scholarly journals Functional Autonomy Evaluation Levels in Middle-Aged and Older Spanish Women: On Behalf of the Healthy-Age Network

2020 ◽  
Vol 12 (21) ◽  
pp. 9208
Author(s):  
Pablo Jorge Marcos-Pardo ◽  
Noelia González-Gálvez ◽  
Raquel Vaquero-Cristóbal ◽  
Gemma María Gea-García ◽  
Abraham López-Vivancos ◽  
...  

Aging is associated with a progressive loss of functional capacity that affects the health and quality of life of middle-aged and older people. The purpose of this study was to report functional autonomy evaluation levels in middle-aged and older women in the Spanish context. A total of 709 middle-aged and older women, between 50 and 90 years old, were selected to participate in the study. The sample was divided by age category every five years. The functional autonomy levels were determined by the Latin American Group for Maturity (GDLAM) protocol and we developed a classification pattern for middle-aged and older women living in Spain. The GDLAM Index (GI) was then calculated to assess functional autonomy. The classification of the tests and the GI followed the percentile rank (P) Very Good (p < 0.15), Good (p 0.16–p 0.50), Regular (p 0.51–p 0.85), and Poor (p > 0.85). It was considered that the lower the value found for the percentile, the better the result. The GDLAM protocol showed strong reliability with intraclass correlation coefficient (ICC) values greater than 0.92 in all tests. It is observed that all variables of the GDLAM protocol presented a positive and significant correlation with age (p < 0.001). The Roc Curve showed that GI values higher than 26 (CI95% = 0.97–1.00; p < 0.001) and 32 (CI95% = 0.98–1.00; p < 0.001) for middle-aged and elderly women, respectively, can predict and indicate low functional autonomy. The normative values hereby provided will enable evaluation and adequate interpretation of Spanish middle-aged and older women’s functional autonomy.

2018 ◽  
Vol 24 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Frank Shiguemitsu Suzuki ◽  
Alexandre Lopes Evangelista ◽  
Cauê Vazquez La Scala Teixeira ◽  
Marcos Rodolfo Ramos Paunksnis ◽  
Roberta Luksevicius Rica ◽  
...  

ABSTRACT Introduction: Aging is inevitable and irreversible, but with the advancement of technology, life expectancy is increasing every year, bringing proposals for various interventions to improve the quality of life. One such intervention is physical exercise programs. Objectives: To investigate the impact of multicomponent training in circuits on functional autonomy parameters in elderly women. Methods: Elderly were recruited and distributed in two groups: trained (N = 16) and non-trained (N = 15). Those in the trained group performed 75-minute training sessions twice a week over a 56-week period. The resistance training included upper and lower limbs with a relative intensity of 70% of 1RM, exercises using body weight, stretching and specific tasks for agility, performed in a circuit form and totaling three passages. Participants underwent functional autonomy (FA) assessment by the protocol of the Latin American Developmental Group for Maturity, the 6-minute walk test (T6M), and the sit-and-reach (SR) test. Results: The trained group had a significant decrease in body weight (p=0.02) and body mass index (p=0.015). Significant improvements (p=0,009) were also observed in FA, SR, and T6M after the intervention Compared with the untrained group, the trained group also obtained significant differences in all functional parameters analyzed. Conclusion: A long-term multicomponent training program conducted on a circuit and applied twice a week was enough to improve multiple components of the functional autonomy of elderly women. Level of Evidence II; Prognostic studies - Investigating the effect of a patient characteristic on the outcome of disease.


Author(s):  
Degilvânia Ferreira dos Santos ◽  
Micheli Lopes Diniz ◽  
Glêbia Alexa Cardoso ◽  
Danielli Braga de Mello ◽  
Rodrigo Gomes de Souza Vale ◽  
...  

