Sense of Coherence: Effect on Adherence and Response to Resistance Training in Older People With Hip Fracture History

2014 ◽  
Vol 22 (1) ◽  
pp. 138-145 ◽  
Author(s):  
Erja Portegijs ◽  
Sanna Read ◽  
Inka Pakkala ◽  
Mauri Kallinen ◽  
Ari Heinonen ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Resistance Training ◽  
Older People ◽  
Sense Of Coherence ◽  
Repeated Measures ◽  
Walking Speed ◽  
Knee Extension ◽  
Community Dwelling ◽  
Knee Extension Strength ◽  
Fracture History

Our aim was to study the effects of sense of coherence (SOC) on training adherence and interindividual changes in muscle strength, mobility, and balance after resistance training in older people with hip fracture history. These are secondary analyses of a 12-week randomized controlled trial of progressive resistance training in 60- to 85-year-old community-dwelling people 0.5–7 years after hip fracture (n = 45; ISRCTN34271567). Pre- and posttrial assessments included SOC, knee extension strength, walking speed, timed up-and-go (TUG), and Berg Balance Scale (BBS). Group-by-SOC interaction effects (repeated-measures ANOVA) were statistically significant for TUG (p = .005) and BBS (p = .040), but not for knee extension strength or walking speed. Weaker SOC was associated with poorer training adherence (mixed model; p = .009). Thus, more complicated physical tasks did not improve in those with weaker SOC, independently of training adherence. Older people with weaker SOC may need additional psychosocial support in physical rehabilitation programs to optimize training response.

scholarly journals Physical Characteristics Vary According to Body Mass Index in Japanese Community-Dwelling Elderly Women

Geriatrics ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. 87 ◽  
Author(s):  
Koji Nonaka ◽  
Shin Murata ◽  
Kayoko Shiraiwa ◽  
Teppei Abiko ◽  
Hideki Nakano ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Walking Speed ◽  
Elderly Women ◽  
Knee Extension ◽  
Normal Weight ◽  
Physical Characteristics ◽  
Community Dwelling ◽  
Weight Group ◽  
Normal Weight Group ◽  
Knee Extension Strength

Background: Body mass index (BMI) is related to health in the elderly. The purpose of this study was to investigate the physical characteristics in underweight, overweight, and obese Japanese community-dwelling elderly women compared to normal-weight elderly women. Methods: The study participants included 212 community-dwelling elderly women. They were categorized as underweight (BMI < 18.5), normal weight (18.5 ≤ BMI ≤ 22.9), overweight (23 ≤ BMI ≤ 24.9), and obese (BMI ≥ 25). Data on skeletal muscle mass index (SMI), number of trunk curl-ups performed within 30 seconds, knee extension strength, one-leg standing time, and walking speed were recorded. Results: In the underweight group, the number of trunk curl-ups was significantly lower than that of the normal-weight group (p = 0.011) and the correlation between knee extension strength and walking speed was relatively higher than in the normal-weight group (r = 0.612 vs. r = 0.471). In the overweight group, the SMI was significantly increased (p < 0.001), but knee extension strength was not increased (p = 0.235) compared to that of the normal-weight group. In the obese group, one-leg standing time was significantly shorter than in the normal-weight group (p = 0.016). Conclusions: Physical characteristics vary according to BMI and these findings are useful in assessing and planning interventional programs to improve and maintain physical function in elderly women.

scholarly journals Cohort Differences in Maximal Physical Performance: A Comparison of 75- and 80-Year-Old Men and Women Born 28 Years Apart

2020 ◽  
Author(s):  
Kaisa Koivunen ◽  
Elina Sillanpää ◽  
Matti Munukka ◽  
Erja Portegijs ◽  
Taina Rantanen
Keyword(s):  
Physical Performance ◽  
Functional Capacity ◽  
Walking Speed ◽  
Participation Rate ◽  
Knee Extension ◽  
Forced Expiratory Volume ◽  
Community Dwelling ◽  
Target Area ◽  
Knee Extension Strength ◽  
Cohort Differences

Abstract Background Whether increased life expectancy is accompanied by increased functional capacity in older people at specific ages is unclear. We compared similar validated measures of maximal physical performance in 2 population-based older cohorts born and assessed 28 years apart. Method Participants in the first cohort were born in 1910 and 1914 and were assessed at age 75 and 80 years, respectively (N = 500, participation rate 77%). Participants in the second cohort were born in 1938 or 1939 and 1942 or 1943 and were assessed at age 75 and 80 years, respectively (N = 726, participation rate 40%). Participants were recruited using a population register and all community-dwelling persons in the target area were eligible. Both cohorts were interviewed at home and were examined at the research center with identical protocols. Maximal walking speed, maximal isometric grip and knee extension strength, forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) were assessed. Data on non-participation were systematically collected. Results Walking speed was on average 0.2–0.4 m/s faster in the later than earlier cohort. In grip strength, the improvements were 5%–25%, and in knee extension strength 20%–47%. In FVC, the improvements were 14–21% and in FEV1, 0–14%. Conclusions The later cohort showed markedly and meaningfully higher results in the maximal functional capacity tests, suggesting that currently 75- and 80-year-old people in Finland are living to older ages nowadays with better physical functioning.

scholarly journals Knee Extension Strength Measures Indicating Probable Sarcopenia Is Associated with Health-Related Outcomes and a Strong Predictor of 1-Year Mortality in Patients Following Hip Fracture Surgery

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 8
Author(s):  
Morten Tange Kristensen ◽  
Signe Hulsbæk ◽  
Louise Lohmann Faber ◽  
Lise Kronborg
Keyword(s):  
Hip Fracture ◽  
Strong Predictor ◽  
Knee Extension ◽  
Acute Hospital ◽  
Cut Points ◽  
Knee Extension Strength ◽  
Hip Fracture Surgery ◽  
Hand Grip ◽  
Health Related ◽  
Fracture Surgery

