scholarly journals Universal design and accessibility: an approach of the influence of muscle strength loss in the risk of falls in the elderly

Work ◽  
2012 ◽  
Vol 41 ◽  
pp. 374-379 ◽  
Author(s):  
P. Reis ◽  
A. Moro ◽  
V. Bins Ely ◽  
C. Fernandes ◽  
J. Vilagra ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Universal Design ◽  
Strength Loss ◽  
The Elderly ◽  
Risk Of Falls

Correlation between sarcopenia and atherosclerosis/cardiovascular risk factors in the elderly

2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
A Sousa-Coelho ◽  
M Botelho ◽  
C Guerreiro ◽  
S Pais
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Muscle Strength ◽  
Total Cholesterol ◽  
Muscle Function ◽  
Hdl Cholesterol ◽  
The Elderly ◽  
Cholesterol Ratio ◽  
Cholesterol Levels ◽  
Risk Of Falls

Abstract Introduction Sarcopenia is the age-related loss of skeletal muscle mass, strength and function. Uncontrolled diabetes, obesity, chronic inflammation and lipid abnormalities, cause decreases in muscle strength, which contributes to disease-related morbidity. Objectives The main goal of this study was to correlate the prevalence of sarcopenia with atherosclerosis and cardiovascular risk factors, mainly estimated by cholesterol, triglycerides, C-reactive protein (CRP) and HbA1c levels, in the elderly. Methodology A quantitative observational cross-sectional study was performed in a convenience sample of individuals aged over 60 years old recruited non-randomly. Main study variables were body composition (seca® mBCA515), muscle strength (peak torque, Humac NORM isokinetic dynamometer), risk of falls (TUG test), muscle function (LEFS) and lipids, inflammation and glycaemic profile (cobas b101-Roche®). Results Total cholesterol levels fully correlated with LDL and non-HDL cholesterol, and partially with triglycerides, but not with HDL-cholesterol levels, HbA1c, or BMI. LDL-cholesterol levels did not correlate with muscle mass (free-fat mass (%)), strength, function, or risk of falls. Similarly, HDL-cholesterol levels did not correlate with muscle function or falls risk. Cholesterol ratio, obtained by dividing total cholesterol by HDL-cholesterol levels, was significantly higher in individuals with CRP levels above 3 mg/L. Interestingly, when compared to normal values, individuals with triglycerides above 150 mg/dL showed a statistically significant decrease in muscle strength. Conclusion From the biochemical measured parameters, our data showed that only high triglycerides levels positively correlated with sarcopenia risk, demonstrated by reduced muscle strength. While cholesterol ratio positively correlated with increased inflammation, blood cholesterol levels seem to be independent factors regarding sarcopenia prevalence.

scholarly journals Physical Exercise to Improve the Balance of the Elderly with the Risk of Falling: a Literature Review

2019 ◽  
Vol 8 (2) ◽  
pp. 108-116
Author(s):  
Dwi Nur Anggraeni ◽  
Arlina Dewi
Keyword(s):  
Muscle Strength ◽  
Literature Review ◽  
Physical Exercise ◽  
Physical Training ◽  
Elderly Women ◽  
The Elderly ◽  
Inclusion Criteria ◽  
Risk Of Falling ◽  
Body Balance ◽  
Risk Of Falls

Most falling occurs in the elderly because of the decrease of balance and muscle strength. Physical training for elderly needs to conduct to enhance physical fitness of the elderly and it can reduce the risk of falls by increasing muscle strength by increasing body balance in the elderly. The aim of this research is to find out the effectiveness of physical exercise to improve balance in the elderly. Method to collect database is conducted in Google Scholar and Pubmed to find literature. Literature used was literature that required the inclusion criteria published in the last three years, then the result is chose and the review is conducted. Result: there are 6 literature to be reviewed. Based on literature review, it is found that respondents are 65-91 years old. Most respondents are elderly women. 

