scholarly journals FACTORS LINKED TO THE PRACTICE OF PHYSICAL ACTIVITY AMONG THE ELDERLY IN SOUTHERN BRAZIL

2019 ◽  
Vol 25 (3) ◽  
pp. 216-219
Author(s):  
Alisson Padilha de Lima ◽  
Ezequiel Vitório Lini ◽  
Marilene Rodrigues Portella ◽  
Marlene Doring ◽  
Fabrício Bruno Cardoso

ABSTRACT Introduction The increase in chronic diseases and physical inactivity are major public health problems among elderly populations worldwide. Objective This article aimed to determine the prevalence and factors associated with the practice of physical activity (PA) among elderly people living in urban environment. Methods A cross-population-based study was conducted in 2014, with 196 elderly people aged ≥ 60 years of age living in urban environment in the city of Passo Fundo, in the State of Rio Grande do Sul. Gross and multivariable analyses were conducted using Poisson regression, estimating the ratios of gross and adjusted prevalence and calculating their respective 95% confidence intervals. Results The mean age was 71.3 (± 8.4). The gross prevalence for the practice of PA was 56.1%. After adjusted analysis, only the variable independent in activities of daily living (ADLs) remained significant (95% CI 1.05 to 4.83) (p = 0.037). Conclusions This research showed an association between the practice of PA and independence in ADLs. Level of Evidence II, Economic and decision analysis - Development of economic model or decision.

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e023543 ◽  
Author(s):  
Bowen Wang ◽  
Yijiao Wu ◽  
Tianjiao Zhang ◽  
Jinsong Han ◽  
Lianzheng Yu ◽  
...  

ObjectiveIndependent living ability is crucial for the elderly; however, its assessment performed in China employs various scales and lacks risk factors, especially behavioural and social-psychological factors, which could be improved through health education. This study aimed to assess the independent living ability of community-dwelling elderly in urban areas of China and to identify the association with behavioral and social-psychological factors.DesignA population-based study using random cluster sampling method was performed in two core cities in Liaoning Province during March–November 2012.Study population3686 individuals who were >=65 years old, had no dementia and cognitive impairment, had lived in the sampled communities for >=5 years and could take part in the study were enrolled.Main outcome measuresInterviews were conducted to collect information of independent living ability, indicated by the instrumental activity of daily living (IADL), behavioural factors, social-psychological factors and confounders (demographic characteristics and health status). The Mini-Mental State Examination was used to screen for cognitive impairment.ResultsThe independence rate was 46.3% in men and 41.1% in women. Structural equation modelling analysis showed that physical activity, drawn from taking a walk and doing exercise, had the strongest association with the IADL in both men (−0.34, SE 0.10) and women (−0.33, SE 0.11). Falling in the last year and worrying about falling were also significantly associated with IADL. The effects of regular drinking, feeling lonely and participating in entertainment were significant in men.ConclusionThe independent living ability of the elderly in urban areas in Liaoning Province in China was at a low level. Physical activity was one of the important roles in both men and women; whereas the role of social-psychological factors only existed in men. Gender-specific healthcare and education to avoid sedentary life should be advocated for the elderly to maintain/improve their independent living ability.


Author(s):  
Fatemeh Masroor ◽  
Ehteramsadat Ilali ◽  
Nouroeddin Mousavinasab ◽  
Zohreh Taraghi

Background and Purpose: Changing the physical activity pattern is an important factor in reducing mortality and increasing longevity. The aim of the current study was to determine the effect of educational intervention on physical activity of elderly people. Materials and Methods: In this quasi-experimental study, 80 elderly people from two rural health centers in Ghaemshahr city were selected and assigned to intervention (n=40) and control (n=40) groups. The elderly in the intervention group received 4 training sessions of 30 to 45 minutes in a month, while the control group did not receive such training. Before and one month after the intervention, Rapid Assessment of Physical Activity (RAPA) questionnaire was completed by both groups. The collected data were analyzed using chi square, paired sample t-test, independent sample t-test and ANCOVA. Results: The mean total score of RAPA, before intervention, in the control group was significantly higher than the intervention group (P = 0.017). However, after the intervention, the mean total score in the intervention group was significantly higher than the control group (P <0.001).  One month after the intervention, the mean of the RAPA score in the intervention group significantly changed from 2.1 to 4.95 (P <0.001), however, the mean change in the RAPA score in the control group (from 2.4 to 2.5) was not significant (P = 0.352). Conclusion: Given the effect of educational intervention on the physical activity of the elderly, the design of such educational interventions is recommended.


