Stand Up Now: A Sedentary Behavior Intervention in Older Adults of Moderate to Low Physical Function

2020 ◽  
pp. 1-13
Author(s):  
Katie Thralls Butte ◽  
Susan S. Levy
Keyword(s):  
Older Adults ◽  
Sedentary Behavior ◽  
Physical Function ◽  
Physical Performance ◽  
Mixed Models ◽  
Sedentary Time ◽  
Health Coaching ◽  
Behavior Intervention ◽  
Sit To Stand ◽  
Over Time

Objectives: To examine the efficacy of an the intervention Stand Up Now (SUN) to reduce sedentary behavior (SB) and improve physical function and mobility. Methods: SUN included two groups: (a) focused on reducing total SB (SUNSL) and (b) focused on increasing sit-to-stand (STS) transitions (SUNSTS). The participants (N = 71; Mage = 87 ± 7 years) had 12 weekly health coaching sessions. SB, physical function, and mobility were measured at the baseline, 6, and 12 weeks via the activPAL, Short Physical Performance Battery, and the 8-foot up and go, respectively. Linear mixed models examined the outcome variables over time. Results: Both groups decreased sedentary time (1.3 ± 0.3 hr, p < .001), increased standing time (0.5 ± 0.2 hr, p < .02), and improved physical function (1.5 ± 0.4 points, p < .001) from the baseline to 6 weeks, and they maintained it at 12 weeks. SUNSTS increased STS transitions (5.4 ± 4.1, p < .001), while SUNSL had no changes (0.5 ± 3.1, p > .9). There were no changes in mobility for either group (0.5 ± 1.5 s, p > .05). Discussion: SUN demonstrates the efficacy to improve SB and physical function in older adults.

The importance of weak physical performance in older adults for the development of musculoskeletal pain that interferes with normal life. A prospective cohort study

2019 ◽  
Vol 19 (4) ◽  
pp. 789-796
Author(s):  
Stina Lilje ◽  
Johan Sanmartin Berglund ◽  
Peter Anderberg ◽  
Lina Palmlöf ◽  
Eva Skillgate
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Grip Strength ◽  
Physical Performance ◽  
Musculoskeletal Pain ◽  
National Study ◽  
Risk Of Falling ◽  
Normal Life ◽  
Sit To Stand ◽  
Proprioceptive Function

Abstract Background and aims There are associations between pain, comorbidity and risk of falling, and falling increases the risk of mortality in older persons, but few studies have investigated the development of pain as a result of impaired physical function. The aim of this study was to examine possible associations between weak physical performance and the development of musculoskeletal pain that interferes with normal life in a sample of older adults. The sample derived from a national, longitudinal multicenter study; the Swedish National Study on Ageing and Care; SNAC-B. Methods The participants (n = 490) were between 60 and 78 years at the baseline examinations. Three variables were chosen for the exposure physical function, from the baseline examinations; One Leg Stand, Grip strength and Sit-to-Stand. The outcome musculoskeletal pain that interferes with normal life was measured using EQ5D and SF-12 6 years later, and logistic regression was used to investigate possible associations between the exposures and the outcome. Results Maximum grip strength (Grippit) was inversely associated with musculoskeletal pain that interferes with normal life (OR 2.31; 95% CI 1.15–4.61), and One-Leg Stand and Sit-to-Stand were not associated with the development of pain (OR 1.30; 95% CI 0.64–2.64) and (OR 0.91; 95% CI 0.45–1.86), respectively. Conclusions Weak grip strength was inversely associated with the development of musculoskeletal pain that interferes with normal life in older adults. Implications Impaired proprioceptive function, strength and mobility in elderly with pain have been found in earlier research. Since pain increases the risk of falling, it is important to investigate if it may develop as a function of an impaired physical function. The results of the present study could be of importance for future prevention programs aiming to protect elderly from falling.

scholarly journals TIME SPENT IN SEDENTARY BEHAVIOR DOMAINS AND PHYSICAL FUNCTION IN U.S. OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S169-S169
Author(s):  
Nancy M Gell ◽  
Erin D Bouldin ◽  
Dori Rosenberg
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Sedentary Behavior ◽  
Physical Function ◽  
Computer Use ◽  
Sedentary Time ◽  
Community Dwelling ◽  
Sample Population ◽  
Linear Regression Models ◽  
Tv Watching