Unit Package Opening Design for the Elderly by Applying the Principles of Universal Design

2015 ◽  
Vol 809-810 ◽  
pp. 1263-1268 ◽  
Author(s):  
Marcin Butlewski
Keyword(s):  
Muscle Strength ◽  
Elderly People ◽  
Universal Design ◽  
The Elderly ◽  
Manual Dexterity ◽  
Biomechanical Modeling ◽  
Everyday Objects ◽  
Level Of Difficulty ◽  
High Level ◽  
Existing Data

The elderly suffer considerable discomfort due to inadequate adaptation of everyday objects to their needs. This problem will grow in the future due to demographic changes and the increasing proportion of elderly people in society. Because of weakening with age muscle strength, as well as a decline in psychomotor coordination, activities such as opening bottles or handling keys become problematic. The problem is exacerbated in particular in the case of packages which need to safeguard against leakage or unauthorized opening e.g., by children, as they must have a high level of difficulty in opening (through considerable strength or manual dexterity). In turn, due to the cohort problem existing data cannot be directly used and an apparatus for the collection of relevant data must be constructed. To solve the problem, a method of biomechanical modeling enriched with the heuristic approach in the field of developing solutions to facilitate the opening of packaging is assumed, and the development of which is grounded in the principles of universal design. The article contains a summary of the existing solutions facilitating the opening of packages as well as allowing to obtain data in this respect for the elderly. As a result, a universal design enriched with principles of solving technical conflicts is presented.

Multisensory balance training for unsteady elderly people: A scoping review

2021 ◽  
pp. 1-9
Author(s):  
In-Gyu Yoo ◽  
Ji-Hye Do
Keyword(s):  
User Satisfaction ◽  
Web Of Science ◽  
Relevant Literature ◽  
Balance Training ◽  
The Elderly ◽  
Control Group ◽  
Training Methods ◽  
Multisensory Stimulation ◽  
Multisensory Training ◽  
Risk Of Falls

BACKGROUND: Posture control involves complex reactions of dynamic and static movements, and various sensory inputs. There is evidence that exercise using multisensory stimulation is moderately effective in improving the balance of the elderly. OBJECTIVE: The main purpose of this paper was to examine the existing literature to validate the effectiveness and applicability of multisensory stimulation training. METHODS: All relevant literature published as of June 1, 2020 in four prominent databases was searched (Embase, PubMed, PsycINFO, and Web of science) using the five-stage review framework proposed by Arksey and O’Malley. RESULTS: Multisensory stimulation training was more effective when vestibular and somatosensory were combined with visual stimuli, and differences in effectiveness compared to the effectiveness of existing treatments were confirmed. However, most of the reviewed papers are compared to simple strength training, and studies that compare the effects of multisensory stimulation training by setting a control group are still lacking. CONCLUSION: Further research is required to further elucidate the training conditions and treatment environment for multisensory training for the elderly at risk of falls and to provide strategies to improve treatment methods. In addition, a study that can evaluate user satisfaction in a way that best shows the treatment effect using qualitative research methods will be needed.

scholarly journals An Approach to the Assessment of Risk of Falls in the Elderly

2007 ◽  
Vol 22 (3) ◽  
pp. 359-364 ◽  
Author(s):  
Ming HUO ◽  
Dongmei CHANG ◽  
Hitoshi MARUYAMA
Keyword(s):  
The Elderly ◽  
Risk Of Falls

HYPERTENSION IN ELDERLY:OUR CURRENT TRENDS

2021 ◽  
pp. 56-57
Author(s):  
Rohit Arora ◽  
D.K Sharma
Keyword(s):  
Blood Pressure ◽  
Elderly Patients ◽  
The Elderly ◽  
Common Disease ◽  
Old Patients ◽  
Current Trends ◽  
Increased Risk ◽  
Individualized Approach ◽  
Risk Of Falls ◽  
Optimal Target

Hypertension is a common disease in the elderly associated with signicant morbidity and mortality. Due to the complexity of this population, the optimal target of blood pressure (BP) control is still controversial. In this article, we conduct a literature review of trials published in English in the last 10 years which were specically designed to study the efcacy and safety of various BP targets in patients who are 70 years or older. Using these criteria, we found that the benets in the positive studies were demonstrated even with a minimal BPcontrol (systolic BP[SBP] <150 mmHg) and continued to be reported for a SBP<120 mmHg. On the other hand, keeping SBP<140 mmHg seemed to be safely achieved in elderly patients. Although the safety of lowering SBP to <120 mmHg is debated, Systolic Blood Pressure Intervention Trial study has shown no increased risk of falls, fractures, or kidney failure in elderly patients with SBP lower than this threshold. While the recent guidelines recommended to keep BP <130/80 mmHg in the elderly, more individualized approach should be considered to achieve this goal in order to avoid undesirable complications. Furthermore, further studies are required to evaluate BPtarget in very old patients or those with multiple comorbidities.

