scholarly journals The impact of therapeutic patient education and physical activity programs on the fall risk of elderly people

2019 ◽  
pp. 3-10
Author(s):  
Alexandra Perrot ◽  
Amir Ayad ◽  
Marie Gernigon ◽  
Pauline Maillot
Keyword(s):  
Physical Activity ◽  
Patient Education ◽  
Elderly People ◽  
Fear Of Falling ◽  
Control Program ◽  
Therapeutic Education ◽  
Therapeutic Patient Education ◽  
Muscle Strengthening ◽  
Risk Factors For Falls ◽  
The Impact

Objective: The objective of this study is to evaluate the effectiveness of a combined therapeutic education/physical activity program on risk factors for falls in elderly fall patients hospitalized in a rehabilitation healthcare service. This combined program is compared to a control program, which offers physical activity only. Method: Thirty fall patients are evaluated on the TUG, Tinetti, and FES-I tests and randomly assigned either to the group consisting of 24 sessions of physical activity alone, with endurance, stretching, balance and muscle strengthening exercises, or to the physical activity group combined with four therapeutic fall prevention education sessions. Results: For both programs, results reveal significant differences between the pre-tests and post-tests on each balance score and equally on fear of falling. An interaction effect (group × time) is observed on the FES only, which means that fear of falling decreases significantly more in the Physical Activity and Patient Education group than in the Physical Activity alone group. Conclusion: Therapeutic patient education seems to reduce fear of falling. This highlights the potential impact that such programs could have on elderly people who have had a previous fall/falls in terms of regaining self-confidence when going about their daily activities.

scholarly journals Efficiency of an Optimized Care Organization in Fibromyalgia Patients: The From Intent to Move (FIMOUV) Study Protocol of a Randomized Controlled Trial

2021 ◽  
Vol 9 ◽  
Author(s):  
Claire Colas ◽  
Julie Goutte ◽  
Christelle Creac'h ◽  
Luc Fontana ◽  
Marie-Pierre Vericel ◽  
...  
Keyword(s):  
Physical Activity ◽  
Patient Education ◽  
Education Program ◽  
Controlled Trial ◽  
Test Group ◽  
Pharmacological Therapy ◽  
Therapeutic Education ◽  
Care Organization ◽  
European Guidelines ◽  
The Impact

Introduction: Fibromyalgia (FM) is characterized by multiple symptoms including pain, fatigue, and sleep disorders, altering patient's quality of life. In the absence of effective pharmacological therapy, the last European guidelines recommend a multidisciplinary management based on exercise and education. Thus, our main objective was to measure the effectiveness of a healthcare organization offering a specific program of adapted physical activity combined with a therapeutic education program for FM patients.Methods and Analysis: The From Intent To Move (FIMOUV) study will recruit 330 FM patients randomized into two groups: test and control. The test group will benefit from a 1-month mixed exercise training program supervised at the hospital, followed by 2 months in a community-based relay in a health-sport structure. In addition, each of the two groups will benefit from therapeutic patient education sessions. The main endpoint is the measurement of the level of physical activity by accelerometry at 1 year. The secondary endpoints concern adherence to the practice of physical activity, impact on lifestyle, state of health, and physical capacity, as well as an estimate of the budgetary impact of this management strategy.Discussion: This interventional research will allow us to assess the evolution of behaviors in physical activity after an FM syndrome management based solely on patient education or based on a supervised and adapted practice of physical activity associated with this same therapeutic education program. It seems to be the first study evaluating the impact of its intervention on objective data for measuring physical activity and sedentary behavior via accelerometry among FM patients.Trial registration:ClinicalTrials.gov NCT04107948.

Forms of physical activity of the elderly

2020 ◽  
Vol 18 (3) ◽  
pp. 221-228
Author(s):  
Piotr Czarnecki ◽  
◽  
Justyna Podgórska-Bednarz ◽  
Lidia Perenc ◽  
◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Population Aging ◽  
Human Life ◽  
Good Health ◽  
The Elderly ◽  
Polish Society ◽  
Central Statistical ◽  
Key Phrases ◽  
The Impact

Introduction. Physical activity is known to be an important factor influencing health throughout human life. This issue has become crucial for public health due to the aging of the population in both developed and developing countries. Aim. is to present a literature review on the forms of physical activity undertaken by the elderly, as well as on issues related to physical activity and the population aging. Material and methods. The study was prepared on the basis of a review of Polish and foreign literature. The following databases and data sources were used: EBSCO, ScienceDirect and Google Scholar. An additional source of data were the websites of the Central Statistical Office. Strictly defined key phrases were used during the collection of literature. The work has been divided into thematic subsections on the aging of the society, the impact of physical activity on health and the main topic, i.e. forms of physical activity selected by the elderly. Analysis of the literature. The number of elderly people in Polish society has increased by almost 3.7 million over three decades. Therefore, an important topic is prophylaxis aimed at increasing the number of days in good health, largely covering the broadly understood activation of the elderly. The available data indicate that only 12% of elderly people undertake physical activity once a week. The most common form of spending free time actively is walking (as many as 73% of people in this population declare this form of physical activity in one of the presented studies). Conclusion. Organized forms of physical activity are undertaken much less frequently by the analyzed age group mainly due to financial limitations and limited availability of sports infrastructure.

scholarly journals Characterizing Longitudinal Change in Physical Activity and Fear of Falling in Glaucoma

