scholarly journals Chronic effects of different neuromuscular training on hemodynamic responses estimated vo2max and walking performance in the elderly

Author(s):  
Fabiana Rodrigues Scartoni ◽  
Leandro Oliveira Sant’Ana ◽  
Jeferson Macedo Vianna ◽  
Sérgio Machado ◽  
Estélio Henrique Martin Dantas ◽  
...  

Abstract Resistance training is an excellent intervention for obtaining different physiological improvements in the elderly. The present study aimed to investigate the chronic effects of different neuromuscular training on cardiovascular, cardiorespiratory, and walking performance responses in the elderly. One hundred five people (64 women and 41 men) participated in the study, physically active, all over 60 years old. They were randomized to compose three groups: Strength Group, (n = 35), Resistance Group (n = 35), and Control Group, (n = 35). Both experimental groups (Strength Group and resistance group) performed four weeks of adaptation and 12 weeks of specific training. The Strength Group and the resistance group did four weeks adaptation phase and 12 weeks intervention load with 70-85% and 50-70%, respectively. The same exercise program was used in the experimental groups, using the alternating method by segment with the bench press, squat, one-sided curved stroke, leg extension, biceps curl, knee flexion, Triceps forehead. Both strength and resistance groups carried out two weekly sessions with an interval of at least 48 and a maximum of 72 hours. A pre and post-evaluation of resting heart rate (HR), blood pressure (systolic and diastolic), rate pressure product (RPP) was performed, and oxygen absorption (VO2max) and walking performance were estimated through the 1600 test meters. In systolic pressure, there was an improvement for the Strength Group (p=0.007) but not for the resistance group (p=0.172) and control group (p=0.999). Between groups, differences were observed between the Strength Group with the control group (p <0.0001). For diastolic pressure, there was a difference for the Strength Group (p=0.000) and not for the resistance group (p=0.916) and the control group (p=0.107). in an inter-group comparison, differences were observed for the Strength Group (p<0.0001) and resistance group (p=0.001) when compared with the control group. For heart hate and double product, in the intra-group analysis, no difference was observed (p>0.05), but in the intergroup, for both variables, the difference was observed for the Strength Group and resistance group when compared with the control group (p<0.0001). Concerning VO2max, the resistance group presents better intra and inter-group results (p<0.05). In walking performance, there were improvements for the Strength Group (p=0.027) and resistance group (p<0.0001). among the groups, the resistance group was the best compared to the Strength Group (p=0.000) and the control group (p<0.0001). Conclusion resistance training can be a great strategy for hemodynamic and cardiorespiratory improvement in the elderly.

Author(s):  
Maryam Mousavi ◽  
Farshad Ghazalian

Introduction: Improving balance in the daily lives of the elderly plays an important role, especially in reducing their risk of falling. Therefore, the aim of the present study was to investigate the effect of eight weeks water resistance training with dark chocolate supplementation on the balance of the elderly.Methods: In this study, 38 elderly people with an age range of 73-60 years were randomly divided into four groups. Participants in groups, included water resistance training and water resistance training + dark chocolate, performed water resistance training for eight weeks. In this period, groups of dark chocolate and water resistance training + dark chocolate, consumed 6 pieces of dark chocolate 83%, 5 gr per day, and the control group did not have any training or supplementation. The stork test (flamingo) was used to assess balance. The results of covariance analysis (ANOVA) showed that there was a statistically significant difference between the four groups. Data were evaluated using Excel and SPSS-25 (p≤ 0.05). Results: The adjusted means after eliminating the effect of pre-test scores showed that the water resistance-training group had a higher mean than the other three groups and the weakest scores belonged to the control group. The results of other groups were as followed: experimental group 18.77, chocolate group 16.88, combined group (water resistance training + dark chocolate) 17.24 and control group 9.77. The results of Benferoni test showed that there was a significant difference between the water resistance training group and the control group (p = 0.006). Conclusion: According to the results of this study, it seems that eight weeks of water resistance training and dark chocolate supplementation can improve the balance and quality of life of the elderly.