“ANTIAGING” EFFECTS OF EXERCISE ON BIOLOGICAL SYSTEMS: A BRIEF NARRATIVE REVIEW

2021 ◽  
Author(s):  
JÚLIO BENVENUTTI BUENO DE CAMARGO ◽  
RAFAEL SAKAI ZARONI ◽  
TIAGO VOLPI BRAZ ◽  
MOISÉS DIEGO GERMANO ◽  
JHENIPHER MONIKY ROSOLEM ◽  
...  
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Biological Tissues ◽  
Progressive Decline ◽  
Morphological Aspects ◽  
Functional Aspects ◽  
Risk Of Falls ◽  
Influence Functional ◽  
Rate Of Decline ◽  
Musculoskeletal Systems

Aging is characterized by a progressive decline in function and morphological aspects of biological tissues, with especial regards to cardiovascular and musculoskeletal systems. In this sense, exercise has been shown to strongly counteract these aging-induced detrimental effects. Endurance exercise (EE) has been shown to reduce the rate of decline of factors related to cardiorespiratory fitness. In addition, the adoption of resistance training (RT) may also induce relevant adaptations, especially related to increased muscle strength and power levels, that have shown to positively influence functional aspects as improved balance and reduced risk of falls in the elderly population. Then, the aim of the present study is to briefly review the exercise literature regarding its mechanisms that could potentially present “antiaging” effects.

Muscle strength cut-points for metabolic syndrome detection among adults and the elderly from Brazil

2021 ◽  
Vol 46 (4) ◽  
pp. 379-388
Author(s):  
Tiago Rodrigues de Lima ◽  
David Alejandro González-Chica ◽  
Eleonora D’Orsi ◽  
Xuemei Sui ◽  
Diego Augusto Santos Silva
Keyword(s):  
Metabolic Syndrome ◽  
Muscle Strength ◽  
Lifestyle Modification ◽  
Handgrip Strength ◽  
Area Under The Curve ◽  
Roc Curves ◽  
The Elderly ◽  
Youden Index ◽  
Cross Sectional ◽  
Cut Points

We aimed to determine cut-points for muscle strength based on metabolic syndrome diagnosis. This cross-sectional analysis comprised data from 2 cohorts in Brazil (EpiFloripa Adult, n = 626, 44.0 ± 11.1 years; EpiFloripa Aging, n = 365, 71.6 ± 6.1 years). Metabolic syndrome was assessed by relative handgrip strength (kgf/kg). Metabolic syndrome was defined as including ≥3 of the 5 metabolic abnormalities according to the Joint Interim Statement. Optimal cut-points from Receiver Operating Characteristic (ROC) curves were determined. Adjusted logistic regression was used to test the association between metabolic syndrome and the cut-points created. The cut-point identified for muscle strength was 1.07 kgf/kg (Youden index = 0.310; area under the curve (AUC)) = 0.693, 95% CI 0.614–0.764) for men and 0.73 kgf/kg (Youden index = 0.481; AUC = 0.768, 95% confidence interval (CI) = 0.709–0.821) for women (age group 25 to < 50 years). The best cut-points for men and women aged 50+ years were 0.99 kgf/kg (Youden index = 0.312; AUC = 0.651; 95% CI = 0.583–0.714) and 0.58 kgf/kg (Youden index = 0.378; AUC = 0.743; 95% CI = 0.696–0.786), respectively. Cut-points derived from ROC analysis have good discriminatory power for metabolic syndrome among adults aged 25 to <50 years but not for adults aged 50+ years. Novelty: First-line management recommendation for metabolic syndrome is lifestyle modification, including improvement of muscle strength. Cut-points for muscle strength levels according to sex and age range based on metabolic syndrome were created. Cut-points for muscle strength can assist in the identification of adults at risk for cardiometabolic disease.

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