Abstract Previous studies have reported associations of sedentary time with worse health outcomes in older adults. Yet, little is known about the relationships between the contexts of sedentary time and health outcomes. The purpose of this study was to examine associations of physical function with time spent in a variety of sedentary behavior domains. We analyzed data from the 2016 National Health and Aging Trends Study, a nationally representative sample of community-dwelling Medicare beneficiaries. Estimated time being sedentary by domains (e.g., TV watching, computer use, resting/napping, eating, transportation, socializing, sitting and doing hobbies) were collected from a subset of the sample population (N=2157). The Short Physical Performance Battery (SPPB) measured physical function. Linear regression models were conducted adjusting for sociodemographics, health conditions, pain, and dementia. More time watching TV and resting/napping was significantly associated total SPPB scores (p &lt; 0.01). In adjusted models, lower SPPB scores were significantly associated with more time/day spent sitting and watching television or resting (ɮ =-0.16 hours; 95% Confidence Interval (CI): -.024, -0.08 for TV watching and ɮ =-0.63 hours; 95% CI: -0.80, -0.46 for resting). Average time in computer use, eating, transportation, hobbies, or social activities did not differ by physical function level. Associations between physical function and sedentary time vary by the context. Social or engaging sedentary activities do not appear to be associated with physical function limitations in the same way as passive sedentary domains like television viewing and resting. Context should be considered in evaluating relationships of sedentary time with health outcomes.

scholarly journals The Feasibility and Effectiveness of a Community-Based Intervention to Reduce Sedentary Behavior in Older Adults

2021 ◽  
pp. 073346482098791
Author(s):  
Kevin M. Crombie ◽  
Brianna N. Leitzelar ◽  
Neda E. Almassi ◽  
Jane E. Mahoney ◽  
Kelli F. Koltyn
Keyword(s):  
Older Adults ◽  
Sedentary Behavior ◽  
Physical Function ◽  
Sedentary Time ◽  
Controlled Trial ◽  
Community Dwelling ◽  
Control Group ◽  
Post Intervention ◽  
Cohen’S D ◽  
Cohen's D

The purpose of this study was to examine the effectiveness and feasibility of translating a 4-week “Stand Up and Move More” (SUMM) intervention by state aging units to older adults ( N = 56, M age = 74 years). A randomized controlled trial assessed sedentary behavior, physical function, and health-related quality of life (HRQoL) before and after the intervention. Participants included healthy community-dwelling, sedentary (sit > 6 hr/day) and aged ≥ 55 years adults. For the primary outcome, the SUMM group ( n = 31) significantly ( p < .05) reduced total sedentary time post-intervention by 68 min/day on average (Cohen’s d = −0.56) compared with no change in the wait-list control group ( n = 25, Cohen’s d = 0.12). HRQoL and function also improved ( p < .05) in the SUMM group post-intervention. Workshop facilitators indicated the intervention was easy to implement, and participants expressed high satisfaction. The SUMM intervention reduced sedentary time, improved physical function and HRQoL, and was feasible to implement in community settings.

scholarly journals Inappropriate medications and physical function: a systematic review

2021 ◽  
Vol 12 ◽  
pp. 204209862110303
Author(s):  
Elizabeth Manias ◽  
Md Zunayed Kabir ◽  
Andrea B. Maier
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Physical Performance ◽  
Inappropriate Medication ◽  
Functional Independence ◽  
Potentially Inappropriate Medications ◽  
Timed Up And Go ◽  
Risk Of Falls ◽  
Prescribing Omissions ◽  
Inappropriate Medications

