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Increasing physical activity in older people

E Portegijs, S Sipilä, A Viljanen, M Rantakokko, T Rantanen
The aim is to determine concurrent validity of a single self-report habitual physical activity (PA) question against accelerometer-based PA and mobility variables, and corresponding changes in self-reported PA and mobility. Cross-sectional and longitudinal data of the "Life-space mobility in old age" (LISPE) cohort and its substudy on PA were utilized. At baseline, 848 community-dwelling, 75- to 90-year-old people living independently in central Finland participated in home-based interviews. One and 2 years later, 816 and 761 of them were reassessed by phone, respectively...
October 17, 2016: Scandinavian Journal of Medicine & Science in Sports
Philipe de Souto Barreto, Matteo Cesari, Sandrine Andrieu, Bruno Vellas, Yves Rolland
INTRODUCTION: The minimum frequency of physical activity associated with reduced risk for onset of several chronic diseases is not well established. Therefore, this study examined, in a large sample of citizens from 16 European countries, the predictive value of physical activity frequency and intensity on the incidence of heart diseases, cerebrovascular diseases, diabetes, cancer of any subtype, breast cancer, and colon/rectum cancer. METHODS: Using data from the longitudinal Survey of Health, Ageing, and Retirement in Europe, the long-term associations of physical activity with incident diseases in people aged ≥50 years were investigated...
October 13, 2016: American Journal of Preventive Medicine
Efstathios Papachristou, S Goya Wannamethee, Lucy T Lennon, Olia Papacosta, Peter H Whincup, Steve Iliffe, Sheena E Ramsay
BACKGROUND: Frailty is a state of increased vulnerability to disability, falls, and mortality. The Fried frailty phenotype includes assessments of grip strength and gait speed, which are complex or require objective measurements and are challenging in routine primary care practice. In this study, we aimed to develop a simple assessment tool based on self-reported information on the 5 Fried frailty components to identify older people at risk of incident disability, falls, and mortality...
October 11, 2016: Journal of the American Medical Directors Association
A Holstila, M Mänty, O Rahkonen, E Lahelma, J Lahti
Functioning will be an increasingly important issue in Finland over the coming decades as the proportion of the population aged 65 and older is growing significantly. However, the associations between changes in physical activity and subsequent health functioning are poorly understood. The aim of this study was to examine how changes in physical activity relate to concurrent and prospective levels of health functioning. Cohort data from the Helsinki Health Study were used. Phase 1 (n = 8960, response rate 67%, 80% women) was conducted among 40- to 60-year-old employees of the City of Helsinki in 2000-2002, phase 2 in 2007 (n = 7332, response rate 83%), and phase 3 in 2012 (n = 6814, response rate 79%)...
October 7, 2016: Scandinavian Journal of Medicine & Science in Sports
Karin Hesseberg, Astrid Bergland, Elisabeth Rydwik, Therese Brovold
BACKGROUND/AIMS: There is evidence of an association between cognitive function and physical fitness. The aim of this study was to compare physical fitness in patients with cognitive impairment with a group of older people recently discharged from hospital. METHODS: A cross-sectional study with 98 patients recently diagnosed with cognitive impairment and 115 patients recently discharged from hospital. Associations between the study group variable and different components in the Senior fitness test were examined, controlling for demographic factors and comorbidity...
September 2016: Dementia and Geriatric Cognitive Disorders Extra
Shan-Shan Shen, Jiao-Jiao Chu, Lei Cheng, Xing-Kun Zeng, Ting He, Li-Yu Xu, Jiang-Ru Li, Xu-Jiao Chen
INTRODUCTION: With a rapidly ageing population, sarcopenic obesity, defined as decreased muscle mass and function combined with increased body fat, is a complex health problem. Although sarcopenic obesity contributes to a decline in physical function and exacerbates frailty in older adults, evidence from clinical trials about the effect of exercise and nutrition on this complex syndrome in Chinese older adults is lacking. METHODS AND ANALYSIS: We devised a study protocol for a single-blind randomised controlled trial...
