scholarly journals Awareness of Balance as an Intraindividual Dynamic of Objective and Subjective Experiences of Fall Risk in Daily Life

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 287-287
Author(s):  
Tai-Te Su ◽  
Aileen Griffin ◽  
Faith Washington ◽  
Jason Fanning ◽  
Jacob Sosnoff ◽  
...  
Keyword(s):  
Older Adults ◽  
Adult Development ◽  
Fall Risk ◽  
Multilevel Models ◽  
Postural Sway ◽  
Daily Life ◽  
Risk Measures ◽  
Subjective Experiences ◽  
Balance Confidence ◽  
Age Related

Abstract Falls are life-changing events in older adulthood. With an accurate understanding of balance, older adults can adapt to age-related changes in physical ability without prematurely restricting physical activity. The Daily Balance Project examines the implications of older adults’ awareness of fall risk in daily life. For 30-consecutive days, following a fall-risk assessment, 40 older adults used a smartphone to report balance confidence and then perform four balance assessment and a 30-second sit-to-stand task to measure postural sway and fall-risk. Measures of postural sway showed greater intraindividual variability than balance confidence and fall risk. Multilevel models showed that awareness of balance fluctuated during the study and varied across individual differences in baseline fall-risk. Baseline fall risk also differentiated how balance confidence and postural sway were linked to subsequent momentary fall risk assessments. The findings are discussed within the framework of action-perspectives of adult development and awareness of aging.

scholarly journals Cognitive Interference in the Context of Daily Stressors, Daily Awareness of Age-Related Change, and General Aging Attitudes

2020 ◽  
Author(s):  
Erica L O’Brien ◽  
Genesis E Torres ◽  
Shevaun D Neupert
Keyword(s):  
Older Adults ◽  
Individual Differences ◽  
Multilevel Models ◽  
Subjective Experiences ◽  
Cognitive Interference ◽  
Stress Effects ◽  
Age Related ◽  
Perceptions Of Aging ◽  
Aging Attitudes ◽  
Amazon's Mechanical Turk

Abstract Objectives Previous diary work indicates that older people experience more intrusive and unwanted thoughts (i.e., cognitive interference) on days with stressors. We examined additional predictors of daily cognitive interference to enhance understanding of the psychological context surrounding this link. We specifically focused on factors related to subjective experiences of aging based on studies that have related higher stress and impairments in cognition such as executive control processes (working memory) to negative age stereotypes. Consistent with these findings, we generally expected stronger stress effects on cognitive interference when daily self-perceptions of aging (i.e., within-person fluctuations in awareness of age-related losses [AARC losses]) and general aging attitudes (i.e., individual differences in attitudes toward own aging [ATOA]) were more negative. Methods Participants (n = 91; aged 60–80) on Amazon’s Mechanical Turk completed surveys on 9 consecutive days, reporting on their ATOA (Day 1) as well as their stressors, AARC losses, and cognitive interference (Days 2–9). Results Multilevel models showed that people reported more cognitive interference on days with more AARC losses. Individuals with positive ATOA also experienced less cognitive interference on days with more stressors, whereas those with negative ATOA experienced more. Discussion Both individual differences and fluctuating daily perceptions of aging appear to be important for older adults’ cognitive interference. Consistent with other work, positive ATOA protected against daily stressor effects. Further elucidating these relationships can increase understanding of and facilitate efforts to improve (daily) cognitive experiences in older adults.

scholarly journals A Qualitative Analysis of the Relationship Between Older Adults’ Daily Lives and Life Outlook

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 608-608
Author(s):  
Isabella Bouklas ◽  
Giancarlo Pasquini ◽  
Renee Gilbert ◽  
Cindy Bergeman ◽  
Stacey Scott
Keyword(s):  
Older Adults ◽  
Adult Development ◽  
Daily Life ◽  
Comparative Method ◽  
Well Being ◽  
Structured Interviews ◽  
Daily Lives ◽  
Use Of Time ◽  
Age Related ◽  
Dialectical Relationship

