scholarly journals Self-management processes, sedentary behavior, physical activity and dietary self-management behaviors: impact on muscle outcomes in continuing care retirement community residents

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Murad H. Taani ◽  
Scott J. Strath ◽  
Rachel Schiffman ◽  
Michael Fendrich ◽  
Amy Harley ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Self Efficacy ◽  
Retirement Community ◽  
Self Management ◽  
Continuing Care ◽  
Goal Congruence ◽  
Community Residents ◽  
Continuing Care Retirement Community ◽  
Management Behaviors

Abstract Background Despite the known benefits of non-sedentary behavior, physical activity, and protein and caloric intake to health and muscle mass, strength, and function, many older adults do not meet physical activity and dietary recommendations. A better understanding of the factors associated with sedentary behavior, physical activity and dietary self-management behaviors, and muscle outcomes (muscle mass, strength, and function) is needed, particularly among continuing care retirement community residents. The objective of this study was to examine the factors associated with sedentary behavior, physical activity and dietary self-management behaviors, and muscle outcomes among continuing care retirement community residents. It also aimed to determine whether sedentary behavior and physical activity and dietary self-management behaviors mediate the relationships between self-efficacy, goal congruence, aging expectations, social support, and muscle outcomes. Methods A sample of 105 continuing care retirement community residents (age > 70 years) participated in this correlational, cross-sectional study. Questionnaires on pain, self-efficacy, goal congruence, aging expectation, social support, and daily protein and caloric intake were administered. Physical activity and sedentary behavior (ActiGraph wGT3X-BT), muscle mass (ImpediMed SFB7), muscle strength (Jamar Smart Digital Hand Dynamometer), and muscle function (Short Physical Performance Battery) were measured. Multiple regression, logistic regression, and mediation analyses were performed. Results Low goal congruence predicted engagement in sedentary behavior and light physical activity. Higher levels of self-efficacy and social support were associated with increased likelihoods of achieving greater moderate physical activity and meeting daily recommendations for caloric intake, respectively. Self-efficacy and goal congruence predicted muscle function and strength. Moreover, sedentary behavior and achieving greater moderate physical activity were found to partially but significantly mediate the relationship between self-efficacy and muscle function. Conclusion Future research should evaluate whether attempts to reduce sedentary behavior and promote physical activity and dietary self-management behaviors and muscle outcomes are more successful when modifications to the self-management process factors are also targeted.

Where Do Continuing Care Retirement Community Residents Die?

2004 ◽  
Vol 52 (8) ◽  
pp. 1401-1402
Author(s):  
Anthony N. Galanos ◽  
Judith C. Hays ◽  
Jennifer D. Moore ◽  
Angela Poppe
Keyword(s):  
Retirement Community ◽  
Continuing Care ◽  
Community Residents ◽  
Continuing Care Retirement Community

scholarly journals Malnutrition–Sarcopenia Syndrome and Self-Management Behaviors in Continuing-Care Retirement Community Residents

Geriatrics ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 9
Author(s):  
Murad H. Taani ◽  
Immaculate Apchemengich ◽  
Christina Diane Sima
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Self Efficacy ◽  
Caloric Intake ◽  
The Self ◽  
Self Management ◽  
Continuing Care ◽  
Management Process ◽  
Process Factors ◽  
Aging Expectations

Malnutrition–sarcopenia syndrome (MSS) might put older adults at higher risk for disability, frailty, and mortality. This study examined the prevalence and association of the self-management-process factors (i.e., self-efficacy and aging expectations) and behaviors (protein and caloric intake and sedentary and physical-activity behaviors) to MSS among older adults living in continuing care retirement communities (CCRCs). Using a cross-sectional correlational design, data of 96 CCRC residents (82.4 ± 7.4 years) were analyzed. Muscle mass, strength, function, nutritional status, sedentary time, physical activity levels, protein and caloric intake, self-efficacy for physical activity, aging expectations, and physical and mental health-related quality of life were measured. Results show that 36 (37.5%) had sarcopenia, 21 (21.9%) had malnutrition risk, 13 (13.4%) had malnutrition, and 12 (12.5%) had MSS. We also found that high time spent in sedentary behaviors (OR = 1.041; 95% CI: 1.011–1.071) was associated with higher odds of having MSS and high expectations regarding aging (OR = 0.896; 95% CI: 0.806–0.997) was associated with less likelihood of having MSS. Findings suggest that CCRC residents should be screened for MSS. Self-management interventions that consider the self-management-process factors are needed to prevent MSS and mitigate its negative outcomes among CRCC residents.

scholarly journals RELATIONSHIP OF AGING EXPECTATIONS, GOAL CONGRUENCE, AND ACTIVITY TO MUSCLE FUNCTION IN OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S522-S522
Author(s):  
Murad H Taani ◽  
Christina Sima ◽  
Immaculate Apchemengich ◽  
Andrew Kaplan ◽  
Michael Fendrich ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Light Intensity ◽  
Self Efficacy ◽  
Muscle Function ◽  
Activity Level ◽  
Self Management ◽  
Goal Congruence ◽  
Intensity Physical Activity ◽  
Relationship Of

Abstract Poor muscle function is a major source of disability among older adults and leads to negative health outcomes including falls and fractures, exacerbating healthcare cost. This study was undertaken to understand: a) the characteristics of muscle function; and b) the relationship of self-management process variables (expectations regarding aging, goal congruence, and self-efficacy for physical activity) and physical activity self-management behavior to muscle function in a sample of older adults (N = 65) 75-93 years of age living in Continuing Care Retirement Communities. Using a descriptive correlational design, muscle function was measured with the Short Physical Performance Battery (SPPB) test and physical activity level with ActiGraph GT3X. Questionnaires included Expectations Regarding Aging and goal congruence scales and Physical Activity Assessment Inventory to assess self-efficacy. Pain was assessed by the PROMIS Pain Intensity 3a. Most participants (77%) performed poorly on the SPPB test. Controlling for pain, expectations regarding aging, goal congruence, self-efficacy and physical activity explained 46% of the variance in SPPB score. The model demonstrated that self-efficacy and light-intensity physical activity significantly explained 24.6 % of the variance in SPPB score; suggesting that low self-efficacy and decreased levels of light-intensity physical activity were significant predictors of low SPPB score. The findings demonstrate the need for more research documenting the underlying processes and risk factors for reduced muscle function. The potential benefits of this approach provide a basis for designing interventions to improve muscle function and delay the transfer to more restrictive living environments.

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