Impact of frailty on chronic pain, activities of daily living and physical activity in community-dwelling older adults: A cross-sectional study

2018 ◽  
Vol 18 (7) ◽  
pp. 1079-1084 ◽  
Author(s):  
Tatsuya Hirase ◽  
Hideki Kataoka ◽  
Jiro Nakano ◽  
Shigeru Inokuchi ◽  
Junya Sakamoto ◽  
...  
2020 ◽  
Vol 10 (2) ◽  
pp. 135-141
Author(s):  
Seyed Alireza Derakhshanrad ◽  
Emily Piven ◽  
Bahareh Zeynalzadeh Ghoochani

Background: On the basis of the Social-Ecological Model, there are assumed to be three sources of motivation – intrapersonal, interpersonal, and community motivation – that prompt older adults to participate in physical activity (PA). These three motivational sources can lead to PA behavior adherence. Little empirical research exists that investigates which motivational source is more influential in older adults’ adherence to PA, thus creating an area of interest for this research. Methods: A cross-sectional study was used to investigate the relationship between levels of PA and different sources of motivation. The convenience sample of 140 community-dwelling older adults, aged 60 and greater, living in Shiraz, Iran agreed to complete self-reported questionnaires,to measure motivation and PA. Five statistical tests were used: Independent-samples t test, one way ANOVA, Pearson correlation coefficient, chi-square, and ordinal regression. Results: Ordinal regression indicated that gender (P = 0.001, CI: 0.523-2.115) and intrapersonal motivation (P < 0.001, CI: 0.038-0.126) were useful predictors of variations in the levels of PA. Compared to males, females engaged in PA with less frequency (P = 0.006). Community motivation decreased with age (r = - 0.213, P < 0.05). There were no significant relationships between age, educational level, health status, and PA (P > 0.05). Conclusion: Interpersonal and community motivation were insignificant factors for PA participation, perhaps due to non-facilitating environment. Future research should be conducted to investigate the environmental issues that hinder PA participation in older adults.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e034189
Author(s):  
Dhammika Deepani Siriwardhana ◽  
Manuj Chrishantha Weerasinghe ◽  
Greta Rait ◽  
Shaun Scholes ◽  
Kate R Walters

ObjectiveWe examined the association between frailty and disability in rural community-dwelling older adults in Kegalle district of Sri Lanka.DesignA population-based cross-sectional study.ParticipantsA total of 746 community-dwelling adults aged ≥60 years.Primary and secondary outcome measuresFrailty was assessed using the Fried phenotype. Disability was operationalised in terms of having one or more activity limitation/s in instrumental activities of daily living (IADL) and basic activities of daily living (BADL).ResultsThe median age of the sample was (median 68; IQR 64–75) years and 56.7% were female. 15.2% were frail and 48.5% were prefrail. The prevalence of ≥1 IADL limitations was high, 84.4% among frail adults. 38.7% of frail adults reported ≥1 BADL limitations. Over half of frail older adults (58.3%) reported both ≥1 physical and cognitive IADL limitations. Being frail decreased the odds of having no IADL limitations, and was associated with a higher count of IADL limitations. No significant association was found between prefrailty and number of IADL limitations.ConclusionsThe prevalence of ≥1 IADL limitations was high among rural community-dwelling frail older adults. Findings imply the greater support and care required for rural Sri Lankan frail older adults to live independently in the community.


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261597
Author(s):  
Ryota Imai ◽  
Masakazu Imaoka ◽  
Hidetoshi Nakao ◽  
Mitsumasa Hida ◽  
Fumie Tazaki ◽  
...  

2020 ◽  
Vol 21 (6) ◽  
pp. 530-535 ◽  
Author(s):  
Pedro Otones Reyes ◽  
Eva García Perea ◽  
Milagros Rico Blázquez ◽  
Azucena Pedraz Marcos

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0236111 ◽  
Author(s):  
Ryota Imai ◽  
Masakazu Imaoka ◽  
Hidetoshi Nakao ◽  
Mitsumasa Hida ◽  
Fumie Tazaki ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Claire Gough ◽  
Lucy K. Lewis ◽  
Christopher Barr ◽  
Anthony Maeder ◽  
Stacey George

Abstract Background With the advancing age of the population, and increasing demands on healthcare services, community participation has become an important consideration for healthy ageing. Low levels of community participation have been linked to increased mortality and social isolation. The extent to which community participation has been measured objectively in older adults remains scarce. This study aims to describe where and how older adults participate in the community and determine the feasibility of measurement methods for community participation. Methods This observational cross-sectional study obtained data from 46 community dwelling older adults. A combination of Global Positioning Systems (GPS), accelerometry, and self-reported diaries were used over a 7-day monitoring period. Feasibility of methods were determined by calculating the loss of GPS data, questionnaires, and comparison of self-reported locations with GPS co-ordinates. Relationships between community participation, physical activity, social interactions, health related quality of life, sleep quality and loneliness were explored. Results Older adults took a median (IQR) of 15 (9.25–18.75) trips out of home over the 7-day monitoring period, most frequently visiting commercial and recreational locations. In-home activities were mainly sedentary in nature, with out of home activities dependent on location type. Self-reported and GPS measures of trips out of home and the locations visited were significantly correlated (self-report 15.7 (5.6) GPS 14.4 (5.8) (r = 0.94)). Significant correlations between both the number of trips taken from home, with social interactions (r = 0.62) and the minutes of moderate to vigorous physical activity (MVPA) (r = 0.43) were observed. Daily MVPA was higher in participants who visited local walk/greenspaces (r = 0.48). Conclusion Participants performed more activities with social interactions out of home and visited commercial locations most frequently. The combination of GPS, accelerometry and self-report methods provided a detailed picture of community participation for older adults. Further research is required with older adults of varying health status to generalise the relationships between community participation, location and physical activity. Trial registration Ethical approval was gained from the Flinders University Social and Behavioural Research Ethics Committee (protocol no. 8176).


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