scholarly journals The frailty and falling in related with functional performance, balance and physical activity in elderly during Covid-19 pandemics

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
G Utku ◽  
B Akinci ◽  
E Yilmaz ◽  
E Erdinc ◽  
I Atmaca ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly Women ◽  
Fear Of Falling ◽  
Functional Performance ◽  
Short Form ◽  
The Elderly ◽  
Activity Level ◽  
Timed Up And Go ◽  
Sit To Stand ◽  
Frailty Score

Abstract Funding Acknowledgements Type of funding sources: None. Background Falls and frailty are main causes of morbidity and frequenty associated with functional performance, balance and physical activity. The restrictions imposed by the COVID-19 pandemic force the elderly to spend most of their time at home which may cause further functional problems. Therefore, identifying the risk factors during the pandemic can help to prevent the elderly from frailty and falls. Aim: Our aims are to investigate the clinical frailty profile and falls in relation to functional performance, balance, fear of falling and physical activity and to compare these parameters of the elderly with and without falling history during the COVID-19 pandemics. Method: Thirty-three participants aged 65-85 (mean = 71.33 ± 5.35/years, 20 women, 13 men) who have never had COVID-19 were included in the study. The participants were invited to an online video-conference based assessment. The number of falls during the last year were asked. Clinical frailty severity was assessed with Clinical Frailty Scale. The fear of falling were assessed using Falls Efficacy Scale (FES). The functional performance of the participants were tested with 30 seconds Sit-to-Stand test. The balance and mobility was evaluated with Timed-Up and Go test in a 3 meter corridor. The physical activity level of the participants were questioned using International Physical Activity Questionnaire-Short Form (IPAQ-SF) and vigorous level of physical activity (VPA), moderate level of physical activity (MPA) and walking were also calculated. Results: The mean scores of the outcomes among participants were shown in Table 1. Clinical frailty was significantly higher in women compared to men (p = 0.08). Clinical frailty score, fear of falling and sit to stand performance were significantly worse in fallers. There were negative weak to moderate correlations between frailty and sit to stand performance (p = 0.001) and MPA (p = 0,016). The clinical frailty was also positively correlated with FES (p < 0.001). FES showed positive correlation with Time-Up and Go performance (p = 0.001) and negative correlation with sit to stand performance (p < 0.001) and MPA (p = 0,036). Conclusion: Our results demonstrated that; clinical frailty, fear of falling and sit to stand performance were associated with the fall history in elderly. In addition, clinical frailty score were higher in women. Our results indicate that, people who have fall history may tend to be frailer and may have lower functional performance, balance and physical activity. The encouragement of the elderly to increased physical activity and exercise program may decrease the frailty score and falling risk especially in elderly women during COVID-19 pandemics.

scholarly journals PROPENSITY FOR FALLS IN ELDERLY FEMALE AND MALE PRACTITIONERS AND NON- PRACTITIONERS OF PHYSICAL ACTIVITIES

2020 ◽  
pp. 1-6
Author(s):  
Élcio Alves Guimarães ◽  
Cristina de Matos Boaventura ◽  
Maria Paula Pereira Andrade ◽  
Nayara Ribeiro Graciano ◽  
Bárbara Vilela Franco Teodoro ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly Women ◽  
The Elderly ◽  
Physical Activities ◽  
Female Group ◽  
Elderly Male ◽  
Timed Up And Go ◽  
Functional Reach ◽  
Significant Difference ◽  
Risk Of Fall

Background: Aging being a natural physiological process can present both physical and psychic changes, due to the conditions of life of the person, and can be influencers for the installation of chronic non-communicable diseases, which may predispose this subject to an episode of fall. Objectives: To compare the propensity to fall in the elderly male and female, practitioners and non-practitioners of physical activities. Methods: The sample consisted of 120 elderly people of both genders practitioners and non-practitioners of physical activity and were used the “Timed Up and Go” and “Functional Reach” tests. Results: Among non-practitioners of physical activity, significant differences were observed between the values of functionality, being that the male group presented higher values than the female group, i.e., men move more, therefore has the lowest risk of fall. Conclusion: It was concluded that the female practitioners of physical activity have a greater risk of suffering an episode of fall compared to the non-practitioners, and in relation to the men practitioners and non-practitioners of physical activity there was no significant difference, showing that the elderly women have a higher risk to fall compared to the elderly men.

scholarly journals PHYSICAL ACTIVITY LEVEL, FUNCTIONAL MOBILITY AND FALL RISK IN THE ELDERLY

