PROPENSITY FOR FALLS IN ELDERLY FEMALE AND MALE PRACTITIONERS AND NON- PRACTITIONERS OF PHYSICAL ACTIVITIES

Background: Aging being a natural physiological process can present both physical and psychic changes, due to the conditions of life of the person, and can be influencers for the installation of chronic non-communicable diseases, which may predispose this subject to an episode of fall. Objectives: To compare the propensity to fall in the elderly male and female, practitioners and non-practitioners of physical activities. Methods: The sample consisted of 120 elderly people of both genders practitioners and non-practitioners of physical activity and were used the “Timed Up and Go” and “Functional Reach” tests. Results: Among non-practitioners of physical activity, significant differences were observed between the values of functionality, being that the male group presented higher values than the female group, i.e., men move more, therefore has the lowest risk of fall. Conclusion: It was concluded that the female practitioners of physical activity have a greater risk of suffering an episode of fall compared to the non-practitioners, and in relation to the men practitioners and non-practitioners of physical activity there was no significant difference, showing that the elderly women have a higher risk to fall compared to the elderly men.

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Physical activity and cognitive impairment among the elderly in some districts of Ha Nam province in 2018

Tạp chí Y học Dự phòng ◽

10.51403/0868-2836/2020/248 ◽

2021 ◽

Vol 30 (4) ◽

pp. 35-41

Author(s):

Hoang Thi Hai Van ◽

Dao Anh Son ◽

Pham Quang Thai

Keyword(s):

Physical Activity ◽

Cognitive Impairment ◽

Elderly People ◽

The Elderly ◽

Physical Activities ◽

International Standards ◽

Cognitive Screening ◽

Group Exercise ◽

Research Subjects ◽

Significant Difference

The study was conducted on 1,210 elderly people (aged 60 and older) with the purpose of understanding physical activity and cognitive impairment among elderly people in some districts of Ha Nam province in 2018. The results showed that the percentage of elderly people with symptoms of cognitive impairment was high, accounting for 46.36%. There was a significant difference between the rate of cognitive impairment of the group who exercised frequently (41.92%) and that of the group who did not exercise (51.62%) (p<0.05). Compared to the Non-exercise group, the risks of cognitive impairment of group exercise 15 - 45 minutes/week (OR = 0.69; 95% CI: 0.51 - 0.93); group exercise 45 - 90 minute/week group (OR = 0.61; 95% CI: 0.44 - 0.84) and group exercise Over 90 minutes/week (OR = 0.43; 95% CI: 0.27 - 0.67) were all significantly lower. The more time the research subjects exercise, the lower their risk of developing cognitive impairment became. Our finding suggests that physical activities may delay or prevent the onset of cognitive impairment in elderly people. It is necessary to expand research, continue to apply the cognitive screening test based on international standards, while guiding and encouraging elderly people to carry out physical activities according to their capabilities and international recommendations.

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Physical Activity in the Elderly with Fall Experience Over the Past Year: Results from Amirkola Health and Ageing Project

Iranian Journal Of Health Sciences ◽

10.18502/jhs.v7i1.1019 ◽

2019 ◽

Author(s):

Mehdi Safarpour ◽

Seyed Reza Hosseini ◽

Akbar Fotouhi ◽

Hojjat Zeraati ◽

Masume Mohamadzade ◽

...

Keyword(s):