September 30, 2016: BMJ Open
Morag E Taylor, Stephen R Lord, Henry Brodaty, Susan E Kurrle, Sarah Hamilton, Elisabeth Ramsay, Lyndell Webster, Narelle L Payne, Jacqueline C T Close
BACKGROUND: Older people with dementia are at increased risk of physical decline and falls. Balance and mood are significant predictors of falls in this population. The aim of this study was to determine the effect of a tailored home-based exercise program in community-dwelling older people with dementia. METHODS: Forty-two participants with mild to moderate dementia were recruited from routine health services. All participants were offered a six-month home-based, carer-enhanced, progressive, and individually tailored exercise program...
October 3, 2016: International Psychogeriatrics
Lauren A Brooks-Cleator, Audrey R Giles
The 2011 National Household Survey found that the number of Aboriginal peoples in Canada aged 65 and over has increased by over 46 % since the 2006 Canadian Census (Statistics Canada 2011). Despite this dramatic increase in older Aboriginal peoples, there is a dearth of research concerning this cohort, especially regarding their engagement with physical activity. Using a case study methodology, this research sought to examine if the Northwest Territories (NWT) Recreation and Parks Association's (NWTRPA) Elders in Motion (EIM) program is culturally relevant for the participants...
September 28, 2016: Journal of Cross-cultural Gerontology
Jérémy Raffin, Jean-Claude Barthelemy, Philippe Terrat, Marie-Christine Diana, Emilie Achour, Paul Calmels, Mathieu Oriol, Thierry Busso, Lallia Hammadi, Claude Montuy-Coquard, Rémi Bouvier, Rémi Poillerat, Frédéric Roche, David Hupin
OBJECTIVE: It is well established that physical activity reduces the physiological effects of ageing. Among them, is the decrease of the autonomic nervous system (ANS) activity, which is associated with the increase of cardiovascular events and morbidities. It has been shown that high intensity cycle training can enhance the ANS activity by 30% in people with the age of 70. However, such trainings were done by old athletes, used to train at intensities that could not be tolerated by sedentary old people, such as nursing home residents...
September 2016: Annals of Physical and Rehabilitation Medicine
Heather Waterman, Claire Ballinger, Caroline Brundle, Sebastien Chastin, Heather Gage, Robert Harper, David Henson, Bob Laventure, Lisa McEvoy, Mark Pilling, Nicky Olleveant, Dawn A Skelton, Penelope Stanford, Chris Todd
BACKGROUND: Published evaluations of successful interventions to prevent falls in people with sight impairment (SI) are limited. The aim of this feasibility study is to optimise the design and investigation of home safety (HS) and home exercise (HE) programmes to prevent falls in older people with SI. METHODS: A community-based feasibility study in north-west England comprising a three-arm randomised controlled trial (RCT) allocated participants to (1) a control group receiving usual care and social visits, (2) an experimental group receiving the HS programme and (3) an experimental group receiving the HS + HE programme...
September 26, 2016: Trials
Tazeen Jafar
Chronic kidney disease (CKD) defined as reduced estimated glomerular filtration rate (eGFR) or presence of albuminuria, progresses to end stage renal disease (ESRD), needing dialysis or kidney transplant to sustain life, and is associated with increased risks of premature cardiovascular disease (CVD) and mortality. CKD ranked 18 leading (and most rapidly rising cause of mortality by the Global Burden of Disease Study 2010. The social and economic consequences of CKD are far worse in low and middle income countries (LMICs) including India, Pakistan, Bangladesh, and Sri Lanka...
September 2016: Journal of Hypertension
Shane P Brun
BACKGROUND: Many older people are participating in high-intensity activities and sports. Clinicians need to be aware of the physiology of ageing relative to the demands of higher intensity sport. Patient expectations, comorbidities and medication use are important aspects to consider when advising the ageing athlete appropriately. OBJECTIVE: This article highlights the important aspects of maintaining a physically active lifestyle. For the ageing athlete, there are differing needs as well as risks associated with higher intensity physical activity...
July 2016: Australian Family Physician
Agnieszka Sowa, Beata Tobiasz-Adamczyk, Roman Topór-Mądry, Andrea Poscia, Daniele Ignazio la Milia
BACKGROUND: The public health policy agenda oriented towards healthy ageing becomes the highest priority for the European countries. The article discusses the healthy ageing concept and its possible determinants with an aim to identify behavioral patterns related to healthy ageing in selected European countries. METHODS: The healthy ageing is assessed based on a composite indicator of self-assessed health, functional capabilities and life meaningfulness. The logistic regression models are used to assess the impact of the healthy lifestyle index, psycho-social index and socio-economic status on the probability of healthy ageing (i...
