A single-arm feasibility study of community-delivered Baduanjin (Qigong practice of the eight Brocades) training for frail older adults

Abstract Background: Frailty is a common geriatric syndrome, characterized by reduced physiologic reserve and increased vulnerability to stressors, due to cumulative decline in multiple physiological systems. We studied the feasibility of a community-delivered Baduanjin (BDJ) training program among pre-frail/frail community-dwelling older people. We examined 1) safety (adverse events), physical and psychological effects; and 2) feasibility of recruitment, retention, adherence; recruitment efforts and any program challenges, so as to inform future studies.Methods: Our study was a single arm pre-post study in a community setting. Sixteen week group BDJ training (2x/week in the first 4 weeks, and 3x/week thereafter) co-designed and implemented by community-based providers in Singapore. Recruitment, attendance and adverse events were recorded throughout the training. A participants’ survey was also administered after the training program. Effects of the intervention on physical and functional outcomes (hand grip strength, knee extension strength, Time Up and Go (TUG), Physiological Profile Assessment (PPA), 30-second Sit-to-Stand test, 6-meter fast gait speed test), frailty outcomes (frailty score and status), and other outcomes (Maastricht Questionnaire (MQ), Fall Efficacy Scale (FES), Montreal Cognitive Assessment (MoCA), Geriatric Depression Scale (GDS), and EQ-5D-5L) were examined before and after the program.Results: Of 31 older adults screened to be frail, 15 met inclusion criteria and 3 refused participation, resulting in 12 older adults (9 women) enrolled into the program. During the program, one participant was hospitalized (unrelated to BDJ training) and the other 11 (aged 77±6 years; 2 frail, 9 prefrail at baseline) completed the program with average overall attendance of 89%. Most (89%) of the 44 training sessions had attendance >80%. The program received positive feedback with no training-related adverse events. Participants either reversed (n=2) or maintained (n=9) their frailty statuses. There post-training outcomes in hand grip strength, knee extension strength, TUG , MQ , FES , MoCA , GDS and EQ-5D-5L index score appeared to be better. The reduction of frailty and PPA fall risk scores were of moderate-to-large effect size. Conclusions: Community-delivered BDJ training program was safe and feasible for prefrail/frail older adults with the potential to improve physical and cognitive function, reduce fall risk, improve psychological well-being, and reverse frailty status.

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Mind-body training – a single-arm feasibility study of community-delivered Baduanjin training for frail older adults

10.21203/rs.3.rs-26070/v1 ◽

2020 ◽

Author(s):

Xiao Liu ◽

Jean Wei Ting Seah ◽

Benedict Wei Jun Pang ◽

Mary Ann Tsao ◽

Falong Gu ◽

...

Keyword(s):

Older Adults ◽

Adverse Events ◽

Training Program ◽

Grip Strength ◽

Feasibility Study ◽

Fall Risk ◽

Knee Extension ◽

Frail Older Adults ◽

Hand Grip ◽

Frailty Score

Abstract Background Frailty is a common geriatric syndrome, characterized by reduced physiologic reserve and increased vulnerability to stressors, due to cumulative decline in multiple physiological systems. Our study examined the feasibility and effects of a community-delivered BDJ training program among pre-frail/frail community-dwelling older people in preparation for a randomised control implementation study.Methods Our study was a single arm feasibility study in community setting. Eleven participants (aged 77 ± 6 years; 2 frail, 9 prefrail at baseline) completed the program. Sixteen week group BDJ training co-designed and implemented by community-based providers in Singapore. Recruitment, attendance and adverse events were recorded throughout the training. A participants’ survey was also administered after the training program. Effects of the intervention on physical and functional outcomes (hand grip strength, knee extension strength, Time Up and Go (TUG), Physiological Profile Assessment (PPA), 30-second Sit-to-Stand test, 6-meter fast gait speed test), frailty outcomes (frailty score and status), and other outcomes (Maastricht Questionnaire (MQ), Fall Efficacy Scale (FES), Montreal Cognitive Assessment (MoCA), Geriatric Depression Scale (GDS), and EQ-5D-5L) were examined before and after the program.Results Of 31 older adults screened to be frail, 15 met inclusion criteria and 3 refused participation resulting in 12 older adults enrolled in the program. One participant was hospitalized (unrelated to BDJ training) and the other 11 completed the program with average overall attendance of 89%. Most (89%) of the 44 training sessions had attendance > 80%. The program received positive feedback with no training-related adverse events. Participants either reversed (n = 2) or maintained (n = 9) their frailty statuses. There were significant within-group post-training improvements in hand grip strength (p = 0.013), knee extension strength (p = 0.048), TUG (p = 0.018), MQ (p = 0.001), FES (p = 0.022), MoCA (p = 0.014), GDS (p = 0.028), EQ-5D-5L index score (p = 0.029). The reduction of frailty score and PPA fall risk score showed moderate-to-large effect size.Conclusions Community-delivered BDJ training program was safe and feasible for prefrail/frail older adults with the potential to improve physical and cognitive function, reduce fall risk, improve psychological well-being, and reverse frailty status.

