Is grip strength a good marker of physical performance among community-dwelling older people?

2012 ◽  
Vol 16 (9) ◽  
pp. 769-774 ◽  
Author(s):  
P. J. Stevens ◽  
H. E. Syddall ◽  
H. P. Patel ◽  
H. J. Martin ◽  
C. Cooper ◽  
...  
2019 ◽  
Vol 32 (3) ◽  
pp. 491-503 ◽  
Author(s):  
Alberto Cella ◽  
Alice De Luca ◽  
Valentina Squeri ◽  
Sara Parodi ◽  
Matteo Puntoni ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Naoto Kamide ◽  
Yoshitaka Shiba ◽  
Miki Sakamoto ◽  
Haruhiko Sato ◽  
Akie Kawamura

Abstract Background Fall-related efficacy has been found to be associated with both falls and fall risk factors such as physical performance. The aim of the present study was to clarify whether fall-related efficacy is, independent of physical performance and other potential risk factors, associated with future falls in community-dwelling older people. Methods The study participants were 237 Japanese older people aged 65 years and over who were living independently in their community. Fall-related efficacy and physical performance were assessed at baseline using the short version of the Falls Efficacy Scale-International (short FES-I) and 5-m walking time, the Timed Up and Go Test, the 5 Times Sit to Stand Test, and grip strength. Physical performance was then again assessed at 1-year follow-up. The number of falls was obtained every 6 months for 1 year after the baseline survey. Instrumental activities of daily living (IADL), depression, fall history, current medications, medical history, and pain were also investigated as potential confounding factors that have possible associations with falls. The associations between the short FES-I, physical performance, and number of falls were analyzed using Poisson regression analysis adjusted for physical performance and potential confounding factors. Results The mean age of the participants (75.9% women) was 71.1 ± 4.6 years, and 92.8% could perform IADL independently. The total numbers of falls and fallers during the 1-year follow-up period were 70 and 42, respectively. On Poisson regression analysis adjusted for walking time and potential confounding factors, independent of physical performance, the short FES-I was found to be significantly associated with number of falls (relative risk = 1.09, p < 0.05). On the other hand, physical performance was not significantly associated with the number of falls. Conclusions The findings of the present study suggest that the short FES-I, independent of physical performance and other potential risk factors, is a useful index to detect fall risk in community-dwelling older people, and that fall-related efficacy is an important factor in terms of fall prevention.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Shota Ikegami ◽  
Jun Takahashi ◽  
Masashi Uehara ◽  
Ryosuke Tokida ◽  
Hikaru Nishimura ◽  
...  

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i30-i32
Author(s):  
S E R Lim ◽  
N J Cox ◽  
H C Roberts

Abstract Introduction Physical activity (PA) is important for older people to maintain functional independence and healthy ageing. PA interventions for community-dwelling older adults are often delivered by healthcare professionals, fitness instructors or trained members of a research team. Innovative approaches are needed to ensure that these interventions are practical and sustainable. This systematic review explores the effectiveness of volunteer-led PA interventions in improving health outcomes for community-dwelling older people. Methods Following PRISMA recommendations, five databases (MEDLINE, Embase, CINAHL, PEDro, Cochrane library) were systematically searched until May 2019, for studies using trained volunteers to deliver PA interventions for community-dwelling older people aged ≥ 65 years, reporting on participant outcomes. Meta-analysis was not conducted due to included study heterogeneity. Results Twelve papers (eight studies including three randomised controlled trials (RCTs)) were included in the review; five papers reported different outcomes from the same RCT. Intervention settings included community exercise groups (n=4), home (n=2) and care homes (n=2). All eight studies included strength and balance exercises and frequency of PA ranged from once daily to weekly sessions. The three RCTs showed improvement in grip strength, nutritional and frailty status, and reduction in fear of falling, among 39 older adults (mean age 83 years) who received a physical training and nutritional intervention; improvement in grip strength and activity of daily living scores among 56 nursing home older adults (mean age 78 years) who received resistance exercise training; and a significantly higher proportion of older adults (n = 193, 9% improvement vs 0.5% in the control group) achieved the recommended target of 150 minutes of moderate vigorous PA per week using the Falls Management Exercise intervention. Two studies compared volunteer and health professional-delivered PA interventions and reported that both interventions were equally effective in reducing fear of falls and improving quality of life. Two quasi-experimental studies reported improvement in functional outcomes including functional reach, timed up and go test, and chair stand. A large prospective cohort study (n = 1620) reported a reduction in disability among older adults who received volunteer-led exercise compared to control, with a hazard ratio of 0.73 (95% CI 0.62-0.86) for development of disability. Conclusions Trained volunteers can lead PA interventions among community-dwelling older adults with some evidence of improved health outcomes including nutritional, functional and frailty status.


2011 ◽  
Vol 40 (2) ◽  
pp. 181-186 ◽  
Author(s):  
H. Martin ◽  
A. Aihie Sayer ◽  
K. Jameson ◽  
H. Syddall ◽  
E. M. Dennison ◽  
...  

2013 ◽  
Vol 14 (3) ◽  
pp. 170-178 ◽  
Author(s):  
Donja M. Mijnarends ◽  
Judith M.M. Meijers ◽  
Ruud J.G. Halfens ◽  
Sovianne ter Borg ◽  
Yvette C. Luiking ◽  
...  

2019 ◽  
Vol 82 ◽  
pp. 273-278 ◽  
Author(s):  
Jaqueline Mello Porto ◽  
Ana Paula Midori Nakaishi ◽  
Luciana Mendes Cangussu-Oliveira ◽  
Renato Campos Freire Júnior ◽  
Sállua Berlanga Spilla ◽  
...  

2015 ◽  
Vol 44 (6) ◽  
pp. 954-959 ◽  
Author(s):  
Shirley J. Simmonds ◽  
Holly E. Syddall ◽  
Leo D. Westbury ◽  
Richard M. Dodds ◽  
Cyrus Cooper ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ming-Yueh Chou ◽  
Yukiko Nishita ◽  
Takeshi Nakagawa ◽  
Chikako Tange ◽  
Makiko Tomida ◽  
...  

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