2020 ◽  
pp. 1-6 ◽  
Author(s):  
Raesa Andrade da Silva ◽  
Glaudson Sá Brandão ◽  
Anderson Soares Silva ◽  
Jessica Julioti Urbano ◽  
Ezequiel Fernandes de Oliveira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Level ◽  
Execution Time ◽  
Age Groups ◽  
The Elderly ◽  
Functional Mobility ◽  
Activity Level ◽  
Age Group ◽  
Timed Up And Go ◽  
Significant Difference

Introduction: Low levels of physical activity and functional mobility lead to greater difficulty in performing activities of daily living and are directly proportional to mortality in the elderly. Thus, there are the need to create mechanisms linked to the maintenance of the functional capacity, which assure the elderly autonomy and self-confidence. Objective: To verify the level of physical activity and functional mobility in the elderly and if this functional mobility suffers interference of the age group and physical activity. Methods: The study involved the elderly aged 60 and over, living in Senhor do Bonfim (BA), in the northeastern region of Brazil, from February to July 2015. The evaluation of the subjects occurred in a single session, with physical and general clinical evaluation, as well as the collection of sociodemographic, anthropometric and self-reported morbidities through the application of questionnaires. It was also carried out the Timed Up and Go test (TUG) to verify the levels of functional mobility and level of physical activity with application of the International Questionnaire of Physical Activity (IPAQ) adapted for the elderly. Results: In this study, 127 patients were studied, predominantly female (87%) and mean age of 68 ± 7 years, and the majority of the elderly corresponded to the age group of 60 to 69 years. The elderly belonging to the group considered inactive (IPAQ up to 150 min/weekly) presented the execution time of TUG higher than the elderly in the group considered active (IPAQ > 150 min/weekly), with averaging time for carrying out the test of 10.5±2 minutes and 8.9±2 minutes respectively, with a statistically significant difference of p<0.01. And the execution time of TUG increased proportionally to the increase of the age group. Conclusion: Elderly with lower level of physical activity and belonging to the higher age groups present a higher risk of falls. Strategies should be developed to stimulate increased physical activity level and functional mobility of this population, especially among the older ones, reducing the incidence of falls and providing greater autonomy.

Physical Activity in the Acute Ward Following Hip Fracture Surgery is Associated with Less Fear of Falling

2016 ◽  
Vol 24 (4) ◽  
pp. 525-532 ◽  
Author(s):  
Lise Kronborg ◽  
Thomas Bandholm ◽  
Henrik Palm ◽  
Henrik Kehlet ◽  
Morten Tange Kristensen
Keyword(s):  
Physical Activity ◽  
Hip Fracture ◽  
Fear Of Falling ◽  
Functional Performance ◽  
Early Mobilization ◽  
Test Time ◽  
Timed Up And Go ◽  
Hip Fracture Surgery ◽  
Complications And Mortality ◽  
Fracture Surgery

Early mobilization following hip fracture surgery reduces medical complications and mortality, but may increase the risk of falling. The aim was to objectively measure the physical activity (time spent upright) the first week after hip fracture surgery and relate it to functional performance and fear of falling at discharge. The 24-hr upright time was measured for a median of six days using a thigh-worn accelerometer in 37 patients (mean 80 years ± 8.4) and increased from median 13 (IQR 6–31) min to 46 (11–107) min at day 7. More upright time at discharge was associated with less fear of falling (r = –.48, p = .01, n = 27), which also was associated with fast gait speed (r = –.50, p = .02, n = 23) and a faster Timed Up and Go test time (r = .54, p < .01, n = 22), indicating a need for further studies on motivation and limitations for more physical activity following hip fracture surgery.

scholarly journals An online functional assessment experience in individuals over 65+ during Covid 19 pandemics: physiotherapist opinion & participant opinion

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
E Yilmaz ◽  
B Akinci ◽  
G Utku ◽  
E Erdinc ◽  
I Atmaca ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
The Elderly ◽  
Online Assessment ◽  
Timed Up And Go ◽  
Stand Test ◽  
Testing Environment ◽  
Sit To Stand ◽  
The Mean ◽  
Assessment Session