Background and aims: Inappropriate medication prescription is highly prevalent in older adults and is associated with adverse health outcomes. The aim of this study was to examine the associations between potentially inappropriate medications (PIMS) and potential prescribing omissions with physical function in older adults situated in diverse environments. Methods: A systematic search was completed using the following databases: MEDLINE, CINAHL, PsycINFO, EMBASE and COCHRANE. Results were extracted from the included studies. Results: In total, 55 studies reported on 2,767,594 participants with a mean age of 77.1 years (63.5% women). Study designs comprised 26 retrospective cohort studies, 21 prospective cohort studies and 8 cross-sectional studies. Inappropriate medications in community and hospital settings were significantly associated with higher risk of falls (21 out of 30 studies), higher risk of fractures (7 out of 9 studies), impaired activities of daily living (ADL; 8 out of 10 studies) and impaired instrumental ADL (IADL) score (4 out of 6 studies). Five out of seven studies also showed that PIMs were associated with poorer physical performance comprising the Timed Up and Go test, walking speed, grip strength, time to functional recovery, functional independence and scale of functioning. Many medication classes were implicated as PIMs in falls, fractures and impairment in physical performance including antipsychotic, sedative, anti-anxiety, anticholinergic, antidiabetic, opioid and antihypertensive medications. For patients not receiving musculoskeletal medications, such as calcium, vitamin D and bisphosphonates, older adults were found to be at risk of a hospital admission for a fall or fracture. Conclusion: Inappropriate medication prescriptions are associated with impaired physical function across longitudinal and cross-sectional studies in older adults situated in diverse settings. It is important to support older people to reduce their use of inappropriate medications and prevent prescribing omissions. Plain language summary Inappropriate medications and physical function Background and aims: The use of inappropriate medications is very common in older adults and is associated with harmful health problems. The aim was to examine associations between potentially inappropriate medications and potential prescribing omissions with physical function in older adults situated in diverse environments. Methods: Library databases were examined for possible studies to include and a systematic search was completed. Relevant information was obtained from the included studies. Results: In total, 55 studies reported on 2,767,594 participants who were an average age of 77.1 years and about 6 out of 10 were women. A variety of different study designs were used. Inappropriate medication prescriptions in community and hospital settings were significantly associated with higher risk of falls (21 out of 30 studies), higher risk of fractures (7 out of 9 studies), problems with activities of daily living (ADL), such as eating, bathing, dressing, grooming, walking and toileting (8 out of 10 studies) and problems with instrumental ADL such as managing medications, house cleaning and shopping (4 out of 6 studies). Five out of seven studies also showed that inappropriate medications were associated with poorer physical performance involving the Timed Up and Go test, walking speed, grip strength, time to functional recovery, functional independence and scale of functioning. Many types of medication classes were shown to be associated with a risk of falls, fractures and problems with physical performance. Omitted medications were also associated with falls and fractures. Conclusion: Inappropriate medication prescriptions are associated with problems relating to physical function. It is important to support older people to reduce their use of inappropriate medications and prevent prescribing omissions.

scholarly journals The clinically important changes physical function were not associated with clinically important changes in muscle strength or physical performance over time - A Cohort Study

2021 ◽  
Author(s):  
Cavalheiro do Espírito Santo Rafaela ◽  
Joshua F Baker ◽  
Jordana Miranda de Souza Silva ◽  
Lidiane Isabel Filippin ◽  
Juliana Katarina Schoer Portes ◽  
...  
Keyword(s):  
Cohort Study ◽  
Muscle Strength ◽  
Physical Function ◽  
Physical Performance ◽  
Over Time

Physical Performance Predictors for Incident Dementia Among Japanese Community-Dwelling Older Adults

2019 ◽  
Vol 99 (9) ◽  
pp. 1132-1140
Author(s):  
Takehiko Doi ◽  
Kota Tsutsumimoto ◽  
Sho Nakakubo ◽  
Min-Ji Kim ◽  
Satoshi Kurita ◽  
...  
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Grip Strength ◽  
Physical Performance ◽  
Performance Level ◽  
Community Dwelling ◽  
Sit To Stand ◽  
Dementia Risk ◽  
Incident Dementia ◽  
Community Dwelling Older Adults

Abstract Background Evaluating physical performance could facilitate dementia risk assessment. However, findings differ regarding which type of physical performance best predicts dementia. Objective The objective of this study was to examine the association between physical performance and incidence of dementia in Japanese community-dwelling older adults. Design This was a prospective study of community-dwelling older adults. Methods Of 14,313 invited individuals who were ≥ 65 years old, 5104 agreed to participate from 2011 to 2012, and 4086 (52% women; mean age = 72.0 years) met the criteria. Baseline assessments of the following physical performance indicators were obtained: grip strength, the Five-Times Sit-to-Stand Test, and the Timed “Up & Go” Test. The physical performance level in each test was categorized as C1 (highest), C2 (middle–high), C3 (middle–low), or C4 (lowest) on the basis of sex-stratified quartile values. Incident dementia status was obtained from medical records that were updated monthly. Results During follow-up (mean duration = 42.9 months), there were 243 incident cases of dementia (5.9%). Log-rank test results indicated that a lower physical performance level constituted a significant risk factor for dementia. After adjustment for covariates, Cox proportional hazards models (reference: highest physical performance level [C1]) demonstrated that the Five-Times Sit-to-Stand Test in the group with the lowest physical performance level (hazard ratio = 1.69; 95% CI = 1.10–2.59) was significantly associated with a risk of dementia. Likewise, the Timed “Up & Go” Test in the group with the lowest physical performance level (hazard ratio = 1.54; 95% CI = 1.01–2.35) was significantly associated with a risk of dementia. However, grip strength was not significantly associated with a risk of dementia. Limitations This study was limited by the use of medical record data. Conclusions A lower mobility-related physical performance level was associated with dementia risk. Dementia risk assessment should include an adequate evaluation of physical function.

