Computer visualization of moderation analysis:joint moderation of physical activity and diet-health knowledge in the demand of health care among disabled older adults

2021 ◽  
Author(s):  
Wang Yibing ◽  
Tong Yawen ◽  
Wang Haitao
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Health Knowledge ◽  
Computer Visualization

scholarly journals Impact of a Wearable Device-Based Walking Programs in Rural Older Adults on Physical Activity and Health Outcomes: Cohort Study (Preprint)

2018 ◽  
Author(s):  
Il-Young Jang ◽  
Hae Reong Kim ◽  
Eunju Lee ◽  
Hee-Won Jung ◽  
Hyelim Park ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Health Outcomes ◽  
Rural Areas ◽  
Wearable Devices ◽  
Community Dwelling ◽  
Wearable Device ◽  
Self Management ◽  
Community Dwelling Older Adults

BACKGROUND Community-dwelling older adults living in rural areas are in a less favorable environment for health care compared with urban older adults. We believe that intermittent coaching through wearable devices can help optimize health care for older adults in medically limited environments. OBJECTIVE We aimed to evaluate whether a wearable device and mobile-based intermittent coaching or self-management could increase physical activity and health outcomes of small groups of older adults in rural areas. METHODS To address the above evaluation goal, we carried out the “Smart Walk” program, a health care model wherein a wearable device is used to promote self-exercise particularly among community-dwelling older adults managed by a community health center. We randomly selected older adults who had enrolled in a population-based, prospective cohort study of aging, the Aging Study of Pyeongchang Rural Area. The “Smart Walk” program was a 13-month program conducted from March 2017 to March 2018 and included 6 months of coaching, 1 month of rest, and 6 months of self-management. We evaluated differences in physical activity and health outcomes according to frailty status and conducted pre- and postanalyses of the Smart Walk program. We also performed intergroup analysis according to adherence of wearable devices. RESULTS We recruited 22 participants (11 robust and 11 prefrail older adults). The two groups were similar in most of the variables, except for age, frailty index, and Short Physical Performance Battery score associated with frailty criteria. After a 6-month coaching program, the prefrail group showed significant improvement in usual gait speed (mean 0.73 [SD 0.11] vs mean 0.96 [SD 0.27], P=.02), International Physical Activity Questionnaire scores in kcal (mean 2790.36 [SD 2224.62] vs mean 7589.72 [SD 4452.52], P=.01), and European Quality of Life-5 Dimensions score (mean 0.84 [SD 0.07] vs mean 0.90 [SD 0.07], P=.02), although no significant improvement was found in the robust group. The average total step count was significantly different and was approximately four times higher in the coaching period than in the self-management period (5,584,295.83 vs 1,289,084.66, P<.001). We found that participants in the “long-self” group who used the wearable device for the longest time showed increased body weight and body mass index by mean 0.65 (SD 1.317) and mean 0.097 (SD 0.513), respectively, compared with the other groups. CONCLUSIONS Our “Smart Walk” program improved physical fitness, anthropometric measurements, and geriatric assessment categories in a small group of older adults in rural areas with limited resources for monitoring. Further validation through various rural public health centers and in a large number of rural older adults is required.

Moving Through COVID-19: Perspectives of Older Adults in the Getting Older Adults Outdoors Study

2021 ◽  
pp. 1-11
Author(s):  
Kristina Marie Kokorelias ◽  
Jacquie Ripat ◽  
C. Allyson Jones ◽  
Nancy E. Mayo ◽  
Nancy M. Salbach ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Older Adults ◽  
Health Knowledge ◽  
Physical Activity Promotion ◽  
Negative Consequences ◽  
Activity Promotion ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
Safety Guidelines

Safety guidelines resulting from the coronavirus disease 2019 pandemic may reduce physical activity participation of older adults, particularly prefrail and frail individuals. The objective was to explore older adults’ experiences with physical activity during the coronavirus disease 2019 pandemic. Using a qualitative descriptive approach, interviews were conducted with 16 older adults. Data were analyzed thematically. Two themes emerged: (a) coming to a standstill and (b) small steps. Participants described that imposed provincial and federal recommendations caused them to reduce their physical activity with negative consequences. As time progressed, participants used emerging public health knowledge about coronavirus disease 2019 to safely increase physical activity. Many participants developed strategies to remain active during the pandemic (e.g., wearing a pedometer, walking outdoors at particular times of day). Findings from this study can better inform the development of programs, clinical practice, and policy for physical activity promotion in older adults during periods of physical distancing and isolation.

