Faculty Opinions recommendation of Impact of anemia on mortality, cognition, and function in community-dwelling elderly.

The objectives of this study were to determine if older adults encounter difficulty using real-world telephone menu system applications and to gather data on the usability features of these systems. Six real-world telephone menu systems, which varied in complexity and function, were examined. The sample included 32 community dwelling adults ranging in age from 18–80 years. Participants interacted with the menu systems to perform a sample set of tasks. They were also asked to rate the usability features of the system in terms of their goodness and their relative importance. The data indicated that in addition to taking longer, the older adults tended to have more difficulty performing the tasks. The findings also indicated that memorability was an important usability feature, and that the ratings of overall usability and overall satisfaction were significantly worse for the older adults.

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Group Lifestyle Phone Maintenance for Weight, Health, and Physical Function in Adults Aged 65–80 Years: A Randomized Clinical Trial

The Journals of Gerontology Series A ◽

10.1093/gerona/glaa229 ◽

2020 ◽

Author(s):

Elizabeth M Venditti ◽

Marsha D Marcus ◽

Rachel G Miller ◽

Vincent C Arena ◽

Susan L Greenspan ◽

...

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Weight Loss ◽

Physical Function ◽

Community Dwelling ◽

Lipid Lowering ◽

Additional Risk ◽

Management Group ◽

Registration Number ◽

And Function

Abstract Background Group lifestyle sessions with phone maintenance could improve weight, health, and function in vulnerable older adults. Methods Community-dwelling adults (N = 322) with body mass index (BMI, kg/m2) ≥27 and additional risk factors received 12 one-hour in-person behavioral weight management group sessions then were randomized to 8 half-hour telephone sessions (n = 162) or newsletter control (n = 160) from 4 to 12 months with no treatment contact thereafter. Primary outcome was 0- to 12-month weight change. Cardiometabolic, short physical performance battery (SPPB), and self-reported activity changes were assessed at 12 and 24 months. Results At baseline, the mean (SD) age was 71.2 (4.3) and BMI was 33.8 (5.1). Participants were 77% women, 13% Black, 85% retired, averaging 4 medical conditions, and taking blood pressure (67.4%) and lipid-lowering (51.6%) medications. At 12 months, a greater proportion of the phone group (66.0%) achieved ≥5% weight loss compared with newsletter control (53.2%; p = .02). Mean (95% CI) weight loss was greater for phone (−6.6 kg [−7.5, −5.8]) than newsletter (−5.1 kg [−7.2, −3.0]); p = .01. Modest lipid, glucose, and blood pressure improvements were found, but did not differ significantly between groups. Small SPPB and activity improvements were maintained at 12 and 24 months in both groups. Conclusions Brief phone contacts compared to newsletters enhanced weight loss maintenance among older high-risk adults at 1 year, but not cardiometabolic outcomes. Modest functional improvements were observed in both. Lower-intensity maintenance contacts (phone or newsletter) for weight, health, and physical function in older adults warrant further study. Clinical Trials Registration Number NCT03192475

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Does The Timed Up And Go Test Reflect Physical Activity And Function In Community Dwelling Older Adults? Results From The SENIOR Project

Medicine & Science in Sports & Exercise ◽

10.1097/00005768-200505001-01316 ◽

2005 ◽

Vol 37 (Supplement) ◽

pp. S257

Author(s):

Carol E. Garber ◽

Deborah Riebe ◽

Mary L. Greaney ◽

Patricia M. Burbank ◽

Faith D. Lees ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Community Dwelling ◽

Timed Up And Go ◽

Senior Project ◽

And Function ◽

Community Dwelling Older Adults

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Digestive Symptoms in Older Adults: Prevalence and Associations with Institutionalization and Mortality

Canadian Journal of Gastroenterology ◽

10.1155/2012/324602 ◽

2012 ◽

Vol 26 (12) ◽

pp. 881-884 ◽

Cited By ~ 9

Author(s):

Turki AlAmeel ◽

Mohammed Basheikh ◽

Melissa K Andrew

Keyword(s):