Introdução: Estudos têm sido desenvolvidos de modo a contribuir para a melhoria da qualidade de vida na terceira idade e um dos aspectos a essa relacionados é a autonomia funcional, que pode ser beneficiada pela prática de atividade física.Objetivo: Comparar a autonomia funcional de idosas fisicamente a tivas e insuficientemente ativas de uma cidade centro sul cearense.Métodos: Estudo observacional, do tipo seccional, para o qual foram convidadas a participar mulheres idosas (>60 anos de idade), aleatoriamente, em diversos locais da cidade de Iguatu-CE. A autonomia funcional foi avaliada por meio do protocolo de autonomia GDLAM.Resultados: Participaram 30 mulheres idosas (60 a 83 anos) foram divididas em dois grupos: G1 (n=15) composto de praticantes de exercícios físicos (66 ± 5,01 anos)  e G2 (n=15)  de  mulheres insuficientemente ativas (67 ± 6,17 anos). A única diferença entre os grupos G1 e G2 foi no teste de vestir e tirar uma camiseta (14,19 ± 4,13s vs 18,24 ± 12,51s). Os valores dos dois grupos ficaram bem próximos.  O G1 demostrou um melhor desempenho, com um resultado bom, e o G2 demorou na execução das atividades, com um resultado regular.Conclusão: Mulheres idosas praticantes de exercícios físicos apresentaram maior autonomia funcional significativa no teste de vestir e tirar a camiseta quando comparada a mulheres insuficientemente ativas, demonstrando que a prática de exercício físico pode contribuir para maior autonomia. Functional Autonomy of Elderly Physically Active and Insufficiently Active Elderly Women in a City in the Cearense Middle South: A Cross-Sectional StudyIntroduction: Studies have been developed in order to contribute to the improvement of quality of life in the third age. One of the aspects related to it is the functional autonomy, which physical activity can benefit.Objective: To compare the functional autonomy of  physical active and insufficiently active elderly women in a city center at south of Ceará.Methods: This was a cross-sectional, observational study. In several locations in the city of Iguatu-CE, elderly women (> 60 years of age) were randomly invited to participate. The functional autonomy was evaluated through the GDLAM autonomy protocol.Results: Thirty elderly women (60 to 83 years) were divided into two groups: G1 (n = 15) composed of physical exercise practitioners (66 ± 5.01 years) and G2 (n = 15) of insufficiently active women ( 67 ± 6.17 years). The only difference between groups G1 and G2 was in the in the dressing and undressing a T-shirt test (14.19 ± 4.13s vs 18.24 ± 12.51s). The values of the two groups were very close. The G1 showed a better performance with a good result, and the G2 took a long time to complete the activities, with a regular result.Conclusion: Older women practicing physical exercise presented significant higher functional autonomy in the dressing and undressing a T-shirt test when compared to insufficiently active women, demonstrating that the practice of physical exercise can contribute to greater autonomy. 


2011 ◽  
Vol 4 (7) ◽  
pp. 262-266 ◽  
Author(s):  
Estélio H m dantas ◽  
◽  
Helena A Figueira ◽  
Rogério F Emygdio ◽  
Rodrigo G S Vale

Author(s):  
Laís Campos De Oliveira ◽  
Deise Aparecida De Almeida Pires-Oliveira ◽  
Rafaela Claudia Alves Do Prado ◽  
Danielle Pereira D’avanso De Oliveira ◽  
Tiago Del Antônio ◽  
...  

Introduction: The Pilates method has become popular as a form of exercise, with good acceptance among the elderly, however, some variables need to be further explored, as the functional autonomy and postural balance. Objective: An objective of this study was to verify the effects of the Pilates method, based on the functional autonomy and postural balance in elderly women. Method: We recruited 24 volunteers who were randomly divided into two groups: experimental group (GE) who performed Pilates (n=12); Control Group (CG) who performed exercise static stretching (n=12). Both had a frequency of twice a week for eight weeks. The evaluations consisted of a battery of tests for functional autonomy of the elderly, the Group of Latin-American Development to the Maturity (GDLAM) protocol, six-minute walk test and static postural balance on a force platform. Results: The results showed significant results for GE in two tests of functional autonomy and the overall rate of functional autonomy (p<0.05). Differences for the other tests were not found. Conclusions: The intervention protocol with Pilates, allowed the improvement of functional autonomy in elderly women, not having an effect on the six-minute walk test and the postural balance.


2015 ◽  
Vol 28 (1) ◽  
pp. 49-59 ◽  
Author(s):  
Bruno Lucas Gonçalves ◽  
Fernando Silva Guimarães ◽  
Marcel Lima Lessa de Souza ◽  
Arthur de Sá Ferreira ◽  
Míriam Raquel Meira Mainenti

Introduction Decrease in muscle mass and increase in body fat are important changes that occur with aging. Strength decline and worse resistance to fatigue can lead to a decreased functional autonomy of the elderly. Objective The present study aimed to verify the existence of a relationship between body composition, muscle strength, lower limbs fatigue and functional autonomy in active elderly women. Materials and methods The sample consisted of 29 elderly women with a mean age of 68.2 (± 7.3) years. Body composition was analyzed by total and segmental bioelectrical impedance. Muscle fatigue was assessed using electromyography, through the analysis of median frequency and root mean square during a 60-second sustained isometric knee extension contraction, at 50% of the maximum voluntary isometric contraction. Functional autonomy was assessed by using the Latin American Development Group for Maturity (GDLAM) protocol. Results There were significant correlations between height and strength (r = 0.49), age and lean body mass (r = -0.42), body fat percentage (BF%) and GDLAM tests (r = 0.39-0.41). The lean body mass was positively correlated with strength (r = 0.55), but not with resistance to fatigue. Conclusion The lean body mass of the analyzed sample was found to be associated with the performance on the maximum strength test, but not with the performance on the resistance to fatigue test. This shows that these two parameters (strength and fatigue) are independent of one another. Elderly women with higher BF% showed worse performance on the GDLAM tests. This evidences that individuals with high adiposity levels tend to have a more limited functional autonomy.


