scholarly journals Effects of Yangsaeng (Health Management) Therapy for Korean Older Adults in Nursing Home

2020 ◽  
Vol 17 (20) ◽  
pp. 7507
Author(s):  
Sohyune R. Sok ◽  
Seyoon Kim ◽  
Da Un Jeong ◽  
Youngmi Cho
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Nursing Home ◽  
Health Status ◽  
Nursing Homes ◽  
Physical Health ◽  
Health Management ◽  
Care Providers ◽  
Physical Health Status ◽  
Study Participants

The number of older adults admitted to nursing homes is steadily increasing, and the health management for them is a very important issue in Korean society. This study aimed to examine the effects of Yangsaeng (health management) therapy on physical health status, depression, life satisfaction, and Yangsaeng (health management) of Korean older adults in nursing homes. A quasi-experimental study design using a pretest-posttest control group was employed. Study participants were a total of 80 older adults (intervention: n = 40, control: n = 40) in a nursing home in Seoul, South Korea. Yangsaeng therapy as an intervention consisted of the Meridian therapy and Qi-gong therapy. Yangsaeng therapy was conducted for 50 min per one time, twice a week, and for 10 weeks. Measures were general characteristics of study participants, Cornell Medical Index, Geriatric Depression Scale, life satisfaction scale, and Yangsaeng scale. Data were collected from April 2018 to March 2019. There were statistically significant differences on physical health status, depression, life satisfaction, and Yangsaeng between the two groups. Yangsaeng therapy was an effective intervention for improving physical health status, life satisfaction, and Yangsaeng, and for decreasing depression of older adults in nursing homes. Health care providers need to pay attention to Yangsaeng therapy as a Korean traditional intervention method for the health management of the older adults residing in nursing homes.

scholarly journals Associations Between Heart Rate Variability Measured With a Wrist-Worn Sensor and Older Adults’ Physical Function: Observational Study

10.2196/13757 ◽  
2019 ◽  
Vol 7 (10) ◽  
pp. e13757 ◽  
Author(s):  
Sarah Anne Graham ◽  
Dilip V Jeste ◽  
Ellen E Lee ◽  
Tsung-Chin Wu ◽  
Xin Tu ◽  
...  
Keyword(s):  
Older Adults ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Health Status ◽  
Physical Health ◽  
Physical Function ◽  
Significant Proportion ◽  
Physical Health Status ◽  
Sf 36 ◽  
Composite Scores

Background Heart rate variability (HRV), or variation in beat-to-beat intervals of the heart, is a quantitative measure of autonomic regulation of the cardiovascular system. Low HRV derived from electrocardiogram (ECG) recordings is reported to be related to physical frailty in older adults. Recent advances in wearable technology offer opportunities to more easily integrate monitoring of HRV into regular clinical geriatric health assessments. However, signals obtained from ECG versus wearable photoplethysmography (PPG) devices are different, and a critical first step preceding their widespread use is to determine whether HRV metrics derived from PPG devices also relate to older adults’ physical function. Objective This study aimed to investigate associations between HRV measured with a wrist-worn PPG device, the Empatica E4 sensor, and validated clinical measures of both objective and self-reported physical function in a cohort of older adults living independently within a continuing care senior housing community. Our primary hypothesis was that lower HRV would be associated with lower physical function. In addition, we expected that HRV would explain a significant proportion of variance in measures of physical health status. Methods We evaluated 77 participants from an ongoing study of older adults aged between 65 and 95 years. The assessments encompassed a thorough examination of domains typically included in a geriatric health evaluation. We collected HRV data with the Empatica E4 device and examined bivariate correlations between HRV quantified with the triangular index (HRV TI) and 3 widely used and validated measures of physical functioning—the Short Physical Performance Battery (SPPB), Timed Up and Go (TUG), and Medical Outcomes Study Short Form 36 (SF-36) physical composite scores. We further investigated the additional predictive power of HRV TI on physical health status, as characterized by SF-36 physical composite scores and Cumulative Illness Rating Scale for Geriatrics (CIRS-G) scores, using generalized estimating equation regression analyses with backward elimination. Results We observed significant associations of HRV TI with SPPB (n=52; Spearman ρ=0.41; P=.003), TUG (n=51; ρ=−0.40; P=.004), SF-36 physical composite scores (n=49; ρ=0.37; P=.009), and CIRS-G scores (n=52, ρ=−0.43; P=.001). In addition, the HRV TI explained a significant proportion of variance in SF-36 physical composite scores (R2=0.28 vs 0.11 without HRV) and CIRS-G scores (R2=0.33 vs 0.17 without HRV). Conclusions The HRV TI measured with a relatively novel wrist-worn PPG device was related to both objective (SPPB and TUG) and self-reported (SF-36 physical composite) measures of physical function. In addition, the HRV TI explained additional variance in self-reported physical function and cumulative illness severity beyond traditionally measured aspects of physical health. Future steps include longitudinal tracking of changes in both HRV and physical function, which will add important insights regarding the predictive value of HRV as a biomarker of physical health in older adults.

