scholarly journals COVID Transitions: Characteristics of older adults who engage or do not engage in virtual exercise

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 937-938
Author(s):  
Catalin Mateas ◽  
Janet Bettger ◽  
Stephen Jennings ◽  
Kenneth Manning ◽  
Katherine Hall ◽  
...  
Keyword(s):  
Older Adults ◽  
Best Practice ◽  
Exercise Program ◽  
Good Health ◽  
Older Individuals ◽  
Medical Centers ◽  
Supervised Exercise ◽  
Virtual Group ◽  
Crucial Component ◽  
Declining Enrollment

Abstract Background. Exercise is a crucial component of maintaining good health in older individuals. The COVID-19 stay-at-home orders forced Veterans actively engaged in facility-based exercise to stop attending in-person group exercise programs like Gerofit. Objective. To compare the characteristics of Veterans who enrolled (E) or declined enrollment (DE) in the transition from a facility-based exercise program, Gerofit, to a virtual Gerofit-to-Home (GTH) program. Methods. Gerofit is a supervised exercise “VA Best Practice” program for older Veterans implemented at 17 VA medical centers around the country. At the time of COVID-19 mandated closures, 1149 Veterans were actively engaged in facility-based programs and invited to attend GTH classes. Comparisons between those enrolling and those declining enrollment were performed by t-tests. Results. Three hundred and eight of 1149 (27%) Veterans made the transition to telehealth delivered classes, with several sites having enrolled participants aged in their mid-nineties. Age was not associated with GTH adoption rates (74.0 vs. 74.7, p=not significant for E vs. NE). Body mass index (31.3 vs. 30.5 kg/m2, p<0.05), gait speed (1.19 vs. 1.12 m/s, p<0.001), arm curls (20.8 vs. 19.5, p<0.001), and chair stands (14.7 vs. 13.2, p<0.05) were higher in individuals actively participating in GTH compared to those that never enrolled. Conclusions. Some older adults can adopt a virtual approach to group-based exercise, demonstrating its feasibility. Further research is needed to improve GTH implementation for lower functioning individuals. Virtual group-based exercise could reduce negative health effects associated with isolation due to lack of in-person exercise.

scholarly journals Strategies to Support Physical Activity Participation in Older Adults With Heart Failure

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 454-454
Author(s):  
Katherine Hall ◽  
Amy Pastva ◽  
Heather King ◽  
Sean Lowers ◽  
Julie Miller ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Older Adults ◽  
Exercise Program ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Exercise Rehabilitation ◽  
Supervised Exercise ◽  
Home Based ◽  
Health Burdens

Abstract Physical activity (PA) is recommended for people living with heart failure (HF). Despite evidence of its benefits, participation in PA is low in this population, putting them at risk for loss of functional independence and additional health burdens. The aim of this pilot study was to ask older adults living with stable, chronic HF to identify strategies to support regular PA. Patients in an outpatient HF rehabilitation program were recruited to participate in focus groups about their PA knowledge, attitudes, and preferences as part of a stakeholder engagement project. At the beginning of the focus group, participants completed a questionnaire listing 8 potential strategies to optimize PA, and were asked to identify the top 4 strategies that they thought would be most beneficial to support regular PA participation. This was the focus of the current analysis. Thirteen adults with HF (M age=65; 46% female; 62% African American; M BMI=32.6 kg/m2) were enrolled. Top-rated strategies endorsed by participants to support long-term adherence to PA included provision of an exercise guide to support home-based exercise and supplement health provider-supervised exercise sessions (69%), group education classes (64%), completion of fitness assessments at regular intervals (62%), and provision of a transition pathway from an exercise rehabilitation program to a community-based exercise program (62%). The remaining strategies were endorsed by fewer than 50% of participants, and included remote delivery and support options. These results have important implications for future program development and implementation efforts to support PA among older adults with stable, chronic HF.

scholarly journals Thai dance exercises benefited functional mobility and fall rates among community-dwelling older individuals