Physical Activity ◽

Elderly Population ◽

The Elderly ◽

Multiple Regression Model ◽

Physical Activities ◽

Activity Score ◽

Physical Activity Score ◽

Significant Difference ◽

The Relationship ◽

Physical Activity Scale

Background and purpose: Nowadays, immobility is known to be the fourth risk factor for mortality. The aim of the present study was to investigate the relationship between fall experience over the previous year and levels of physical activity in the elderly.Materials and Methods: The study was performed with 1616 participants of 60≤ years. The relationship between physical activities in the elderly with age, sex, educational level, body mass index, comorbidities, and fall experience over the previous year was evaluated. Physical activity in the elderly was evaluated using the physical activity scale for the elderly.Results: In the multiple regression model, the age (β: -1.6, 95% CI: -2.0- -1.1), sex, female (β: 11.0, 95% CI: 4.3-17.6), and comorbidities (β: -6.8, 95% CI: -13.5 - -0.1) had a significant relationship with the physical activity score. On the contrary, there was no significant difference between the score of physical activity and both groups with and without the experience of fall over the previous year (β: 0.09, 95% CI: -8.0 - 8.2).Conclusion: Increasing age with comorbidity resulted in a decrease in the average physical activity score in the studied elderly population. However, the experience of fall had no relationship with it. Providing the conditions alongside the training required to carry out physical activities, especially in the elderly people with the disease, was suggested.

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COMPARISON OF PROPENSITY TO FALLS IN MALE AND FEMALE ELDERLY AND ITS CORRELATION BETWEEN THE BALANCE AND COGNITION LEVEL

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2018.16.561 ◽

2020 ◽

pp. 1-6

Author(s):

Élcio Alves Guimarães ◽

Kennedy Rodrigues Lima ◽

Flávia Fernandes Oliveira ◽

Renato Mota da Silva ◽

Lucas Resende Sousa ◽

...

Keyword(s):

Mental State ◽

Mini Mental State Examination ◽

The Elderly ◽

The Other ◽

Timed Up And Go ◽

Functional Changes ◽

Functional Reach ◽

Increased Risk ◽

Risk Of Fall ◽

State Examination

Background: Aging is a dynamic, progressive and physiological process, accompanied by morphological and functional changes, as well as biochemical and psychological changes, resulting in a decrease in the functional reserve of organs and system. With aging, functional losses occur, so the elderly have a greater predisposition to falls. Objective: To compare the propensity to falls between elderly men and women correlating with the level of cognition and balance. Methods: The sample consisted of 60 elderly people, of which 30 were male and 30 were female both aged 65 to 80 years. The propensity to falls was assessed using the “Timed Up and Go” and “Functional Reach” tests, and the state of cognition was assessed by the test “Mini-Mental State Examination”. Results: The results obtained with Time Up and Go, Functional Reach and the Mini-Mental State Examination, indicated that, as the values of one of the variables increase, the values of the other variable increase too; as the values of one of the variables decrease, the values of the other variable increase too. Conclusions: It can be concluded that there was no increased risk of fall when compared the genders; but the female presented altered cognitive deficit.

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PHYSICAL ACTIVITY LEVEL, FUNCTIONAL MOBILITY AND FALL RISK IN THE ELDERLY

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2017.15.479 ◽

2020 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Raesa Andrade da Silva ◽

Glaudson Sá Brandão ◽

Anderson Soares Silva ◽

Jessica Julioti Urbano ◽

Ezequiel Fernandes de Oliveira ◽

...

Keyword(s):

