Evaluation of Therapeutic Stepping Exergame (TSE)- a tailored Exergame for Fear of Falling and Balance Confidence for Elderly in India (Preprint)

2021 ◽  
Author(s):  
Nilakshi Yein ◽  
Swati Pal
Keyword(s):  
Elderly Population ◽  
Fear Of Falling ◽  
The Elderly ◽  
Significant Negative Correlation ◽  
Positive Influence ◽  
Balance Confidence ◽  
Promising Tool ◽  
Indian Context ◽  
The Relationship ◽  
Insight Into

BACKGROUND Fall is a critical problem that leads to various issues in the elderly. The fear of falling (FOF) is a common problem in the elderly population. There is an association between FOF and balance confidence. Exergaming (EXG) is a promising technology for the elderly to address these issues. Existing EXG needs an advanced infrastructure to install a camera or other devices. In a developing country like India, many areas cannot afford such arrangements. Moreover, the use of exergame itself is relatively new among the elderly in India. OBJECTIVE This study aims to determine the effect of exergame (EXG) technology on FOF and the balance confidence in the Indian elderly. A tailored (Indian context) EXG termed Therapeutic Stepping Exergame (TSE) is used in the study. The paper also shows the relationship between FOF and balance confidence after the use of TSE. METHODS The TSE- a session is 30 minutes per day and seven days a week for four weeks. TSE has incorporated four stepping exercises. Twenty-seven Indian elderly (able to stand and walk independently, ten female and seventeen males; age: 66.44 ± 5.84 years) played four different stepping games in a tailored- EXG for four weeks, thirty minutes per day. For data analysis, SPSS version 20 is used. RESULTS Statistical results confirmed TSE directly affects elderly balance confidence and further supported that it reduces the FOF. Results show significant improvement in the balance confidence at t(26)= 11.735, p=.00, less than .05; and a significant decrease in the FOF at t(26)= -18.528, p=.00, less than .05. There is a significant negative correlation between the FOF and balance confidence at r (26)= -.682, p=.00, less than 0.01. CONCLUSIONS The paper contributes to the elderly- fall and EXG research by providing insight into the TSE’s effectiveness in terms of balance confidence and fear of falling. The analysis suggests that in the Indian context, EXG can be a promising tool for delivering fall preventive exercises and a novel way to motivate the elderly to so. TSE can play a positive influence on the elderly fall research. For future study, more exercises can be incorporated with more participants.

The relationship between activities of daily living,falls and fear of falling in older adults : A crosssectional study

2021 ◽  
Vol 20 (2) ◽  
pp. 420-425
Author(s):  
Hamed Mortazavi ◽  
Mahbubeh Tabatabaeichehr ◽  
Masoumeh Taherpour ◽  
Mohadece Masoumi
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Social Life ◽  
Daily Living ◽  
Fear Of Falling ◽  
Medical Science ◽  
The Elderly ◽  
Cluster Sampling ◽  
Elderly Persons ◽  
The Relationship

Objective : Doingactivities of daily living can bring independence for the elderly. It can also maintain their health and social participation. However, experience of falls and fear of falling can affect the health and personal social life of the elderly. The aim of this study was to evaluate the relationship between falls and fear of falling with activities of daily living in older adults. Materials and methods : Four hundred and fifty elderly persons were enrolled in this cross-sectional study using cluster sampling. Demographic variables, Fall Efficacy Scale- International (FES-I) and questionnaires related to the study of activities of daily living were employed. To investigate advanced activities of daily living, open-ended questions were used. The history of falls within the last 12 months was investigated. Results : Mean score of basic activities of daily living in the elderly being studied was 15.49±1.74, and 95.4% of them were independent in doing these activities.Mean score of instrumental activities of daily living was 11.30±3.36, and 71.5% of them were independent in doing these activities. Participation of elderly persons in social activities was reported to be 77.9%. There was a significant relationship between activities of daily living (basic, instrumental, and advanced) and falls and fear of falling (p<0.05). Conclusion : Falls and fear of falling reduce the independence of elderly persons in doing activities of daily living. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.420-425

scholarly journals The Impact of an Aging Rural Population on Local Tax Structures

1995 ◽  
Vol 24 (2) ◽  
pp. 174-184
Author(s):  
Timothy W. Kelsey ◽  
Stephen M. Smith ◽  
A.E. Luloff
Keyword(s):  
Economic Development ◽  
Elderly Population ◽  
Telephone Survey ◽  
The Elderly ◽  
Direct Role ◽  
Local Taxes ◽  
Critical Effect ◽  
The Impact ◽  
The Relationship ◽  
Tax Structures

The growing American retired population increasingly is viewed for its economic development potential. The relationship between the elderly and local taxes may have a critical effect on this potential, however. This paper examines the local tax implications of an increasing elderly population in communities prohibiting tax referenda. In such communities, citizens have no direct role in tax decisions. The elderly's attitudes towards different local taxes are examined using telephone survey data, before using aggregate data to investigate the relationship between the elderly and the specific taxes used in communities. The results suggest that a high proportion of elderly do not affect the mix of local taxes, but that an increasing proportion does have an influence.

