scholarly journals The Benefits of Physical Activity on Indicators of Cardiovascular Risk in Community-Dwelling Older Adults with Hypertension in Korea: A Longitudinal Study

2021 ◽  
Author(s):  
Jeong-Ah Ahn ◽  
Deulle Min
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cardiovascular Risk ◽  
Longitudinal Study ◽  
Fasting Blood Glucose ◽  
Community Dwelling ◽  
Uncontrolled Hypertension ◽  
Group I ◽  
Community Dwelling Older Adults ◽  
Over Time

Abstract Purpose: The study aimed to explore the effects of physical activity on indicators for cardiovascular risk in a sample of community-dwelling older adults with hypertension.Methods: This longitudinal study used data collected from the Elderly Cohort Database of the National Health Insurance Service in South Korea between 2002 and 2013. Participants included 10,588 older adults (≥ 60 years) with hypertension. Data assessing self-reported physical activity, blood pressure, fasting blood glucose, body mass index, and total cholesterol levels throughout the 12-year study were extracted from the original database and analyzed. Participants were categorized into 4 groups based on the reported changes in physical activity over time; Group I (totally inactive), II (inactive to active), III (active to inactive), and IV (totally active). Cox proportional hazard model was used to confirm the risk of cardiovascular indicators over time in each group.Results: Participants’ mean age was 64.2 years in the initial year of 2002. The number of participants in Groups I, II, III, and IV was 4032, 2697, 1919, and 1940, respectively. Group IV showed a significant decline in risk for uncontrolled hypertension compared to Group I (HR = 0.87, 95% CI [0.800-0.948]). Group II showed a significant decrease in risk for uncontrolled diabetes compared to Group I (HR = 0.94, 95% CI [0.888-0.999]).Conclusions: Physical activity is an essential non-pharmacological and self-management intervention that can be easily implemented among older adults with hypertension. Healthcare providers should be aware of the importance of older adults’ physical activity and encourage them to perform and maintain it steadily for better long-term cardio-metabolic outcomes.

Abstract P054: The Benefits Of Physical Activity On Cardiovascular Indicators In Community-dwelling Hypertensive Older Adults: A Nationwide Health Examination Cohort Data In Korea

Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Jeong-Ah Ahn
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Healthcare Providers ◽  
The Elderly ◽  
Community Dwelling ◽  
Uncontrolled Hypertension ◽  
Health Examination ◽  
Group I ◽  
Over Time

Purpose: The aim of this study was to explore the effects of physical activity on cardiovascular indicators in community-dwelling hypertensive older adults. Methods: This study was a longitudinal study using the Elderly Cohort Database of National Health Insurance Service in Korea between 2002 and 2013. Participants were 10,588 older adults with hypertension. The author extracted variables of physical activity, blood pressure, blood glucose, body mass index, and total cholesterol levels for 11 years from the database. Participants were divided into 4 groups according to the changes in physical activity performance over time in 2013; Group I (totally inactive), II (inactive to active), III (active to inactive), and IV (totally active). Cox proportional hazard model was used to confirm the risk of cardiovascular indicators over time in each group. Results: Participants’ mean age was 64.2 years in the initial year of 2002. The number of participants in Groups I, II, III, and IV was 4032, 2697, 1919, and 1940, respectively. As a result, Group IV had a significantly decreased risk for uncontrolled hypertension by 13% compared to Group I (HR = 0.87, 95% CI = 0.800-0.948). Also, Group II showed a significantly decreased risk for uncontrolled diabetes by 6% compared to Group I (HR = 0.94, 95% CI = 0.888-0.999). Conclusion: Physical activity is one of the most important non-pharmacological and self-management intervention that can be easily applied to older adults with hypertension. It is considered that the continuous performance of physical activity can significantly lower the long-term cardiometabolic risks in older adults. Healthcare providers should be aware of the importance of the physical activity of older adults and encourage them to perform and maintain it steadily for better long-term cardiometabolic outcomes.

scholarly journals ASSOCIATION BETWEEN GRIP STRENGTH AND COGNITIVE FUNCTION AMONG COMMUNITY-DWELLING OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S483-S484
Author(s):  
Milan Chang ◽  
Alfons Ramel ◽  
Palmi V Jonsson ◽  
Inga Thorsdottir ◽  
Olof Geirsdottir
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Older Adults ◽  
Cardiovascular Risk ◽  
Cognitive Function ◽  
Grip Strength ◽  
Exercise Intervention ◽  
Mmse Score ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