Physical Activity ◽

Physical Activity Level ◽

Execution Time ◽

Age Groups ◽

The Elderly ◽

Functional Mobility ◽

Activity Level ◽

Age Group ◽

Timed Up And Go ◽

Significant Difference

Introduction: Low levels of physical activity and functional mobility lead to greater difficulty in performing activities of daily living and are directly proportional to mortality in the elderly. Thus, there are the need to create mechanisms linked to the maintenance of the functional capacity, which assure the elderly autonomy and self-confidence. Objective: To verify the level of physical activity and functional mobility in the elderly and if this functional mobility suffers interference of the age group and physical activity. Methods: The study involved the elderly aged 60 and over, living in Senhor do Bonfim (BA), in the northeastern region of Brazil, from February to July 2015. The evaluation of the subjects occurred in a single session, with physical and general clinical evaluation, as well as the collection of sociodemographic, anthropometric and self-reported morbidities through the application of questionnaires. It was also carried out the Timed Up and Go test (TUG) to verify the levels of functional mobility and level of physical activity with application of the International Questionnaire of Physical Activity (IPAQ) adapted for the elderly. Results: In this study, 127 patients were studied, predominantly female (87%) and mean age of 68 ± 7 years, and the majority of the elderly corresponded to the age group of 60 to 69 years. The elderly belonging to the group considered inactive (IPAQ up to 150 min/weekly) presented the execution time of TUG higher than the elderly in the group considered active (IPAQ > 150 min/weekly), with averaging time for carrying out the test of 10.5±2 minutes and 8.9±2 minutes respectively, with a statistically significant difference of p<0.01. And the execution time of TUG increased proportionally to the increase of the age group. Conclusion: Elderly with lower level of physical activity and belonging to the higher age groups present a higher risk of falls. Strategies should be developed to stimulate increased physical activity level and functional mobility of this population, especially among the older ones, reducing the incidence of falls and providing greater autonomy.

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Age and education influence the performance of elderly women on the dual-task Timed Up and Go test

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20140233 ◽

2015 ◽

Vol 73 (3) ◽

pp. 187-193 ◽

Cited By ~ 12

Author(s):

Gisele de Cássia Gomes ◽

Luci Fuscaldi Teixeira-Salmela ◽

Bruna Espeschit Fonseca ◽

Flávia Alexandra Silveira de Freitas ◽

Maria Luísa Morais Fonseca ◽

...

Keyword(s):

Physical Activity ◽

Dual Task ◽

Elderly Women ◽

Functional Decline ◽

The Elderly ◽

Timed Up And Go ◽

Younger Women ◽

Education Levels ◽

Activity Method ◽

Different Levels

Gait variability is related to functional decline in the elderly. The dual-task Timed Up and Go Test (TUG-DT) reflects the performance in daily activities. Objective To evaluate the differences in time to perform the TUG with and without DT in elderly women with different ages and levels of education and physical activity. Method Ninety-two elderly women perfomed the TUG at usual and fast speeds, with and without motor and cognitive DT. Results Increases in the time to perform the TUG-DT were observed at older ages and lower educational levels, but not at different levels of physical activity. More educated women performed the test faster with and without DT at both speeds. When age was considered, significant differences were found only for the TUG-DT at both speeds. Conclusion Younger women with higher education levels demonstrated better performances on the TUG-DT.

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Relation between functional mobility and muscle strength of the elderly in a public physical activities program

International Journal of Development Research ◽

10.37118/ijdr.22132.06.2021 ◽

2021 ◽

pp. 47886-47889

Keyword(s):

Physical Activity ◽

Muscle Strength ◽

Elderly People ◽

The Elderly ◽

Sociodemographic Factors ◽

Physical Activities ◽

The Body ◽

Functional Mobility ◽

Timed Up And Go ◽

Rehabilitation Programs

Objective: to verify the relationship between functional mobility and muscle strength in a group of elderly people participating in a public program of physical activities, called “Programa Mexa-se”, in the Joinville/SC city. Methods: This was a quantitative, correlational descriptive study, carried out in a non-probabilistic, intentional type. Included a random sample of 42 elderly people (27 women and 15 men), aged between 60 and 75 years, to whom two balance tests were applied: the Sit and Stand Test (TSL) and the Timed Up and Go Test (TUGT). The elderly also answered a questionnaire about sociodemographic factors, health and physical activity. Results: Statistically significant (p<0.05) relationships were found for TUGT, evidencing that there is astatistically significant correlation between TUGT and TSL (p <0.022). Regarding the values obtained for TSL with TVM, it also observeda significant correlation (p <0.000), as well as toTUGT and TVM (p <0.003). Conclusion: This study showeda correlation between the functional mobility of the elderly through TSL and TVM tests result. Alsodemonstrated that the group participating in the program had positive resultsregarding the level of physical activity practiced. This results indicates the importance of optimization in the prevention and rehabilitation programs for the elderly, to maintain the functional mobility of elderly community members and reduce the body mass index.

