scholarly journals Exercise and physical activity for health promotion and rehabilitation in community dwelling very old adults or nursing home residents

2021 ◽  
Vol 51 (4) ◽  
pp. 405-409
Author(s):  
Bettina Wollesen ◽  
Michael Brach
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Very Old ◽  
Old Adults

scholarly journals Comparison of the Daily Fitness Test in Nursing Home Residents and Community-Dwelling Residents Elderly Women

2020 ◽  
Vol 29 (4) ◽  
pp. 409-415
Author(s):  
Min-Hwa Suk ◽  
Hee-Seung Jang ◽  
Jin-Wook Lee
Keyword(s):  
Physical Activity ◽  
Nursing Home ◽  
Physical Fitness ◽  
Elderly Women ◽  
Nursing Home Residents ◽  
Exercise Program ◽  
The Elderly ◽  
Community Dwelling ◽  
Step Test ◽  
Fitness Test

PURPOSE:The purpose of this study was to compare the daily fitness tests of nursing home residents and community-dwelling elderly women after 16 weeks program.METHODS:Thirty elderly women living in a nursing home (n=14) or community (n=16) participated in the study. The program was assigned 1 hour twice a week for 16 weeks to improve the physical activity for the elderly women. The daily fitness test assessed the physical fitness levels for elderly. The tests performed the 2-min step test, chair stand test, arm curl test, chair sit and reach test, backscratch test, 244-cm up and go test.RESULTS:A result of the study show that the daily physical fitness of the elderly women living in the community is higher than those living in nursing homes. After the program which induced physical activity, 2-min step test (<i>p</i><.05) and 244-cm up and go test (<i>p</i><.05) were much improved in the elderly living in nursing homes.CONCLUSIONS:Although the daily fitness of nursing home residents was lower than community-dwelling residents, there was a significant improvement after exercise program.

scholarly journals Home environment and frailty in very old adults

2021 ◽  
Author(s):  
Jaroslava Zimmermann ◽  
Sylvia Hansen ◽  
Michael Wagner
Keyword(s):  
Home Environment ◽  
Age Groups ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Multinomial Regression ◽  
Cross Sectional ◽  
Very Old ◽  
Old Adults ◽  
Representative Study ◽  
Younger Age

Abstract Background Since older adults spend much time in their home environment (HE), frailty may occur as a consequence of a maladaptation to the HE. The aim of this study was to describe the prevalence of frailty in the very old population of North Rhine-Westphalia, and to examine the association between the HE and the frailty levels of these individuals. Methods Data from a cross-sectional representative study were used, including data on 1577 community-dwelling individuals and nursing home residents aged ≥ 80 years. Objective and subjective HE aspects were included. Frailty was defined according to four criteria: exhaustion, unintentional weight loss, weakness, and low physical activity. Adjusted multinomial regression modelling was used to analyze the link between the HE and frailty levels. Results Of the very old individuals, 24.3% were robust, 57.0% were prefrail, and 18.7% were frail. Adjusting for relevant sociodemographic and health characteristics, being not closely attached to the HE was linked with an increased probability of being prefrail and frail. An improvement of the residential area was associated with a decrease in odds of being frail. Living in communities with less than 50,000 and with 100,000–499,999 inhabitants decreased the odds of being frail. Discussion Frailty prevalence is shown to be higher in the very old population than in the younger age groups in Germany. Early identification of frailty and tailored interventions focused on improving objective and subjective attributes of the HE are needed to reduce the risk of frailty.

scholarly journals Impact of Physical and Social Frailty on the Utilization of Nursing Care Services in Very Old Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 573-574
Author(s):  
Jaroslava Zimmermann
Keyword(s):  
Nursing Home ◽  
Nursing Care ◽  
Inpatient Care ◽  
Community Dwelling ◽  
Nursing Home Admission ◽  
Physical Frailty ◽  
Very Old ◽  
Old Adults ◽  
Care Services ◽  
The Impact

Abstract Frailty, characterized by increased vulnerability to external stressors, has been found to increase the risk of healthcare utilization and nursing home admission. As the age group of 80 years or older remains frequently underrepresented in previous research, this study examined the impact of physical and social frailty on the utilization of nursing care services in very old population of North Rhine-Westphalia. Using data from a representative cross-sectional study, 1,577 community-dwelling and institutionalized individuals aged ≥80 years were included. Physical frailty was defined according to Fried’s criteria (exhaustion, weight loss, low handgrip strength, low physical activity). Social frailty was measured with self-reported loneliness, social isolation, and time spent with others. The use of outpatient care services, day care, informal and inpatient care were considered. Multinomial regression was applied to investigate the impact of physical and social frailty on the use of outpatient and inpatient care services, controlling for relevant sociodemographic and health related characteristics. Compared to very old adults who did not use any care services, no association was found between frailty and the use of outpatient or informal care. Comparing nonusers of care services with institutionalized individuals, nursing home residents were less likely to experience physical frailty and pre-frailty, but were more likely to be socially isolated and to feel lonely. These findings suggest that physical frailty might have been successfully prevented in the context of institutional inpatient care. However, early identification and intervention focused on social inclusion of the institutionalized very old individuals are needed to reverse social frailty.

scholarly journals Between Social Inclusion and Exclusion: Integration of Daycare Guests in the Nursing Home Setting

