Strength, Static Balance, Physical Activity, and Age Predict Maximal Gait Speed in Healthy Older Adults From a Rural Community: A Cross-Sectional Study

2015 ◽  
Vol 23 (4) ◽  
pp. 580-587 ◽  
Author(s):  
Silvia Aranda-García ◽  
Albert Busquets ◽  
Antoni Planas ◽  
Joan A. Prat-Subirana ◽  
Rosa M. Angulo-Barroso
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Rural Community ◽  
Gait Speed ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Knee Extensors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Physical Abilities

Purpose:Gait speed is related to physical function in older adults. This cross-sectional study examined the best predictors of maximal gait speed (MGS) among physical abilities, and general factors in healthy, rural community-dwelling older adults.Methods:MGS, muscle strength, and postural sway were measured in 55 community-dwelling participants (age, 72.1 ± 6.8, range 61–87 years; 72.7% women). Two stepwise regressions were used to find MGS predictors in two models: physical abilities and global.Results:Strength of knee extensors with 60° of knee flexion (KStrength60°) and maximal distance in the anterior-posterior direction with eyes closed explained 50.2% of MGS variance (p < .05) in the physical abilities model. KStrength60°, age, and level of physical activity explained 63.9% of MGS variance (p < .05) in the global model.Conclusions:Regardless of the model, KStrength60° was the best predictor of MGS in rural female older adults. Future research should examine the generalization of these findings to rural male older adults.

Associations of Light, Moderate to Vigorous, and Total Physical Activity With the Prevalence of Metabolic Syndrome in 4,652 Community-Dwelling 70-Year-Olds: A Population-Based Cross-Sectional Study

2020 ◽  
pp. 1-9
Author(s):  
Marcel Ballin ◽  
Peter Nordström ◽  
Anna Nordström
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Metabolic Syndrome ◽  
Light Intensity ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Odds Ratios ◽  
Cross Sectional ◽  
Steps Per Day

In this cross-sectional study, the authors investigated the associations of objectively measured physical activity (PA) with the prevalence of metabolic syndrome (MetS) in older adults. Accelerometer-derived light-intensity PA, moderate to vigorous PA, and steps per day were measured in (N = 4,652) 70-year-olds in Umeå, Sweden, during May 2012–November 2019. The MetS was assessed according to the American Heart Association/ National Heart, Lung and Blood Institute criteria. The prevalence of MetS was 49.3%. Compared with the reference, the odds ratios for MetS in increasing quartiles of light-intensity PA were 0.91 (0.77–1.09), 0.75 (0.62–0.89), and 0.66 (0.54–0.80). For moderate to vigorous PA, the corresponding odds ratios were 0.79 (0.66–0.94), 0.67 (0.56–0.80), and 0.56 (0.46–0.67). For steps per day, the odds ratios were 0.65 (0.55–0.78), 0.55 (0.46–0.65), and 0.45 (0.36–0.55). In summary, this study shows that greater amounts of PA, regardless of intensity, are associated with lower odds of MetS. With the limitation of being an observational study, these findings may have implications for the prevention of MetS in older adults.

scholarly journals Status of Constipation and Its Association with Sarcopenia in Older Adults: A Population-Based Cohort Study

2021 ◽  
Vol 18 (21) ◽  
pp. 11083
Author(s):  
Hyungchul Park ◽  
Jihye Lim ◽  
Ji Yeon Baek ◽  
Eunju Lee ◽  
Hee-Won Jung ◽  
...  
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
Population Based ◽  
Cross Sectional Study ◽  
Clinical Suspicion ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Iadl Disability ◽  
Community Dwelling Older Adults

(1) Background: As the clinical relevance of constipation and sarcopenia is not well studied, we aimed to investigate the association between them in older adults. (2) Methods: A cross-sectional study was conducted on 1278 community-dwelling older adults in South Korea. The Rome IV criteria were used to identify patients with clinically defined constipation, while sarcopenia was defined by the Asian Working Group for Sarcopenia consensus. The cohort was classified into three groups: no constipation, self-reported constipation only, and clinically defined constipation. (3) Results: The presence of constipation was associated with sarcopenia and slow gait speed (p < 0.001). After adjustment for possible covariates, the association with sarcopenia attenuated, while that for slow gait speed persisted. In terms of geriatric parameters, both groups with clinically defined and self-reported constipation had a higher burden of cognitive impairment, IADL disability, and lower QOL scores (p < 0.05) compared with those without constipation. (4) Conclusions: Sarcopenia and slow gait speed associated with constipation in community-dwelling older adults. Individuals with self-reported constipation symptoms alone showed comparable sarcopenic and geriatric burden to those with clinically defined constipation. Clinical suspicion for possible co-existing sarcopenia is warranted in older patients with constipation.