Author(s):  
Batol Ramazani ◽  
Foroogh Bakhtiari

Background: Moving away from family can cause psychological and emotional trauma for the elderly. Accordingly, the present study aimed to evaluate the effectiveness of spiritual therapy on loneliness feeling among the elderly in a nursing home in Isfahan. Methods: The method was quasi-experimental with a pretest-posttest design and a control group. The population of this study included all of the elderly in Sadeghieh nursing home in Isfahan in 2018. The sample of this study included 30 elderly people being selected by purposive sampling and then randomly included in the experimental and control groups (15 elderly people in each group). The experimental group received the therapeutic interventions related to spiritual therapy at eight sessions of 90 minutes every week for two months. Then, the subjects in both groups were re-tested. The used instruments included Russell’s loneliness questionnaire (1996). After collecting the questionnaires and extracting the raw data, the data analysis was conducted using descriptive statistics and analysis of covariance by SPSS23 statistical software at 0.05 error level. Results: spiritual therapy had a significant effect on loneliness among the elderly in the nursing home (p < 0.001). In this regard, this therapy could reduce loneliness among the elderly in the nursing home. The effect of spiritual therapy on loneliness among the elderly in the nursing home was 53%. Conclusion: Based on the research findings, spiritual therapy can reduce loneliness among the elderly by the techniques such as taking responsibility, assigning cases to God, strengthening the intention, and deleting negative thoughts.


2021 ◽  
Vol 36 (4) ◽  
pp. e288-e288
Author(s):  
Niusha Barzideh ◽  
Arezoo Alaee ◽  
Arash Azizi

Objectives: We investigated the existence of any connection between smoking and sublingual varices (SLV) in the older population. Methods: This case-control study was conducted in 2019 on adults > 65 years old at Kahrizak Charity Nursing Home, Alborz, Iran. We conducted clinical examination and inspection of 222 elderly patients. Both the case group and control group contained the same number of patients (n = 111). SLV were classified as grade 0 (few or none visible) and grade 1 (moderate or severe). The case group included patients with SLV and the control group consisted of those older adults without SLV and who were matched with the case group based on age, gender, blood pressure, denture wearing, and varicose veins in their legs. Cigarette smoking habits were investigated in both groups. Smokers were considered those who smoked at least one cigarette per day for more than six months. Chi-square and odds ratio (OR) were used to statistically analyze the exposure of participants to smoking in both groups. Results: Among 222 participants, 21.6% and 5.4% were smokers in the case and control groups, respectively. The results of our data analysis revealed that SLV were significantly associated with smoking (p < 0.001, OR = 4). Conclusions: Elderly patients with SLV are more likely to be cigarette smokers. Therefore, cigarette smoking cessation programs are recommended for older adults in society.


Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 484-495
Author(s):  
Maryam Moradi ◽  
◽  
Hamideh Mohammadzadeh ◽  
Reza Noori ◽  
Kokab Basiri Moghadam ◽  
...  

Objectives: Low quality sleep is one of the most common problems in old age. The present study aims to determine the effect of a sleep hygiene education program using Telephone Follow-Up (TFU) method on the sleep quality of the elderly. Methods & Materials: This quasi-experimental study was conducted on 80 eligible elderly people aged 60-74 years who were selected using a systematic random sampling method and were randomly assigned into intervention and control groups. The intervention group received a one-hour face-to-face education session on sleep hygiene. The TFU were carried out two times per week in the first month and once a week in the second month after intervention. The control group received routine care. The data collection tools were a demographic form and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The PSQI was completed for both groups immediately after the second month. Results: There was no statistically significant difference in the mean PSQI score before intervention in the intervention (8.02) and control (7.47) groups (P=0.32), but after the intervention, the mean PSQI score in the intervention group (5.42) was significantly reduced compared to the control group (7.67) (P<0.001). Conclusion: Sleep hygiene education program based on TFU improves the sleep quality of the elderly. It is recommended that health care providers use this method to improve the sleep quality of the elderly.


2018 ◽  
Vol 4 (2) ◽  
pp. 211-218
Author(s):  
Wulansari Wulansari ◽  
Ani Margawati ◽  
Rita Hadi W

Background: Depression is one of the most common psychosocial problems in the elderly. The incidence of depression in the elderly is greater in the elderly living in the social service unit than the elderly in the community. Management of depression in the elderly should be more emphasized on interventions that focus on the individual needs of the biopsychosocial and spiritual aspects. Brain gym therapy and Benson relaxation are considered appropriate in decreasing depression.Objective: This study was to determine the effect of brain exercise and Benson relaxation on the level of depression in elderly in the elderly social service unit.Methods: This was a quasy experimental study with pretest posttest control group design. Fifty-six elderly included in this study, which 28 assigned in the experiment and control group. The depression level was assessed using Geriatric Depression Scale (GDS). Wilcoxon and Mann-Whitney test were used for data analyses.Results: The study showed that the mean GDS score in the experiment group before the intervention was 7.21, while the mean value of GDS in the control group was 6.64. The mean value of GDS in the experiment group after the intervention was 5.04 and the mean in control group was 6.18. There was a significant difference of GDS score between experiment and control group with p-value of 0.021 (<0.05).Conclusion: There was a significant effect of brain gymnastics and Benson relaxation therapy in reducing depression in elderly. brain gymnastic therapy and benson relaxation can be one of independent nursing interventions as an effort to improve care for elderly groups.


