Abstract P246: Influence of Latin Dance on Physical Activity Among Community Dwelling Older Latino Adults

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Priscilla Vasquez ◽  
Susan Aguinaga ◽  
Robert S Wilson ◽  
Louis F Fogg ◽  
JoEllen Wilbur ◽  
...  

Background: The American Heart Association’s 2020 goals target seven key risk factors including physical activity (PA) which can reduce risk for cardiovascular disease. Older Hispanic/Latino individuals are usually not physically active at recommended levels. Dance is a culturally appropriate form of PA for older Latinos and physically challenges individuals to engage in this activity. Objective: To test the impact of a dance program, BAILAMOS©, on lifestyle PA. Methods: Participants from a pilot clinical trial (N=57) were randomly assigned to a 4-month twice-weekly dance program or a weekly health education (control group). They completed the CHAMPS PA questionnaire to assess leisure activity and also engaged in a 400 meter walk test pre- and post-program. Results: Participants were low active, older [ M ( SD ) age= 64.9 (5.9)], Spanish-speaking [81.8% Mexican, years in US= 31.2 (16.8), years of education = 7.0 (4.3)], majority were female [81.8%], and there were no statistically significant differences between groups. There was a main effect for time in minutes of light, moderate, and vigorous leisure physical activity (LMVLPA) per week F(5.2)= p<.05. The dance group reported 650.56 (472.54) minutes of LMVLPA at baseline and reported 817.78 (529.37) minutes of LMVLPA at post-testing. The health education group reported 522.78 (368.57) minutes of LMVLPA at baseline and reported 628.89 (387.46) minutes of LMVLPA at post-testing. A repeated measures ANOVA revealed a main effect for time F(9.25) = p<.05 for the 400 meter walk test. Dance participants completed the walk in 429.90 (66.28) seconds at baseline and 391.83 (58.80) seconds at post-testing. Health education participants completed the walk in 419.25 (93.78) seconds at baseline and 409.10 (74.31) seconds at post-testing. Conclusion: A culturally appropriate dance intervention is a viable approach for older Hispanic/Latino individuals to engage and increase PA, and it is possible that participation in regular dancing can improve physical function, such as walking.

Author(s):  
Lenka Svobodová ◽  
Martin Sebera ◽  
Kateřina Strašilová ◽  
Tomáš Hlinský ◽  
Marie Crhová ◽  
...  

Introduction:Due to an international trend of the aging population, we see increased attention paid to studies dealing with the factors that have a positive or negative impact on successful aging. As we know, a higher level of physical activity and thus increased physical fitness sig-nificantly affect the quality of aging. One of the major problems in the elderly is the risks of falls. This age group is at high risk of injuries caused by falls. Analyses of aspects related to the falls revealed the significance of lower muscular tension, previous experience with falling, the bad stereotype of the walk, impaired balanced abilities, and so on. Purpose: In this study, we focused on the impact of different types of physical activity on walking as a vital everyday movement. Methods: Fortyfour older adults (Mage 69,09 years, SD 4,25; 22 male and 22 female) were randomly assigned to four groups, three training groups, and one control group; resistance training group, proprioceptive training group, endurance training group. The group consisted of seniors without a history of malignant disease during their life and without regular physical activity. All groups were tested on timed 10-meter walk test (10MWT), the 3-m backward walk (3MBW), and the 6-minute walk test (6MWD) at baseline, after 12 weeks and after 14 weeks (2 weeks after finishing intervention program). The 10MWT is used to assess walking speed over a short distance. The 3MBW is a test-close related fall risk. The 6MWD is a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity. Results: We revealed differences between the types of exercises and the sustain-ability of the acquired skills. Results indicated significant improvements in gait speed in all ex-ercise groups. Subsequent measurements after a 14-day off indicated a slight deterioration trend in all groups. The resistance group showed the best results in the walk-back test. This group was the only one to maintain its standard also after 14-days off. All groups, including control, showed an improvement in aerobic capacity and endurance (measured by 6MWD). We found out differences between groups only after 14-day off. Conclusion: Our study confirmed the usefulness of performing targeted physical activity in older adults. Resistance and proprioceptive training has shown an important role in the pre-vention of falls.