Abstract Leading theories of adult development suggest age-related changes in one’s life perspective and changes in one’s priorities are reflected in daily behavior. The present study explored how older adults understand their current lives through a qualitative study of midwestern Americans. Twenty-four participants (Mage= 69.53 years; age range=63-78 years) from the Notre Dame Study of Health & Well-Being (Whitehead & Bergeman, 2014) completed semi-structured interviews in which they were asked about turning points across their lives. Inductive analysis using the constant comparative method (Maykut & Morehouse, 1994) resulted in 10 life-domains based on common descriptions across participants. These domains represented the ways in which participants understood their identities over the course of their lives, as well as their organization and use of time and space in daily life. Participants’ descriptions of both general life outlook and daily life informed one another, revealing the dialectical relationship between micro-level behaviors and macro-level attitudes.

scholarly journals Lower-Limb Factors Associated with Balance and Falls in Older Adults: A Systematic Review and Clinical Synthesis

2019 ◽  
Vol 110 (5) ◽  
Author(s):  
Christopher Neville ◽  
Hung Nguyen ◽  
Kim Ross ◽  
Mariana Wingood ◽  
Elizabeth Walker Peterson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Lower Limb ◽  
Fall Risk ◽  
Community Dwelling ◽  
Sufficient Evidence ◽  
Cochrane Library ◽  
Direct Link ◽  
Age Related ◽  
Falls In Older Adults

Background Despite sufficient evidence to suggest that lower-limb–related factors may contribute to fall risk in older adults, lower-limb and footwear influences on fall risk have not been systematically summarized for readers and clinicians. The purpose of this study was to systematically review and synethesize the literature related to lower-limb, foot, and footwear factors that may increase the risk of falling among community-dwelling older adults. Methods We searched PubMed, Embase, PsycINFO, CINAHL, Web of Science, Cochrane Library, and AgeLine. To describe the trajectory toward increasing risk of falls, we examined those articles that linked age-related changes in the lower limb or footwear to prospective falls or linked them to evidenced-based fall risk factors, such as gait and balance impairment. Results This systematic review consisted of 81 articles that met the review criteria, and the results reflect a narrative review of the appraised literature for eight pathways of lower-limb–related influences on fall risk in older adults. Six of the eight pathways support a direct link to fall risk. Two other pathways link to the intermediate factors but lack studies that provide evidence of a direct link. Conclusions This review provides strong guidance to advance understanding and assist with managing the link between lower-limb factors and falls in older adults. Due to the lack of literature in specific areas, some recommendations were based on observational studies and should be applied with caution until further research can be completed.

scholarly journals Older adults show a more sustained pattern of effortful listening than young adults

2020 ◽  
Author(s):  
Ronan McGarrigle ◽  
Sarah Knight ◽  
Lyndon Rakusen ◽  
Jason Geller ◽  
Sven Mattys
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Young Adult ◽  
Sentence Processing ◽  
Daily Life ◽  
Recognition Task ◽  
Adult Group ◽  
Listening Effort ◽  
Age Related ◽  
Listening Task

Listening to speech in adverse conditions can be challenging and effortful, especially for older adults. This study examined age-related differences in effortful listening by recording changes in the task-evoked pupil response (TEPR; a physiological marker of listening effort) both at the level of sentence processing and over the entire course of a listening task. A total of 65 (32 young adults; 33 older adults) participants performed a speech recognition task in the presence of a competing talker, while moment-to-moment changes in pupil size were continuously monitored. Participants were also administered the Vanderbilt Fatigue Scale; a questionnaire assessing daily life listening fatigue within four domains (social, cognitive, emotional, physical). Normalized TEPRs were overall larger and more steeply rising and falling around the peak in the older versus the young adult group during sentence processing. Additionally, mean TEPRs over the course of the listening task were more stable in the older versus the young adult group, consistent with a more sustained recruitment of compensatory attentional resources to maintain task performance. No age-related differences were found in terms of total daily life listening fatigue; however, older adults reported higher scores than young adults within the social domain. Overall, this study provides evidence for qualitatively distinct patterns of physiological arousal between young and older adults consistent with age-related upregulation in resource allocation during listening. A more detailed understanding of age-related changes in the subjective and physiological mechanisms that underlie effortful listening will ultimately help to address complex communication needs in aging listeners.