2021 ◽  
Author(s):  
Anis Pourdavarani ◽  
Jamileh Farokhzadian ◽  
Mansooreh Azizzadeh Forouz ◽  
Sedigheh Khodabandeh Shahraki

Abstract Background: Anxiety and depression are the most common psychological disorders in the aging period. One of the ways to deal with anxiety and depression and increase happiness in the elderly is to train positive thinking. Therefore, the present study aimed to investigate positive thinking skills training on anxiety and happiness in the elderly.Methods: In this quasi-experimental study, 48 elderly people referred to two comprehensive health service centers in Kerman in southeastern Iran were selected by convenience sampling method and randomly assigned into intervention groups (n = 24) and control (n = 24). The data collection tools included the Beck Anxiety Inventory and the Oxford Happiness Inventory. Questionnaires were filled out before the intervention, then positive thinking training was held in eight sessions of 90 minutes. After training program, the was conducted one month after it, the follow-up tools.Results: The results showed that the mean score of anxiety before positive thinking training was (13.58 ± 8.61) and (19.25± 11.67) in the intervention and the control group, respectively. After positive thinking training, the mean scores were (4.50 ±4.07) and (15.54±9.04) in the intervention and control group, respectively. After the intervention, which significantly reduced anxiety the intervention, group (t= 8.10, P<0.001). The mean score of happiness before the test was (26.58±12.40) and (37.91 ± 5.57) in the intervention and control groups, respectively. However, the posttest happiness scores of the intervention and control groups were (62.91± 4.66) and (35.62 ±10.62), respectively. The results showed that implementing positive thinking training increased happiness significantly (t=-4.08, P<0.001).Conclusion: Since positive thinking training effect reducing anxiety and increasing happiness in the elderly. Due to the growing trend of the elderly population, the positive thinking training approach can be used as a suitable, cost-effective, and efficient method in reducing anxiety and increasing happiness in the elderly.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Zahra Mandegari Bamakan ◽  
Khadijeh Nasiriani ◽  
Farzan Madadizadeh ◽  
Fatemeh Keshmiri

Abstract Background The knowledge and attitude of health care providers are important and influential factors in providing care services to the elderly and need to be considered during the training course. Simulation in geriatric nursing education can be an opportunity for learners to experience the restrictions of the elderly. The present study was conducted to determine the effect of training through simulation on the attitude and knowledge of nursing students in elderly care. Methods This study was quasi-experimental with two experimental and control groups of pre and post-test, which was conducted on 70 nursing students of the 5th semester (two groups of 35 people). For the experimental group, the elderly simulation suit was worn for two hours, which was designed by the researcher and created sensory, physical, and motor restrictions similar to the elderly for students. Before and after the study, Kogan’s attitudes toward older people scale and Palmore’s “facts on aging quiz” were completed by students. The data were analyzed using an independent t-test and paired t-test using SPSS version 16 software. Results The mean scores of students’ knowledge in the experimental and control groups had no significant difference at the beginning of the study (p < 0.05). But the mean scores of knowledge in the experimental group before and after the intervention was (9.2 ± 2.6) and (15.3 ± 3.5), respectively, and in the control group before and after the intervention was (10.4 ± 2.9) and (11.3 ± 2.6), respectively, which had a statistically significant difference (p = 0.0001). The mean scores of students’ attitudes in the experimental and control groups had no significant difference at the beginning of the study (p < 0.05). The mean scores of attitude in the experimental group before and after the intervention was (114.69 ± 8.4) and (157.31 ± 10.7), respectively and in the control group before and after the intervention was (113.34 ± 13.6) and (108.5 ± 16.6), respectively, which was significantly different (p = 0.0001). Conclusions Based on the findings, the experience of aging restrictions through simulation has improved the knowledge and attitude of nursing students towards the elderly. Nursing education requires the growth of attitudinal skills, individuals’ beliefs, and creating empathy among them, so creating simulation opportunities can assist nursing students in the educational processes.