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67 Determine Risk of Fall in Medical Ward: An Exploratory Study

Age and Ageing ◽

10.1093/ageing/afz164.67 ◽

2019 ◽

Vol 48 (Supplement_4) ◽

pp. iv13-iv17

Author(s):

Julaida Embong ◽

L K Lee ◽

M A Nawawi ◽

R M Razali ◽

E C M Chong ◽

...

Keyword(s):

Cross Sectional Study ◽

Medical Ward ◽

Sectional Study ◽

Timed Up And Go ◽

Cross Sectional ◽

Osteoarthritic Knee ◽

Functional Reach ◽

Hand Grip ◽

Significant Difference ◽

Risk Of Fall

Abstract Introduction Patient fall is very common in hospital. It is the biggest reason of hospitalization, morbidity and mortality. However there were few evidence on risk of fall. Thus, the aim of this study was to determine risk of fall and factor associated. Method A Cross-sectional study has been carried out from 3 January until 7 June 2019. A total number of 151 subject were recruited from selected medical ward. Data on Socio-demographic, medication, medical related history, vision and hearing impairment were collected. The outcome measures used were Hand Grip Strength, Timed Up and Go (TUG), and Berg Balance Score (BBS). Result There were significant difference between risk of fall with balance (p=0.00), right and left grip strengths (p=0.004&0.001), osteoarthritic Knee (p=0.006) and Functional reach (p=0.000). Conclusion The results show greater risk of fall associated with balance, grip strengths, osteoarthritic knee and Functional reach.

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Short-term effects of additional sensory information in mobility and gait speed in older fallers

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2017.15.474 ◽

2020 ◽

pp. 1-5

Author(s):

Isabela Feitosa de Carvalho ◽

Gianluca Loyolla Montanari Leme ◽

Marcos Eduardo Scheicher

Keyword(s):

Gait Speed ◽

Postural Balance ◽

Elderly Women ◽

Sensory Information ◽

The Elderly ◽

Functional Mobility ◽

Wilcoxon Test ◽

Timed Up And Go ◽

Significant Difference ◽

Risk Of Falls

Background: Postural balance consists of information emanating from the interaction of visual, somatosensory and vestibular systens. This information is impaired in aging, leading to postural control changes in the elderly, increasing the risk of falls in this population. The postural balance may be improved with the addition of sensory information, such as a subpatelar bandage. Objective: To investigate the effect of using additional sensory information in gait speed and functional mobility of older fallers. Methods: 28 elderly women were evaluated, all were considered fallers. The test Timed Up and Go (TUG) was used to assess functional mobility and 10m Test to evaluate the gait speed. The tests were performed with and without the addition of additional sensory information (subpatelar strip). The normality was verified by the Shapiro-Wilk test and the results were compared using paired Student t test and Wilcoxon test. Results: There was significant difference in the TUG (p = 0.0006) and in the gait speed (p = 0.004) with and without subpatelar strip. Conclusion: The use of additional sensory information increased the gait speed and functional mobility of older fallers.

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Effect of Yoga on Memory in Elderly Women

Elderly Health Journal ◽

10.18502/ehj.v6i1.3409 ◽

2020 ◽

Author(s):

Aliakbar R Vaezi ◽

Arefeh Dehghani Tafti ◽

Sanaz Behzadi Goodari ◽

Reza Bidaki

Keyword(s):