scholarly journals Physical Health Status of Emergency Care Providers in South Africa

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Solomon Mthombeni ◽  
Yoga Coopoo ◽  
Habib Noorbhai
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Health Status ◽  
Physical Health ◽  
Body Mass ◽  
Emergency Care ◽  
Exercise Stress ◽  
Care Providers ◽  
Physical Health Status ◽  
Males And Females

Background: Emergency care providers (ECPs) have a physically, mentally, and emotionally demanding profession. Therefore, they are predisposed to cardiovascular and other non-communicable disease risk factors. Objectives: The objective of the study was to determine the physical health status of ECPs in the North West province of South Africa through a selected anthropometric and other health parameter test battery. Methods: Ninety-one ECPs (64 males, 27 females) took part in the study voluntarily for health screening tests including body mass index (BMI), lean body mass (LBM), resting heart rate (RHR), blood pressure (BP), skinfold measurement, waist circumference (WC), waist-to-hip ratio (WHR), fasting blood glucose (FBG), and total cholesterol (TC). The collected data were subjected to statistical analysis using the Statistical Package for Social Sciences (SPSS) version 25 (IBM). Results: The participants demonstrated a mean BMI of 28.2 ± 5.5 kg/m2, body fat of 26 ± 7.6 %, and LBM of 58.6 ± 10 kg. Significant differences were seen in height (170.5 ± 6.2 vs. 160.7 ± 5.3 cm), BF% (22.5 ± 5.3 vs. 34.2 ± 6.2 %), and LBM (62.3 ± 8 vs. 49.2 ± 8.2 kg) between males and females (P ≤ 0.05). Mean systolic BP was 122 ± 15 mmHg, and diastolic BP was 81 ± 10 mmHg. Mean WC was 90.8 ± 11.4 cm. Other health parameters included mean FBG of 5.1 ± 2.4 mmol/L and mean TC of 4.9 ± 0.7 mmol/L. Significant differences were seen in WHR (0.88 ± 0.04 vs. 0.79 ± 0.06) between males and females (P ≤ 0.05). Conclusions: A significant number of ECPs presented with cardiovascular and other NCD risk factors such as hypertension, obesity, high WC, elevated FBG, and abnormal levels of TC. This can be attributed to the nature of their occupation such as working irregular shifts leading to sleep deprivation, being exposed to psychological trauma, poor nutrition during shifts, and/or lack of exercise. Stress management is an important part of these workers’ rehabilitation program. A well-formulated employee wellness program is required to set remedial measures in place.

scholarly journals Physical Health Status and Frailty Index in Community Dwelling Older Adults in Tehran

Salmand ◽  
2019 ◽  
pp. 652-665
Author(s):  
Sima Ghasemi ◽  
Nastaran Keshavarz Mohammadi ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
Ali Ramezankhani ◽  
Yadollah Mehrabi
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Physical Health ◽  
Frailty Index ◽  
Community Dwelling ◽  
Physical Health Status ◽  
Community Dwelling Older Adults

Factors Affecting Life Satisfaction of Older Adults in Turkey

2017 ◽  
Vol 87 (4) ◽  
pp. 392-414 ◽  
Author(s):  
Sevilay S. Celik ◽  
Yusuf Celik ◽  
Neset Hikmet ◽  
Mahmud M. Khan
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Health Status ◽  
Physical Health ◽  
Education Level ◽  
Factors Affecting ◽  
Economic Issues ◽  
Reported Health ◽  
Household Activities ◽  
Self Reported Health Status

This study aimed to examine the determinants of life satisfaction of older adults in Turkey. The sample consisted of 2,959 older adults over 65 years. The effects of psychological, daily life and instrumental activity, physical health and health status, and other important variables on life satisfaction were analyzed. The variables lessening life satisfaction for older adults included poverty, a lower self-reported health status, a decline in physical health, ability to chew, ability to do household activities, and an increase in feelings of depression and feeling social withdrawn. In contrast, being married, having a higher education level, and having an income-generating work increased life satisfaction among older adults. This study suggests the necessity of developing local and national policies that enable older adults to become more active in their communities. These policies should be coordinated under the framework of national aging policies that bridge health, social, and economic issues.