Abstract Funding Acknowledgements Type of funding sources: None. Background The quarantine during COVID-19 pandemic affects the clinical visits of elderly people. Since, telehealth gained importance, it is essential to adapt routine visits to the tele-assessment for elderly people especially in high risk factor for both functional impairment and fall risks. Our aim was to present our online assessment experiences in the elderly who underwent particular home quarantine during COVID-19 pandemics. Method: Thirty-three participants aged 65-85 (mean = 71.33 ± 5.35/years, 20 women, 13 men) those never attended an online assessment before were invited to a video-conference based assessment session. It was advised that a relative of the participant or caregiver must attend the online assessment session and follow the instructions of the physiotherapist. The assessments were conducted in the following sequence over seven main topics that are important in terms of functionality in the elderly: (1) physical activity were questioned using International Physical Activity Questionnaire-Short Form, (2) the functional performance were tested with 30 seconds Sit-to-Stand test (SST), (3) participation to the daily living activities with KATZ Index, (4) coronavirus anxiety with Coronavirus Anxiety Scale (CAS), (5) fear of falling with Falls Efficacy Scale, (6) the balance and mobility with Timed-Up and Go test (TUG) in a 3-meter corridor, and (7) frailty with Clinical Frailty Scale. The assessments were done by six physiotherapists (one PhD, 2 MSc, and 3 BSc). The opinions of the participants and physiotherapists regarding their experiences were noted. Result: All participants were finished the assessment and not reported adverse events. The mean of all outcomes showed in Table 1. The mean assessment time was 23.26 ±6.89 minutes. The bad internet connection reported in only one session. Seven of the participants (21.2%) mentioned that SST or TUG were somewhat effortful despite their short duration. The physiotherapists also reported that ensuring an appropriate testing environment for the sit to stand test and Timed-Up and Go test were not always possible. In addition, the sit-to stand test Two of the participants (6 %) were felt discomfort from the questions of CAS. Twenty-one (63.6 %) online assessment were rated as "good" while 12 (36.4 %) were rated as "fair" by the relative of the participant or caregiver in terms of preparing the tools (chair etc.) and testing environment. No problem reported by both therapists and participants related to the questions of IPAQ-SF, CFS, KATZ or FES. Conclusion: This study indicated that an online tele-assessment session is safe and applicable in elderly who underwent home quarantine during COVID-19 pandemic. It was observed that an application of survey based assessments were easier than functional assessments. The results of this study offer an exemplary tele-assessment session for elderly people. Future studies may focus the consistency of the tele-assessment and clinic based assessment results.

scholarly journals Age and education influence the performance of elderly women on the dual-task Timed Up and Go test

2015 ◽  
Vol 73 (3) ◽  
pp. 187-193 ◽  
Author(s):  
Gisele de Cássia Gomes ◽  
Luci Fuscaldi Teixeira-Salmela ◽  
Bruna Espeschit Fonseca ◽  
Flávia Alexandra Silveira de Freitas ◽  
Maria Luísa Morais Fonseca ◽  
...  
Keyword(s):  
Physical Activity ◽  
Dual Task ◽  
Elderly Women ◽  
Functional Decline ◽  
The Elderly ◽  
Timed Up And Go ◽  
Younger Women ◽  
Education Levels ◽  
Activity Method ◽  
Different Levels

Gait variability is related to functional decline in the elderly. The dual-task Timed Up and Go Test (TUG-DT) reflects the performance in daily activities. Objective To evaluate the differences in time to perform the TUG with and without DT in elderly women with different ages and levels of education and physical activity. Method Ninety-two elderly women perfomed the TUG at usual and fast speeds, with and without motor and cognitive DT. Results Increases in the time to perform the TUG-DT were observed at older ages and lower educational levels, but not at different levels of physical activity. More educated women performed the test faster with and without DT at both speeds. When age was considered, significant differences were found only for the TUG-DT at both speeds. Conclusion Younger women with higher education levels demonstrated better performances on the TUG-DT.

scholarly journals Multisensory and closed kinetic chain exercises on the functional capacity and balance in elderly women: blinded randomized clinical trial

2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 259-266
Author(s):  
Luiz Gustavo Padovini Ferreira ◽  
Caio Vitor dos Santos Genebra ◽  
Nicoly Machado Maciel ◽  
Eduardo Aguilar Arca ◽  
Alexandre Fiorelli ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Functional Capacity ◽  
Elderly Women ◽  
Functional Performance ◽  
The Elderly ◽  
Berg Balance Scale ◽  
Kinetic Chain ◽  
Timed Up And Go ◽  
Closed Kinetic Chain

