scholarly journals The effect of supervised and home based exercises on balance in elderly subjects: a randomized controlled trial to prevent falls

2016 ◽  
Vol 19 (3) ◽  
pp. 383-397 ◽  
Author(s):  
Erika Harumi Tanaka ◽  
Paulo Ferreira dos Santos ◽  
Marcela Fernandes Silva ◽  
Priscila Fernanda Figueiredo Borges Botelho ◽  
Patrícia Silva ◽  
...  
Keyword(s):  
The Elderly ◽  
Elderly Subjects ◽  
Control Group ◽  
Elderly Persons ◽  
Elderly Individuals ◽  
Randomized Controlled ◽  
Home Based ◽  
Single Leg Stance ◽  
Eyes Open ◽  
Post Hoc

Abstract Objective: The aim of the present study was to evaluate the influence of a balance training program on the semi-static balance of elderly persons by comparing a supervised group with individual home-based application. Method: A blinded randomized controlled multi-arm trial was conducted. The elderly individuals were randomized into: Supervised Group (SG; n=18); Domiciliary Group (DG; n=20) and Control Group (CG; n=18). The SG and DG participated in twice weekly training sessions for 10 weeks. A posturography evaluation was performed based on velocity, anterior-posterior (AP) and medial-lateral (ML) medial amplitude variables in firm surface with eyes open (FSEO) and closed (FSEC), tandem stance with eyes open (Tandem EO) and closed (Tandem EC), and single-leg stance (SL) situations. Two-way ANOVA and Tukey's post-hoc were used for parametric data, the Friedman and Wilcoxon post-hoc tests were used for intragroup analysis and the Kruskal-Wallis and Mann-Whitney post-hoc tests were used for intergroup analysis. Results: In intergroup analysis, the DG group showed improvement in body sway in the Tandem EC (velocity and medial amplitude AP) and single-leg stance (medial amplitude ML) situations. The SG showed a decline in the Tandem EO situation in all the variables. In intergroup analysis, the DG showed improvement in the FSEO position (medial amplitude ML), in the Tandem EC position (medial velocity ML), and the single-leg stance position (medial amplitude AP and ML). The SG showed improvement in the FSEO position (medial amplitude ML) and the single-leg stance position (medial amplitude AP), but showed a decline in the FSEO (variable medial velocity AP) and Tandem EO position (medial amplitude AP). Conclusion: The exercises were beneficial for the balance of the elderly individuals, with the DG presenting the best results. REBEC: RBR-3S9M65.

scholarly journals Influence of Physical Activity on the Regulation of Disease of Elderly Persons with Metabolic Syndrome

2021 ◽  
Vol 18 (1) ◽  
pp. 275
Author(s):  
Lucija Stetic ◽  
Ivan Belcic ◽  
Goran Sporis ◽  
Leon Stetic ◽  
Nikola Starcevic
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Metabolic Syndrome ◽  
The Elderly ◽  
Physical Activity Program ◽  
Moderate Intensity ◽  
Elderly Subjects ◽  
Control Group ◽  
Elderly Persons ◽  
Activity Program

Metabolic syndrome is a group of metabolic risk factors whose combination significantly contributes to the development of the risk of cardiovascular disease, diabetes, stroke, some cancers and is a clear indicator of morbidity rate. The aim of this study was to identify physical activity programs that can successfully influence the reduction of risk factors in metabolic syndrome of the elderly. Subjects were aged between 60 and 80 years, had three of five signs of metabolic syndrome, and were randomly divided into three groups of 20 subjects. The first group conducted a continuous cycling ergometer (55% VO2max), the second group a physical activity strength program and the third was a control group. Before and after the experimental treatment body composition, biochemical parameters, functional parameters, cardiovascular functions, metabolic and hematological system were determined. Significant differences between control and experimental groups were determined using MANOVA. The training effects of the experimental and control groups were determined using the ANOVA for repeated measurements with Bonfferoni correction. The results showed that a physical activity program of strength has a better effect on disease regulation in the elderly with metabolic syndrome than a moderate-intensity physical activity program which also has a significant change but in less variables.