scholarly journals A cross-sectional study to investigate motivation for physical activity in a sample of Iranian community-dwelling older adults

2020 ◽  
Vol 10 (2) ◽  
pp. 135-141
Author(s):  
Seyed Alireza Derakhshanrad ◽  
Emily Piven ◽  
Bahareh Zeynalzadeh Ghoochani
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cross Sectional Study ◽  
Ordinal Regression ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Area Of Interest ◽  
Community Dwelling Older Adults

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.

scholarly journals Association between frailty and disability among rural community-dwelling older adults in Sri Lanka: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e034189
Author(s):  
Dhammika Deepani Siriwardhana ◽  
Manuj Chrishantha Weerasinghe ◽  
Greta Rait ◽  
Shaun Scholes ◽  
Kate R Walters
Keyword(s):  
Older Adults ◽  
Sri Lanka ◽  
Rural Community ◽  
Daily Living ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Frail Older Adults ◽  
Community Dwelling Older Adults

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.

scholarly journals Prevalence of frailty in rural community-dwelling older adults in Kegalle district of Sri Lanka: a population-based cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e026314 ◽  
Author(s):  
Dhammika Deepani Siriwardhana ◽  
Manuj Chrishantha Weerasinghe ◽  
Greta Rait ◽  
Milena Falcaro ◽  
Shaun Scholes ◽  
...  
Keyword(s):  
Older Adults ◽  
Sri Lanka ◽  
Rural Community ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health And Social Care ◽  
Community Dwelling Older Adults

ObjectiveOur main objective was to describe the prevalence and associated sociodemographic factors of frailty and pre-frailty in rural community-dwelling older adults in Kegalle district of Sri Lanka.DesignCommunity-based cross-sectional study.SettingThe study was conducted in rural areas of Kegalle district in Sri Lanka.ParticipantsA total of 746 community-dwelling older adults aged ≥60 years were included in the study.ResultsThe prevalence of frailty and pre-frailty in rural Kegalle district was 15.2% (95% CI 12.3% to 18.6%) and 48.5% (95% CI 43.8% to 53.2%), respectively. We found a strong association between age and both frailty and pre-frailty. There were strong associations between longest-held occupation and frailty and education level and pre-frailty.ConclusionsThe prevalence of frailty in this rural Sri Lankan older population was high compared with high-income and upper middle-income countries. The profile of health and social care services in Sri Lanka needs to address frailty and its consequences.

scholarly journals Associations between Socioeconomic Status, Social Participation, and Physical Activity in Older People during the COVID-19 Pandemic: A Cross-Sectional Study in a Northern Japanese City

2021 ◽  
Vol 18 (4) ◽  
pp. 1477
Author(s):  
Sachiko Sasaki ◽  
Akinori Sato ◽  
Yoshie Tanabe ◽  
Shinji Matsuoka ◽  
Atsuhiro Adachi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Social Participation ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Physically Active

Physical activity (PA) is a key determinant of health in older adults. However, little is known about the effect of social factors on PA among older adults during the coronavirus disease 2019 (COVID-19) pandemic. Therefore, we aimed to clarify the association between socioeconomic status, social participation, and PA during the pandemic. A cross-sectional study was conducted on 999 community-dwelling residents aged 65–90 years. A self-administered questionnaire was used to collect socioeconomic status, social participation, and PA data in August 2020. Multivariable logistic regression analyses were used to calculate the odds ratios (ORs) for the associations between socioeconomic status, social participation, and maintaining PA. For both sexes, PA was reduced by approximately 5–10% after the onset of COVID-19-related distancing restrictions. Men with a low socioeconomic status were less physically active (OR = 0.49, 95% CI: 0.30–0.82). Women who reported social participation had higher odds of maintaining PA (OR = 1.67, 95% CI: 1.13–2.45) during the restrictions. Higher socioeconomic status and social participation levels before the COVID-19 pandemic may have helped older adults to maintain PA during the COVID-19 pandemic. Further research is needed to clarify the potential effects of these factors on the health of older adults.

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