Life, mental, and social functional factors associated with a decreased activity in elderly requiring support/care

OBJECTIVES: To characterize balance and mobility among diabetic elderly outpatients and to estimate the extent to which functional balance and mobility abnormalities can be influenced by sociodemographic, clinical and other functional factors in a cross-sectional study. METHODS: Ninety-one elderly (65+ years) outpatients were assessed. Mobility was evaluated by the Timed Up and Go Test (TUGT) and the balance, by the Berg Balance Scale (BS). RESULTS: TUGT mean score was 15.65 ± 5.9 seconds and BS mean score was 49.31 ± 7.3 points. Using linear regression analysis (α < 0.05), significant and independent positive relationships were obtained between TUGT and age, daily activities (ADL/IADL), step strategy, and proprioceptive sensitivity. Factors negatively associated with BS were: ADL/IADL, step strategy, proprioceptive sensitivity, orthostatic hypotension (OH) and conflictive sensory conditions. CONCLUSION: Elderly diabetic outpatients show abnormal balance and mobility related mainly to advanced age, disability, absence of step strategy, absence of proprioceptive sensitivity and presence of OH.

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Epidemiological Features of the Bladder Neck Rest Position and Mobility

Journal of Clinical Medicine ◽

10.3390/jcm9082413 ◽

2020 ◽

Vol 9 (8) ◽

pp. 2413

Author(s):

Edyta Horosz ◽

Andrzej Pomian ◽

Aneta Zwierzchowska ◽

Wojciech Lisik ◽

Wojciech Majkusiak ◽

...

Keyword(s):

Bladder Neck ◽

Pelvic Organ ◽

Obese Patients ◽

Obese Women ◽

Pelvic Floor Ultrasound ◽

Factors Associated ◽

Rest Position ◽

Epidemiological Features ◽

Vaginal Deliveries ◽

Functional Factors

The data concerning epidemiological determinants of the bladder neck (BN) mobility are scarce. The aim of the study was to determine epidemiological features and identify factors influencing BN position at rest and BN mobility in patients without pelvic organ prolapse (POP). Seven hundred and ninety-six patients that attended two outpatient clinics were enrolled in the study. Position and mobility of the BN were measured with the use of pelvic floor ultrasound. Demographic and functional factors that were hypothesized to influence BN mobility were assessed. Vaginal deliveries (VDs) and age ≥65 were associated with lower BN position at rest. Higher BN mobility was observed in women with stress urinary incontinence (SUI). In obese women, higher BN position and lower BN mobility was observed compared to non-obese women, and it was correlated with longer urethras in this group of patients. VDs and their number were associated with increased BN mobility, independently of body mass index (BMI). To conclude, obesity, VDs, and age are factors associated with changes in bladder neck position at rest and its mobility. Higher BMI correlates with restricted BN mobility, and, therefore, the incidence of SUI in obese patients is probably not connected to BN hypermobility.

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Urinary symptoms in older people with low back pain: Prevalence, clinical, and functional factors associated

Neurourology and Urodynamics ◽

10.1002/nau.24782 ◽

2021 ◽

Author(s):

Juliana M. M. Barbosa ◽

Juleimar S. C. Amorim ◽

Fabianna R. Jesus Moraleida ◽

Vitor T. M. Rocha ◽

Juscelio P. da Silva ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Older People ◽

Urinary Symptoms ◽

Low Back ◽

Factors Associated ◽

Functional Factors ◽

Pain Prevalence

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SUN-LB267: Nutritional and Functional Factors Associated with Mild Alzheimers Disease Community-Dwelling Older Adults

Clinical Nutrition ◽

10.1016/s0261-5614(16)30623-9 ◽

2016 ◽

Vol 35 ◽

pp. S143-S144

Author(s):

O.L. Vicente De Sousa ◽

T. Freitas Amaral

Keyword(s):

Older Adults ◽

Community Dwelling ◽

Alzheimers Disease ◽

Factors Associated ◽

Functional Factors ◽

Community Dwelling Older Adults ◽

Disease Community

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Massage and Ultrasound as Therapeutic Modalities in Exercise-Induced Muscle Damage

