Optimization of the Effects of Physical Activity on Plantar Sensation and Postural Control With Barefoot Exercises in Institutionalized Older Adults: A Pilot Study

2019 ◽  
Vol 27 (4) ◽  
pp. 452-465
Author(s):  
Karim Korchi ◽  
Frédéric Noé ◽  
Noëlle Bru ◽  
Thierry Paillard
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Physical Exercise ◽  
Exercise Intervention ◽  
Exercise Program ◽  
Falls Prevention ◽  
Control Group ◽  
Noticeable Effect ◽  
Exercise Interventions ◽  
Somatosensory Information

Increasing somatosensory information from the foot by exercising barefoot can potentially optimize the effectiveness of physical exercise interventions on falls prevention in the older adults. This pilot study was then undertaken to explore the effects of increased somatosensory information from the foot by exercising barefoot on balance, gait, and plantar cutaneous sensitivity in institutionalized older adults involved in multimodal exercise intervention. Participants were assigned to three groups: a control group which did not perform any physical exercise and two groups in which they were involved in a multimodal exercise program performed barefoot or shod. Postural, gait, and plantar cutaneous sensitivity parameters were collected. The results showed that the exercise program produced larger effects on balance and plantar cutaneous sensitivity when exercises were performed barefoot, without any noticeable effect on gait. Hence, barefoot exercising could be a relevant means to optimize the fall-prevention exercise programs in institutionalized older adults.

scholarly journals Comparison of physical fitness in elderly submitted to different physical exercise interventions

2016 ◽  
Vol 21 (1) ◽  
pp. 78
Author(s):  
Leonardo Campos ◽  
Priscila Nakamura ◽  
Eduardo Kokubun
Keyword(s):  
Physical Exercise ◽  
Physical Fitness ◽  
Motor Coordination ◽  
Exercise Intervention ◽  
Exercise Program ◽  
Significance Level ◽  
Exercise Interventions ◽  
Elderly Individuals ◽  
Factorial Anova ◽  
Moment Interaction

The objective was to investigate the influence of two types of physical exercise intervention on elderly individuals’ physical fitness. The study included 17 older adults with a mean age of 65.8 years (± 2.88), divided into two groups: Programa de Exercícios Físicos em Unidades de Saúde (PEFUS – Physical Exercise Program in Health Units, n = 8) and Adapted Volleyball (n = 9). PEFUS classes were held three times a week and lasted 90 minutes, including strength, aerobic endurance, agility, coordination and balance exercises. Adapted Volleyball classes were performed two times per week and lasted 120 minutes, divided into skill volleyball exercises and game. For the evaluation of physical skills (strength, agility, coordination and flexibility), the American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD) set of tests was performed. All participants were assessed at the baseline and after three months of interventions. Statistical analysis was performed using factorial ANOVA through SPSS, version 17.0, and a significance level p <0.05. Motor coordination showed significant improvements after three months of interventions, decreasing from 11.7 ± 2.3 to 10.1 ± 1.6 seconds for Adapted Volleyball and from 15.8 ± 3.3 to 12.0 ± 3.5 seconds for PEFUS (p <0.05). Regarding strength endurance, there was a group-moment interaction (p <0.05) and the PEFUS group showed an increase in this variable after intervention. The interventions are beneficial to the physical fitness of elderly individuals, because they increase or maintain such fitness after these interventions. 

scholarly journals Using Sensor Graphs for Monitoring the Effect on the Performance of the OTAGO Exercise Program in Older Adults

Sensors ◽  
2022 ◽  
Vol 22 (2) ◽  
pp. 493
Author(s):  
Björn Friedrich ◽  
Carolin Lübbe ◽  
Enno-Edzard Steen ◽  
Jürgen Martin Bauer ◽  
Andreas Hein
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Exercise Program ◽  
Exercise Programme ◽  
Control Group ◽  
Motion Sensors ◽  
Surrogate Variable ◽  
Physical Sensor ◽  
The Difference ◽  
Positive Effect

The OTAGO exercise programme is effective in decreasing the risk for falls of older adults. This research investigated if there is an indication that the OTAGO exercise programme has a positive effect on the capacity and as well as on the performance in mobility. We used the data of the 10-months observational OTAGO pilot study with 15 (m = 1, f = 14) (pre-)frail participants aged 84.60 y (SD: 5.57 y). Motion sensors were installed in the flats of the participants and used to monitor their activity as a surrogate variable for performance. We derived a weighted directed multigraph from the physical sensor network, subtracted the weights of one day from a baseline, and used the difference in percent to quantify the change in performance. Least squares was used to compute the overall progress of the intervention (n = 9) and the control group (n = 6). In accordance with previous studies, we found indication for a positive effect of the OTAGO program on the capacity in both groups. Moreover, we found indication that the OTAGO program reduces the decline in performance of older adults in daily living. However, it is too early to conclude causalities from our findings because the data was collected during a pilot study.

scholarly journals Physical Exercise for Individuals with Dementia: potential benefits perceived by Formal Caregivers

