Physical Activity Level and Risk of Falling in Community-Dwelling Older Adults: Systematic Review and Meta-Analysis

2019 ◽  
Vol 27 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Wuber J.S. Soares ◽  
Alexandre D. Lopes ◽  
Eduardo Nogueira ◽  
Victor Candido ◽  
Suzana A. de Moraes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Physical Activity Level ◽  
Meta Analysis ◽  
Community Dwelling ◽  
Activity Level ◽  
Risk Of Falling ◽  
Community Dwelling Older Adults

Use of Clinical and Impairment-Based Tests to Predict Falls by Community-Dwelling Older Adults

2003 ◽  
Vol 83 (4) ◽  
pp. 328-339 ◽  
Author(s):  
Lois K Boulgarides ◽  
Susan M McGinty ◽  
Jayne A Willett ◽  
Carole W Barnes
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Physical Activity Level ◽  
Community Dwelling ◽  
Activity Level ◽  
Eyes Closed ◽  
Balance Tests ◽  
Speed Accuracy ◽  
Community Dwelling Older Adults

Abstract Background and Purpose. Few tests have been found to be strongly predictive of falls in community-dwelling older adults. The purpose of this study was to determine whether data from 5 balance tests—combined with data regarding fall history, number of medications, dizziness, visual problems, use of an assistive device, physical activity level, sex, and age—could predict falls in community-dwelling older adults who were independent. Subjects. Ninety-nine community-dwelling older adults aged 65 to 90 years (X̄= 74.02, SD=5.64) were tested. Methods. Subjects were tracked for falls over a 1-year period following testing. Impairment-based tests, which are tests that attempt to specifically identify which sensory systems are impaired or how motor control is impaired (eg, speed, accuracy of movement), were the Modified Clinical Tests of Sensory Interaction for Balance (Modified CTSIB) and the 100% Limits of Stability Test, both of which were done on the Balance Master 6.1. Performance-based tests, which are functional tests that identify functional limitations without necessarily identifying their causes, were the Berg Balance Scale, the Timed “Up & Go” Test, and the Dynamic Gait Index. Demographic and health data included age, sex, number of medications, physical activity level, presence of dizziness, vision problems, and history of falls over the previous year. Logistic regression was used to determine which combinations of data from balance tests, demographics, and health factors were predictive of falls. Results. Two models—(1) the “standing on a firm surface with eyes closed” (FEC) condition of the Modified CTSIB and (2) the FEC combined with age and sex—were predictive of falls, but predicted only 1 and 2 subjects who were at risk for falling, respectively, out of 20 people who were at risk for falling. Discussion and Conclusion. Five balance tests combined with health and demographic factors did not predict falls in a sample of community-dwelling older adults who were active and independent.

The effect of motivational interviewing on physical activity level among older adults: a systematic review and meta-analysis

2020 ◽  
Vol 38 (3) ◽  
pp. 250-263
Author(s):  
Olayinka Akinrolie ◽  
Ruth Barclay ◽  
Shaelyn Strachan ◽  
Akanksha Gupta ◽  
Unyime S. Jasper ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Motivational Interviewing ◽  
Physical Activity Level ◽  
Meta Analysis ◽  
Activity Level

scholarly journals Associations between Pet Ownership and Frailty: A Systematic Review

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 89
Author(s):  
Gotaro Kojima ◽  
Reijiro Aoyama ◽  
Yu Taniguchi
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Well Being ◽  
Community Dwelling ◽  
Activity Level ◽  
Pet Ownership ◽  
Cross Sectional ◽  
Age Related ◽  
Community Dwelling Older Adults