2020 ◽  
Vol 4 (1) ◽  
pp. 60
Author(s):  
Anindini Winda Amalia ◽  
Paramita Ratna Gayatri ◽  
Hartati Tuna

The Elderly has a high risk of degenerative diseases. Diabetes Mellitus is a degenerative disease that occurred in the elderly. Excercise regularly can reduce blood sugar levels in the elderly. GITA gymnastic is a mild exercise that can be applied and not burdensome if done routinely by elderly. The purpose of this study was to determine the effect of GITA gymnastic on blood sugar levels in the elderly with diabetes mellitus. This research is an experimental design of the field with pre-post group design. Respondents are elderly with diabetes mellitus in Clinic Bandar Lor Kediri. Respondent 20 people, divided into two groups, gymnastic group 10 people and control group 10 people. In gymnastic group is given training of GITA gymnastic for 8 weeks, 3 times a week, with a duration of 30 minutes each session. The control group did not have treatment. The result of this study indicates the post-test of fasting blood sugar levels in the gymnastic group is significantly lower than the pre-test of fasting blood sugar levels (p= 0.003). In the independent T test, there was a significant difference in the mean deviation of fasting blood sugar levels in the gymnastic group and control group (p=0,001). GITA gymnastic for eight weeks is effective in reducing blood sugar levels among the elderly with diabetes mellitus.


Neurosurgery ◽  
2004 ◽  
Vol 55 (4) ◽  
pp. 840-850 ◽  
Author(s):  
Keyoumars Ashkan ◽  
Henry Marsh

Abstract OBJECTIVE: To critically examine the efficacy and safety of microvascular decompression (MVD) for trigeminal neuralgia (TN) in elderly patients. METHODS: We performed a retrospective review of medical records, followed by prospective follow-up. The outcome data from 44 MVD operations for TN performed in 40 consecutive patients with a mean age of 65 years (range, 60–75 yr) in the period 1991 to 2001 were compared with those from 40 younger control subjects (mean age, 46 yr; range, 20–59 yr) operated on during the same period. RESULTS: The median time from diagnosis of TN to MVD in the older patients was 7 years (range, 1–22 yr), compared with 3 years (range, 3 mo to 20 yr) in the younger group (P = 0.02). With the exception of one, all patients in this study were classified as American Society of Anesthesiologist Grade 1 or 2. Initial pain relief was achieved in 98 and 100% of the patients in the study and control groups, respectively. There were no operative mortalities or life-threatening morbidities. Transient facial numbness and diplopia occurred in both groups. Headaches, nausea, and vomiting were more frequent in the younger patients, whereas wound infection and confusion were more common in the older patients. The mean length of hospital stay was 5.4 days (range, 3–10 d) for the older patients, compared with 5.3 days (range, 3–9 d) for the control group (P = 0.4). After average follow-ups of 30 and 33 months, the pain recurred in 24 and 27% of the patients in the elderly and control groups, respectively. CONCLUSION: MVD is underused in the elderly despite being both safe and effective. Fitness and not age should be the key in deciding the treatment options. It is proposed that any patient with medically refractory TN who is fit for general anesthesia should be given the opportunity to choose MVD.


Author(s):  
Leury Max Da Silva Chaves ◽  
Antônio Gomes De Rezende-Neto ◽  
Albernon Costa Nogueira ◽  
José Carlos Aragão-Santos ◽  
Leandro Henrique Albuquerque Brandão ◽  
...  

Aging causes a reduction in the adaptive capacity of the organism. Therefore, there is a decrease in physical fitness, making it difficult to perform basic movements and the development of muscular power. Thus, to minimize this reduction, functional and traditional training can both be used; however there is no clarity about which is most effective. The aim of this study was to identify the influence of functional and traditional training on muscle power, quality of movement and quality of life in the elderly. Forty four older women were randomly divided into functional group (FG n=18), traditional group (TG n=15) and control group (CG n=11). Thirty-six sessions lasting 50 minutes were performed. Quality of life (WHOQOL-bref), quality of movement (FMS) and muscular power were evaluated. FG and TG increased significantly in relation to control group and to the initial FMS values. In FG and TG, muscle power significantly improved compared to pre-test, but not in relation to the control group. Regarding quality of life, only FG presented significant improvement. Both applied methods demonstrate the ability to improve the quality of movement and muscle power. However, functional training achieved better results in quality of life and movement.


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