2021 ◽  
Vol 11 (33) ◽  
pp. 53-63
Author(s):  
Andréa Mathes Faustino ◽  
Emilly Dayane de Castro Lopes ◽  
Rui Neves

O objetivo deste estudo foi verificar se idosos com melhores desempenhos funcionais e cognitivos conseguem manter níveis adequados de atividade física. Trata-se de estudo descritivo, com amostra intencional com 150 idosos, na cidade de Brasília, Brasil.  Para determinar o nível de atividade física foi utilizado o International Physical Activity Questionnaire, além de avaliações em relação as atividades básicas, instrumentais de vida diária e cognitiva. A média de idade foi de 67,8 anos (±5,39), 58% mulheres, apenas 11,3% realizavam 150 minutos de atividade física semanalmente e 4,7% sedentários. Somente em relação às atividades básicas de autocuidado (p=0,014) houve uma associação significativa.  Ser independente em atividades básicas de autocuidado foi estatisticamente significativo, ou seja, quando o idoso não necessita de auxílio para realizar atividades de higiene corporal, ou de transferências, entre outras, maior é a chance de conseguir realizar o mínimo de 150 minutos de atividade física semanal.Descritores: Atividade Motora, Atividades Cotidianas, Cognição, Idoso. Physical activity and elderly people - functional and associated cognitive capacitiesAbstract: The aim of the study was to verify whether the elderly with better functional and cognitive performances are able to maintain adequate levels of physical activity. This is a descriptive study, with an intentional sample of 150 elderly people, in the city of Brasília, Brazil. The international physical activity questionnaire was used to determine the level of physical activity, in addition to counts in relation to basic, instrumental activities of daily and cognitive life. The average age was 67.8 years (± 5.39), 58% women, only 11.3% performed 150 minutes of physical activity weekly and 4.7% sedentary. Only in relation to basic self-care activities (p = 0.014) was there a significant association. Being independent in basic self-care activities was statistically significant, that is, when the elderly do not need assistance to perform body hygiene activities, or transfers, among others, the greater the chance of achieving a minimum of 150 minutes of physical activity per week.Descriptors: Physical Activity, Daily Activities, Cognition, Elderly. Actividad física y personas mayores - capacidades cognitivas funcionales y asociadasResumen: El objetivo del estudio fue verificar si los ancianos con mejores rendimientos funcionales y cognitivos consiguen mantener niveles adecuados de actividad física. Se trata de un estudio descriptivo, con una muestra intencional de 150 ancianos, en la ciudad de Brasilia, Brasil. Se utilizó el cuestionario internacional de actividad física para determinar el nivel de actividad física, además de los conteos en relación a las actividades básicas, instrumentales de la vida diaria y cognitiva. La edad promedio fue de 67,8 años (± 5,39), el 58% mujeres, solo el 11,3% realizaba 150 minutos de actividad física semanalmente y el 4,7% sedentario. Solo en relación a las actividades básicas de autocuidado (p = 0,014) hubo asociación significativa. Ser independiente en las actividades básicas de autocuidado resultó estadísticamente significativo, es decir, cuando los ancianos no necesitan asistencia para realizar actividades de higiene corporal, o traslados, entre otros, mayor es la probabilidad de lograr un mínimo de 150 minutos de actividad física por semana.Descriptores: Actividad Motora, Actividades Cotidianas, Cognición, Anciano.