Frailty is defined as a state of increased vulnerability due to age-related decline in reserve and function across multiple physiological systems. Increasing physical activity level is considered to be a measure to counteract frailty. Some studies have indicated that pet owners are more engaged in physical activity than non-owners. We conducted a systematic review regarding associations between pet ownerships and frailty among community-dwelling older adults and critically assessed the findings. PubMed was searched in April 2020 according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines for cross-sectional or prospective studies examining associations between pet ownership and frailty in community-dwelling older adults with a mean age of 60 or above. A supplementary search was done using Google Scholar. Identified articles were reviewed by two investigators independently and assessed for methodological quality. The search identified 48 studies, among which three studies (two cross-sectional and one prospective) were included in this review. These studies suggested that pet ownership may be associated with a lower risk of frailty. This systematic review found only a limited amount of relevant research. More research is needed to establish the link between pet ownership and frailty as well as healthy aging and well-being.

scholarly journals Sarcopenia risk and associated factors among Chinese community-dwelling older adults living alone

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Li Cheng ◽  
Janet W. H. Sit ◽  
Helen Y. L. Chan ◽  
Kai Chow Choi ◽  
Regina K. Y. Cheung ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
High Risk ◽  
Physical Activity Level ◽  
Associated Factors ◽  
Community Dwelling ◽  
Activity Level ◽  
Living Alone ◽  
Community Dwelling Older Adults

AbstractSarcopenia, defined as a progressive loss of muscle mass and reduced muscle strength and functional capacity, is common among older adults. This study aimed to assess the proportion of people at risk of sarcopenia and probable sarcopenia among Chinese community-dwelling older adults living alone and to identify the associated factors. A total of 390 older adults were included in this study. Sarcopenia and probable sarcopenia were defined according to the criteria of the Asian Working Group for Sarcopenia 2019. Data on socio-demographic characteristics, health status, health behaviours and lifestyle characteristics, nutritional status, physical activity level, and depressive symptoms were collected. The association between these characteristics and sarcopenia risk was analysed using a multivariate ordinal logistic regression. The proportion of subjects at risk of sarcopenia and probable sarcopenia was found to be 57.7% and 30%, respectively. Older age, being malnourished and being at risk of malnutrition were significantly associated with sarcopenia risk. Being educated to secondary level or above, being overweight or obese and higher physical activity level were associated with decreased sarcopenia risk. Our results showed that older adults living alone were at high risk of developing sarcopenia and probable sarcopenia. These results emphasise the urgent need to initiate aggressive screening and holistic lifestyle therapeutic intervention strategies for this high-risk population.

scholarly journals Physical Activity Level Following Resistance Training in Community-Dwelling Older Adults Receiving Home Care: Results from a Cluster-Randomized Controlled Trial

2021 ◽  
Vol 18 (13) ◽  
pp. 6682
Author(s):  
Hilde Bremseth Bårdstu ◽  
Vidar Andersen ◽  
Marius Steiro Fimland ◽  
Lene Aasdahl ◽  
Hilde Lohne-Seiler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Resistance Training ◽  
Home Care ◽  
Community Dwelling ◽  
Activity Level ◽  
Group Differences ◽  
Control Group ◽  
Cluster Randomized ◽  
Community Dwelling Older Adults

Older adults’ physical activity (PA) is low. We examined whether eight months of resistance training increased PA level in community-dwelling older adults receiving home care. A two-armed cluster-randomized trial using parallel groups was conducted. The included participants were >70 years and received home care. The resistance training group performed resistance training using body weight, elastic bands, and water canes twice per week for eight months. The control group was informed about the national PA guidelines and received motivational talks. The ActiGraph GT3X+ accelerometer was used to estimate PA. Outcomes included total PA (counts per minute), sedentary behavior (min/day), light PA (min/day), moderate-to-vigorous PA (min/day), and steps (mean/day). Between-group differences were analyzed using multilevel linear mixed models. Twelve clusters were randomized to either resistance training (7 clusters, 60 participants) or the control group (5 clusters, 44 participants). A total of 101 participants (median age 86.0 (interquartile range 80–90) years) had valid accelerometer data and were included in the analysis. There were no statistically significant between-group differences for any of the PA outcomes after four or eight months. This study offers no evidence of increased PA level following resistance training in older adults with home care.

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