2016: BMC Health Services Research
Marzena Tambor, Milena Pavlova, Stanisława Golinowska, Jelena Arsenijevic, Wim Groot
BACKGROUND: To motivate people to lead a healthier life and to engage in disease prevention, explicit financial incentives, such as monetary rewards for attaining health-related targets (e.g. smoking cessation, weight loss or increased physical activity) or disincentives for reverting to unhealthy habits, are applied. A review focused on financial incentives for health promotion among older people is lacking. Attention to this group is necessary because older people may respond differently to financial incentives, e...
2016: BMC Health Services Research
David Martinez-Gomez, Pilar Guallar-Castillon, Fernando Rodríguez-Artalejo
BACKGROUND: The progressive aging of the population has increased the number of older adults with disabilities. Regular physical activity has shown to improve health among these individuals, but the effects of sedentary behavior are mostly unknown. Thus, this study examined the association between sitting time and mortality in older adults with disability. METHODS: Prospective cohort of 2470 people aged ≥60 years. In 2000-2011, the study participants reported their sitting time and physical activity levels and were subsequently followed up through 2011 to ascertain mortality...
October 1, 2016: Journal of the American Medical Directors Association
David R Lee, Claudia H Kawas, Lisa Gibbs, María M Corrada
OBJECTIVES: To evaluate the prevalence of frailty and examine factors associated with frailty in the 90+ Study. DESIGN: Cross-sectional. SETTING: Population-based longitudinal study of people aged 90 and older. PARTICIPANTS: 90+ Study participants (N = 824). MEASUREMENTS: Participants were assessed at baseline for five components of frailty (low weight, weakness, exhaustion, slowness, low physical activity)...
September 2, 2016: Journal of the American Geriatrics Society
Julie C Kendall, Eleanor Boyle, Jan Hartvigsen, Lars G Hvid, Michael F Azari, Mathias Skjødt, Paolo Caserotti
AIMS: The aim of this study was to determine the associations between neck pain, concerns of falling and physical performance in older people. METHODS: Cross-sectional study of 423 community-dwelling Danes aged 75 years and older. Measures consisted of self-reported neck pain, physical performance (Short Physical Performance Battery), self-reported psychological concerns related to falling (Falls Efficacy Scale International), depression (Major Depression Inventory), cognitive function (Mini Mental State Examination), self-reported low-back pain and self-reported history of falls...
August 31, 2016: Scandinavian Journal of Public Health
Boaventura M Cau, Joana Falcão, Carlos Arnaldo
BACKGROUND: Self-rated health is a measure expressing the general condition of health of individuals. Self-rated health studies are common in developed countries and in some developing regions. Despite increasing proportion of adult and older population in sub-Saharan Africa and poor population health indicators, there is a dearth of studies on self-rated health in the region. This study examines factors associated with poor self-rated health among adult individuals in Maputo metropolitan area in Mozambique...
2016: BMC Public Health
Jisca S Kuiper, Richard C Oude Voshaar, Sytse U Zuidema, Ronald P Stolk, Marij Zuidersma, Nynke Smidt
OBJECTIVE: Poor social functioning is associated with cognitive decline in older adults. It is unclear whether social functioning is also associated with subjective memory complaints (SMC). We investigated the association between social functioning and incident SMC and SMC recovery. METHODS: A population-based sample of 8762 older adults (aged ≥65 years) with good objective cognitive functioning at baseline (MMSE ≥26) from the LifeLines Cohort Study were followed for 1...
August 22, 2016: International Journal of Geriatric Psychiatry
Jonas E Andersson, Terry Skehan, Monica Rydén, Elisabeth Lagerkrans
A positive outcome of the modern welfare state is prolonged life expectancy. In Sweden, the expected life span has increased with approximatively 25 years during the 20th century [Statistics Sweden]. However, ageing is associated with an increased risk for acquiring cognitive and physical disabilities. This study is based on anonymized interviews with groups of older persons who experience cognitive problems and relatives. The interviewees were asked about everyday activities like shopping groceries, clothes or other necessities...
2016: Studies in Health Technology and Informatics
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