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

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.

scholarly journals Early Poverty and Future Life Expectancy with Disability among the Elderly in Argentina

2019 ◽  
Vol 14 (26) ◽  
pp. 5-22
Author(s):  
Malena Monteverde ◽  
Alberto Palloni ◽  
Montserrat Guillén ◽  
Silvia Tomas
Keyword(s):  
Latin America ◽  
Life Expectancy ◽  
Latin American ◽  
Elderly Population ◽  
The Elderly ◽  
Adult Survival ◽  
Term Care ◽  
The Relationship ◽  
Latin American Population

Two aspects of the aging process in Latin America should be specially taken into account in order to evaluate future perspectives of morbidity among the elderly in the region: 1) Cohorts who will compose the bulk of the elderly population in the 21st century in Latin America survived to old age largely because of improvements in medicine and to a much lesser extent to amelioration of living standards, as it is the case in high income countries, and 2) a high proportion of the Latin American population still live in poor economic conditions and even these vulnerable individuals continue to experience gains in (adult and older adult) survival. We aim to evaluate to what an extent recent levels of poverty and indigence among young children in Argentina could impact future levels of disability and demands for long-term care of older people. Our results show that given the levels of poverty and indigence in childhood observed between 1988 and 1994, the relationship between poor early conditions, and the risk of being disabled among the elderly in Argentina, life expectancy with disability at age 60 years old would increase substantially between 2000 and 2040, both in absolute and relative terms.

scholarly journals The aging lung mucosa: A proteomics study

2021 ◽  
Author(s):  
Andreu Garcia-Vilanova ◽  
Angelica M. Olmo-Fontanez ◽  
Juan I. Moliva ◽  
Anna Allue Guardia ◽  
Harjinder Singh ◽  
...  
Keyword(s):  
Regulatory Networks ◽  
Elderly Population ◽  
Respiratory Infections ◽  
The Elderly ◽  
Pulmonary Diseases ◽  
Lung Cells ◽  
Molecular Fingerprints ◽  
Elderly Individuals ◽  
Increased Risk ◽  
Insight Into

The elderly population is at increased risk of acute and chronic respiratory infections and other pulmonary diseases, and it is estimated that this population will double in the next 30 years. Biochemical changes in the lung alveolar mucosa and lung cells alter local immune response as we age, creating opportunities for invading pathogens to establish successful infections. Indeed, the lungs of the elderly are a pro-inflammatory, pro-oxidative, dysregulated environment but this environment has remained understudied. We performed a comprehensive, quantitative proteomic profile of the lung mucosa in the elderly, developing insight into the molecular fingerprints, pathways, and regulatory networks that characterize the lung in old age. We identified neutrophils in the lungs of elderly individuals as possible contributors to dysregulated lung tissue environment. This study establishes a baseline for future investigations to develop strategies to mitigate susceptibility to respiratory infections in the elderly.

scholarly journals A Preliminary Study of the Relationship between Oral and Vascular Function in the Elderly Population

2020 ◽  
Vol 29 (3) ◽  
pp. 161-164
Author(s):  
Kei Suzuki ◽  
Hiroyuki Nakano ◽  
Nahoko Kato-Kogoe ◽  
Kazuya Inoue ◽  
Michi Omori ◽  
...  
Keyword(s):  
Vascular Function ◽  
Elderly Population ◽  
The Elderly ◽  
Preliminary Study ◽  
The Relationship

Korrelate der Sturzangst im Alter

2007 ◽  
Vol 14 (2) ◽  
pp. 74-86 ◽  
Author(s):  
Nadja Schott
Keyword(s):  
Ältere Menschen ◽  
Fear Of Falling ◽  
The Elderly ◽  
Timed Up And Go ◽  
Balance Confidence ◽  
Eine Hohe ◽  
Sf 36 ◽  
Körperliche Funktionsfähigkeit ◽  
Abc Scale