scholarly journals An Ancient Boxing Exercise Improves Physical Functions, Balance, and Quality of Life in Healthy Elderly Persons

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Taweesak Janyacharoen ◽  
Thitipa Srisamai ◽  
Kittisak Sawanyawisuth
Keyword(s):  
Quality Of Life ◽  
Daily Practice ◽  
The Elderly ◽  
Controlled Study ◽  
Elderly Subjects ◽  
Control Group ◽  
Elderly Persons ◽  
Healthy Elderly ◽  
Physical Functions

It has been shown that traditional dances can be effective in improving physical functions in the elderly persons. Unlike other traditional dance exercises, the ancient Thai boxing exercise may be suitable for elderly persons in other ethnicities who are interested in boxing. This randomized controlled study aimed to evaluate the effects of the exercise on physical functions in elderly subjects. Healthy elderly subjects were recruited and randomly divided into two groups: the control group and the ancient Thai boxing group. The control group received education about the exercise and a home program of daily practice. The ancient Thai boxing group performed the modified ancient Thai boxing exercise for 12 weeks. There were six outcomes in this study which were recorded at baseline and at the end of study (week 12) including a six-minute walk test (6MWT), five times sit to stand test (FTSST), flexibility by trunk flexometer, time up and go test (TUGT), and Berg balance scale (BBS), as well as a test to determine quality of life (QOL). All outcomes were compared to the baseline, as well as between groups. There were 56 subjects enrolled in the study, 28 in the control group, and 28 in the ancient Thai boxing group, with mean ages of 68.6 and 65.9 years, respectively. The majority of subjects in both groups were women (96.4% and 89.3%). After 12 weeks of study, significant differences were found in terms of all seven outcomes between the two groups. For example, the 6MWT in the control group was 415.8 vs 480.3 m in the ancient boxing group. In conclusion, the 12-week ancient boxing exercise significantly improved physical functions, balance, and QOL in the elderly.

scholarly journals The effect of Pilates method on elderly flexibility

2014 ◽  
Vol 27 (2) ◽  
pp. 181-188 ◽  
Author(s):  
Adriana Coutinho de Azevedo Guimarães ◽  
Sabrina Fernandes de Azevedo ◽  
Joseani Paulini Neves Simas ◽  
Zenite Machado ◽  
Vanessa Terezinha Ferrari Jonck
Keyword(s):  
Intervention Group ◽  
Shoulder Girdle ◽  
The Elderly ◽  
Elderly Subjects ◽  
Control Group ◽  
Training Time ◽  
Significance Level ◽  
Elderly Individuals ◽  
Significant Difference ◽  
Pilates Method

Introduction Pilates as physical exercise practice brings countless benefits, such as improvement of motor aptitudes and skills.Objective To look into the effect of the Pilates method on the hip and shoulder girdle flexibility levels in the elderly.Methods Experimental study composed of 30 elderly subjects of the control group and 30 of the Pilates group within a 12 week training time. A form was used to characterize the sample and to assess hip flexibility and shoulder girdle. Descriptive and inferential statistics were used, under a significance level of p < 0.05.Results On hip flexibility, the 30 elderly individuals from the control group remained under normal and inferior classification, not presenting any differences between the variables (p = 0.180) from the pretest to the retest. In the intervention group, 60% of the elderly subjects were assessed as normal. In the retest, such percentage increased to 66.7%. In the pretest, 10% of the elderly subjects were given the superior classification, and in the retest, it increased to 33%, not presenting significance between the variables (p = 0.180). On shoulder flexibility in the intervention group, 63% of the elderly subjects were graded as normal, and 17% as superior. In the shoulder retest the number of elderly individuals decreased to 47% in the normal classification, and increased to 33% in the superior classification, presenting a significant difference (p = 0.001).Conclusion The elderly subjects who did not take part into the Pilates method presented a lower flexibility degree, considering that, the latter reduces in aging. As a preventive way of improving such limitation, the practice of the Pilates method is suggested.