2020 ◽  
Author(s):  
Arnaldina Sampaio ◽  
I Marques-Aleixo ◽  
A Seabra ◽  
J Mota ◽  
J Carvalho
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Exercise ◽  
Functional Capacity ◽  
Exercise Intervention ◽  
Control Group ◽  
Significant Group ◽  
Formal Caregivers ◽  
Katz Index

Abstract Background: The social and economic impact of dementia for the development of accessible and sustainable care for individuals with dementia (IwD). Physical exercise has been seen as a beneficial non-pharmacological therapy in the prevention and management of dementia, and possible benefits may not only impact on participants, but also indirectly on their caregivers. Thus, this quasi-experimental non-randomized study aimed to analyze the effects of an exercise intervention on functional capacity, behavioural and psychological symptoms in dementia (BPSD) and quality of life of institutionalized older adults with dementia, perceived by their formal caregivers. Methods: Sixty-four institutionalized older adults (from both genders, aged 65–93 yrs. old), clinically diagnosed with dementia, were divided into two groups: control group (CG, continued with usual care, n= 26) and exercise group (EG, 6-month supervised multicomponent exercise intervention, n= 38). Nine caregivers (female, aged 28-47 yrs old) from nine different nursing homes, reported about their distress related to BPSD and proxy-reported about participants’ functional capacity (Katz index), quality of life (QoL-AD), BPSD (NPI) before and after 6 months of an exercise intervention (aerobic, muscular resistance, flexibility and postural exercises). Results: A two-way ANOVA, with repeated measures, revealed significant group and time interactions on Total Katz index and QoL-AD. The CG's performance functional capacity and quality of life score worsen over time while in EG maintains these values after the exercise intervention. Moreover, formal caregiver´s distress triggered by apathy and disinhibition increased in CG while after 6 months of an exercise intervention no alterations were seen regarding these distress causes in EG. No significant main effects were observed for total NPI score or NPI distress.Conclusions: Overall results show that after the exercise intervention, IwD from the EG, was capable of preserving the functional capacity, quality of life and neuropsychiatric symptoms were attenuate, contributing to a lower load of distress for the caregivers. Trial registration: clinicaltrials.gov, NCT04095962. Registered 19 September 2019, https://clinicaltrials.gov/ct2/show/NCT04095962

scholarly journals Determinants of participation in a post-hospitalization physical exercise program for older adults

2020 ◽  
Author(s):  
Miriam Urquiza ◽  
Iñaki Echeverria ◽  
Ariadna Besga ◽  
Maria Amasene ◽  
Idoia Labayen ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Nutritional Status ◽  
Physical Function ◽  
Multivariate Regression ◽  
Older Patients ◽  
Exercise Program ◽  
Cognitive Status ◽  
Exercise Interventions ◽  
Poor Nutritional Status

Abstract BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.

scholarly journals Physical Exercise for Individuals with Dementia: potential benefits perceived by Formal Caregivers

2020 ◽  
Author(s):  
Arnaldina Sampaio ◽  
I Marques-Aleixo ◽  
A Seabra ◽  
J Mota ◽  
J Carvalho
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Exercise ◽  
Functional Capacity ◽  
Exercise Intervention ◽  
Control Group ◽  
Significant Group ◽  
Formal Caregivers ◽  
Katz Index

Abstract Background: The social and economic impact of dementia for the development of accessible and sustainable care for individuals with dementia (IwD). Physical exercise has been seen as a beneficial non-pharmacological therapy in the prevention and management of dementia, and possible benefits may not only impact on participants, but also indirectly on their caregivers. Thus, this quasi-experimental non-randomized study aimed to analyze the effects of an exercise intervention on functional capacity, behavioural and psychological symptoms in dementia (BPSD) and quality of life of institutionalized older adults with dementia, perceived by their formal caregivers. Methods: Sixty-four institutionalized older adults (from both genders, aged 65–93 yrs. old), clinically diagnosed with dementia, were divided into two groups: control group (CG, continued with usual care, n= 26) and exercise group (EG, 6-month supervised multicomponent exercise intervention, n= 38). Nine caregivers (female, aged 28-47 yrs old) from nine different nursing homes, reported about their distress related to BPSD and proxy-reported about participants’ functional capacity (Katz index), quality of life (QoL-AD), BPSD (NPI) before and after 6 months of an exercise intervention (aerobic, muscular resistance, flexibility and postural exercises). Results: A two-way ANOVA, with repeated measures, revealed significant group and time interactions on Total Katz index and QoL-AD. The CG's performance functional capacity and quality of life score worsen over time while in EG maintains these values after the exercise intervention. Moreover, formal caregiver´s distress triggered by apathy and disinhibition increased in CG while after 6 months of an exercise intervention no alterations were seen regarding these distress causes in EG. No significant main effects were observed for total NPI score or NPI distress.Conclusions: Overall results show that after the exercise intervention, IwD from the EG, was capable of preserving the functional capacity, quality of life and neuropsychiatric symptoms were attenuate, contributing to a lower load of distress for the caregivers.Trial registration: clinicaltrials.gov, NCT04095962. Retrospectively registered on 19 September 2019, https://clinicaltrials.gov/ct2/show/NCT04095962

scholarly journals Determinants of participation in a post-hospitalization physical exercise program for older adults