Abstract Background: Decline in both physical function and cognition among older adults has been associated with increased risk of dementia. Physical activity (PA) is beneficial for the improvement of both physical and cognitive function. The purpose of the study was to investigate the association between baseline physical function and cognitive function after 12 weeks of resistance training among older adults. Methods: Two hundred and thirty-seven community-dwelling older adults (N=237, 73.7±5.7 years, 58.2% female) participated in a 12-week resistance exercise program (3 times/week; 3 sets, 6-8 repetitions at 75-80% of the 1-repetition maximum), designed to increase strength and muscle mass of major muscle groups. Body composition, physical activity status, grip strength, cardiovascular risk factors, 6 minutes walking distance (6MWD), and Mini-Mental State Examination (MMSE) were measured at baseline and endpoint. The linear regression model was used to examine the association. Results: Mean MMSE score was 27.5±2.1 at baseline and 28.1±2.2 after the exercise intervention. After the intervention, 57 declined, 55 remained the same, and 120 have improved in MMSE scores. We found that the MMSE score after the intervention was significantly associated with baseline grip strength (beta=.03, P<.05) among healthy older adults, after adjusting basic characteristics, cardiovascular risk factors and mobility at baseline. Conclusion: Our study found that baseline grip strength was strongly associated with cognitive function after the 12 weeks of resistance training. Muscle power, such as grip strength may play an important role in the effect of exercise intervention on cognition even among healthy independent older adults.

scholarly journals Is There an Association Between Self-Reported Physical Activity and Self-Rated Vision Over Time? Results From the Irish Longitudinal Study of Ageing

2020 ◽  
Vol 28 (5) ◽  
pp. 774-781
Author(s):  
Ilona I. McMullan ◽  
Brendan P. Bunting ◽  
Lee Smith ◽  
Ai Koyanagi ◽  
Mark A. Tully
Keyword(s):  
Physical Activity ◽  
Longitudinal Study ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Community Dwelling ◽  
Eye Disease ◽  
Diabetic Eye Disease ◽  
Employment Education ◽  
Community Dwelling Older Adults ◽  
Over Time

Research suggests that physical activity (PA) has many health benefits for an aging population. Evidence exploring the association between PA and vision is limited. This study includes the measures of self-reported PA (International Physical Activity Questionnaire) and self-rated vision at three points in time over a 6-year period used in the Irish Longitudinal study of Ageing, a cohort of community-dwelling older adults (50 years or older). A path analysis found that PA was indirectly associated with vision over 6 years controlling for age, sex, marital status, employment, education, depression (Centre for Epidemiologic Studies Depression Scale), self-reported general health, cardiovascular disease (e.g., heart attack), high blood pressure, diabetes, eye disease (e.g., glaucoma, diabetic eye disease, macular degeneration, cataract), and disabilities associated with activities of daily living. Further research is needed to fully understand the relationship over time and generalize the findings.

Physical Activity and its Influencing Factors in Community-Dwelling Older Adults With Dementia: A Path Analysis

2021 ◽  
pp. 105477382110339
Author(s):  
Bei Li ◽  
Xiuxiu Huang ◽  
Chenchen Meng ◽  
Qiaoqin Wan ◽  
Yongan Sun
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Path Analysis ◽  
Neuropsychiatric Symptoms ◽  
Community Dwelling ◽  
Cross Sectional ◽  
People With Dementia ◽  
The Status ◽  
Path Analysis Approach ◽  
Community Dwelling Older Adults

Dementia is prevalent in worldwide, and increases the care burden and potential costs. Physical activity (PA) has been increasingly shown to be beneficial for them. This was a cross-sectional observational study aiming to investigate the status of PA among community-dwelling older adults with dementia in Beijing or Hangzhou, China, and verify the relationships between neuropsychiatric symptoms, activities of daily living (ADL), caregivers’ fear of patients’ falling and their PA using a path analysis approach. The level of PA among 216 included people with dementia was low. PA was related to the neuropsychiatric symptoms, with ADL and caregivers’ fear of patients’ falling have mediation roles. The findings indicated that person-centered strategies related to the management of these symptoms might be helpful to improve ADL, relieve caregivers’ concerns about them falling and consequently foster positive participation in PA.

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