scholarly journals Effect of a Multidomain Lifestyle Intervention on Estimated Dementia Risk

2021 ◽  
pp. 1-6
Author(s):  
Alina Solomon ◽  
Ron Handels ◽  
Anders Wimo ◽  
Riitta Antikainen ◽  
Tiina Laatikainen ◽  
...  
Keyword(s):  
Lifestyle Intervention ◽  
Intervention Study ◽  
Controlled Trial ◽  
Control Group ◽  
Post Hoc Analysis ◽  
Randomized Controlled ◽  
Dementia Risk ◽  
Geriatric Intervention ◽  
Prevention Potential ◽  
Post Hoc

We investigated the effect of a multidomain lifestyle intervention on the risk of dementia estimated using the validated CAIDE risk score (post-hoc analysis). The Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) is a 2-year randomized controlled trial among 1,260 at-risk older adults (60–77 years). Difference in the estimated mean change in CAIDE score at 2 years in the intervention compared to the control group was –0.16 (95 %CI –0.31 to 0.00) (p = 0.013), corresponding to a relative dementia risk reduction between 6.04–6.50%. This could be interpreted as a reflection of the prevention potential of the intervention.

scholarly journals Virtual Reality Gait Training to Promote Balance and Gait Among Older People: A Randomized Clinical Trial

Geriatrics ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Kyeongjin Lee
Keyword(s):  
Virtual Reality ◽  
The Elderly ◽  
Gait Training ◽  
Control Group ◽  
Timed Up And Go ◽  
Elderly Individuals ◽  
Functional Reach Test ◽  
Balance Ability ◽  
Standing Test ◽  
The One

Falls are the leading cause of injury and injury-related death in the elderly. This study evaluated the effect of virtual reality gait training (VRGT) with non-motorized treadmill on balance and gait ability of elderly individuals who had experienced a fall. Fifty-six elderly individuals living in local communities participated in this study. Subjects who met the selection criteria were randomly divided into a VRGT group (n = 28) and a control group (n = 28). The VRGT group received VRGT with non-motorized treadmill for 50 min a day for 4 weeks and 5 days a week. The control group received non-motorized treadmill gait training without virtual reality for the same amount of time as the VRGT group. Before and after the training, the one-leg-standing test, Berg Balance Scale, Functional Reach test, and Timed Up and Go test were used to assess balance ability, and the gait analyzer system was used to evaluate the improvement in gait spatiotemporal parameters. In the VRGT group, the balance ability variable showed a significant decrease in the one-leg-standing test and a significant improvement in the Timed Up and Go test. With respect to spatiotemporal gait parameters, velocity and step width decreased significantly in the VRGT group (p < 0.05), and stride length and step length were significantly improved in the VRGT group (p < 0.05). VRGT with non-motorized treadmill has been shown to improve balance and gait ability in the elderly. This study is expected to provide basic data on exercise programs for the elderly to prevent falls.

scholarly journals Home-based oral healthcare strategies of elderly people with Alzheimer's disease

2016 ◽  
Vol 19 (5) ◽  
pp. 851-860 ◽  
Author(s):  
Alessandra Martins Ferreira Warmling ◽  
Silvia Maria Azevedo dos Santos ◽  
Ana Lúcia Schaefer Ferreira de Mello
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Oral Health ◽  
Elderly Person ◽  
The Elderly ◽  
Oral Health Care ◽  
University Graduates ◽  
Elderly Persons ◽  
Home Based