scholarly journals The search for the ejecting chair: a mixed-methods analysis of tool use in a sedentary behavior intervention

2018 ◽  
Vol 10 (1) ◽  
pp. 186-194 ◽  
Author(s):  
Michelle Takemoto ◽  
Suneeta Godbole ◽  
Dori E Rosenberg ◽  
Camille Nebeker ◽  
Loki Natarajan ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Sedentary Behavior ◽  
Tool Use ◽  
Positive Association ◽  
Behavior Intervention ◽  
Sitting Time ◽  
Significant Positive Association ◽  
Appropriate Behavior ◽  
Sit To Stand ◽  
Unit Increase

Abstract Research is needed on interventions targeting sedentary behavior with appropriate behavior-change tools. The current study used convergent sequential mixed methods (QUAN + qual) to explore tool use during a edentary behavior intervention. Data came from a two-arm randomized sedentary behavior pilot intervention. Participants used a number of intervention tools (e.g., prompts and standing desks). Separate mixed-effects regression models explored associations between change in number of tools and frequency of tool use with two intervention targets: change in sitting time and number of sit-to-stand transitions overtime. Qualitative data explored participants’ attitudes towards intervention tools. There was a significant relationship between change in total tool use and sitting time after adjusting for number of tools (β = −12.86, p = .02), demonstrating that a one-unit increase in tool use was associated with an almost 13 min reduction in sitting time. In contrast, there was a significant positive association between change in number of tools and sitting time after adjusting for frequency of tool use (β = 63.70, p = .001), indicating that increasing the number of tools without increasing frequency of tool use was associated with more sitting time. Twenty-four semistructured interviews were coded and a thematic analysis revealed four themes related to tool use: (a) prompts to disrupt behavior; (b) tools matching the goal; (c) tools for sit-to-stand were ineffective; and (d) tool use evolved over time. Participants who honed in on effective tools were more successful in reducing sitting time. Tools for participants to increase sit-to-stand transitions were largely ineffective. This study is registered at clincialtrials.gov. Identifier: NCT02544867

Changes in Self-Reported Health and Psychosocial Outcomes in Older Adults Enrolled in Sedentary Behavior Intervention Study

2019 ◽  
Vol 33 (7) ◽  
pp. 1053-1057 ◽  
Author(s):  
Theresa E. Matson ◽  
Melissa L. Anderson ◽  
Anne D. Renz ◽  
Mikael Anne Greenwood-Hickman ◽  
Jennifer B. McClure ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Sedentary Behavior ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Behavior Intervention ◽  
Habit Strength ◽  
Sitting Time ◽  
Group I ◽  
Reported Health

Purpose: To estimate changes in self-reported health and psychosocial factors associated with a 12-week sedentary behavior intervention for older adults. Design: Exploratory secondary analysis of pilot randomized controlled trial. Setting: Kaiser Permanente Washington Subjects: Sixty adults aged 60 to 89 with body mass index ≥30 kg/m2. Intervention: Participants were randomized to the I-STAND intervention or control group. I-STAND involved 6 coaching sessions, a study workbook, Jawbone UP activity tracker to prompt breaks from sitting, and activPAL feedback on objective sitting time. Measures: At baseline and 12-week follow-up, participants completed a survey with validated measures of self-reported health outcomes (depression, stress, memory/concentration, sleep, pain, ability to do daily activities, energy, and quality of life) and modified scales measuring psychosocial factors (perceived benefits/barriers, social support, self-efficacy, and sedentary habit strength) regarding sedentary behavior. Analysis: Generalized linear models assessed associations between group assignment and change in each self-reported health and psychosocial score, adjusting for baseline scores. Results: I-STAND participants demonstrated improvements in self-efficacy (β = 0.35, 95% confidence interval [CI]: 0.10 to 0.60) and reduced habit strength (β= −0.23, 95% CI: −0.42 to −0.04) compared to control participants. There were no significant differences in self-reported health outcomes, although power was limited in this exploratory analysis. Conclusion: A sedentary behavior reduction intervention for older adults resulted in improvements for some psychosocial factors. Health outcomes may require longer than 12 weeks to observe improvements.

Sign in / Sign up

Export Citation Format

Share Document