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Determinants of hand grip strength, knee extension strength and functional status in cancer patients

Clinical Nutrition ◽

10.1016/j.clnu.2010.02.007 ◽

2010 ◽

Vol 29 (5) ◽

pp. 586-591 ◽

Cited By ~ 62

Author(s):

Kristina Norman ◽

Nicole Stobäus ◽

Christine Smoliner ◽

Daniela Zocher ◽

Ramona Scheufele ◽

...

Keyword(s):

Functional Status ◽

Grip Strength ◽

Cancer Patients ◽

Knee Extension ◽

Hand Grip Strength ◽

Knee Extension Strength ◽

Hand Grip

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Detecting Impending Malnutrition of (Pre-) Frail Older Adults in Domestic Smart Home Environments

Nutrients ◽

10.3390/nu13061955 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1955

Author(s):

Björn Friedrich ◽

Jürgen M. Bauer ◽

Andreas Hein ◽

Rebecca Diekmann

Keyword(s):

Older Adults ◽

Body Weight ◽

Standard Deviation ◽

Physical Function ◽

Grip Strength ◽

Hand Grip Strength ◽

Preparation Time ◽

Frail Older Adults ◽

Meal Preparation ◽

Hand Grip

Malnutrition is a well-known risk factor for deteriorated physical function, disability and loss in independence in older adults. An unintended loss in body weight of more than 5% in 3 months is one indicator for malnutrition. In this study we examined the relationship between meal preparation time, hand grip strength, and body weight in order to map impending nutritional problems using ambient sensors. Data were collected in the domestic environments of 20 (pre-) frail older adults aged 85.75 y (Standard Deviation: 5.19 y) over 10-months of observation. Collecting included physical function and nutritional status of the participants and meal preparation time by a combination of motion and power sensor events. Analysis was done by rank correlation of hand grip strength, body weight, and meal preparation time. Ten participants aged 85.1 years (Standard Deviation: 4.6 y) were included. The results show a significant correlation (≥0.99) of the meal preparation time with the hand grip strength. This result validated the meal preparation time as a suitable measure for analysing the correlation between meal preparation time and body weight, and a significant correlation (≥0.99) found. Hence the meal preparation time could be used as an indicator for malnutrition. However, causalities have to be conducted by further clinical studies.

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Physical Activity in Aging Population

European Journal of Interdisciplinary Studies ◽

10.26417/ejis.v5i3.p74-80 ◽

2019 ◽

Vol 5 (3) ◽

pp. 74

Author(s):

Rezarta Stena ◽

Klara Hysenaj ◽

Mitilda Gugu Karoli ◽

Armelda Teta ◽

Gjergji Doka

Keyword(s):