To examine if knee-extension strength (KES) measures indicating probable sarcopenia are associated with health-related outcomes and if KES and hand grip strength (HGS) measures are associated with 1-year mortality after hip fracture. Two groups of older patients with hip fracture had either HGS (n = 32) or KES (n = 150) assessed during their acute hospital stay. Cut-points for HGS (<27 kg for men and <16 kg for women), and cut-points for maximal isometric KES (non-fractured limb), being the lowest sex-specific quintile (<23.64 kg for men and <15.24 kg for women), were used to examine association with health-related outcomes and 1-year mortality. Overall, 1-year mortality was 12.6% in the two strength groups, of which 47% (HGS) and 46% (KES) respectively, were classified as probable sarcopenia. Probable sarcopenia patients (KES) had lower prefracture function, performed poorly in mobility measures and expressed a greater concern of falling compared to their stronger counterparts. Hazard ratio for 1-year mortality was 2.7 (95%CI = 0.49–14.7, p = 0.3) for HGS and 9.8 (95%CI = 2.2–43.0, p = 0.002) for KES for probable sarcopenia patients compared to those not. Sex-specific KES measures indicating sarcopenia is associated with health-related outcomes and a strong predictor of 1-year mortality after hip fracture.

scholarly journals Physical Activity during Winter in Old-Old Women Associated with Physical Performance after One Year: A Prospective Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Atsushi Mizumoto ◽  
Hikaru Ihira ◽  
Keitaro Makino ◽  
Shigeyuki Saitoh ◽  
Hirofumi Ohnishi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Performance ◽  
Repeated Measures ◽  
Walking Speed ◽  
Community Dwelling ◽  
Walking Distance ◽  
Step Counts ◽  
Physical Performances ◽  
Maintenance Group

Background. The aim of this study was to evaluate whether the decline of physical activity during winter influences physical performances (after 1 year) in old-old women.Methods. Fifty-three Japanese women (mean age: 78.4 ± 3.2 years) participated in this study. Data of physical activity was collected by using an accelerometer at baseline and 3-month follow-up, and participants who decreased step counts in this period were defined as declining groups. We measured grip strength, knee extensor strength, total length of the center of gravity, hip walking distance, and maximum walking speed to evaluate physical performances at baseline and 1-year follow-up. Repeated-measures analysis of variance determined the difference in physical performance between declining groups and maintenance group with maintained or improved step counts.Results. Daily step counts for 22 older women (41.5%) decreased during winter. A statistically significant interaction effect between group and time was found for maximum walking speed (F(1,50)=5.23,p=0.03).Post hoccomparisons revealed that walking speed in the maintenance group significantly increased compared with baseline (p=0.01); the declining group showed no significant change (p=0.44).Conclusion. Change of physical activity during winter influences the physical performance level after 1 year in community-dwelling old-old women, particularly its effect on maximum walking speed.

scholarly journals Exploring the association of falls with the sense of coherence and functional capacity indices among community dwelling older people of rural Greece

2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A204-A205
Author(s):  
E. Birmpili ◽  
P. Panagopoulou ◽  
A. Koula ◽  
A. Kapota ◽  
E. Petridou ◽  
...  
Keyword(s):  
Older People ◽  
Functional Capacity ◽  
Sense Of Coherence ◽  
Community Dwelling ◽  
Community Dwelling Older People

Knee Extension Strength Is a Significant Determinant of Static and Dynamic Balance as Well as Quality of Life in Older Community-Dwelling Women with Osteoporosis

Gerontology ◽  
2002 ◽  
Vol 48 (6) ◽  
pp. 360-368 ◽  
Author(s):  
Nick D. Carter ◽  
Karim M. Khan ◽  
Arthur Mallinson ◽  
Patti A. Janssen ◽  
Ari Heinonen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Dynamic Balance ◽  
Knee Extension ◽  
Community Dwelling ◽  
Significant Determinant ◽  
Knee Extension Strength

scholarly journals Association between physical function and onset of coronary heart disease in a cohort of community-dwelling older populations: The Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians study

2020 ◽  
Author(s):  
Nonglak Klinpudtan ◽  
Mai Kabayama ◽  
Kayo Godai ◽  
Yasuyuki Gondo ◽  
Yukie Masui ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Older People ◽  
Physical Function ◽  
Walking Speed ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Multivariate Adjustment ◽  
Chd Risk ◽  
Older Populations

Abstract Objective: Physical function is a strong predictor of the adverse outcomes in older populations. We prospectively examined the association of walking speed and handgrip strength with CHD in the community-dwelling older populations. The study cohort in Japan included 1272 older people free from heart disease at the baseline. Physical function was identified based on walking speed and handgrip strength assessment at the survey site. Any new case of CHD was obtained based on a self-reported doctor's diagnosis. Cox-proportion hazard models were adjusted for covariate factors to examine the CHD risk. Results: During the 7-year follow-up, 45 new cases of CHD were documented. Slow walking speed was strongly associated with CHD risk after adjusting for all confounding factors in the total participants and women (hazard ratio (HR)= 2.53, 95%confidence interval (CI), 1.20-5.33, p=0.015, and HR= 4.78, 95% CI,1.07-21.35, p=0.040, respectively), but not in men. Weak grip strength was associated with CHD after age-adjustment (HR= 2.45, 95%CI, 1.03-5.81, p=0.043) only in men. However, after additional multivariate adjustment, the associations were weaker. The results lead to the conclusion that, after multivariate adjustment for coronary heart disease, walking speed is a strong surrogate predictor of the CHD risk among older people.

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