2019 ◽  
Vol 40 (01) ◽  
pp. 19-27 ◽  
Author(s):  
Chonticha Kaewjoho ◽  
Lugkana Mato ◽  
Thiwabhorn Thaweewannakij ◽  
Saowanee Nakmareong ◽  
Supaporn Phadungkit ◽  
...  
Keyword(s):  
Older Adults ◽  
Exercise Program ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Older Individuals ◽  
Quasi Experimental ◽  
Fall Rates ◽  
Community Dwelling Older Adults

Background: With dramatic increase in the number of older individuals, special efforts have been made to promote the levels of independence and reduce fall rates among these individuals. Objective: To investigate the effects of Thai dance exercises over 6 weeks on functional mobility and fall rates in community-dwelling older individuals. Methods: Sixty-one community-dwelling older adults were interviewed and assessed for their demographics and fall data during 6 months prior to participation in the study. Then they completed the quasi-experimental Thai dance exercise program for 50 minutes[Formula: see text]day, 3 days[Formula: see text]week over 6 weeks. Their functional mobility relating to levels of independence and safety were assessed prior to training, at 3-week and 6-week training. After completing the program at 6 weeks, participants were prospectively monitored for fall data over 6 months. Results: Participants improved their functional mobility significantly after 3- and 6-week training [Formula: see text]. The number of faller individuals obviously decreased from 35% [Formula: see text] prior to training to only 8% [Formula: see text] after training [Formula: see text]. Conclusion: The current findings further extend benefits of Thai dance as an alternative musical exercise program to promote levels of independence and safety among community-dwelling older adults.

scholarly journals The Impact of a Structured, Supervised Exercise Program on Daily Step Count in Sedentary Older Adults With and Without HIV

2020 ◽  
Vol 84 (2) ◽  
pp. 228-233
Author(s):  
Alex C. Stabell ◽  
Melissa Wilson ◽  
Catherine M. Jankowski ◽  
Samantha MaWhinney ◽  
Kristine M. Erlandson
Keyword(s):  
Older Adults ◽  
Exercise Program ◽  
Step Count ◽  
Daily Step ◽  
Supervised Exercise ◽  
Daily Step Count ◽  
Supervised Exercise Program ◽  
The Impact

The Aging Mover: A Preliminary Report on Constraints to Action

1992 ◽  
Vol 34 (3) ◽  
pp. 241-255 ◽  
Author(s):  
Kathleen Williams ◽  
Michael Bird
Keyword(s):  
Older Adults ◽  
Preliminary Report ◽  
Aging Process ◽  
Good Health ◽  
Older Individuals ◽  
Small Magnitude ◽  
General Process ◽  
Active Lifestyles ◽  
Climbing Stairs

Locomotion by older adults is typically characterized by performance declines. Older individuals walk more slowly, take shorter steps, and spend a longer time in support than young individuals. Investigators assumed implicitly that declines are related to an inevitable aging process. The purpose of this investigation was to examine constraints that might result in the declines described, outside or in addition to, the general process of aging. We examined two types of terrain over which locomotion might occur, level ground and stairs, and two movement speeds, preferred and fast. Healthy, active females between twenty to eighty years were videotaped. Individuals over sixty years walked at significantly slower speeds, particularly climbing stairs. They used a smaller range of speeds than younger individuals. Despite this slowing, the pattern of coordination between limbs remained essentially the same across the ages tested. The small magnitude of declines observed was attributed to the good health and active lifestyles of these individuals.

Exercise Training for Older Adults with Limitations in Physical Function

1999 ◽  
Vol 7 (1) ◽  
pp. 62-75 ◽  
Author(s):  
Claire Peel ◽  
Carolyn Utsey ◽  
Jan MacGregor
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Health Survey ◽  
Performance Test ◽  
Functional Performance ◽  
Exercise Program ◽  
Treadmill Walking ◽  
Control Group ◽  
Supervised Exercise ◽  
Sf 36

This study aimed to evaluate the effects of an 8-week supervised exercise program on physiological measurements during treadmill walking, muscle strength, functional performance, and health status in older adults limited in physical function. Twenty-four participants were randomly assigned to an exercise group (EG, N = 13) or a control group (CG, N = 11), and were evaluated before and after the exercise program (EG) or 8-week period (CG). Evaluations included a progressive treadmill lest, strength testing, the Physical Performance Test (PPT), and the SF-36 Health Survey. The exercise program consisted of 3 sessions per week of brisk walking and strengthening exercises. The EG demonstrated increases in cardiorespiratory fitness and increases in treadmill walking time. The EG also demonstrated increases in force production in 3 of the 6 muscle groups that were tested. Both the EG and CG demonstrated improvements in PPT scores and in 2 health concepts on the SF-36 Health Survey.