Leisure-Time Physical Activity and Health-Care Utilization in Older Adults

2006 ◽  
Vol 14 (4) ◽  
pp. 392-410 ◽  
Author(s):  
Michelle Y. Martin ◽  
M. Paige Powell ◽  
Claire Peel ◽  
Sha Zhu ◽  
Richard Allman
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Health Care Utilization ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Community Dwelling ◽  
Care Utilization ◽  
Physically Active ◽  
Physician Visits

This study examined whether leisure-time physical activity (LTPA) was associated with health-care utilization in a racially diverse sample of rural and urban older adults. Community-dwelling adults (N= 1,000, 75.32 ± 6.72 years old) self-reported participating in LTPA and their use of the health-care system (physician visits, number and length of hospitalizations, and emergency-room visits). After controlling for variables associated with health and health-care utilization, older adults who reported lower levels of LTPA also reported a greater number of nights in the hospital in the preceding year. There was no support, however, for a relationship between LTPA and the other indicators of health-care utilization. Our findings suggest that being physically active might translate to a quicker recovery for older adults who are hospitalized. Being physically active might not only have health benefits for older persons but also lead to lower health-care costs.

scholarly journals Physical Activity, Exercise, and Physical Rehabilitation

2021 ◽  
pp. 189-198
Author(s):  
Camila Astolphi Lima ◽  
Renato Barbosa dos Santos ◽  
Monica Rodrigues Perracini
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Health Care Professionals ◽  
Current Evidence ◽  
Geriatric Syndromes ◽  
Positive Health ◽  
Health Trajectories ◽  
The Life Course

AbstractEnhancing physical activity promotes positive health trajectories throughout the life course. Physical activity should be tailored and graded to suit older adults’ capacities and needs and can be combined with rehabilitation interventions to manage geriatric syndromes and disability. This chapter provides a summary of current evidence about the role of physical activity for older adults, emphasizing nutritional aspects. We also present strategies to help health-care professionals to enhance physical activity participation.

Promoting Physical Activity among Middle-Aged and Older Adults in Health Care Settings

2001 ◽  
Vol 9 (s1) ◽  
pp. S29-S37 ◽  
Author(s):  
Elizabeth Eakin
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Physical Inactivity ◽  
Public Health Issue ◽  
Middle Aged ◽  
Health Care Settings ◽  
Physical Activity Interventions ◽  
Effective Interventions ◽  
Social Environmental

Physical inactivity continues to be a significant public health issue for middle-aged and older adults. This review focuses on physical activity interventions targeting older adults in health care settings. The literature in this area is limited and the results to date disappointing. Much remains to be done to develop effective interventions targeting older adults, especially those from underserved groups. Attention also needs to be paid to maintenance of initial treatment gains and to linking primary-care-based physical activity interventions to community-based resources. Recognition in the social and behavioral sciences of the importance of social-environmental influences on health and health behaviors mandates both a multidisciplinary and a multilevel intervention approach to the problem of physical inactivity.

Thinking out Loud: What Older Adults Say about Triggers for Physical Activity

2001 ◽  
Vol 9 (4) ◽  
pp. 347-363 ◽  
Author(s):  
Sandra O'Brien Cousins
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Bone Density ◽  
Self Care ◽  
Free Time ◽  
Active Living ◽  
Community Programs ◽  
Active Lifestyle ◽  
New Community

