"Tailored“ Step Test For Rapid, Accurate And Safe Vo2max Determination In Healthy Elderly.

2009 ◽  
Vol 41 ◽  
pp. 362
Author(s):  
Cecilia Bellotti ◽  
Lorenzo Casiello ◽  
Silvia Pogliaghi
Keyword(s):  
Step Test ◽  
Healthy Elderly

scholarly journals Psychophysiological Models to Identify and Monitor Elderly with a Cardiovascular Condition: The Added Value of Psychosocial Parameters to Routinely Applied Physiological Assessments

Sensors ◽  
2020 ◽  
Vol 20 (11) ◽  
pp. 3240
Author(s):  
Victor Kallen ◽  
Jan Willem Marck ◽  
Jacqueline Stam ◽  
Amine Issa ◽  
Bruce Johnson ◽  
...  
Keyword(s):  
Added Value ◽  
Step Test ◽  
Psychological State ◽  
Potential Contribution ◽  
Negative Events ◽  
Symptoms Of Depression ◽  
Prognostic Accuracy ◽  
Healthy Elderly ◽  
And Gender ◽  
Cardiovascular Diagnosis

The steadily growing elderly population calls for efficient, reliable and preferably ambulant health supervision. Since cardiovascular risk factors interact with psychosocial strain (e.g., depression), we investigated the potential contribution of psychosocial factors in discriminating generally healthy elderly from those with a cardiovascular condition, on and above routinely applied physiological assessments. Fifteen elderly (aged 60 to 88) with a cardiovascular diagnosis were compared to fifteen age and gender matched healthy peers. Six sequential standardized lab assessments were conducted (one every two weeks), including an autonomic test battery, a 6-min step test and questionnaires covering perceived psychological state and experiences over the previous two weeks. Specific combinations of physiological and psychological factors (most prominently symptoms of depression) effectively predicted (clinical) cardiovascular markers. Additionally, a highly significant prognostic model was found, including depressive symptoms, recently experienced negative events and social isolation. It appeared slightly superior in identifying elderly with or without a cardiovascular condition compared to a model that only included physiological parameters. Adding psychosocial parameters to cardiovascular assessments in elderly may consequently provide protocols that are significantly more efficient, relatively comfortable and technologically feasible in ambulant settings, without necessarily compromising prognostic accuracy.

scholarly journals Identifying early decline of daily function and its association with physical function in chronic kidney disease: performance-based and self-reported measures

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e5286
Author(s):  
Hui-Mei Chen ◽  
Shih-Ming Hsiao ◽  
Mei-Chuan Kuo ◽  
Yi-Ching Lo ◽  
Mei-Feng Huang ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Functional Limitation ◽  
Cross Sectional Study ◽  
Step Test ◽  
Functional Fitness ◽  
Elderly Adults ◽  
Cross Sectional ◽  
Healthy Elderly ◽  
Lower Ability

Objective To verify self-reported basic and instrumental activities of daily living (IADL) with a disability and the results of performance-based tests (namely the Taiwan performance-based IADL (TPIADL), the 2-minute step test (2MST), the 30-second chair-stand test (30-s CST), and handgrip dynamometer measurement) to identify disability early and assess the associations with functional fitness in patients with advanced chronic kidney disease (CKD). Methods A cross-sectional study of 99 patients with stage 4–5 CKD and 57 healthy elderly adults were recruited. Self-reported measures were used to collect information on basic (Barthel Index) and IADL (Lawton–Brody scale). Objective measures of the TPIADL and functional fitness (2MST, 30-s CST, handgrip dynamometer) were also assessed. Results Only IADL, as detected by the TPIADL, were impaired to a greater extent in the CKD patients than those of healthy elderly adults. Among all the patients with CKD, a greater impairment in the TPIADL remained statistically associated with a lower ability in the 2MST. A one step increase in the 2MST score was significantly associated with an improvement of 0.2 s in the total performance time of the TPIADL. Conclusion Performance-based measures, such as the TPIADL, may detect a functional limitation before it becomes measurable by traditional self-reported basic and IADL scales; functional limitation is mainly associated with cardiac endurance for advanced CKD.

scholarly journals Predicting Falls in Healthy Elderly: A Comparison between Unified Balance Scale versus Four-Square Step Test

2021 ◽  
Vol 11 (7) ◽  
pp. 1-8
Author(s):  
Arwa Sinnarwala ◽  
Snehal Joshi
Keyword(s):  
Sequence Data ◽  
Treatment Method ◽  
Step Test ◽  
Receiver Operating Curve ◽  
Balance Scale ◽  
Healthy Elderly ◽  
Risk Of Falls ◽  
Key Words Elderly ◽  
Four Square ◽  
Fall Risk Screening

Background: Falls is a major incidence in elderly life and its sequence may be a major cause of mortality. Falls can be predicted and thus prevented. Screening scales are either a brief one component balance or more composite multifactorial assessment. Four Square Step test is an easy, less time consuming, versus Unified Balance scale which is multi domain. The present study was intended to see which of the two scales could accurately predict adults who were at risk of falls. Thus, helping therapist perform a single test to screen them and give them targeted treatment. Method: 80 Healthy elderly above the age of 60 years were included in the study. Fall history was noted post which Four Square Step test and Unified Balance Scale was administered in sequence. Data Analysis was done, and sensitivities and specificities were calculated. Result: Statistical Analysis was done by plotting the contingency table and plotting the Receiver Operating Curve. The Unified Balance Scale had a better combination of sensitivity and specificity than Four Square step test. Conclusion: Unified Balance scale is better than Four-Square step test in predicting falls in healthy elderly. Key words: Elderly, Fall-Risk, Screening, Four Square Step Test, Unified Balance Scale, Prediction.