Abstract Objective: To identify strategies used in the oral health care of elderly persons with Alzheimer's disease in the home. Method: an exploratory, descriptive study with a qualitative approach to collecting and analyzing data was performed. Data was collected through interviews with 30 caregivers and analyzed by the content analysis technique. Results: The majority of subjects were female, daughters of the elderly person, university graduates and aged 32-77 years. The strategies identified were grouped into categories according to the participation of the caregiver: does not participate in care actions or oral health assessments; reminds the elderly person about oral hygiene, demonstrates movements and assists with some procedures; directly carries out actions of care. Conclusion: The strategies employed are related to the degree of dependence of the elderly person, as the caregiver acts based on the need for oral health care and the difficulties in carrying out such care.

scholarly journals Effectiveness of home-based cognitive training program on a cognitive level, the activity of daily living among elderly persons with mild cognitive impairment in selected community settings of Puducherry

2020 ◽  
Vol 11 (4) ◽  
pp. 5301-5309
Author(s):  
Govindakumari R ◽  
Vijayalakshmi ◽  
Sai Sailesh Kumar Goothy ◽  
Vijay Raghvan
Keyword(s):  
Training Program ◽  
Cognitive Training ◽  
Structural Changes ◽  
The Elderly ◽  
Elderly Persons ◽  
Community Settings ◽  
Daily Life Activities ◽  
Home Based ◽  
Study Results ◽  
The Brain

Aging is a physiological process that leads to both biological and psychological changes. The brain undergoes structural changes as a part of aging. According to the investigator's best knowledge and based on the extensive review, no structured study was conducted in India to test the effectiveness of cognitive training program. Hence, the present study was conducted to test the effectiveness of a home-based training program on select outcomes. A total of 314 elderly participants were recruited for the study after obtaining the written informed consent. After recruiting, the participants were randomly grouped into two groups, that is control and intervention groups, with 157 participants in each group. The intervention was administered to the experimental group. The present study results suggest that the home-based cognitive training program is effective in improving cognitive functions and daily life activities. The study recommends further detailed and multi-centered studies in this area to recommend the implementation of the program in the management of the cognitive impairments of the elderly.

scholarly journals Effect of 12 weeks of recreational soccer on bone mineral density and sarcopenia in the elderly: a randomized clinical trial

1989 ◽  
Author(s):  
Guilherme Henrique de Lima Matias ◽  
◽  
André dos Santos Costa ◽  
Romulo Maia Carlos Fonseca
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Repeated Measures ◽  
Intervention Group ◽  
The Elderly ◽  
Whole Body ◽  
Control Group ◽  
Mineral Density ◽  
Before And After ◽  
Post Hoc

Objective: To verify the effect of recreational soccer on bone mineral density and sarcopenia in the elderly. Methods: Fourteen elderly people aged 65.9 ± 3.4 years were selected. They were separated into two groups: the intervention group and the control group; the intervention group played recreational soccer for 12 weeks on two days of the week. Assessments were performed for bone mineral density and body muscle mass before and after the intervention. For statistical analysis, the repeated measures ANOVA with Bonferroni’s post hoc test was used. Results: After 12 weeks, there was a significant change in bone mineral density in the region of the total femur (p = 0.020). Analyzing the participants’ sarcopenia, no significant results were found after the intervention period. Conclusion: Playing recreational soccer causes a significant improvement in the total femur and maintains bone regions in the spine, whole body, and femoral neck. Also, it promotes a removal from the threshold for sarcopenia screening in the elderly.