2020 ◽  
Author(s):  
Kerstin Hämel ◽  
Gundula Röhnsch
Keyword(s):  
Nursing Home ◽  
Social Inclusion ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Cognitive Capacity ◽  
Home Setting ◽  
Residential Care Facilities ◽  
Care Approach ◽  
Nursing Home Setting ◽  
Close Relatives

Abstract Background and Objectives In integrated daycare, community-dwelling older people in need of care join existing groups in residential care facilities during the day. This study focuses on how nursing home residents experience the integrative care approach, exploring opportunities for social inclusion and mechanisms of exclusion. Research Design and Methods A purposive sample of residents differing in cognitive capacity and level of (non)conflictual interaction with daycare guests was selected. Episodic interviews with residents (N = 10) and close relatives (N = 2) were conducted in 3 pilot facilities in Germany and analyzed using thematic coding. Results The analysis revealed different orientation patterns towards the presence of daycare guests: respondents (a) demonstrated indifference to the daycare guests, (b) saw bonding with guests as a means to connect to the outside world, and (c) perceived incompatibility between in-group and out-group. Criticisms included disruption of daily routines and loss of privacy. Most interviewees came to terms with the care situation using rational and moral arguments. Discussion and Implications The study reveals the importance of residents’ participation when integrating daycare guests. Institutional procedures are required to prevent exclusion of daycare guests and avoid overtaxing residents.

scholarly journals Restorative Virtual Environment Design for Augmenting Nursing Home Rehabilitation

2016 ◽  
Vol 9 (3) ◽  
Author(s):  
Jon Ram Bruun-Pedersen ◽  
Stefania Serafin ◽  
Lise Busk Kofoed
Keyword(s):  
Physical Activity ◽  
Nursing Home ◽  
Muscle Strength ◽  
Intrinsic Motivation ◽  
Virtual Environment ◽  
Nursing Home Residents ◽  
User Preferences ◽  
Environment Design ◽  
Design Considerations ◽  
Home Users

With increasing age, muscle strength decreases excessively rapidly if physical activity is not maintained. However, physical activity is increasingly difficult with aging. This is due to balance, strength or coordination difficulties, arthritis, etc. Moreover, many nursing home residents become unable to experience natural surroundings. Augmenting a conventional biking exercise with a recreational virtual environment (RVE) has shown to serve as an intrinsic motivation contributor to exercise for nursing home residents. RVEs might be able to provide some of the health benefits that regular nature experiences do. More studies on content of proper custom designs for RVEs are necessary. This paper reviews the background for RVE design, describes four custom RVE designs for recreational VE exploration and presents user preferences among nursing home users concerning content and other pivotal design considerations.

Serum Myostatin Levels Are Higher in Fitter, More Active, and Non-Frail Long-Term Nursing Home Residents and Increase after a Physical Exercise Intervention

Gerontology ◽  
2018 ◽  
Vol 65 (3) ◽  
pp. 229-239 ◽  
Author(s):  
Haritz Arrieta ◽  
Gotzone Hervás ◽  
Chloe Rezola-Pardo ◽  
Fátima Ruiz-Litago ◽  
Miren Iturburu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Nursing Home ◽  
Physical Fitness ◽  
Physical Activity Level ◽  
Exercise Intervention ◽  
Nursing Home Residents ◽  
Exercise Program ◽  
Activity Level

Background: Myostatin has been proposed as a candidate biomarker for frailty and sarcopenia. However, the relationship of myostatin with these conditions remains inconclusive. Objective: To determine the association of serum myostatin concentration with body composition, physical fitness, physical activity level, and frailty in long-term nursing home residents. We also aimed to ascertain the effect of an exercise program on myostatin levels. Methods: We obtained study data on 112 participants from long-term nursing homes. Participants were randomly assigned to a control or an intervention group and performed a 6-month multicomponent exercise program. Serum myostatin levels were analyzed by ELISA. Assessments also included body composition (anthropometry and bioelectrical impedance), physical fitness (Senior Fitness Test), physical activity level (accelerometry), and frailty (Fried frailty criteria, Clinical Frailty Scale, and Tilburg frailty indicator). Results: The concentration of myostatin at baseline was positively correlated with: a leaner body composition (p < 0.05), and a higher number of steps per day and light and moderate-vigorous physical activity in women (p < 0.005); greater upper and lower limb strength, endurance, and poorer flexibility (p < 0.05) in men; and better performance (less time) in the 8-ft timed up-and-go test in both women (p < 0.01) and men (p < 0.005). We observed higher concentrations of serum myostatin in non-frail than in frail participants (p < 0.05). Additionally, we found that the implemented physical exercise intervention, which was effective to improve physical fitness, increased myostatin concentration in men (p < 0.05) but not in women. The improvements in physical condition were related with increases in serum myostatin only in men (p < 0.05–0.01). Conclusions: Higher serum levels of myostatin were found to be associated with better physical fitness. The improvements in physical fitness after the intervention were positively related to increases in myostatin concentrations in men. These results seem to rule out the idea that high serum myostatin levels are indicative of frailty in long-term nursing home residents. However, although the direction of association was opposite to that expected for the function of myostatin, the use of this protein as a biomarker for physical fitness, rather than frailty, merits further study.

Sign in / Sign up

Export Citation Format

Share Document