Abstract Introduction: The aging process causes losses that lead to decreased balance, gait speed and functional capacity and, therefore, there is a need of specific protocols to work preventively these variables, which will contribute to the decrease in the frequency of falls in this population. Objective: Verify the effect of a program of multisensory and closed kinetic chain exercises on the functional capacity and balance in elderly women. Methods: Randomized clinical trial masked (blind). Subjects were 32 elderly women from the Centro de Convivência of the Bauru Department of Social Welfare (Secretaria de Bem-Estar Social de Bauru) distributed in two groups: control (CG = 15) and experimental (EG = 17). Interventions: The program of multisensory and closed kinetic chain exercises was applied during an hour, once a week, for 12 weeks. Main measures: Functional capacity was measured by Timed Up and Go (TUG) and the 10-meter walking test (TC10) and their balance by the Berg Balance Scale (BBS). Results: Regarding the comparison between the moments M1 and M2 of the EG after the intervention, there was a statistically significant increase in the functional capability (p = 0.00006), walking speed (p = 0.0008) and balance (p = 0.0006). Conclusion: The multisensory and closed kinetic chain-training program indicated a beneficial effect in the improvement of the elderly women balance and functional performance.

scholarly journals 105 Physical Activity Level and its Association with Risk of Fall and Fear of Fall among the Elderly

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv18-iv27
Author(s):  
Oladunni Osundiya ◽  
Caleb Adeagbo ◽  
Toyosi Giwa ◽  
Faderera Adepoju ◽  
Jeremiah Oyedemi
Keyword(s):  
Physical Activity ◽  
Physical Activity Level ◽  
Fear Of Falling ◽  
Age Groups ◽  
Cost Effective ◽  
The Elderly ◽  
Community Dwelling ◽  
Activity Level ◽  
Health Concern ◽  
Risk Of Fall

Abstract Introduction Falls are major public health concern and the leading cause of non-fatal injuries among community-dwelling older adults. Though exercise has been identified as a single intervention, and potentially most cost-effective for fall prevention, the role of physical activity is less clear. This study was aimed at finding the association between physical activity, risk of fall and fear of fall in the elderly. Methods Three hundred and ten apparently healthy community dwelling elderly (202 females and 118 males) aged 60 years and above participated in this study. Physical activity was assessed with the Physical Activity Scale for the Elderly, Fear of fall with Fall Efficacy Scale while Risk of fall was determined with Morse fall scale. Chi-square test was used to find the association between physical activity and risk of fall. Results Most participants 241(77.7%) had normal physical activity and only 3.5% had high physical activity. There was a significant association among physical activity and risk of fall in the elderly. Fifteen (4.8%) participants had a high risk of fall. All participants had no fear of falling. Discussion This study showed physical activity level increased with age until a certain age during which it starts to spiral down. A significant association was found in between age groups and level of Physical Activity. Most of the participants in this study had normal physical activity in line with previous opinion that participants over 60 years spend more time engaging in more overall physical activity. Elderly females were found to be more active than men. Conclusion There is a significant association between among physical activity and risk of fall in the elderly. Hence, the more physically active elderly are, the less their likelihood to a fall.

scholarly journals Screening Gait Performance, Falls, and Physical Activity among Benedictine and Trappist Monks

2021 ◽  
Vol 12 ◽  
pp. 215013272199018
Author(s):  
Dennis W. Klima ◽  
Adam Davey
Keyword(s):  
Physical Activity ◽  
Fear Of Falling ◽  
The Elderly ◽  
Functional Mobility ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Gait Performance ◽  
The Past ◽  
Monastic Communities ◽  
The Impact

Background and Objective: Physical performance in older men has been reported in analyses with veterans and in disease-based cohort research. Studies examining gait performance among older monks, however, are narrow. The purpose of this study was to analyze the impact of a recent fall on gait ability in a cohort of Benedictine and Trappist monks in 4 US monastic communities. The second aim was to analyze physical activity and a recent fall as predictive markers of 2 constructs of gait performance. Methods: In this cross-sectional study, 53 Benedictine and Trappist monks over 60 ( x = 74.7 ± 7.6; range: 61-94 years) completed a basic sociodemographic and fall history profile, the Timed Up and Go (TUG) Test, Dynamic Gait Index (DGI) and the Physical Activity Scale for the Elderly (PASE). Results: Demographic profiles revealed that 10% of participants had fallen over the past 3 months; in addition, those who had fallen were more likely to limit activities because of fear of falling ( P = .005). Monks who had fallen over the past 3 months demonstrated significantly poorer TUG (12.6 ± 2.1 vs 10.5 ± 1.8; P = .01) and DGI (17.2 ± 5.3 vs 22.3 ± 2.3; P < .001) scores. There was a significant association between physical activity and both the TUG (–0.55; P < .001) and DGI (64; P < .001). Multiple regression models demonstrated that physical activity and a fall in the past 3 months predicted 24% of the variance in the TUG ( P < .001) and 46% of the variance in the DGI ( P < .001). Conclusions: Gait performance is linked to a recent fall episode among older monks. Predictive determinants of functional mobility (TUG) and superimposing tasks on the gait cycle (DGI) include recent fall history and physical activity. Appropriate health promotion activities can be aligned with these lifestyle attributes in monastic communities.