scholarly journals How Is Daily Social Interaction Related to Loneliness in Older Adults? The Roles of Trait Loneliness and Personality

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 461-462
Author(s):  
Ruixue Zhaoyang ◽  
Stacey Scott ◽  
Karra Harrington ◽  
Martin Sliwinski
Keyword(s):  
Older Adults ◽  
Social Interaction ◽  
Social Interactions ◽  
Multilevel Models ◽  
Daily Life ◽  
Community Dwelling ◽  
The Past ◽  
Aging Study ◽  
Ecological Momentary ◽  
Community Dwelling Older Adults

Abstract Loneliness is prevalent among older adults and is associated with increased risks for morbidity and mortality. This study examined what types of social interactions could reduce loneliness for older adults and who would benefit the most from social interactions. We used data from 312 community-dwelling older adults (aged 70 to 90 years) who completed ecological momentary assessments (EMA) five times a day for 16 consecutive days using smartphones (n=20,507 reports), as part of the ongoing Einstein Aging Study (EAS). At each EMA, participants reported their social interactions in the past 3 to 4 hours and their current feelings of loneliness. Results from multilevel models revealed that older adults reported lower levels of loneliness on occasions when they had pleasant social interactions (p<.000) or interactions with family (p=.001) in the past few hours, compared with occasions when they had no social interaction. In contrast, they reported higher levels of loneliness if they had unpleasant social interactions in the past few hours (p=.004). These within-person (WP) effects of social interactions on momentary loneliness were significantly moderated by participants’ trait levels of loneliness and neuroticism; and were significantly stronger among those with higher (vs. lower) trait loneliness (ps <.001) or neuroticism (ps <.042). Other personality traits (Extraversion, Openness, Conscientiousness, Agreeableness) did not moderate any WP association. These results highlight the importance of having pleasant social interactions and frequent interactions with family for reducing older adults’ loneliness in daily life, especially for those higher in trait loneliness and neuroticism.

scholarly journals Vascular Illness, Cognition, and Subjective Aging: Examining the Vascular Hypothesis of Aging

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 709-709
Author(s):  
Victoria Dunsmore ◽  
Shevaun Neupert
Keyword(s):  
Older Adults ◽  
Psychological Health ◽  
Cognitive Abilities ◽  
Multilevel Models ◽  
Varicose Veins ◽  
Preliminary Evidence ◽  
Self Report ◽  
Future Research ◽  
Age Related ◽  
Age Related Changes

Abstract Cognition relates longitudinally and cross-sectionally to physical and psychological health among older adults. The Vascular Hypothesis of Aging (Drewelies & Gerstorf, 2020) suggests that illnesses of a vascular nature (e.g., stroke, hypertension, severe varicose veins) negatively affect cognitive abilities. Awareness of age-related change (AARC) is also related to cognition. What is not known is whether the presence of a vascular illness and daily cognitive abilities interact to predict daily awareness of age-related changes. The purpose of this study is to examine the daily fluctuations of cognition, (i.e., memory failures) and their interaction with vascular illness to predict daily awareness of age-related changes. Data were analyzed from 104 participants (M age = 64.67, 60-90 years) who completed online self-report questionnaires. On Day 1, participants answered baseline questionnaires regarding presence of vascular illness, and on Days 2-9 completed measures regarding AARC losses and memory failures. Multilevel models revealed main effects of daily memory failures on awareness of age-related losses, such that on days with more memory failures, older adults reported more age-related losses. We also found a main effect for vascular illness, such that those with a vascular illness reported higher levels of daily age-related losses. We did not find a significant interaction between vascular illness and daily memory failures on daily reported age-related losses. Our results provide preliminary evidence that the vascular hypothesis of aging may also extend to perceptions of age-related changes. Future research could consider examining daily symptoms of vascular illness as they unfold over time.