Canadian Journal of Applied Physiology ◽

10.1139/h99-022 ◽

1999 ◽

Vol 24 (3) ◽

pp. 267-278 ◽

Cited By ~ 21

Author(s):

Peter M. Tiidus

Keyword(s):

Blood Flow ◽

Experimental Evidence ◽

Muscle Damage ◽

Muscle Blood Flow ◽

Ultrasound Treatment ◽

Physiological Factors ◽

Factors Associated ◽

Therapeutic Modalities ◽

Functional Factors ◽

Exercise Induced

Although both massage and ultrasound treatment are used in clinical settings to enhance muscle functional recovery following exercise-induced muscle damage, there is a paucity of experimental evidence for their efficacy. Theoretically both massage and ultrasound could affect some physiological factors associated with enhancement of postexercise muscle recovery. However, the actual physiological mechanisms by which massage or ultrasound could influence postexercise muscle damage and repair are unknown. Most experimental evidence suggests that massage has little influence on muscle blood flow, clearance of "noxious" substances, recovery of postexercise muscle strength, or delayed soreness sensation. However, more data is needed before conclusions can be drawn as to the ability of massage to influence postexercise inflammatory response or various other physiological changes that characterize exercise-induced muscle damage and repair. There is even less information on the ability of ultrasound to influence physiological or functional factors associated with postexercise muscle damage. The few experiments that have been done tend to be contradictory and have yet to consider the range of ultrasound treatment parameters for therapeutic effectiveness in treating postexercise damage and influencing repair processes. Much more research is needed to determine whether either treatment modality can have any therapeutic effect on exercise-induced muscle damage and recovery of postexercise muscle function. Key words: muscle repair, inflammation, muscle soreness, muscle blood flow

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Demographic, Clinical, and Functional Factors Associated With Antidepressant Use in the Home Healthcare Elderly

American Journal of Geriatric Psychiatry ◽

10.1097/jgp.0b013e318235b743 ◽

2011 ◽

Vol 19 (12) ◽

pp. 1042-1045 ◽

Cited By ~ 20

Author(s):

Judith Weissman ◽

Barnett S. Meyers ◽

Samiran Ghosh ◽

Martha L. Bruce

Keyword(s):

Home Healthcare ◽

Factors Associated ◽

Functional Factors ◽

Antidepressant Use

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Factors associated with the functional performance of older adults with type 2 Diabetes Mellitus

Research Society and Development ◽

10.33448/rsd-v9i11.10185 ◽

2020 ◽

Vol 9 (11) ◽

pp. e51391110185

Author(s):

Vanessa da Nóbrega Dias ◽

Adriana Guedes Carlos ◽

Alice Fernandes de Lemos ◽

Bartolomeu Fagundes de Lima Filho ◽

Monica Rodrigues Perracini ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Older Adults ◽

Type 2 Diabetes Mellitus ◽

Functional Impairment ◽

Functional Performance ◽

Factors Associated ◽

Type 2 Dm ◽

Functional Factors

The aim of this study was to investigated factors associated with the functional impairment of older adult patients with type 2 diabetes mellitus (type 2 DM) and identify the influence of sociodemographic, clinical, and functional factors in this population. This is an observational analytical, and cross-sectional study, which evaluated 159 individuals of both genders, aged 60 years or older. The WHODAS (World Health Organization Disability Assessment Schedule) total score was analyzed in relation to other variables of the study, using the following statistical tests: Mann-Whitney, Kruskal-Wallis, Dunn’s post hoc, Spearman correlation, and simple linear regression analysis. Significance level was set at 5% (p<0.05). In total, 12 linear regression models were generated and the latter was selected for elaborating the prediction equation and its possible interpretations. Functional impairment was associated with sociodemographic, clinical, and functional factors. Sedentary lifestyle, overweight, cognitive deficit, decreased mobility, and falls were the factors that predicted the restriction of functional performance in older adults with type 2 DM. This study assessed the relationship between sociodemographic, clinical, and functional factors concerning the functional impairment of older adults with type 2 DM, reaffirming that this disease causes negative impacts in a global way and that the association among these factors leads to a decrease in functionality and worsening of life quality in this population. The findings of this study point out the importance of preventive programs in order to promote behavioral changes that can reduce the impact of type 2 DM complications.

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