This study analyzed older women's (age 57–92, N = 32) descriptions of motivating triggers for physical activity. Among active women, activity was triggered by situations such as declining fitness levels, low bone density, more free time, fears about inadequate health care leading to self-care, expectations for reduced aches and pains, awareness of new community programs, and public reports of the health benefits. Semiactive women had doubts about the appropriateness of being active. Inactive people also experienced triggers but seemed firmly committed to a less active lifestyle by reminding themselves that retirement requires no commitments, exercise is not needed if you are healthy, exercise is not appropriate if you are ill, being very busy is a substitute activity, and serving others is less selfish. The findings suggest that active-living interventions might be more effectively aimed at semi active seniors who seem positively disposed to participating but need help to get started or to stay involved.

scholarly journals Habitual Physical Activity and Sleep Duration in Institutionalized Older Adults

2021 ◽  
Vol 12 ◽  
Author(s):  
Oliver Vogel ◽  
Daniel Niederer ◽  
Jan Wilke ◽  
Inaam El-Rajab ◽  
Lutz Vogt
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Barthel Index ◽  
Health Knowledge ◽  
Bed Rest ◽  
Cross Sectional Study ◽  
Activity Levels ◽  
Cross Sectional

Background: Physical activity and sleep quality are both major factors for improving one's health. Knowledge on the interactions of sleep quality and the amount of physical activity may be helpful for implementing multimodal health interventions in older adults.Methods: This preliminary cross-sectional study is based on 64 participants [82.1 ± 6.4 years (MD ± SD); 22 male: 42 female]. The amount of physical activity was assessed by means of an accelerometer (MyWellness Key). Self-reported sleep parameters were obtained using the Pittsburgh Sleep Quality Index. The Barthel Index was used for physical disability rating. Bivariate correlations (Spearman's Rho) were used to explore relationships between the amount of physical activity and sleep quality. To analyse differences between categorial subgroups univariate ANOVAs were applied; in cases of significance, these were followed by Tukey-HSD post-hoc analyses.Results: No linear association between physical activity and sleep quality was found (r = 0.119; p &gt; 0.05). In subgroup analyses (n = 41, Barthel Index ≥90 pts, free of pre-existing conditions), physical activity levels differed significantly between groups of different sleep duration (≥7 h; ≥6 to &lt;7 h; ≥5 to &lt;6 h; &lt;5h; p = 0.037).Conclusion: There is no general association between higher activity levels and better sleep quality in the investigated cohort. However, a sleep duration of ≥5 to &lt;6 h, corresponding to 7.6 h bed rest time, was associated with a higher level of physical activity.

scholarly journals Evaluation of the functionality and mobility of community-dwelling older adults in primary health care

2019 ◽  
Vol 22 (5) ◽  
Author(s):  
Laize Gabriele de Castro Silva ◽  
Franciele Santos de Oliveira ◽  
Ítala da Silva Martins ◽  
Frankly Eudes Sousa Martins ◽  
Tulia Fernanda Meira Garcia ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care ◽  
Primary Health Care ◽  
Functional Capacity ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Assessment Tools ◽  
Primary Health ◽  
Reduced Mobility

Abstract Objective : To evaluate the functional capacity and mobility of older adults treated in primary health care and the association between adverse outcomes (functional dependence and reduced mobility) and sociodemographic and health conditions. Method : A cross-sectional and analytical epidemiological study was carried out in the municipal region of Caicó, Rio Grande do Norte, Brazil. Sociodemographic variables, presence of comorbidities, practice of physical activity, functional capacity (Lawton Scale) and mobility (Timed Up and Go Test) were investigated. Data analysis was performed using descriptive statistics, followed by bivariate analysis to investigate association variables and multivariate analysis (logistic regression). Results : Among the 109 elderly people evaluated, 29.4% were dependent in instrumental activities of daily living (IADL) and 67.9% had reduced mobility. The present study found a significant association between dependence in IADL and age equal to or greater than 75 years; while not practicing physical activity remained a factor of association with reduced mobility, regardless of sex, age and presence of co-morbidities. Conclusion : The findings emphasize the importance of the practice of physical activity, which was associated with better mobility, the construction of spaces of health promotion and disease prevention to encourage active aging for older adults, as well as a multi and interprofessional approach to comprehensive health care for older adults, with the use of functionality assessment tools.

Sign in / Sign up

Export Citation Format

Share Document