Physical Activity ◽

Cognitive Function ◽

Visual Memory ◽

Elderly Women ◽

Elderly Care ◽

Intervention Group ◽

The Elderly ◽

Control Group ◽

Controlled Clinical Trial ◽

Significant Difference

Introduction: Cognitive impairment rate such as memory loss increases because of aging as a natural process. Based on the evidence, physical activity can lead to improved mental and cognitive function and also plays a preventive role against reducing cognitive function. the purpose of this study was to investigate the effect of yoga exercises on memory of elderly women. Methods: This experimental study was a randomized, controlled clinical trial that was conducted in 2018. Two elderly day care centers in Yazd city ,in central Iran were selected and randomly assigned to control and intervention groups. Then, according to the inclusion criteria, eligible people were selected from the centers and enrolled in the study. Participants were 58 elderly women who were assigned to control (n: 29) and intervention (n: 29) groups. Yoga exercises were held for 2 months (three 1-h sessions a week) for intervention group. The Wechsler Memory Scale was completed for both groups before and after the intervention. Data were analyzed by SPSS using descriptive and inferential statistics. Results: The mean score of memory in the intervention group before intervention was 77.7 ± 17.8 and after the intervention reached 86.4 ± 17.3, with a statistically significant difference (p < 0.05), but in control group, no significant difference was observed. In the intervention group, mental control, logical and visual memory subscales increased significantly (p < 0.05), but there was no significant difference in other subscales. There was no significant difference in any of the subscales in control group (p > 0.05). Conclusion: To improve the memory of the elderly, physical activity such as yoga exercise can be helpful. The elderly can routinely practice these exercises in elderly care centers.

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The frailty and falling in related with functional performance, balance and physical activity in elderly during Covid-19 pandemics

European Journal of Cardiovascular Nursing ◽

10.1093/eurjcn/zvab060.128 ◽

2021 ◽

Vol 20 (Supplement_1) ◽

Author(s):

G Utku ◽

B Akinci ◽

E Yilmaz ◽

E Erdinc ◽

I Atmaca ◽

...

Keyword(s):

Physical Activity ◽

Elderly Women ◽

Fear Of Falling ◽

Functional Performance ◽

Short Form ◽

The Elderly ◽

Activity Level ◽

Timed Up And Go ◽

Sit To Stand ◽

Frailty Score

Abstract Funding Acknowledgements Type of funding sources: None. Background Falls and frailty are main causes of morbidity and frequenty associated with functional performance, balance and physical activity. The restrictions imposed by the COVID-19 pandemic force the elderly to spend most of their time at home which may cause further functional problems. Therefore, identifying the risk factors during the pandemic can help to prevent the elderly from frailty and falls. Aim: Our aims are to investigate the clinical frailty profile and falls in relation to functional performance, balance, fear of falling and physical activity and to compare these parameters of the elderly with and without falling history during the COVID-19 pandemics. Method: Thirty-three participants aged 65-85 (mean = 71.33 ± 5.35/years, 20 women, 13 men) who have never had COVID-19 were included in the study. The participants were invited to an online video-conference based assessment. The number of falls during the last year were asked. Clinical frailty severity was assessed with Clinical Frailty Scale. The fear of falling were assessed using Falls Efficacy Scale (FES). The functional performance of the participants were tested with 30 seconds Sit-to-Stand test. The balance and mobility was evaluated with Timed-Up and Go test in a 3 meter corridor. The physical activity level of the participants were questioned using International Physical Activity Questionnaire-Short Form (IPAQ-SF) and vigorous level of physical activity (VPA), moderate level of physical activity (MPA) and walking were also calculated. Results: The mean scores of the outcomes among participants were shown in Table 1. Clinical frailty was significantly higher in women compared to men (p = 0.08). Clinical frailty score, fear of falling and sit to stand performance were significantly worse in fallers. There were negative weak to moderate correlations between frailty and sit to stand performance (p = 0.001) and MPA (p = 0,016). The clinical frailty was also positively correlated with FES (p < 0.001). FES showed positive correlation with Time-Up and Go performance (p = 0.001) and negative correlation with sit to stand performance (p < 0.001) and MPA (p = 0,036). Conclusion: Our results demonstrated that; clinical frailty, fear of falling and sit to stand performance were associated with the fall history in elderly. In addition, clinical frailty score were higher in women. Our results indicate that, people who have fall history may tend to be frailer and may have lower functional performance, balance and physical activity. The encouragement of the elderly to increased physical activity and exercise program may decrease the frailty score and falling risk especially in elderly women during COVID-19 pandemics.

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