2017 ◽  
pp. 1-7
Author(s):  
A.D. JADCZAK ◽  
K.L. TAM ◽  
R. VISVANATHAN

Background: Exercise courses during medical school contribute to medical students’ confidence in promoting physical activity to their patients. However, there is still a lack of uniform physical activity education across medical school curricula to equip medical students with the necessary skills and knowledge to counsel their patients about exercise. Objective: To determine the effects of a 1.5-hour physical activity module including a one-hour exercise tutorial combined with a 30-minute practical counselling session on senior medical students’ perceptions of the importance of exercise and their perceived competence in advising older people about exercise. Design: Pre-post survey. Setting: University campus. Participants: 161 senior medical students taking part in the Queen Elizabeth Hospital Geriatric Medicine course in 2015 (control group) and 2016 (intervention group). Measurement: The modified Exercise and Physical Activity Competence Questionnaire (EPACQ) was administered before and after a 4.5-week Geriatric Medicine Course. Scores ranged from 1 (not important or competent) to 6 (very important or competent). The independent T-Test and repeated-measures ANOVA was used to determine differences between intervention and control group. Results: Medical students perceived exercise-related skills to be highly important (score ≥4) in both the intervention (4.85 ± 0.37) and control group (4.78 ± 0.67), pre-course. The overall perceived importance could not be significantly increased by the physical activity module (P=0.082). The physical activity module, however, improved medical students’ perceived competence in six out of ten exercise-related skills, and increased their overall perceived competence in counselling older people about exercise (P<0.001). Conclusion: A 1.5-hour physical activity module improves senior medical students’ perceived competence in counselling older people about exercise. This research proves that little teaching space is needed to impact positively on medical students’ exercise counselling abilities.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Joana Carvalho ◽  
Flávia Borges-Machado ◽  
Duarte Barros ◽  
Arnaldina Sampaio ◽  
Inês Marques-Aleixo ◽  
...  

Abstract Background Dementia is a leading cause of death and disability that was declared as one of the greatest health and social care challenges of the twenty-first century. Regular physical activity and exercise have been proposed as a non-pharmacological strategy in disease prevention and management. Multicomponent Training (MT) combines aerobic, strength, balance and postural exercises and might be an effective training to improve both functional capacity and cognitive function in individuals with dementia (IwD). Nevertheless, data on the effects of MT in IwD are still limited and the extent to which IwD can retain improvements after an exercise intervention still needs to be elucidated. The aim of “Body & Brain” study is to investigate the effects of a 6-month MT intervention and 3-month detraining on the physical and cognitive function of IwD. Additionally, we aim to explore the impact of this intervention on psychosocial factors and physiologic markers related to dementia. Methods This study is a quasi-experimental controlled trial using a parallel-group design. The study sample consists of community-dwelling individuals aged ≥60 years who are clinically diagnosed with dementia or major neurocognitive disorder. Participants will be either allocated into the intervention group or the control group. The intervention group will participate in MT biweekly exercise sessions, whereas the control group will receive monthly sessions regarding physical activity and health-related topics for 6 months. The main outcomes will be physical function as measured by the Short Physical Performance Battery (SPPB) and cognitive function evaluated using the Alzheimer Disease Assessment Scale – Cognitive (ADAS-Cog) at baseline, after 6-months and 3-months after the end of intervention. Secondary outcomes will be body composition, physical fitness, daily functionality, quality of life, neuropsychiatric symptoms and caregiver’s burden. Cardiovascular, inflammatory and neurotrophic blood-based biomarkers, and arterial stiffness will also be evaluated in subsamples. Discussion If our hypothesis is correct, this project will provide evidence regarding the efficacy of MT training in improving physical and cognitive function and give insights about its impact on novel molecular biomarkers related to dementia. This project may also contribute to provide guidelines on exercise prescription for IwD. Trial registration ClinicalTrials.gov – identifier number NCT04095962; retrospectively registered on 19 September 2019.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S142-S142
Author(s):  
Yujun Liu ◽  
Margie E Lachman

Abstract The benefits of physical activity (PA) and social engagement for older adults are well established, yet the majority of adults over age 50 in the U.S. do not engage in regular exercise. We conducted a 4-week pre-post study with a one-month follow-up using a smart phone application called WeChat WeRun to explore the mechanisms of social engagement and competition to increase PA among older adults. Participants (N=40, mean age=65.7) were randomly assigned to one of two conditions. Participants in the activity competition condition used the WeRun to track their daily walking steps and interact via text with their group members for 4 weeks. The daily walking steps were displayed to the group and the participant with the highest daily steps in the group was indicated as the champion each day. Participants in the control group only used WeRun to track their own walking steps. Outcome variables included average weekly steps, exercise self-efficacy, and social engagement. The two-way repeated measures ANOVA results revealed that participants in the competition condition had higher average weekly steps and level of social engagement at the posttest, compared to those in the control group. Post hoc tests using the Bonferroni corrections revealed that the intervention increased their average weekly steps and social engagement from pretest to post-test, while these outcomes did not change in the control group. The effects were maintained at the one-month follow up. Discussion will consider the motivational role of competition and social interactions in increasing PA among older adults.


2021 ◽  
pp. 089826432110209
Author(s):  
Guilherme M. Balbim ◽  
Susan Aguiñaga ◽  
Olusola A. Ajilore ◽  
Eduardo E. Bustamante ◽  
Kirk I. Erickson ◽  
...  

