Gait Speed, Quality of Life, and Sedentary Time are Associated with Steps per Day in Community-Dwelling Older Adults with Osteoporosis

2016 ◽  
Vol 24 (1) ◽  
pp. 22-31 ◽  
Author(s):  
Ing-Mari Dohrn ◽  
Maria Hagströmer ◽  
Mai-Lis Hellénius ◽  
Agneta Ståhle

Aim:To describe objectively-measured physical activity levels and patterns among community-dwelling older adults with osteoporosis, impaired balance, and fear of falling, and to explore the associations with gait, balance performance, falls self-efficacy, and health-related quality of life (HRQoL).Methods:Ninety-four individuals (75.6 ± 5.4 years) were included. Physical activity was assessed with pedometers and accelerometers. Mean steps/day, dichotomized into < 5,000 or = 5,000 steps/day, and time spent in different physical activity intensities were analyzed. Gait was assessed with a GAITRite walkway, balance performance was assessed with the modified figure-eight test and oneleg stance, falls self-efficacy was assessed with the Falls Efficacy Scale International, and HRQoL was assessed with Short Form-36.Results:Mean steps/day were 6,201 (991–17,156) and 40% reported < 5,000 steps/day. Participants with < 5,000 steps/day spent more time sedentary, had slower gait speed, poorer balance performance, and lower HRQoL than participants with ≥ 5,000 steps/day. No participants with < 5,000 met the recommended level of physical activity.

2018 ◽  
Vol 19 (3) ◽  
pp. 158-166 ◽  
Author(s):  
Evi Petersen ◽  
Gerhard Schoen ◽  
Gunnar Liedtke ◽  
Astrid Zech

Purpose Urban green space (UGS) shows to be a sustainable resource stimulating physical activity, health and quality of life in the general population. With regard to an aging European population, the purpose of this paper is to investigate the relationship between UGS, physical activity and health-related quality of life (HRQoL) in community-dwelling older adults. Design/methodology/approach Cross-sectional survey data were provided by a sample from Hamburg (Germany), consisting of 272 adults aged⩾65 years. Respondents answered questions regarding HRQoL (Short Form 12), physical activity (German-PAQ-50+) and exposure to UGS. The authors applied a linear regression to analyse the relationship between weekly duration of exposure to UGS and physical activity. While controlling for confounding factors, the authors used a multivariate linear regression model to detect effects on HRQoL. Findings A significant effect (adjusted R2: 4.3 per cent; p-value⩽0.001) was found for weekly duration of exposure to UGS and weekly physical activity. Multiple linear regression showed significant positive effects of weekly duration of exposure to UGS (p=0.010) and weekly time of physical activity (p=0.017) on HRQoL. Age, sex and feeling of satisfaction were identified as relevant confounding factors. Research limitations/implications Future research should continue to explore the indicators that mediate an increase of physical activity and HRQoL in the heterogeneous age band of older adults. Practical implications Findings suggest that community-dwelling older adults are likely to benefit from higher amounts of time in UGS since it is positively associated with both physical activity and HRQoL. Therefore, urban planners should explicitly consider the demands of community-dwelling older adults towards UGS. Originality/value This study is one of the first to examine the relationship between UGS, physical activity and HRQoL in older adults.


2018 ◽  
Vol 50 (5S) ◽  
pp. 427-428
Author(s):  
Lauren Graham ◽  
Allison M. O’Halloran ◽  
Trishia T. Yada ◽  
Jane E. Freund ◽  
Chitra Lakshmi K. Balasubramanian ◽  
...  

2021 ◽  
Author(s):  
Nachalida Yukalang ◽  
Niruwan Turnbull ◽  
Wisit Thongkum ◽  
Adisorn Wongkongdech ◽  
Kukiat Tudpor

Older adults are relatively physically active compared to other age group. A lack of physical activity (PA) can cause chronic diseases including osteoarthritis of knee (OA knee) and might eventually reduce quality of life (QOL). This present study was aimed to investigate association between levels of PA and OA knee with levels of QOL in community-dwelling older adults. One thousand and sixty-seven community-dwelling older persons were recruited to this descriptive study. PA activity questionnaire was invented. Standardized Oxford knee score and World Health Organization’s Quality of Life scale (WHOQOL-BREF) were used to measure OA knee and QOL levels. Results showed that levels of PA in older adults were significantly associated with levels of OKS (χ2 = 78.565, P-value < .001) and levels of OA knee in older adults were significantly associated with levels of overall QOL (χ2 = 57.738, P-value < .001). Pearson’s correlation also showed interrelation among PA, OA knee, and QOL. In conclusion, PA, OA knee, and QOL are interrelated. Therefore, close monitoring and design of proper PA activity should be implemented in community-dwelling older adults with OA knee.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 189-189
Author(s):  
Milan Chang ◽  
Olof Geirsdottir ◽  
Inga Thorsdottir ◽  
Palmi Jonsson ◽  
Alfons Ramel ◽  
...  

