Community-Based Acupunch Exercise Program Improves Physical Health and Quality of Sleep in Taiwanese Older Adults

2018 ◽  
Vol 26 (5) ◽  
pp. 521-522 ◽  
Author(s):  
Helen Lavretsky ◽  
Ryan Abbott
Keyword(s):  
Older Adults ◽  
Physical Health ◽  
Exercise Program ◽  
Quality Of Sleep ◽  
Community Based

scholarly journals Exercise Is Medicine: Restoring Function in Older Adults with Hematologic Malignancy

Blood ◽  
2018 ◽  
Vol 132 (Supplement 1) ◽  
pp. 4870-4870 ◽  
Author(s):  
Ashley E. Rosko ◽  
Sarah A Wall ◽  
Carolyn Presley ◽  
ReNea Owens ◽  
Desiree Jones ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Adverse Events ◽  
Physical Health ◽  
Physical Function ◽  
Hematologic Malignancy ◽  
Functional Decline ◽  
Exercise Program ◽  
Exercise Programs

Abstract Background: Exercise programs are proven to positively impact physical fitness, quality of life, and late toxicities in cancer patients, and many recent reports document the benefit of exercise in patients with diverse cancers.1-3 However, such programs are underutilized in patients with hematologic malignancy.2,3 As anemia and thrombocytopenia associated with hematologic diseases are risk factors for falls and bleeding complications, exercise has not been routinely recommended. Thus, exercise programs have yet to gain traction in patients with hematologic malignancy and are rarely seen as a preventative measure for functional decline. Of critical importance, functional decline is not an inevitable part of illness or aging and is potentially modifiable.4,5 Here, we identified older adults with functional decline and incorporated a preventative exercise program to attenuate complications associated with disease- and therapy-related de-conditioning. Methods: This is a single center, pilot prospective study of older adults (≥60 years) with hematologic malignancy actively receiving chemotherapy. Patients enrolled had mild or moderate impairments in physical function, as defined by a score ≤9 on the Short Physical Performance Battery (SPPB). The SPPB is an objective, validated tool used to capture at risk patients and has been shown to be prognostic in predicting decline in function, re-hospitalization, and mortality.6 The primary objective was to assess the feasibility of implementing a structured exercise program; including recruitment and retention, adherence, sustainability, adverse events and implementation challenges. Reasons why patients decline exercise participation were also tracked. The Otago Exercise Program (OEP) has been found to be an effective exercise regimen to improve functional balance, muscle strength, and prevent fall-related injury and mortality.8 The OEP is a structured combination of physical therapist prescribed individualized exercise plans with home-based exercise, demonstrated to improve balance and functional decline.9 The OEP focuses on strengthening, balance retraining, and walking. Results: Older adults actively receiving chemotherapy with a median age of 75.5 (62-83) with hematologic malignancy (myeloma=18, NHL=6, leukemia=5) were enrolled. Chemotherapy regimens were variable (e.g. R-EPOCH, venetoclax, IMiDS, proteasome inhibitors, bone marrow transplant). Patients were approached (n=63) for participation of a structured exercise program and a target accrual of n=30 was achieved over 17 months. Reasons for declining participation included travel (n=13), inconvenience (n=12), not appropriate (n=5) or concern for side effects/cost/uninformed (n=3). There was no relationship with distanced traveled and exercise completion, R=-0.01 (p=0.94). Adherence was excellent with all 8 sessions complete (n=18) or 7 sessions complete (n=4), at time of analysis. Geriatric assessment factors were analyzed at baseline (Visit 1) and following 4 months of exercise (Visit 2). Physical health scores as measured by the MOS-PFS increased significantly [MOS-PFS: V1=55 (0-100), V2=67.5 (30-100), p=0.005], where patient reported KPS were similar [KPS V1=80 (40-100), V2=85 (60-100), p=0.065]. Importantly, objective measures of physical function improved to normal scores by visit 2 [SPPB V1=7(0-11), V2=11(2-12), p<0.001]. Moreover, quality of life scores by PROMIS demonstrated improvement in physical health symptoms. No adverse events were attributable to exercise. Conclusions: In this pilot study evaluating a structured exercise program for older adults undergoing chemotherapy, physical deficits normalized for patients, resulting in improved subjective and objective measurements of functional capacity. The program was feasible, sustainable and adherence was optimal. Here we demonstrate that exercise programs can attenuate complications associated with disease- and therapy-related de-conditioning and are feasible in older adults. Disclosures No relevant conflicts of interest to declare.