Bend Don’t Break: Stretching Improves Scores on a Battery of Fall Assessment Tools in Older Adults

2021 ◽  
Vol 30 (1) ◽  
pp. 78-84
Author(s):  
Nathan F. Johnson ◽  
Chloe Hutchinson ◽  
Kaitlyn Hargett ◽  
Kyle Kosik ◽  
Phillip Gribble
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Community Dwelling ◽  
Assessment Tools ◽  
Static Stretching ◽  
Timed Up And Go ◽  
Sit To Stand ◽  
Age Related ◽  
Flexibility Training ◽  
Community Dwelling Older Adults

Context: Falls and loss of autonomy are often attributed in large part to musculoskeletal impairments in later adulthood. Age-related declines in flexibility contribute to late adulthood musculoskeletal impairment. The novel sitting-rising test has been proposed to be a quick, effective screening of musculoskeletal fitness, fall risk, and all-cause mortality in older adults. The timed up and go and 5 times sit-to-stand tests are two of the 3 most evidence-supported performance measures to assess fall risk. Objective: This study aimed to determine if 5 weeks of flexibility training could increase sitting-rising test, timed up and go, and 5 times sit-to-stand scores in community-dwelling older adults. Participants: Forty-seven adults aged 60 years and older (mean age = 66.7 y, SD = 4.1) participated in this study. Participants completed a static stretching protocol consisting of 3 weekly 1-hour stretching sessions. Results: The protocol improved flexibility as seen in sit-and-reach scores and improved scores on all outcome variables. Specifically, there was a significant increase in sitting-rising test scores from preintervention (M = 7.45, SD = 1.45) to postintervention (M = 8.04, SD = 1.36), t(42) = −5.21, P < .001. Timed up and go scores demonstrated a significant decrease from preintervention (M = 8.85, SD = 1.32) to postintervention (M = 8.20, SD = 1.35), t(46) = 5.10, P < .001. Five times sit-to-stand scores demonstrated a significant decrease from preintervention (M = 12.57, SD = 2.68) to postintervention (M = 10.46, SD = 2.06), t(46) = 6.62, P < .001. Finally, significant increases in sit-and-reach scores were associated with improved functional performance (r = −.308, P = .03). Conclusion: Findings suggest that flexibility training can be an effective mode of low-level exercise to improve functional outcomes. Static stretching may help to improve musculoskeletal health, promote autonomy, and decrease mortality in community-dwelling older adults.

scholarly journals THE DAILY BALANCE PROJECT: AN INQUIRY INTO THE INTRAINDIVIDUAL DYNAMICS OF PERCEIVED AND ACTUAL FALL RISK

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S615-S615
Author(s):  
Shannon T Mejia ◽  
Katherine Hsieh ◽  
Jason Fanning ◽  
Jacob Sosnoff
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Fall Prevention ◽  
Adaptive Response ◽  
Fall Risk ◽  
Activity Monitor ◽  
Objective Measures ◽  
Intraindividual Variation ◽  
Balance Confidence ◽  
Confidence Scale

Abstract An accurate understanding of one’s abilities and limitations allows adaptive response to the challenges that are faced in daily life. However, older adults may over or under estimate their actual abilities. The Daily Balance Project examined the intraindividual dynamics of older adults’ perceived balance with objective measures of balance and physical activity. For 30 consecutive days, following a comprehensive fall risk assessment, 20 older adults rated their balance confidence (Activities Balance Confidence scale) at that moment and then performed five standardized balance assessments measured via smartphone accelerometer held to their chest. Physical activity was measured with an activity monitor. Baseline measurements of fall risk differentiated the extent of intraindividual variation and co-variation of balance and physical activity. For some participants, actual and perceived balance became more closely aligned as the study progressed. The implications of the findings for life-span perspectives on aging and fall prevention are discussed.