Abstract Background: Quality of life (QOL) is a multidimensional concept which is often used as an evaluation of a person‘s health and psychological status. Increasing longevity can be associated with better QOL as long as older adults are independent in daily life. The aim of the study was to examine the associations of QOL with muscle strength and physical function among community-dwelling older adults. Methods: The current cross-sectional study had 225 participants (73.7±5.7yrs, 58.2% female) living in Reykjavik, Iceland. QOL measured using the 36-item short-form survey (SF-36). Covariates were anthropometrics, muscle strength, physical function including timed up and go test (TUG), and 6-minute walking distance (6MWD), physical activity per week (PA). Linear regression analysis was used to examine the association of QOL with physical function. Results: The mean QOL score for the study population was 54.9±6.13. The analysis was adjusted for age and gender, body mass index, height, and PA. We found that QOL was associated with better grip strength (B=1.4, P&lt;0.0001), 6MWD (B=0.03, P&lt;0.0001), slower TUG (B=-0.9, P&lt;0.0001), and higher PA (B=0.03 m, P=0.039). However, QOL was not associated with quadriceps leg strength. Conclusion: The study suggests that QOL was associated with better physical function including grip strength, walking ability and the level of PA among community-dwelling older adults in Iceland.


2021 ◽  
Author(s):  
Arkers Kwan Ching Wong ◽  
Jonathan Bayuo ◽  
Frances Kam Yuet Wong ◽  
Wing Shan Yuen ◽  
Athena Yin Lam Lee ◽  
...  

BACKGROUND In recent years, telehealth has become a common channel for healthcare professionals to use to promote health and provide distance care. Coronavirus disease (COVID-19) has further fostered the widespread use of this new technology, which can improve access to care while protecting the community from exposure to infection by direct personal contact, and reduce the time and cost of travelling for both healthcare users and providers. This is especially true for community-dwelling older adults who have multiple chronic diseases and require frequent hospital visits. Nurses are globally recognized as healthcare professionals who provide effective community-based care to older adults, facilitating their desire to age in place. However, to date, it is unclear whether the use of telehealth can facilitate their work of promoting self-care to community-dwelling older adults. Objective: We aimed to summarize findings from randomized controlled trials on the effect of nurse-led telehealth self-care promotion programmes compared to the usual onsite or face-to-face services on the quality of life, self-efficacy, depression, and hospital admissions among community-dwelling older adults. OBJECTIVE We aimed to summarize findings from randomized controlled trials on the effect of nurse-led telehealth self-care promotion programmes compared to the usual onsite or face-to-face services on the quality of life, self-efficacy, depression, and hospital admissions among community-dwelling older adults. METHODS A search of six major databases was undertaken of relevant studies published from May 2011 to April 2021. Standardized mean differences (SMDs) and their 95% confidence intervals were calculated from post-intervention outcomes for continuous data, while the odds ratio (ORs) was obtained for dichotomous data using the Mantel-Haenszel test. RESULTS From 1173 possible publications, 13 trials involving a total of 4097 participants were included in this meta-analysis. Compared to the control groups, the intervention groups of community-dwelling older adults significantly improved in overall quality of life (SMD=0.12; 95% CI: 0.03 to 0.20; p=.006; I2=21%), self-efficacy (SMD=0.19; 95% CI: 0.08 to 0.30; p=.0005; I2=0%), and depression level (SMD=-0.22; 95% CI: -0.36 to -0.08; p=.003; I2=89%). CONCLUSIONS This meta-analysis suggests that employing telehealth in nurse-led self-care promotion programmes may have a positive impact on older adults, although more studies are needed to strengthen the evidence base, particularly regarding organization and delivery. CLINICALTRIAL International Prospective Register of Systematic Reviews (PROSPERO) CRD42021257299; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=257299.


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