Older Adults ◽

Secondary Analysis ◽

Community Dwelling ◽

Increased Risk ◽

Reported Health ◽

And Function ◽

Self Assessed Health ◽

Cognition Impairment ◽

Community Dwelling Older Adults

BACKGROUND: Digestive symptoms are common in adults. However, little is known about their prevalence in older adults and the association of digestive symptoms with institutionalization and mortality in community-dwelling older adults.OBJECTIVE: To determine the prevalence of digestive symptoms among older adults in Canada and whether they are associated with increased risk of institutionalization and mortality, independent of the effect of potential confounders.METHODS: The present study was a secondary analysis of data collected from community-dwelling participants 65 years of age and older in the Canadian Study of Health and Aging. Measures incuded age, sex, presence of digestive symptoms, cognition, impairment in activities of daily living (ADL) and self-reported health. Outcome measures included death or institutionalization over the 10 years of follow-up.RESULTS: Digestive symptoms were found in 2288 (25.6%) of the 8949 subjects. Those with digestive symptoms were older, with a mean difference in age of six months (P=0.007). Digestive symptoms were more common among women (28.4%) than men (20.3%), among individuals with poor self-reported health and those with an increased number of impairments in their ADLs (P<0.001). The presence of digestive symptoms was associated with higher mortality (HR 1.15 [95% CI 1.05 to 1.25] adjusted for age, sex, cognitive function and ADL impairment); however, this association was not statistically significant after adjusting for self-reported health.CONCLUSION: Although digestive symptoms were associated with increased mortality independent of age and sex, cognition and function, this association was largely explained by poor self-assessed health. Digestive symptoms were not associated with institutionalization

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Individuals with the Dominant Hand Affected following Stroke Demonstrate Less Impairment Than Those with the Nondominant Hand Affected

Neurorehabilitation and Neural Repair ◽

10.1177/1545968305284528 ◽

2006 ◽

Vol 20 (3) ◽

pp. 380-389 ◽

Cited By ~ 60

Author(s):

Jocelyn E. Harris ◽

Janice J. Eng

Keyword(s):

Brief Pain Inventory ◽

Chronic Stroke ◽

Community Dwelling ◽

Dominant Hand ◽

Nondominant Hand ◽

Dependent Variables ◽

Upper Extremity Impairment ◽

And Function ◽

Function Models ◽

Analysis Models

Objective. The purpose was to determine if upper extremity impairment and function in individuals with chronic stroke is dependent upon whether the dominant or non-dominant hand is affected. Methods. Ninety-three community-dwelling individuals with stroke. The Modified Ashworth Scale (tone), handheld dynamometry (isometric strength), monofilaments (sensation), Brief Pain Inventory (pain), Chedoke Arm and Hand Activity Inventory Motor Activity Log (paretic arm use), and Reintegration to Normal Living Index (participation) were used to form impairment and function models. Results. Multivariate analysis models (Dominance × Severity) were created for impairment and function variables. There was a significant interaction and main effect of Dominance for the impairment model ( P = 0.01) but not the function model ( P = 0.75). The dependent variables of tone, grip strength, and pain were all significantly affected by Dominance, indicating less impairment if the dominant hand was affected. All dependent variables except pain were affected by Severity. Conclusion. This study looked at the effect of the dominant hand being affected versus the nondominant in individuals with chronic stroke. Individuals with the dominant hand affected demonstrated less impairment than those with the nondominant hand affected. However, there was no effect of dominance on paretic arm use or performance in activities of daily living. Prospective studies to further explore the issue of hand dominance and poststroke function are suggested.

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Prospective associations of low muscle mass and function with 10-year falls risk, incident fracture and mortality in community-dwelling older adults

The journal of nutrition health & aging ◽

10.1007/s12603-016-0843-6 ◽

2016 ◽

Vol 21 (7) ◽

pp. 843-848 ◽

Cited By ~ 42

Author(s):

S. Balogun ◽

T. Winzenberg ◽

K. Wills ◽

D. Scott ◽

G. Jones ◽

...