2020 ◽  
Author(s):  
Miriam Urquiza ◽  
Iñaki Echeverria ◽  
Ariadna Besga ◽  
Maria Amasene ◽  
Idoia Labayen ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Nutritional Status ◽  
Physical Function ◽  
Multivariate Regression ◽  
Older Patients ◽  
Exercise Program ◽  
Cognitive Status ◽  
Exercise Interventions ◽  
Poor Nutritional Status

Abstract BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.

scholarly journals Determinants of participation in a post-hospitalization physical exercise program for older adults

2020 ◽  
Author(s):  
Miriam Urquiza ◽  
Iñaki Echeverria ◽  
Ariadna Besga ◽  
Maria Amasene ◽  
Idoia Labayen ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Nutritional Status ◽  
Multivariate Regression ◽  
Older Patients ◽  
Exercise Program ◽  
Mini Nutritional Assessment ◽  
Cognitive Status ◽  
Exercise Interventions ◽  
Poor Nutritional Status

Abstract BACKGROUND: Older patients often experience a decline in functional and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify the factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.

scholarly journals Multicomponent Physical Exercise in Older Adults after Hospitalization: A Randomized Controlled Trial Comparing Short- vs. Long-Term Group-Based Interventions

2020 ◽  
Vol 17 (2) ◽  
pp. 666 ◽  
Author(s):  
Iñaki Echeverria ◽  
Maria Amasene ◽  
Miriam Urquiza ◽  
Idoia Labayen ◽  
Pilar Anaut ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Exercise ◽  
Nutritional Status ◽  
Physical Function ◽  
Mixed Model ◽  
Exercise Intervention ◽  
Exercise Interventions ◽  
Positive Effects

Multicomponent physical exercise is effective in curbing the effect of hospitalization in older adults. However, it is not well established which characteristics of the exercise interventions would optimize intervention sustainability and efficacy. This study compared the effects of two group-based multicomponent exercise interventions of different lengths in older adults after hospitalization. Fifty-five participants were randomly assigned to a short-term group-based branch (SGB, n = 27) or to a long-term group-based branch (LGB, n = 28). The SGB participated in a six-week multicomponent group-based exercise-training program followed by 18 weeks of home-based exercise. The LGB completed 12 weeks of each phase. Physical function, physical activity, quality of life, anthropometrics, and nutritional status were assessed at baseline, after 12 weeks, and after 24 weeks of intervention. Both groups improved physical function and nutritional status and increased physical activity after 12 weeks of intervention (paired student’s t-test, p < 0.01), and maintained the positive effects during the following 12 weeks. No group-by-time interaction was observed in any of the studied variables using mixed-model ANOVA. Based on these findings, we determined that 6 weeks of a group-based exercise intervention caused similar functional and nutritional benefits to a longer group-based intervention of 12 weeks when both are continued at home until 24 weeks.

scholarly journals Determinants of Participation in A Post-Hospitalization Physical Exercise Program for Older Adults

2020 ◽  
Author(s):  
Miriam Urquiza ◽  
Iñaki Echeverria ◽  
Ariadna Besga ◽  
Maria Amasene ◽  
Idoia Labayen ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Nutritional Status ◽  
Multivariate Regression ◽  
Older Patients ◽  
Exercise Program ◽  
Mini Nutritional Assessment ◽  
Cognitive Status ◽  
Exercise Interventions ◽  
People Participation

Abstract BACKGROUND: In older patients, functional and cognitive status often decline after hospitalization. Although interventions based on physical exercise can revert these effects, participation in physical exercise interventions is low. This study aimed to identify determinants of refusal to participate in a physical exercise program in post-hospitalized older patients. METHODS: Cross-sectional study of recruitment data from a randomized controlled trial. A total of 509 hospitalized people ≥70 years old participated in this study. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We measured physical function with the Short Physical Performance Battery (SPPB), nutritional status by the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function by the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model. RESULTS: Of evaluated patients, 10.8% declined physical exercise program participation. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.06 - 1.18), poor nutritional status (OR: 0.82; 95% CI: 0.69 - 0.96), and worse home accessibility (OR: 0.26; 95% CI: 0.07 - 0.9) were predictors of lower participation. Moreover, patients who declined participation had worse performance in SPPB ( p < 0.05) and its three tests: balance, leg strength and walking speed ( p < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with higher age, poorer nutritional status, and reduced home accessibility. Our findings support the need to design interventions accounting for these determinants to increase older patient participation. TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019. KEY WORDS Physical exercise, older people, participation, post-hospitalization

Sign in / Sign up

Export Citation Format

Share Document