Zusammenfassung. Mit der vorliegenden Untersuchung wurde der Zusammenhang von Sturzangst (Survey of Activities and Fear of Falling in the Elderly: SAFE), funktionalem Gleichgewicht/Mobilität (Timed-Up-and-Go-Test, TUG; Gehgeschwindigkeit) und körperlicher Funktionsfähigkeit (SAFE Aktivitäten, Reduktionen; SF-36) bei älteren Erwachsenen untersucht. Darüber hinaus sollte die Mediatorfunktion sturzassoziierter Selbstwirksamkeit (Activities-Specific Balance Confidence (ABC) Scale) in einem Strukturgleichungsmodell an 91 Erwachsenen (17 Männer, 74 Frauen) im Alter von 60 bis 93 Jahren ohne Sturzhistorie geprüft werden. Man findet signifikant negative Pfade von der Subskala SAFE Angst auf die sturzassoziierte Selbstwirksamkeit (β = -0.931; t = -8.117, p.001), d. h. dass ältere Menschen ohne aktuelle Sturzbiographie und nur geringer Sturzangst eine hohe sturzassoziierte Selbstwirksamkeit berichten. Ebenso ist der Effekt von Sturzangst auf die körperliche Funktionsfähigkeit hochsignifikant (β = -0.432, t = -2.686, p = .007). Für die sturzassoziierte Selbstwirksamkeit liegt ein hoher Zusammenhang mit dem funktionalen Gleichgewicht/Mobilität vor (β = 0.482, t = 2.050, p = .040), jedoch nicht mit der körperlichen Funktionsfähigkeit (β = 0.118, t = 0.916, p = .359). Für den Zusammenhang zwischen Sturzangst und funktionalem Gleichgewicht/Mobilität liegt eine vollständige Mediation durch die sturzassoziierte Selbstwirksamkeit vor. Der signifikante Einfluss von funktionalen Messungen und Verhaltensdaten auf die Sturzangst verdeutlicht die Notwendigkeit von Interventionen, die auf die Stärkung der sturzassoziierten Selbstwirksamkeit fokussieren, um so zur Reduktion von Sturzangst beizutragen.

The Relationship between Diet and Frailty in Aging

2020 ◽  
Vol 20 (9) ◽  
pp. 1373-1382
Author(s):  
Lucia Gimeno-Mallench ◽  
Elisa Sanchez-Morate ◽  
Sergi Parejo-Pedrajas ◽  
Cristina Mas-Bargues ◽  
Marta Inglés ◽  
...  
Keyword(s):  
Protein Intake ◽  
Functional Foods ◽  
Elderly Population ◽  
The Elderly ◽  
Health Span ◽  
Nutritional Interventions ◽  
Balanced Diet ◽  
Age Related ◽  
Stress Energy ◽  
The Relationship

The increase in lifespan in the 20th century entails an increase in the elderly population. This brings a new challenge for society, causing people to have physical and mental limitations caused by age-related diseases, such as frailty. Frailty is clinically characterized by multisystem pathophysiological processes, such as chronic inflammation, immune activation, dysregulation of the musculoskeletal and endocrine systems, oxidative stress, energy imbalances, mitochondrial dysfunction, and sarcopenia. The elderly should consume energy in amounts close to those in what is currently accepted as a balanced diet. However, an increase in protein intake may be recommended for elderly people as long as there is no kidney damage. This increase could help fight the loss of muscle mass associated with age. Additionally, vitamin and mineral intakes are often insufficient in their diets. Therefore, the diet should be adapted not only to their age, but also to the pathologies associated with aging. Through these measures, we can reduce the prevalence of comorbidity and thereby increase health span. Therefore, both physical and nutritional interventions, including functional foods and nutraceuticals, should be taken into account.

Substance Abuse among the Elderly Population: Overview and Management

2015 ◽  
Vol 46 (4) ◽  
pp. 11-17 ◽  
Author(s):  
Amani A. Kettaneh
Keyword(s):  
Older Adults ◽  
Substance Abuse ◽  
Elderly Population ◽  
The Elderly ◽  
The United States ◽  
Addictive Disorders ◽  
Addiction Risk ◽  
Health Services Need ◽  
The Impact ◽  
The Relationship

The number of older adults in the United States is increasing dramatically. Increased life expectancy worldwide has led to greater populations of older adults and greater populations of older adults with alcohol use disorders. Hence, professionals in the health services need to have increased awareness about appropriate screening and treatment methods and services for working with older people with these conditions. A review of the literature was conducted to identify the impact of substance abuse on older adults. This paper provides an overview of the addictive disorders among older adults, with details about the impact of addiction, risk and protective factors, the relationship between addiction and demographics variables, and finally, the rehabilitation counselor's role in helping older adults with alcohol and substance use disorders.

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