STABILITY OF KYPHOSIS, STRENGTH, AND PHYSICAL PERFORMANCE GAINS ONE YEAR AFTER A GROUP EXERCISE PROGRAM IN COMMUNITY-DWELLING HYPERKYPHOTIC OLDER WOMEN.

2007 ◽  
Vol 30 (3) ◽  
pp. 144
Author(s):  
S Balys ◽  
K Hamel ◽  
W Katzman
1994 ◽  
Vol 2 (2) ◽  
pp. 127-142 ◽  
Author(s):  
Priscilla Gilliam MacRae ◽  
Michael E. Feltner ◽  
Sibylle Reinsch

This study examined the effects of a 1-year low intensity exercise program in community dwelling older women on falls, injuries, and risk factors for falls such as poor balance, muscular weakness, and gait abnormalities. Eighty older women were assigned to an exercise (Ex,n= 42) or attention control (Co,n= 38) group. During the 1-year study, 36% of the Ex group experienced a fall compared to 45% of the Co group (χ2= 0.22,p≥ 0.05). None of the 10 fallers in the Ex group suffered an injury that required medical attention, compared with 3 of the 14 fallers (21%) in the Co group. Further analyses indicated that the Co group declined significantly in isometric strength of the knee extensors and ankle dorsiflexors while the Ex group did not change significantly across the 1-year study. On measures of hip abductor strength, balance, and gait, the groups were not significantly different from each other pre- to post intervention.


2020 ◽  
Vol 6 ◽  
pp. 233372142098031
Author(s):  
Stephen C. Jennings ◽  
Kenneth M. Manning ◽  
Janet Prvu Bettger ◽  
Katherine M. Hall ◽  
Megan Pearson ◽  
...  

Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid transition of the Gerofit facility-based group exercise program to telehealth delivery. This Gerofit-to-Home (GTH) program continued with group-based synchronous exercise classes that ranged from 1 to 24 Veterans per class and 1 to 9 classes offered per week in the different locations. Three hundred and eight of 1149 (27%) Veterans active in the Gerofit facility-based programs made the transition to the telehealth delivered classes. Participants’ physical performance testing continued remotely as scheduled with comparisons between most recent facility-based and remote testing suggesting that participants retained physical function. Detailed protocols for remote physical performance testing and sample exercise routines are described. Translation to remote delivery of exercise programs for older adults could mitigate negative health effects.


Author(s):  
Mori M ◽  
◽  
Seko T ◽  
Ogawa S ◽  
Kitazawa K ◽  
...  

Background: A light-burden and indoor physical exercise program called Net-Step Exercise (NSE) has been developed in Hokkaido, Japan. Conducting the two-year repeated survey with the Kihon Checklist (KCL) for the same older subjects living in a rural area of Hokkaido where a relatively large proportion of the older persons have participated in NSE activity, we assessed the effectiveness of NSE activity. Methods: The whole of 3,155 community-dwelling persons aged from 75 years to 79 years in 8 towns were the candidates of the study subjects, and 2,183 subjects (69.2%) responded to the first survey (2018 Survey), answering the questions about both frequency of participation in NSE and each item in KCL. The same survey (2019 Survey) was conducted one year later, and completed by 1,956 subjects (93.3%), excluding 25 dead persons or 60 persons who had moved away from the community during the year. In the 2018 Survey as well as the 2019 Survey, Adjusted Odds Ratio (AOR) and its 95% confidence interval (95%CI) of each sub-category of KCL for NSE Participants compared with NSE Non-participants was calculated with unconditional logistic regression by sex, adjusting for age, smoking status, and other potentially confounding variables. Repeated-measures Analysis of Variance (ANOVA) was also applied by sex. Results: Significantly reduced risk (AOR with 95% CI) was observed in NSE participants in difficulty in activities of daily living in the male subjects in the 2018 Survey (0.64, 0.42-0.98) and in the 2019 Survey (0.50, 0.32-0.79), as well as in the female subjects in the 2018 Survey (0.52, 0.38-0.70) and in the 2019 Survey (0.46, 0.33-0.65), houseboundness in the female subjects in the 2018 Survey (0.42, 0.29-0.60) and in the 2019 Survey (0.70, 0.51-0.96), impaired cognitive function in the male subjects in the 2018 Survey (0.58, 0.36-0.92), and depressive status in the female subjects in the 2018 Survey (0.66, 0.49-0.88). Significant findings were also shown in most of the above four sub-categories by analysis with repeated-measures ANOVA. Conclusion: Either performance of NSE itself or participation in the program, or both, may promote healthy status in the older persons.


Author(s):  
Lingxiao He ◽  
Philipe de Souto Barreto ◽  
Juan Luis Sánchez Sánchez ◽  
Yves Rolland ◽  
Sophie Guyonnet ◽  
...  

Abstract Background Growth differentiation factor 15 (GDF15) has been associated with several age-related disorders, but its associations with functional abilities in community-dwelling older adults are not well studied. Methods The study was a secondary analysis on 1096 community-dwelling older adults (aged 69 to 94 years) recruited from the Multidomain Alzheimer’s Preventive Trial. Plasma GDF15 was measured one year after participants’ enrolment. Annual data of physical performance (grip strength and short physical performance battery [SPPB]) and global cognitive functions (mini-mental state examination [MMSE] and a composite cognitive score) were measured for four years. Adjusted mixed-effects linear models were performed for cross-sectional and longitudinal association analyses. Results A higher GDF15 was cross-sectionally associated with a weaker grip strength (β = -1.1E-03, 95%CI [-2.0E-03, -1.5E-04]), a lower SPPB score (β = -3.1E-04, 95%CI [-5.4E-04, -9.0E-05]) and worse cognitive functions (β = -2.4E-04, 95%CI [-3.3E-04, -1.6E-04] for composite cognitive score; β = -4.0E-04, 95%CI [-6.4E-04, -1.6E-04] for MMSE). Participants with higher GDF15 demonstrated greater longitudinal declines in SPPB (β = -1.0E-04, 95%CI [-1.7E-04, -2.0E-05]) and composite cognitive score (β = -2.0E-05, 95%CI [-4.0E-05, -3.6E-06]). The optimal initial GDF15 cutoff values for identifying participants with minimal clinically significant decline after one year were 2189 pg/mL for SPPB (AUC: 0.580) and 2330 pg/mL for composite cognitive score (AUC: 0.587). Conclusions Plasma GDF15 is cross-sectionally and longitudinally associated with lower-limb physical performance and global cognitive function in older adults. Circulating GDF15 alone has limited capacity of discriminating older adults who will develop clinically significant functional declines.


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