2018 ◽  
Vol 1 (4) ◽  
Author(s):  
Xiujuan Chen ◽  
Jingjing Tan

Objective This study will conduct a functional action screening (FMS) test for middle-aged and older women who participate in square dances, and explore the influence of square dance exercise on the screening results of middle-aged and older women, and provide reference for women's square dance exercise. Methods Experimental method: A 12-week weekly square dance exercise was conducted on middle-aged and elderly women who participated in the square dance exercise. The functional action screening results of the experimental subjects before and after the experiment were tested and compared. Results 3.1   Functional screening results of middle-aged and older women before exercise The average functional screening results of middle-aged and older women before exercise were 13.70±2.518. The shoulder flexibility score of middle-aged and old women was 2.55±0.711, the average score of leg flexibility was 2.55±0.506, and the average score of trunk stability of middle-aged and old women was 1.79±0.485, and the rotational stability was 1.70±0.529. The scores of the front and rear leg squatting modes were 1.58±0.663, the scores of the hurdles were 1.97±0.305, and the scores of the squatting mode were 1.76±0.792. 3.2  Changes in functional action screening results of middle-aged and elderly women after the experiment After exercise, the squat action mode score was 1.39±1.088, the hurdle step action mode score was 2.30±0.529, the front and rear leg squat action mode was 1.82±0.769, and the shoulder flexibility was 2.36±0.895. The knee lift leg score was 2.36±0.549, the trunk stability score was 1.52±0.870, the rotational stability score was 1.88±0.415, and the total score was 13.67±2.847. 3.3   Comparison of screening results before and after exercise After the experiment, the total scores of FMS test indicators, shoulder flexibility, trunk stability, rotational stability, squat movement mode and front and rear leg squat mode were not significantly changed (P = 0.951, 0.311, 0.119, 0.056, 0.070 and 0.118 respectively). The hurdle step movement mode was significantly improved, and the mean increased from 1.97 to 2.30 points (p<0.01). Conclusions 4.1 The functional quality of middle-aged and older women who participate in square dance exercises is generally not high. 4.2 Once a week, 2 hours of 12-week square dance exercise can effectively improve the walking movement mode of middle-aged and older women. 4.3 Once a week, 2 hours of 12-week square dance exercise can not effectively improve the upper and lower limb flexibility, core stability and squat and front and rear leg movement modes of middle-aged and older women. 4.4   Middle-aged and older women who participate in square dance exercise need to add functional training in a targeted manner, instead of relying solely on square dance.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Noriko Kudo ◽  
Ritsuko Nishide ◽  
Mayumi Mizutani ◽  
Shota Ogawa ◽  
Susumu Tanimura

Abstract Background Physical activity is reported to prevent metabolic syndrome. However, it is unclear whether exercise or daily physical activity is more beneficial for residents of semi-mountainous areas. This study aimed to identify whether daily physical activity is more beneficial than exercise for the prevention of metabolic syndrome among middle-aged and older residents in semi-mountainous areas. Methods We analyzed secondary data of 636 people who underwent a specific health checkup in a semi-mountainous area of Japan. Physical activity was classified into four types: inactivity (I-type; without exercise and without daily physical activity), only exercise (E-type; with exercise and without daily physical activity), only daily physical activity (D-type; without exercise and with daily physical activity), and full physical activity type (F-type; with exercise and with daily physical activity). We compared the means of risk factors for metabolic syndrome by these four types, followed by logistic regression analysis, to identify whether and to what extent the D-type was less likely to have metabolic syndrome than the E-type. Results The prevalence of metabolic syndrome was 28.5% (men 45.7%, women 15.8%). The proportions of men with exercise and daily physical activity were 38.7% and 52.8%, respectively. For women, the proportions were 33.0% and 47.1%, respectively. In women, the D-type had the significantly lowest BMI, smallest waist circumference, highest HDL-C, and lowest prevalence of metabolic syndrome of the four types; the same was not observed in men. Additionally, D-type activity was more strongly associated with a reduced risk of metabolic syndrome than E-type activity in women (adjusted odds ratio 0.24; 95% confidence interval 0.06–0.85, P = 0.028). Conclusions Compared to middle-aged and older women residents with exercise in a semi-mountainous area of Japan, those with daily physical activity may effectively prevent metabolic syndrome.


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