Abstract 13787: Efficacy of Lowering Low-density Lipoprotein Cholesterol in Elderly Subjects: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Baris Gencer ◽  
Nicholas A Marston ◽  
KyungAh Im ◽  
Peter S Sever ◽  
Anthony C Keech ◽  
...  
Keyword(s):  
Statin Therapy ◽  
Coronary Revascularization ◽  
The Elderly ◽  
Lipid Lowering ◽  
Elderly Subjects ◽  
Lipid Lowering Therapy ◽  
Vascular Events ◽  
Randomized Controlled ◽  
Lowering Therapy ◽  
Myocardial Infraction

Introduction: The clinical benefit from LDL-C lowering therapy in the elderly remains debated. Aim: To synthesize the efficacy of lowering LDL-C in patients aged ≥75 years in the light of most recently published data. Methods: Medline database was searched for the most recent evidence (2015-2020). The key inclusion criterion was a randomized controlled cardiovascular outcome trial testing an LDL-C lowering therapy with data available in patients aged ≥75 years at randomization. For efficacy, we meta-analyzed the risk ratio (RR) of major vascular events (a composite of cardiovascular (CV) death, myocardial infarction, stroke or coronary revascularization) per 1-mmol/L reduction in LDL-C. Results: Among 244,090 patients from 29 trials, 21,492 (8.8%) were elderly; 11,750 from statin trials, 6209 from ezetimibe trials, and 3533 from PCSK9 inhibitor trials. Median follow-up ranged from 2.2-6.0 years. LDL-C lowering therapy significantly reduced major vascular events (n=3519) in the elderly by 26% per 1-mmol/L LDL-C reduction (RR 0.74 [0.61-0.89], P=0.002), which was at least as good as the magnitude of effect seen in the non-elderly patients (RR 0.85 [0.78-0.92]; P interaction =0.24). Amongst the elderly, the RR was similar for statin (0.81 [0.70-0.94]) and non-statin therapy (0.67 [0.47-0.95]; P interaction =0.60). The benefit of LDL-C lowering in the elderly was observed for each component of the composite, including CV death (RR 0.85 [0.73-0.996], P=0.045), myocardial infraction (RR 0.80 [0.70-0.92], P=0.001), stroke (RR 0.71 [0.58-0.87], P=0.001) and coronary revascularization (RR 0.78 [0.63-0.96], P=0.017). Conclusion: In patients 75 years and older, lipid-lowering therapy is as effective in reducing CV events as it is in younger adults. These results should strengthen guideline recommendations for the use of lipid-lowering therapies, including non-statin therapy, in the elderly.

scholarly journals Characteristics of Lower Limb Muscle Activity in Elderly Persons After Ergometric Exercise

2020 ◽  
Vol 6 ◽  
pp. 233372142097980
Author(s):  
Kenichi Kaneko ◽  
Hitoshi Makabe ◽  
Kazuyuki Mito ◽  
Kazuyoshi Sakamoto ◽  
Yoshiya Kawanori ◽  
...  
Keyword(s):  
Lower Limb ◽  
Muscle Activity ◽  
The Elderly ◽  
Elderly Subjects ◽  
Elderly Persons ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Lower Limb Muscles ◽  
The Mean ◽  
Young Subjects

This study examined the characteristics of lower limb muscle activity in elderly persons after ergometric pedaling exercise for 1 month. To determine the effect of the exercise, surface electromyography (SEMG) of lower limb muscles was subjected to Daubechies-4 wavelet transformation, and mean wavelet coefficients were compared with the pre-exercise coefficients and the post-exercise coefficients in each wavelet level. The characteristics of muscle activity after pedaling exercise were also compared between the elderly subjects and young subjects. For the elderly subjects, the mean wavelet coefficients were significantly decreased in the tibialis anterior and the gastrocnemius medialis at wavelet levels of 3, 4, and 5 (125–62.5, 62.5–31.25, and 31.25–15.625 Hz, respectively), by pedaling exercise. However, the mean power of wavelet levels of 2 and 3 (250–125 and 125–62.5 Hz) within the rectus femoris and the biceps femoris were significantly increased in the young subjects. The effect of pedaling exercise is different from the effects of heavy-resistance training. It was suggested that the muscle coordination, motor unit (MU) firing frequency, and firing fiber type of lower limb muscles are changed with the different characteristics between elderly and young persons by pedaling exercise for 1 month.

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