2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
E Yilmaz ◽  
B Akinci ◽  
G Utku ◽  
E Erdinc ◽  
I Atmaca ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Background The quarantine during COVID-19 pandemic affects the clinical visits of elderly people. Since, telehealth gained importance, it is essential to adapt routine visits to the tele-assessment for elderly people especially in high risk factor for both functional impairment and fall risks. Our aim was to present our online assessment experiences in the elderly who underwent particular home quarantine during COVID-19 pandemics. Method: Thirty-three participants aged 65-85 (mean = 71.33 ± 5.35/years, 20 women, 13 men) those never attended an online assessment before were invited to a video-conference based assessment session. It was advised that a relative of the participant or caregiver must attend the online assessment session and follow the instructions of the physiotherapist. The assessments were conducted in the following sequence over seven main topics that are important in terms of functionality in the elderly: (1) physical activity were questioned using International Physical Activity Questionnaire-Short Form, (2) the functional performance were tested with 30 seconds Sit-to-Stand test (SST), (3) participation to the daily living activities with KATZ Index, (4) coronavirus anxiety with Coronavirus Anxiety Scale (CAS), (5) fear of falling with Falls Efficacy Scale, (6) the balance and mobility with Timed-Up and Go test (TUG) in a 3-meter corridor, and (7) frailty with Clinical Frailty Scale. The assessments were done by six physiotherapists (one PhD, 2 MSc, and 3 BSc). The opinions of the participants and physiotherapists regarding their experiences were noted. Result: All participants were finished the assessment and not reported adverse events. The mean of all outcomes showed in Table 1. The mean assessment time was 23.26 ±6.89 minutes. The bad internet connection reported in only one session. Seven of the participants (21.2%) mentioned that SST or TUG were somewhat effortful despite their short duration. The physiotherapists also reported that ensuring an appropriate testing environment for the sit to stand test and Timed-Up and Go test were not always possible. In addition, the sit-to stand test Two of the participants (6 %) were felt discomfort from the questions of CAS. Twenty-one (63.6 %) online assessment were rated as "good" while 12 (36.4 %) were rated as "fair" by the relative of the participant or caregiver in terms of preparing the tools (chair etc.) and testing environment. No problem reported by both therapists and participants related to the questions of IPAQ-SF, CFS, KATZ or FES. Conclusion: This study indicated that an online tele-assessment session is safe and applicable in elderly who underwent home quarantine during COVID-19 pandemic. It was observed that an application of survey based assessments were easier than functional assessments. The results of this study offer an exemplary tele-assessment session for elderly people. Future studies may focus the consistency of the tele-assessment and clinic based assessment results.


Author(s):  
Mehdi Safarpour ◽  
Akbar Fotouhi ◽  
Seyed Reza Hosseini ◽  
Masume Mohamadzade ◽  
Ali Bijani

Background: Orthostatic hypotension (OH) in the elderly is an important health challenge that poses a significant burden. We sought to determine the prevalence and correlates of OH in an elderly population-based study. Methods: This study was conducted within the framework of the Amirkola Health and Ageing Project (AHAP) on 1,588 elderly individuals aged ≥60 years. The baseline measurement was performed from April 2011 to July 2012. The relationships between OH (dependent variable) and age, sex, diabetes, hypertension, and cognitive status (independent variables) were investigated by logistic regression. Results: The mean age of the participants was 69.37±7.42 years (men: 69.96±7.68 y, women: 68.66±7.02 y). The prevalence of OH was 10.7%: 8.4% in the male and 13.7% in the female patients. In the final model, hypertension (OR=2.4, 95% CI: 1.6–3.7), diabetes (OR=1.3, 95% CI: 1.0–1.9), age (OR=2.9, 95% CI: 1.7–4.8), and female sex (female [OR=1.6, 95% CI: 1.1–2.3]) were significantly correlated with OH. Conclusion: The prevalence of OH in our elderly subjects increased with age. Additionally, the older participants with diabetes and hypertension had a higher likelihood of having this OH.   J Teh Univ Heart Ctr 2019;14(4):165-170   This paper should be cited as: Safarpour M, Fotouhi A, Hosseini SR, Mohamadzade M, Bijani A. Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study. J Teh Univ Heart Ctr 2019;14(4): 165-170


2016 ◽  
pp. 25-30 ◽  
Author(s):  
Carlos Cano ◽  
Carlos Reyes Ortiz ◽  
Miguel Germán Borda ◽  
Antonio Arciniegas

Objective: To assess the self-reported vaccination in older adults within the city of Bogotá and its distribution by sociodemographic factors. Methods: Data analyzed was taken from the SABE-Bogotá study. A total of 2000 persons aged 60 years and older were selected for this cross-sectional population-based study. Bivariate and multivariate analyses were performed testing the association between vaccination and sociodemographic factors. Results: A total of 73.0% of respondents received the influenza vaccine, 57.8% received pneumococcal vaccine and 47.6% received tetanus vaccine. In multivariate analyses, individuals aged between 65-74 years had higher odds of receiving influenza, pneumococcus and tetanus vaccination, compared to those between 60-64 years. Older adults with higher socioeconomic status (SES) had lower odds of having influenza and pneumococcus vaccines, compared to those with lower SES (OR= 0.16 95% confidence intervals= CI 0.08-0.30; OR 0.20 95% CI 0.10-0.38, respectively). Individuals covered by health insurance (contributive or subsidized) had higher odds (between 3 and 5 times higher) of having influenza, pneumococcus and tetanus vaccination, compared to those with no insurance. Conclusion: Older adults between 65 and 74 years, those with health care coverage and people with low SES are groups that have increased odds for self-reported vaccination. Further studies should identify factors that increase vaccination coverage in these groups and implement interventions targeted at improving coverage among older adults in general.


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