scholarly journals The Impact of Focusing on Different Features During Encoding on Young and Older Adults’ Source Memory

2019 ◽  
Vol 1 (1) ◽  
pp. 106-118 ◽  
Author(s):  
Karen J. Mitchell ◽  
Erin M. Hill
Keyword(s):  
Older Adults ◽  
Source Memory ◽  
Specific Information ◽  
Source Information ◽  
Subjective Experiences ◽  
Age Related ◽  
Different Types ◽  
Types Of Information ◽  
The Impact ◽  
Experienced Difficulty

AbstractAge-related source memory deficits result, in part, because young and older adults attend to different information. We asked whether focusing young and older adults‘ attention on specific features at encoding would result in similar subjective experiences of the vividness of the features and how this might affect source memory. Ratings of the vividness of visual detail, emotion, and associations were similar for young and older adults both when they were perceiving pictures and when they were thinking about them after a brief delay. Although young adults had better source memory than older adults, source accuracy did not differ depending on feature attended, and correlations between ratings and source memory showed that focus on the different types of information was equally predictive of source memory accuracy for young and older adults. Although preliminary, the results suggest that when attention is focused on specific information at encoding, young and older adults later use the various categories of source-specifying information similarly in making source attributions. Nevertheless, older adults did worse on the source test, suggesting they had less discriminable source information overall, this information was not well bound, and/or they experienced difficulty in strategic retrieval and monitoring processes.

75 Functional Mobility and Balance Confidence as Correlates of Fall Risk in Older Adults Attending a Primary Health Care Clinic

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv18-iv27
Author(s):  
Pavapriya Ponvel ◽  
Devinder Kaur Ajit Singh ◽  
Ee San Ng ◽  
Sheela Bai Pannir Selvam
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Primary Health Care ◽  
Fall Risk ◽  
Functional Mobility ◽  
Care Clinic ◽  
Balance Confidence ◽  
Primary Health Care Clinic ◽  
Primary Health ◽  
Abc Scale

Abstract Background Fall is one of the leading cause of unintentional injury among older adults. Information regarding functional mobility and balance confidence as correlates of fall risk in older adults attending a primary health care clinic is limited. This information is vital for fall screening and prevention. We aimed to examine if functional mobility and balance confidence were correlates of fall risk in older adults attending a primary health care clinic. Methods 106 older adults (≥60 years old) attending a primary health care clinic at Cheras, Malaysia participated in this cross-sectional study. Socio-demographic details and falls history were obtained using a structured questionnaire. Functional mobility and balance confidence were assessed using Timed Up and Go (TUG) test and Activities-Specific Balance Confidence (ABC) scale respectively. Fallers were categorised based on history of at least a fall in the past 12 months. Differences between faller and non-faller groups were distinguished using Independent T and Mann Whitney tests. Binomial logistic regression and receiver operating curve were performed to identify if functional mobility and balance confidence were correlates of falls risk and the cut off values for measures were obtained. Results TUG test and ABC scores differed significantly between the two groups (p&lt; 0.05). Both TUG test and ABC scale were identified as correlates of falls risk with r, R2 of 0.98, 0.26 (p&lt; 0.001) and 0.95, 0.12 (p&lt; 0.05) respectively. Cut off value of 9.02 seconds and above for TUG test and 82.81% and below for ABC score were identified as risk factor of falls among older adults. Conclusion The cut off values obtained from our study can be used as reference to screen older adults at risk of falls in Malaysian primary health care settings. Early fall risk screening and management is a part of falls prevention strategy in older adults.

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