Objective: To investigate the effects of the BAILAMOSTM dance program on physical activity (PA), cardiorespiratory, and cognitive health. Methods: A parallel, two-armed pilot study was conducted with 57 older Latinos randomized to the BAILAMOSTM dance program ( n = 28) or health education (HE) ( n = 29). We conducted two- and three-way repeated-measures ANOVAs. Results: BAILAMOSTM participants increased participation in leisure moderate-to-vigorous PA (LMVPA) ( F[1,53] = 3.17, p = .048, η2 G = .01) and performance in global cognition relative to HE participants ( F[1,52] = 4.19, p = .045, η2 G = .01). Attendance moderated increases in moderate PA, MVPA, LMVPA, and total PA ( p < .05). Participants of both groups with ≥75% attendance increased participation in PA. Among participants with <75% attendance, BAILAMOSTM participants increased PA relative to HE. Discussion: BAILAMOSTM positively impacted self-reported PA and global cognition in older Latinos. Even smaller doses of dance appear to impact self-reported PA levels.


Author(s):  
Hilde Bremseth Bårdstu ◽  
Vidar Andersen ◽  
Marius Steiro Fimland ◽  
Lene Aasdahl ◽  
Hilde Lohne-Seiler ◽  
...  

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.


Author(s):  
Julie Boiché ◽  
Mathieu Gourlan ◽  
Léna Rubin

Purpose: This study aimed to examine the increased benefits of a Self Determination Theory (SDT)-based motivational component on psychological needs’ fulfillment, self-determined motivation and Physical Activity (PA) of obese patients taking part in a rehabilitation program. Methods: Fourty-nine obese adults (mean age = 52 years, mean BMI = 38.25 kg/m2) attended a 3-week residential intervention. Patients in the Motivation group (n = 24) received a standard care plus SDT-based intervention (i.e., improved supervised PA sessions + a 1-hour motivational session). Patients in the Control group (n = 25) only benefited from standard care. Psychological needs and motivation were measured at baseline, at the end of the program and one month after. PA was measured at baseline and one month after the end of the program. Repeated measures ANOVAs were performed to compare the evolution of the variables between groups. Results: The results indicated that participants from both groups displayed significant changes in their perceived autonomy, relatedness, intrinsic motivation and integrated regulation between the beginning and the end of the program. Next, participants from both groups showed a decrease in perceived relatedness between the end of the program and one month after. Last, the participants from the Motivation group reported greater increase of their PA scores between the beginning of the program and one month after as compared to those in the Control group. Conclusions: Obesity interventions should integrate motivational components in order to promote behavior maintenance after programs have ended.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Dupré ◽  
B Bongue ◽  
L Fruteau de Laclos ◽  
J Blais ◽  
M-J Sirois

Abstract Background Previous studies have been notably criticized for not studying the different types of physical activity. The objective of this work was to examine the association between types of physical activity and cognitive decline in older people. Methods This is a sub-group analysis from the CETI cohort, a multicenter prospective study conducted by the Canadian Emergency Team Initiative Program (CETIE), between 2011 and 2016. Participants were community-dwelling seniors aged ≥ 65 years, consult emergency services for minor injuries with follow-up at 3 and 6 months. Physical activity was assessed by the RAPA (Rapid assessment of Physical activity), which describes the level of aerobic activities and the overall level of muscle strength and flexibility activities. The cognitive status was assessed with the Montreal Cognitive Assessment (MoCA) and the Telephone Interview for Cognitive Status (TICS), using their current cut-offs (MoCA &lt;26/30 and TICS &lt; = 35/50) for mild cognitive impairments (MCI). Logistic regression, COX models and splines were used to examine the association between the type of physical activities and the onset of cognitive impairment. Results At inclusion, 281 individuals were free of MCI, or 43.8% of the total sample, with an average age of 73 years. During follow-ups, MCI appeared in 31.7% of participants initially free of it. The risk of MCI was lower with higher muscular strength & flexibility physical activities (HR = 0.84 [0.70-0.99]), while the relationship with aerobic physical activities was not significant. Conclusions These results showed a potential link between strength & flexibility activities and cognitive impairments, but not with aerobic physical activities. Further analyses are needed to examine whether these relationships persist as a function of the adjustment variables, or statistical methods. This study contributes to the debate on the evaluation of physical activity in the elderly, and its link with neurodegenerative diseases. Key messages This study analyzed the link between types of physical activity and mild cognitive disorders. The aim is to put in place preventive policies of aging, specially in neurodegenerative diseases. The work allowed us to see the effect of the different types of physical activity and the impact of the statistical method on the results.


2019 ◽  
Author(s):  
Ali Bozorgi ◽  
Hamed Hosseini ◽  
Hassan Eftekhar ◽  
Reza Majdzadeh ◽  
Ali Yoonessi ◽  
...  

Abstract Background : Self-management of blood pressure is of great significance given the increasing incidence of hypertension and associated disabilities. With the increased use of mobile health in medicine, the present study evaluated the effect of the self-management application on patient adherence to hypertension treatment. Methods : This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up to 24 th weeks. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model). Results : The treatment adherence score increased by an average of 5.9 (95%CI: 5.0-6.7) in the intervention group compared to the control group. Scores of adherence to the low-fat and low-salt diet plans were 1.7 (95%CI: 1.3-2.1) and 1.5 (95%CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95%CI: 61.7-138.3) per week in the intervention group. Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones , mhealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries. Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on 1 January 2016.


Sign in / Sign up

Export Citation Format

Share Document