Physical Activity ◽

Older Adults ◽

Heart Rate ◽

Pain Intensity ◽

Range Of Motion ◽

Training Program ◽

Grip Strength ◽

Upper Limb ◽

Hand Grip ◽

Trunk Flexibility

It is known that worldwide populations are aging, and also that physical activity can play an important role in minimizing impairments characteristic of old age. Adopting a more active lifestyle and doing regular physical activity, including aerobic and resistance exercises, daily walking etc. have been demonstrated to improve cardiovascular, respiratory, and musculoskeletal parameters in older adults. We assessed a potential participant from Elbasan (Albania), 67 years, for eligibility to participate in a 5 month training program. The subject gave written informed consent before inclusion.The following parameters were measured at the beginning (baseline) and end of the training period: BMI, body fat percentage, hand grip strength, lower/upper limb and trunk flexibility and range of motion, heart rate, balance, pain intensity, as well as VO2 max, directly and/or an estimate using the Rockport fitness test estimate. An initial evaluation was carried out just before starting the training (baseline). A second evaluation was made 5 months after starting the program of physical exercise (post training). Each evaluation included the recording of health related events, such as any changes in previous symptoms, as well as measurements of balance, flexibility, body composition, coordination, muscle strength, and aerobic capacity, to detect any changes that might have been induced specifically by physical activity. The subject’s attendance and participation in the program was also recorded. Range of motion for each part evaluated (trunk, hip, cervical region and shoulder) is improved about 15-20° degree. BMI, hand grip strength, lower/upper limb and trunk flexibility, heart rate, balance, pain intensity, VO2 max are also improved after training program. Following a training program or a regular physical activity in older adults minimise impairments characteristics in this age and cardiovascular, respiratory, and musculoskeletal parameters. According to the low importance shown in my country for the physical activity in older adults, I want to emphasize the importance of state structures involvement and the sensibilization of this group of age to stimulate an actively participation in physical training programs followed by professionals for bests life parameters. A higher investment for this age group, building as many facilities as possible for activation and spending quality free time, hiring more physiotherapists in nursing homes will increase life motivation and improve the quality and the parameters of living.

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Peer Review #2 of "Comparison of hand grip strength and upper limb pressure pain threshold between older adults with or without non-specific shoulder pain (v0.1)"

10.7287/peerj.2995v0.1/reviews/2 ◽

2017 ◽

Keyword(s):

Older Adults ◽

Peer Review ◽

Grip Strength ◽

Shoulder Pain ◽

Upper Limb ◽

Pain Threshold ◽

Pressure Pain Threshold ◽

Hand Grip Strength ◽

Pressure Pain ◽

Hand Grip

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The Brain-Derived Neurotrophic Factor Functional Polymorphism and Hand Grip Strength Impact the Association between Brain-Derived Neurotrophic Factor Levels and Cognition in Older Adults in the United States

Biological Research For Nursing ◽

10.1177/10998004211065151 ◽

2022 ◽

pp. 109980042110651

Author(s):

Tingting Liu ◽

Hongjin Li ◽

Yvette P. Conley ◽

Brian A. Primack ◽

Jing Wang ◽

...

Keyword(s):

Older Adults ◽

Cognitive Function ◽

Cognitive Decline ◽

Grip Strength ◽

Mental Status ◽

Neurotrophic Factor ◽

Brain Derived Neurotrophic Factor ◽

Hand Grip Strength ◽

Hand Grip ◽

Serum Bdnf

Introduction Aging is associated with subtle cognitive decline in attention, memory, executive function, processing speed, and reasoning. Although lower brain-derived neurotrophic factor (BDNF) has been linked to cognitive decline among older adults, it is not known if the association differs among individuals with various BDNF Val66Met (rs6265) genotypes. In addition, it is not clear whether these associations vary by hand grip strength or physical activity (PA). Methods A total of 2904 older adults were included in this study using data from the Health and Retirement Study. Associations between serum BDNF and measures of cognitive function were evaluated using multivariable linear regression models stratified by Met allele status. PA and hand grip strength were added to the model to evaluate whether including these variables altered associations between serum BDNF and cognition. Results Mean age was 71.4 years old, and mean body mass index was 28.3 kg/m2. Serum BDNF levels were positively associated with higher total cognitive score (beta = 0.34, p = .07), mental status (beta = 0.16, p = .07), and word recall (beta = 0.22, p =.04) among Met carriers, while serum BDNF levels were negatively associated with mental status (beta = −0.09, p = .07) among non-Met carriers. Furthermore, associations changed when hand grip strength was added to the model but not when PA was added to the model. Conclusions The BDNF Val66Met variant may moderate the association between serum BDNF levels and cognitive function in older adults. Furthermore, such associations differ according to hand grip strength but not PA.

