scholarly journals THE EFFECTS OF AGE-BASED EVALUATIONS ON OLDER ADULTS’ GAIT VARIABILITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S730-S730
Author(s):  
Sarah Barber ◽  
Kate Hamel ◽  
Carl Ketcham ◽  
Kristy Lui

Abstract Older adults are stereotyped as being slow, weak, and frail. In this study we examined how these stereotypes about age-related physical decline affect older adults’ walking performance. Healthy, community-dwelling older adults were asked to walk at their own comfortable pace along a 24’ temporospatial-measuring walkway 10 times. For some participants this was done with a normal-base of support (i.e., usual gait). However, for other participants this was done with a narrow-base of support (i.e., walking within a path of 15 cm outlined by tape). Walking tasks were done either in the presence or absence of a negative age-based evaluation. Results showed that the negative age-based evaluations were associated with greater stride-to-stride variability, particularly for participants who felt less confident in their abilities. Given that gait variability is a predictor of falling, this raises the possibility that negative age-based evaluations can produce concerns that are an intrinsic risk factor for falls.

2017 ◽  
Vol 20 (15) ◽  
pp. 2685-2693 ◽  
Author(s):  
Ilse Bloom ◽  
Wendy Lawrence ◽  
Mary Barker ◽  
Janis Baird ◽  
Elaine Dennison ◽  
...  

AbstractObjectiveTo explore influences on diet in a group of community-dwelling older adults in the UK.DesignData were collected through focus group discussions with older people; discussions were audio-recorded, transcribed verbatim and transcripts analysed thematically.SettingHertfordshire, UK.SubjectsParticipants were sampled purposively from the Hertfordshire Cohort Study, focusing on those whose diets had been assessed at two time points: 1998–2001 and 2011.ResultsNinety-two adults participated (47 % women; 74–83 years) and eleven focus groups were held. A number of age-related factors were identified that were linked to food choices, including lifelong food experiences, retirement, bereavement and medical conditions, as well as environmental factors (such as transport). There appeared to be variability in how individuals responded to these influences, indicating that other underlying factors may mediate the effects of age-related factors on diet. Discussions about ‘keeping going’, being motivated to ‘not give up’, not wanting to be perceived as ‘old’, as well as examples of resilience and coping strategies, suggest the importance of mediating psychological factors. In addition, discussion about social activities and isolation, community spirit and loneliness, indicated the importance of social engagement as an influence on diet.ConclusionsInterventions to promote healthier diets in older age should take account of underlying psychological and social factors that influence diet, which may mediate the effects of age-related factors.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Naoto Takayanagi ◽  
Motoki Sudo ◽  
Yukari Yamashiro ◽  
Sangyoon Lee ◽  
Yoshiyuki Kobayashi ◽  
...  

2019 ◽  
Vol 34 (5) ◽  
pp. 956-968 ◽  
Author(s):  
Matthew J. Wynn ◽  
Annie Z. Sha ◽  
Kathleen Lamb ◽  
Brian D. Carpenter ◽  
Brian P. Yochim

2020 ◽  
Vol 100 (4) ◽  
pp. 645-652
Author(s):  
David Hernández-Guillén ◽  
José-María Blasco

Abstract Background Ankle range of motion declines with age, affecting mobility and postural control. Objective The objective of this study was to investigate the effects of a talus mobilization-based intervention among healthy community-dwelling older adults presenting with limited weight-bearing ankle dorsiflexion range of motion and determine how ankle mobility evolved over the treatment. Design This was a randomized clinical trial. Setting This study was conducted in an outpatient clinic. Participants Community-dwelling, older adults over 60 years of age who had limited ankle mobility participated in this study. Interventions The experimental intervention consisted of 6 sessions of manual therapy applied in the ankle joint. The control group received the same volume of sham treatment. Measurements The primary outcome was the weight-bearing ankle dorsiflexion range of motion as measured using the lunge test. Data were collected at 9 time points: baseline, after each session, and follow-up. Results A total of 36 participants were analyzed. A single session of mobilization increased ankle range of motion by 8 degrees (95% confidence interval = 6 to 11). At the end of the sixth session, this effect had increased slightly to 11 degrees (95% confidence interval = 9 to 13). Significant between-group differences were found throughout the intervention. Limitations Optimal dose and effects from follow-up evaluations for treatment volumes of fewer than 6 sessions remain unknown. Conclusions Six sessions of a talus mobilization-based intervention in healthy community-dwelling older adults found that the greatest mobility gain in terms of the weight-bearing ankle dorsiflexion range of motion is produced after the first session. Additional sessions produce smaller improvements with a slight upward trend. Importantly, the restoration of joint mobility is enhanced over time after the end of the intervention.


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