Living Arrangements and Sleep-Related Outcomes Among Older Adults in China

2019 ◽  
Vol 91 (2) ◽  
pp. 111-126 ◽  
Author(s):  
Yen-Han Lee ◽  
Yen-Chang Chang ◽  
Timothy Chiang ◽  
Ching-Ti Liu ◽  
Mack Shelley
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Odds Ratio ◽  
Regression Models ◽  
Family Members ◽  
Ordinary Least Squares ◽  
Least Squares Regression ◽  
Quality Of Sleep ◽  
Nationally Representative

It has been discussed previously that older adults’ living arrangements are associated with mortality. This study investigated the relationships between older adults’ living arrangements and sleep-related outcomes in China. The nationally representative sample included 4,731 participants who participated on two different occasions, with a total of 9,462 observations (2012 and 2014 waves). Panel logistic regression and panel ordinary least squares regression models were estimated with outcomes of sleep quality and average hours of sleep daily, respectively. Approximately 62% of individuals reported good quality of sleep. We observed that older adults who lived with family members had 17% greater odds of reporting good quality of sleep (adjusted odds ratio = 1.17, 95% confidence interval [1.03, 1.34], p < .05) and reported longer sleep duration daily (β = .334, standard error = .069, p < .01), compared with those who lived alone. Social support is needed to strengthen the residential relationship, especially with family members.

Training zu Hause verbessert die Schlafqualität und die Tagesschläfrigkeit älterer Menschen

2019 ◽  
Vol 7 (6) ◽  
pp. 327-328
Author(s):  
Helmut Frohnhofen
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Cognitive Decline ◽  
Daytime Sleepiness ◽  
Exercise Program ◽  
Sleep Hygiene ◽  
Northeastern Brazil ◽  
Home Exercise ◽  
Quality Of Sleep

Background: Aging causes physiological changes which affect the quality of sleep. Supervised physical exercise is an important therapeutic resource to improve the sleep of the elderlies, however there is a low adherence to those type of programs, so it is necessary to implement an exercise program which is feasible and effective. The study aimed to test the hypothesis that a semi-supervised home exercise program, improves sleep quality and daytime sleepiness of elderlies of the community who present poor sleep quality. Methods: This was a randomized controlled trial study, conducted from May to September 2017, in Northeastern Brazil, with elderlies of the community aging 60 years old or older, sedentary, with lower scores or equal to 5 at the Pittsburgh Sleep Quality Index (PSQI) and without cognitive decline. From one hundred ninety-one potential participants twenty-eight refused to participate, therefore, one hundred thirty-one (mean age 68 ± 7 years), and 88% female, were randomly assigned to an intervention group - IG (home exercise and sleep hygiene, n = 65) and a control group - CG (sleep hygiene only, n = 66). Sleep assessment tools were used: PSQI, Epworth sleepiness scale (ESS) and clinical questionnaire of Berlin. The level of physical activity has been assessed by means of International Physical Activity Questionnaire adapted for the elderly (IPAQ) and Mini-Mental State Examination for cognitive decline. All participants were assessed before and after the 12-week intervention period and, also, the assessors were blind. Results: The IG showed significant improvement in quality of sleep with a mean reduction of 4.9 ± 2.7 points in the overall PSQI (p < 0.01) and in all its 7 components of evaluation (p < 0.05), and improvement of secondary endpoint, daytime sleepiness, a decline of 2.8 ± 2.2 points in the ESS (p < 0.01). Conclusion: Our results suggest that semi-supervised home exercise is effective in improving the quality of sleep and self-referred daytime sleepiness of sedentary elderlies of the community who presented sleep disorders. Trial registration: Ensaiosclinicos.gov.br process number: RBR-3cqzfy.

The effect of footbath on the quality of sleep in older adults: A pilot study

2021 ◽  
Vol 42 (5) ◽  
pp. 1178-1183
Author(s):  
Mohamad Reza Armat ◽  
Hamed Mortazavi ◽  
Hadi Akbari ◽  
Zohreh Ebrahimzadeh
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Quality Of Sleep
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