Psychophysiological Responses to Stress Related to Anxiety in Healthy Aging

2019 ◽  
Vol 33 (3) ◽  
pp. 188-197 ◽  
Author(s):  
Roberta Adorni ◽  
Agostino Brugnera ◽  
Alessia Gatti ◽  
Giorgio A. Tasca ◽  
Kaoru Sakatani ◽  
...  
Keyword(s):  
Healthy Aging ◽  
Near Infrared ◽  
Response Times ◽  
Cognitive Resources ◽  
Stressful Condition ◽  
Healthy Elderly ◽  
Situational Stress ◽  
Anxiety Response ◽  
Nirs Signal ◽  
Psychophysiological Correlates

Abstract. The aim of the study was to explore the effects of situational stress and anxiety in a group of healthy elderly, both in terms of psychophysiological correlates and cognitive performance. Eighteen participants ( Mage = 70 ± 6.3; range 60–85) were assessed for anxiety and were instructed to perform a computerized math task, under both a stressful and a control condition, while near-infrared spectroscopy (NIRS) signal and electrocardiography (ECG) were recorded. NIRS results evidenced an increased activation of right PFC during the entire procedure, even if effect sizes between left and right channels were larger during the experimental condition. The amount of right activation during the stressful condition was positively correlated with anxiety. Response times (RTs) were slower in more anxious than in less anxious individuals, both during the control and stressful conditions. Accuracy was lower in more anxious than in less anxious individuals, only during the stressful condition. Moreover, heart rate (HR) was not modulated by situational stress, nor by anxiety. Overall, the present study suggests that in healthy elderly, anxiety level has a significant impact on cerebral responses, and both on the amount of cognitive resources and the quality of performance in stressful situations.

Verification of the Relationship between Stepping Ability for Avoiding Falls and the Ten-Step Test in the Elderly

2020 ◽  
Vol 35 (4) ◽  
pp. 545-549
Author(s):  
Kengo OKAWARA ◽  
Yoshinobu YOSHIMOTO ◽  
Ryota ASHIZAWA ◽  
Kazuma YAMASHITA ◽  
Koki TAKE ◽  
...  
Keyword(s):  
The Elderly ◽  
Step Test ◽  
The Relationship

Quantitative aspects of glucose production and metabolism in healthy elderly subjects

Diabetes ◽  
1982 ◽  
Vol 31 (3) ◽  
pp. 203-211 ◽  
Author(s):  
J. J. Robert ◽  
J. C. Cummins ◽  
R. R. Wolfe ◽  
M. Durkot ◽  
D. E. Matthews ◽  
...  
Keyword(s):  
Glucose Production ◽  
Elderly Subjects ◽  
Healthy Elderly ◽  
Healthy Elderly Subjects

Experience in the use of double broncholytic therapy in occupational practice

2019 ◽  
pp. 303-307
Author(s):  
Elena A. Beigel ◽  
Natalya G. Kuptsova ◽  
Elena V. Katamanova ◽  
Oksana V. Ushakova ◽  
Oleg L. Lakhman
Keyword(s):  
Quality Of Life ◽  
Personal Data ◽  
The Body ◽  
Step Test ◽  
Aluminum Production ◽  
Chronic Obstructive ◽  
Body Plethysmography ◽  
Occupational Copd ◽  
The Impact

Introduction. Occupational chronic obstructive pulmonary disease (COPD) is one of the leading nosological forms of occupational respiratory disease. Numerous studies have shown high effectiveness of the combination of indacaterol/glycopyrronium (Ultibro®breezhaler®) on the impact on clinical and functional indicators in the treatment of COPD in General practice.The aim of the investigation the case of occupational COPD with the analysis of the dynamics of functional indicators, tolerance to physical load and evaluation of the quality of life of workers engaged in aluminum production by using combination of indacaterol/glycopyrronium.Materials and methods. The random sampling method included 20 men, workers of aluminum production, with the established diagnosis of professional COPD at the age of 40 to 60 years. The survey was conducted (Borg scale, medical Research Council scale (mMRC) and COPD Assessment Test (CAT). Functional methods of studies were conducted: spirometry, body plethysmography, electrocardiography (ECG) and the six-minute stepper test (6-MST).Results. Against the background of 8 weeks of therapy, the volume of forced exhalation for 1 minute (FEV1) increased by 14.7% and amounted to 67.90% of the due values, the forced vital capacity of the lungs (FVC) increased by 11.3% and amounted to 76.95% of the due. According to the body plethysmography (BPG) is set to decrease in residual lung volume on average by 13.4% and static hyperinflation, confirmed by the decrease in functional residual volume (FRV) of 18.8%. During the study period increased physical activity of patients. The average difference between the distance traveled in the six-minute step test before and after treatment was 58.8 m. The analysis of personal data showed that the quality of life of patients improved, the total score in the questionnaire CAT at the beginning of the study was 16.9 points, and after 8 weeks decreased by 63% and amounted to 10.7 points.Conclusions: The Results indicate a positive effect of combination therapy with indacaterol/glycopyrronium on the course and progression of occupational COPD.

Sign in / Sign up

Export Citation Format

Share Document