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Hand Grip Strength and Gender: Allometric Normalization in Older Adults and Implications for the NIOSH Lifting Equation

Journal of Lifestyle Medicine ◽

10.15280/jlm.2017.7.2.63 ◽

2017 ◽

Vol 7 (2) ◽

pp. 63-68 ◽

Cited By ~ 5

Author(s):

Trish Gail Sevene ◽

Joseph Berning ◽

Chad Harris ◽

Mike Climstein ◽

Kent Jason Adams ◽

...

Keyword(s):

Older Adults ◽

Grip Strength ◽

Hand Grip Strength ◽

Hand Grip ◽

And Gender ◽

Niosh Lifting Equation

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Relationships between hand-grip strength, socioeconomic status, and depressive symptoms in community-dwelling older adults

Journal of Affective Disorders ◽

10.1016/j.jad.2019.04.023 ◽

2019 ◽

Vol 252 ◽

pp. 263-270 ◽

Cited By ~ 7

Author(s):

Kyu-Man Han ◽

Jisoon Chang ◽

Ho-Kyoung Yoon ◽

Young-Hoon Ko ◽

Byung-Joo Ham ◽

...

Keyword(s):

Older Adults ◽

Socioeconomic Status ◽

Depressive Symptoms ◽

Grip Strength ◽

Hand Grip Strength ◽

Community Dwelling ◽

Hand Grip ◽

Community Dwelling Older Adults

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Impact of daily protein and energy intake and distribution on muscle mass and strength in Danish older individuals-The CALM study

Proceedings of The Nutrition Society ◽

10.1017/s0029665120000518 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Yusuke Nishimura ◽

Grith Hojfeldt ◽

Simon Rønnow Schacht ◽

Kenneth Mertz ◽

Morten Hjulmand ◽

...

Keyword(s):

Total Energy ◽

Grip Strength ◽

Muscle Mass ◽

Energy Intake ◽

Protein Intake ◽

Knee Extension ◽

Hand Grip Strength ◽

Energy Ratio ◽

Older Individuals ◽

Hand Grip

AbstractThe importance of dietary protein for the maintenance of muscle mass and strength is heavily discussed. However, adequate energy intake is an underlying assumption but often not considered. In this study, we investigated the impact of daily intake and meal distribution of both protein and energy on muscle mass and strength. In a cross-sectional study, a total of 184 older individuals (gender: 86F/98M, age: 70.2 ± 3.9 yrs, BMI: 25.4 ± 3.7 kg/m2; means ± SD) were recruited. Participants underwent a 3-day weighed dietary record, Dual-energy X-ray Absorptiometry (DXA) scan, hand-grip strength, and Maximal Voluntary Isometric knee-extension Contraction (MVIC). Participants were divided into two categories: lower (LOW; < 0.83 g/adjusted(a)BW/day) or higher (HIGH; ≥ 1.1 g/aBW/day) protein intake levels analysed by gender to characterize a daily protein and energy intake pattern. Main meal protein and energy intake distributions were calculated, and correlations were made. Further, energy intake at breakfast and lunch divided by total energy intake (energy ratio) was correlated with appendicular skeletal muscle index (ASMI), hand-grip strength, and MVIC were determined using the LOW/HIGH-protein-intake categorization. Further, gender-specific ASMI, hand-grip strength and knee extension were compared based on the following four distinct daily protein intake ranges: < 0.66; ≥ 0.66- < 0.83; ≥ 0.83- < 1.1; ≥ 1.1 g/aBW/day. A positive correlation appeared between protein and energy intake in all main meals (r ≥ 0.57, p < 0.0001). In the LOW category, positive correlations were found between energy ratio and ASMI (r = 0.16, p = 0.048), hand-grip strength (r = 0.40, p = 0.0009), and MVIC (r = 0.36, p = 0.0019), whereas no associations were found in the HIGH category. ASMI, hand grip, and MVIC were similar regardless of the protein intake ranges, though with women being lower than men (p < 0.05) in all outcomes. These results show that total daily protein intake did not affect muscle mass and strength in our cohort. However, our data demonstrate that greater energy intake in breakfast and lunch relative to total energy intake is associated with higher muscle mass and strength, particularly when protein intake is lower than 0.83 g/aBW/day, indicating the potential importance of meal energy content at lower intakes of protein.

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