess current orthopaedic practices for the prevention of secondary fractures in adult patients who have sustained a low-energy fracture (fragility fracture), (2) to pilot quality-improvement tools designed to improve the application of evidence-based strategies for the prevention of secondary fractures, and (3) to identify barriers to the broader implementation of the Own the Bone project and explore how to overcome them...
January 2008: Journal of Bone and Joint Surgery. American Volume
Cathy R Kessenich
Osteoporosis is a systemic, metabolic disease that can result in debilitating fractures. The lasting effects of vertebral and hip fractures can cause acute and chronic pain, deformity, and emotional distress. Research evidence and clinical experience have determined that weight bearing and strength training exercise, fall prevention efforts, hip protectors, and some alternative therapies may assist patients in avoiding the pervasive and lasting effects of osteoporotic fractures. Clinicians should consider the recommendations ofnonpharmacological measures to assist patients at risk for experiencing the culminating event of this destructive disease...
2007: Clinical Interventions in Aging
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