scholarly journals The effects of supervision on three different exercises modalities (supervised vs. home vs. supervised+home) in older adults: Randomized controlled trial protocol

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259827
Author(s):  
Sabrine Nayara Costa ◽  
Luis Henrique Boiko Ferreira ◽  
Paulo Cesar Barauce Bento
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Clinical Trial ◽  
Physical Function ◽  
Exercise Program ◽  
Secondary Outcome ◽  
Randomized Controlled ◽  
Supervised Exercise ◽  
Home Based

Background Multicomponent physical exercise programs are a viable strategy for treating physical decline resulting from the aging process in older populations and can be applied in supervised and home-based modalities. However, the magnitude of the intervention effects in terms of physical function development may vary according to the modalities application due to different supervision degrees. Objective This study aims to compare the effects of supervision in a multicomponent exercise program in different application modalities (supervised vs. home vs. supervised+home) in neuromuscular adaptations, muscle strength, gait, physical function, and quality of life, analyzing the differences between intensity, volume, and density of home and supervised sessions in community older adults. Methods This protocol is a randomized controlled clinical trial with a sample of 66 older adults divided into three groups: supervised exercise (SUP = 22), home-based exercise (HB = 22), and supervised plus home-based exercise (SUP+HB = 22). The multicomponent exercise program will last 12 weeks, three times per week, for 60 min per session and include warm-up, balance, muscle-strengthening, gait, and flexibility exercises. The study’s primary outcomes will be neuromuscular function, composed of the assessment of muscle isokinetic strength, muscle architecture, and neuromuscular electrical activation. The secondary outcome will be physical function, usual and maximum gait speed with and without dual-task, and quality of life. All outcomes will be assessed at baseline and post-intervention (week 12). Conclusion This study will be the first clinical trial to examine the effects of different supervision levels on home-based exercises compared to supervised protocols. The results of this study will be essentials for planning coherent and viable home-based programs for older adults. Trial registration Brazilian Registry of Clinical Trials. Number RBR- 7MZ2KR. https://apps.who.int/trialsearch/Trial2.aspx?TrialID=RBR-7mz2kr.

Perceived Voice Disorders in Older Adults and Impact on Social Interactions

2021 ◽  
pp. 1-8
Author(s):  
Connie K. Porcaro ◽  
Clare Singer ◽  
Boris Djokic ◽  
Ali A. Danesh ◽  
Ruth Tappen ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Interactions ◽  
Social Engagement ◽  
Leisure Activities ◽  
Treatment Strategies ◽  
Voice Disorders ◽  
Community Dwelling ◽  
Vocal Performance ◽  
Older Individuals ◽  
Cross Sectional

Purpose Many aging individuals, even those who are healthy, report voice changes that can impact their ability to communicate as they once did. While this is commonly reported, most do not seek evaluation or management for this issue. The purpose of this study was to investigate the prevalence and differences in voice disorders in older adults, along with the effect of fatigue on their social interactions. Method This is a cross-sectional investigation of a community-dwelling sample of individuals aged 60 years or older. Participants completed the Questionnaire on Vocal Performance, the Social Engagement Index subset “Engagement in Social or Leisure Activities,” and the Fatigue Severity Scale. Results Results indicated 32.5% of the 332 participants reported symptoms of voice problems with no difference found between male and female respondents. A slight increase in report of voice problems was noted with each year of age. Participants who self-reported voice problems indicated less interaction in social activities involving communication than those who did not. Finally, as severity of self-reported voice problems increased, an increase was reported by the same individuals for signs of fatigue. Conclusions Voice problems and resulting decreased social interaction are commonly experienced by older individuals. Voice symptoms in older adults have been found to benefit from evidence-based treatment strategies. It is critical to provide education to encourage older individuals to seek appropriate evaluation and management for voice issues through a speech-language pathologist or medical professional.

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