2020 ◽  
Author(s):  
Jian-Yu E ◽  
Aleksandra Mihailovic ◽  
Jennifer A. Schrack ◽  
Tianjing Li ◽  
David S. Friedman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Visually Impaired ◽  
Linear Models ◽  
Longitudinal Research ◽  
Fear Of Falling ◽  
Longitudinal Change ◽  
Longitudinal Changes ◽  
Injurious Falls ◽  
The Impact

Abstract Background: Older adults with visual impairments experience a higher risk of falling, and are more vulnerable to adverse health consequences associated with falls than those with normal vision. This study aims to characterize the longitudinal changes of objectively measured physical activity and self-reported fear of falling (FoF) related to types of falls in visually impaired older adults. Methods: We obtained data from the Falls in Glaucoma Study (FIGS), a prospective cohort study that recruited 234 participants at the Johns Hopkins Wilmer Eye Institute from 2013 to 2015. Falls were defined as unintentionally coming to rest on the ground or a lower level, and injurious falls were determined though follow-up calls. Study participants were categorized into three groups – fallers with injurious consequences, fallers without injurious consequences, and non-fallers based on fall status in the first year. Physical activity was assessed using a waist-bound accelerometer (Actical). FoF was evaluated by questionnaire, with Rasch modeling generating FoF scores where higher scores reflected worse FoF. The three-year longitudinal changes of physical activity and FoF were modeled using mixed-effects models. Results: In linear models fully adjusted for visual field damage and other covariates, physical activity among injurious fallers declined 425 steps/year (95% confidence interval [CI]: -793, -57), 13 active minutes/year (95% CI: -21, -6), and 3 minutes/year of moderate/vigorous activity (95% CI: -5, 0) more over the three-year study period compared to non-fallers; however, physical activity did not decline among non-injurious fallers. No longitudinal increases in FoF scores were observed in injurious or non-injurious fallers.Conclusions: Among visually impaired older adults, injurious falls identified prospectively over 12 months contributed to a significant decline in physical activity over a three-year period, while no significant increases were observed for FoF. Further longitudinal research is warranted to better understand how different groups respond to falls, either via behavioral changes and/or changes in FoF, and to characterize the impact of reduced physical activity in fallers.

scholarly journals Covid-19 and the impact on the physical activity level of elderly people: A systematic review

2021 ◽  
pp. 111675
Author(s):  
Murilo Rezende Oliveira ◽  
Isabella Pessóta Sudati ◽  
Vanessa De Mello Konzen ◽  
Ana Carolina de Campos ◽  
Lia Mara Wibelinger ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Elderly People ◽  
Physical Activity Level ◽  
Activity Level ◽  
The Impact

scholarly journals Place of therapeutic patient education in chronic hepatitis C treated with direct-acting antivirals

2022 ◽  
pp. 60
Author(s):  
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Patient Education ◽  
Chronic Hepatitis C ◽  
Social Care ◽  
Severe Disease ◽  
Direct Acting Antivirals ◽  
Therapeutic Patient Education ◽  
Direct Acting ◽  
The Impact

Objective: Today, with the availability of direct-acting antivirals (DAAs), the value of therapeutic patient education (TPE) in chronic hepatitis C needs to be redefined, as these drugs have made treatment simple. The study presented here in sought to define what role TPE plays today in hepatitis C management along with what factors are associated with such programs being used. Methods: We included 786 patients mono-infected with hepatitis C virus (HCV) who underwent treatment with DAAs. 284 of whom benefited from a TPE program (36.1%). The characteristics of HCV and how it was treated were compared retrospectively between TPE+ and TPE- patients. The TPE program was overseen by a nurse. Results: The following factors were associated with TPE on multivariate analysis: migrant status (OR=3.63, 95%CI: 2.24-5.96, p <0.001), advanced fibrosis (OR=1.73, 95%CI: 1.08-2.76, p=0.022), tobacco use (OR=1.84, 95%CI: 1.10-3.08, p=0.020) and pangenotypic DAA treatment (OR=0.42, 95%CI: 0.26-0.68, p <0.001). Sustained virological response at 12 weeks (SVR 12) was 96% in both groups. Conclusion: Overall, TPE was primarily followed by migrants during their HCV management as part of overall medico-psycho-social care, and primarily those with severe disease. Practice implication: TPE could help reduce the impact of social inequality on health.

scholarly journals Impact of the Basic Psychological Needs in Subjective Happiness, Subjective Vitality and Physical Activity in an Elderly Portuguese Population

Motricidade ◽  
2017 ◽  
Vol 13 (2) ◽  
pp. 58
Author(s):  
Nuno Couto ◽  
Raul Antunes ◽  
Diogo Monteiro ◽  
João Moutão ◽  
Daniel Marinho ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Well Being ◽  
Psychological Needs ◽  
Structural Equations ◽  
Basic Psychological Needs ◽  
Subjective Happiness ◽  
Subjective Vitality ◽  
Structural Equations Model ◽  
The Impact

The goal of this work is to analyze the impact of elderly Portuguese individuals’ global perception of satisfying basic psychological needs in the areas of subjective happiness, subjective vitality and physical activity through a structural equations model. The way of well-being differs according to the amount of physical activity practiced in Portuguese elderly was also analyzed. Participants included 309 elderly people (242 females, 67 males) of Portuguese nationality who practice different levels of physical activity. Their ages range from 60 to 90 years old (M=68.59; DP=6.60).The obtained results show that the perception of basic psychological needs in Portuguese elderly people’s lives are a positive predictor of subjective happiness and subjective vitality. Also, the results verified that elderly people who perceive higher levels of competence practice more physical activity. Consequently, it is also possible to conclude that elderly people who participate in more physical activities perceive greater levels of subjective happiness and subjective vitality.

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