scholarly journals The Association of Physical Activity Level and the Risk Factors of Nonalcoholic Fatty Liver Disease in the Elderly Female Patients

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Zahra Hoseini ◽  
Nasser Behpour ◽  
Rastegar Hoseini
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Liver Disease ◽  
Fatty Liver ◽  
Fatty Liver Disease ◽  
Elderly Women ◽  
The Elderly ◽  
Activity Level ◽  
Nonalcoholic Fatty Liver ◽  
Elderly Female

Background: Nonalcoholic fatty liver disease (NAFLD) is becoming more prevalent among elderly women. Sedentary lifestyle is an important etiological factor of NAFLD. Objectives: The present study aimed to investigate the association between physical activity level (PAL) and the risk factors of NAFLD in the elderly female patients. Methods: This study was conducted on 40 elderly women with NAFLD, who were aged 62.25 ± 1.97 years, weighed 86.70 ± 3.81 kilograms, and had the body mass index (BMI) of 34.54 ± 2.38 kg/m2. The women were selected from 90 volunteers. The PAL was measured using the rapid assessment of physical activity (RAPA) questionnaire. As the outcomes, we measured anthropometric indices, sitting systolic and diastolic blood pressure, lipid profile, glycemic indices, liver enzymes, and fatty liver grade in the fasting state. The outcome variables were statistically normalized and expressed as mean and standard deviation (SD). The association between the PAL and NAFLD risk factors was evaluated using Pearson’s correlation-coefficient. Results: The risk factors of NAFLD were inversely correlated with the PAL, except for high-density lipoprotein, which was positively correlated with the PAL (r = 0.495; P = 0.001). In addition, low PAL had a significant correlation with a higher fatty liver grade (r = -0.464; P = 0.003), while the PAL was inversely associated with the NAFLD risk factors. Conclusions: According to the results, the PAL and fatty liver grade had a significant correlation, which indicated the potential health benefits of adequate PAL for the elderly women with NAFLD.

scholarly journals Nivel de actividad física, masa y fuerza muscular de mujeres mayores de la comunidad: Diferencias por grupo etario (Physical activity level, muscle mass and strength of community elderly women: Differences by age group)

Retos ◽  
2018 ◽  
pp. 121-125
Author(s):  
María Cristina Enriquez-Reyna ◽  
Daniel Carranza Bautista ◽  
Ricardo Navarro Orocio
Keyword(s):  
Physical Activity ◽  
Muscle Mass ◽  
Elderly Women ◽  
The Elderly ◽  
Activity Level ◽  
Activity Levels ◽  
Age Group ◽  
Lower Limb Strength ◽  
Electrical Bioimpedance ◽  
Physical Activity Scale

Resumen. Se propuso describir las diferencias por grupo etario del nivel de actividad física, la cantidad de masa y fuerza muscular de mujeres mayores de la comunidad. Esto fue un estudio descriptivo-comparativo de 415 mujeres mayores que acuden a un club público de adultos mayores del área urbana. Se aplicaron el Cuestionario de Actividad Física para Adultos Mayores, análisis de bioimpedancia eléctrica y la Batería Corta de Desempeño Físico. Se presentan descripciones con promedios y percentiles por grupo etario. Se estimó que más de la mitad de las participantes reportó un nivel de actividad física bajo (62%). Una fuerza de prensión manual baja en 37.5% y 43.6% velocidad de marcha de riesgo (menor a 1 m/s). En esta muestra, el nivel de actividad física mostró variabilidad en su asociación con la masa muscular, y la fuerza de miembros superiores e inferiores. Con el avance de la edad, la masa y fuerza musculares disminuyeron paulatinamente (p < .01).Abstract. The aim was to describe age-group related differences in physical activity levels, the amount of muscle mass and strength in elderly. of 415 elderly women from an urban public seniors’ club participated in this study with a descriptive-comparative character. The Physical Activity Scale for the Elderly, an electrical bioimpedance analysis, and the Short Physical Performance Battery were applied. Descriptions are presented as means and percentiles by age group. As the results demonstrate, more than half of the participants reported a low level of physical activity (62%). Furthermore, a low manual grip strength 37.5% and 43.6% a gait speed risk (less than 1 m/s) were found respectively. In this sample, the level of physical activity showed variability in its association with muscle mass, and upper and lower limb strength. With advancing age, muscle mass and strength gradually decreased (p <.01).

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