Keyword(s):

Older Adults ◽

Muscle Mass ◽

Community Dwelling ◽

Falls Risk ◽

Incident Fracture ◽

And Function ◽

Community Dwelling Older Adults

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Association of Physical Activity, Muscle Mass, Strength, and Function to Quality of Life in Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.601 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 185-186

Author(s):

Murad Taani ◽

Chi Cho ◽

Julie Ellis

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Older Adults ◽

Muscle Mass ◽

Handgrip Strength ◽

Community Dwelling ◽

Steps Per Day ◽

Mental Hrqol ◽

And Function

Abstract Physical inactivity and loss of muscle mass, strength, and function are associated with negative outcomes including disability and a decline in health-related quality of life (HRQoL) among older adults. Older adults living in continuing care retirement communities (CCRCs) are at greater risk for declining physical activity and muscle outcomes compared to community-dwelling older adults. Few researchers studying the association of muscle and physical activity have examined the distinction between physical and mental HRQoL. Understanding the differential association of physical and mental HRQoL to physical activity and muscle outcomes can inform the development of useful interventions. The aim of this study was to examine the relationships between physical activity, muscle mass, strength, function and physical and mental HRQoL. Using a descriptive, correlational design, 105 older adults living in CCRCs were recruited. Light physical activity (LPA), moderate physical activity (MPA), sedentary behavior, and steps per day were assessed using ActiGraph GT3X. Appendicular skeletal muscle mass (ASMM) was assessed with bioelectrical impedance spectroscopy, handgrip strength with JAMAR Smart Hand Dynamometer, muscle function with the Short Physical Performance Battery (SPPB) test, and physical and mental HRQoL with the SF-36 questionnaire. The mean age of participants was 83 (SD=7.4). Using multiple regression models adjusted for sex and age, steps per day and SPPB score explained 38.4 % of the variance in physical HRQoL. Handgrip strength explained 8 % of the variance in mental HRQoL. These findings suggest that QoL improvement programs should include components to improve physical activity, muscle strength and function.

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Faculty Opinions recommendation of Radiographic hand osteoarthritis: patterns and associations with hand pain and function in a community-dwelling sample.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1168163.630301 ◽

2009 ◽

Author(s):

Joanne Jordan ◽

Amanda Nelson

Keyword(s):

Community Dwelling ◽

Hand Osteoarthritis ◽

Hand Pain ◽

And Function

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Gender, Success, and Drop-Out during a Resistance Exercise Program in Community Dwelling Old Adults

Journal of Aging Research ◽

10.1155/2017/5841083 ◽

2017 ◽

Vol 2017 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

O. G. Geirsdottir ◽

M. Chang ◽

K. Briem ◽

P. V. Jonsson ◽

I. Thorsdottir ◽

...

Keyword(s):

Resistance Exercise ◽

Physical Function ◽

Exercise Program ◽

Community Dwelling ◽

Drop Out ◽

Physically Active ◽

Men And Women ◽

Program Outcome ◽

Relative Gains ◽

And Function

Background. Resistance exercise training can be effective against sarcopenia. We identified predictors of drop-out and compared physical outcomes between men and women after such training.Methods. Subjects (N=236,73.7±5.7years) participated in a 12-week resistance exercise program. Outcome variables were measured at baseline and endpoint.Results. Drop-out was 11.9% and not significantly different between genders. Drop-outs were significantly older and had poorer strength and physical function in comparison to completers. Anthropometrics, QoL, and cognitive function were not related to drop-out. According to multivariate analysis, gait speed and physical activity were the strongest predictors of drop-out. After the training, gains in lean mass or appendicular muscle were significantly higher in men than women; however relative gains in appendicular muscle as well as absolute improvements in strength and function were similar in men and women, respectively.Conclusions. Participants who drop out are older, have poorer physical function, and are less physically active. Old women do not drop out more frequently than men and show meaningful improvements in relevant outcomes similar to men after such a training program. The trial is registered at the US National Library of Medicine (NCT01074879).

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