Health Literacy, Physical and Mental Health, and Activities of Daily Living Among Older Chinese Adults in Nursing Homes

2018 ◽  
Vol 30 (6) ◽  
pp. 592-599 ◽  
Author(s):  
Yong-Bing Liu ◽  
Ling-Ling Xue ◽  
Hui-Ping Xue ◽  
Ping Hou
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Health Literacy ◽  
Physical Health ◽  
Daily Living ◽  
Health Management ◽  
Short Form ◽  
Cluster Sampling ◽  
Physical And Mental Health

It is very important to estimate the prevalence of inadequate health literacy and determine whether or not health literacy level differences predict the physical and mental health status of older adults. A cluster sampling method was selected. A total of 1396 older adults were interviewed. Three instruments were included: the Chinese Citizen Health Literacy Questionnaire, Short Form 36, and Activity of Daily Living (ADL) Scale. The health literacy scores were very low (71.74 ± 28.35). The physical and mental health scores were all moderate. The ADLs was ⩾22, which suggests that the ADLs of older adults were poor. The major influencing factors of physical health include health literacy, ADL, alcohol consumption, household income, marital status, and former occupation. The major factors influencing mental health included ADL, former occupation, age, and smoking. Health literacy was associated with physical health, but was not associated with mental health. Improving health literacy could increase health management and health status of older adults.

scholarly journals Health behaviours and mental and physical health status in older adults with a history of homelessness: a cross-sectional population-based study in England

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028003
Author(s):  
Lee Smith ◽  
Nicola Veronese ◽  
Guillermo Felipe López-Sánchez ◽  
Eloise Moller ◽  
James Johnstone ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Health Status ◽  
Physical Health ◽  
Health Behaviours ◽  
Physical Health Status ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Mental And Physical Health

ObjectivesThis study compared (1) levels of engagement in lifestyle risk behaviours and (2) mental and physical health status in individuals who have previously been homeless to those of individuals who have not.DesignCross-sectional.ParticipantsData were from participants (n=6931) of the English Longitudinal Study of Ageing.MeasuresParticipants reported whether they had ever been homeless. We used regression models to analyse associations between homelessness and (1) cigarette smoking, daily alcohol consumption and physical inactivity, adjusting for sociodemographic covariates (age, sex, ethnicity, highest level of education, marital status and household non-pension wealth) and (2) self-rated health, limiting long-standing illness, depressive symptoms, life satisfaction, quality of life and loneliness, adjusting for sociodemographics and health behaviours.Results104 participants (1.5%) reported having been homeless. Individuals who had been homeless were significantly more likely to be physically inactive (OR 1.62, 95% CI 1.44 to 2.52), report fair/bad/very bad self-rated health (OR 1.75, 95% CI 1.07 to 2.86), have a limiting long-standing illness (OR 2.66, 95% CI 1.65 to 4.30) and be depressed (OR 3.06, 95% CI 1.85 to 5.05) and scored lower on measures of life satisfaction (17.34 vs 19.96, p<0.001) and quality of life (39.02 vs 41.21, p=0.013). Rates of smoking (20.2% vs 15.4%, p=0.436), daily drinking (27.6% vs 22.8%, p=0.385) and loneliness (27.1% vs 21.0%, p=0.080) were also elevated.ConclusionsThose who were once homeless have poorer mental and physical health outcomes and are more likely to be physically inactive. Interventions to improve their health and quality of life are required.

Physical health status of older adults with severe mental illness: The PH i SMI ‐E cohort study

2018 ◽  
Vol 28 (2) ◽  
pp. 457-467 ◽  
Author(s):  
Noortje Houben ◽  
Eveline P.C.J. Janssen ◽  
Marike R.C. Hendriks ◽  
Digna Kellen ◽  
Bas P.J. Alphen ◽  
...  
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Cohort Study ◽  
Health Status ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Physical Health Status
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