scholarly journals Quality of life and physical activity among older adults living in institutions compared to the community

2017 ◽  
Vol 73 (1) ◽  
Author(s):  
Lesego M. Ramocha ◽  
Quinette A. Louw ◽  
Muziwakhe D. Tshabalala

Background: The environment of older adults plays an important role in their well-being. It influences their quality of life and physical activity level. In South Africa, there is a dearth of literature concerning this issue.Methods: An analytic cross-sectional sample of 80 older adults living in old age homes and the community was compared in terms of level of physical activity and quality of life. The study was conducted in Soweto, Johannesburg. A computer-generated random sample of older adults aged 60 years and above participated. The Physical Activity Scale for the Elderly (PASE) and RAND 36 questionnaires were used for data collection. Descriptive statistics were used to describe the sample. Unpaired t-tests, Pearson’s correlation coefficient and chi-squared test explored the differences and associations between institutionalised and community living older adults.Results: Quality of life in old age home dwellers (M = 68.53 ± 19.55) was significantly lower (p = 0.025) than in community dwellers (M = 77.74 ± 16.25). The mean physical activity score was also significantly (p = 0.000) lower in old age home dwellers (M = 20.18 ± 24.52) compared with community dwellers (M = 190.31 ± 82.81).Conclusion: Older adults who live in the community have a higher quality of life and physical activity levels compared with those who live in institutions (old age homes).

2021 ◽  
Vol 13 (15) ◽  
pp. 8157
Author(s):  
Olga Molinero ◽  
Alfonso Salguero ◽  
Sara Márquez

Osteoarticular diseases are one of the effects of aging, and they are related to physical, psychological, and social functions. Physical activity seems to slow the start and progression of these kinds of illnesses and presents benefits for psychosocial health. The main aim of the study was to investigate the possible effect of physical activity level (Yale Physical Activity Survey) on quality of life (SF-36 Health Questionnaire), subjective psychological well-being (Psychological Well-being Scale), and depression levels (Geriatric Depression Scale), depending on osteoarticular illness. The sample consisted of 263 Spanish adults aged 65 to 98 years who had high or low physical activity (assessed by YPAS Questionnaire) and osteoarticular disease. Results show that physical activity influences the perceived quality of life, depression levels, and subjective well-being in older adults regardless of osteoarticular disease. The present study suggests the need for promoting physical exercise due to its proven positive impact on older adults’ mental health, entailing a significant reduction in the risks of suffering from a variety of frequent diseases and disorders.


2012 ◽  
Vol 20 (6) ◽  
pp. 1186-1195 ◽  
Author(s):  
Luciano Magalhães Vitorino ◽  
Lisiane Manganelli Girardi Paskulin ◽  
Lucila Amaral Carneiro Vianna

OBJECTIVES: to evaluate the older adults' perceptions of their quality of life (QoL) in two long-stay care facilities in Pouso Alegre and Santa Rita in Sapucaí, in the State of Minas Gerais, Brazil , and to identify the sociodemographic and health variables which interfere in this perception. METHOD: a cross-sectional epidemiological study of 77 older adults resident in institutions. The instruments used were: personal characterization; WHOQOL-bref and WHOQOL OLD. RESULT: the highest average obtained in the instruments was: the "Social Relationships" domain in the WHOQOL-bref (68%) and the "Sensory abilities" aspect in the WHOQOL-OLD (73.7%). The variables age, sex, physical activity and level of schooling have a significant correlation with the WHOQOL-bref and the variables sex and leisure have the same with the WHOQOL OLD. CONCLUSION: older adults who are younger, with higher levels of schooling and who undertake physical and leisure activity have, on average, better perceptions of their QoL. The older adults' QoL in this study had higher rates than that reported in the literature and was similar to that in the community. The results suggest the need to train those involved with older adults in institutions so that they may develop strategies which promote the adaptation, adjustment and maintenance of QoL.


2014 ◽  
Vol 2 (3) ◽  
pp. 182-195
Author(s):  
Padilla Leticia ◽  
Ruvalcaba Carlos

Aging is a complex phenomenon and obvious, old age in Mexico is compared to disability, vulnerability, complexity and discrimination in our country's life expectancy is not very long compared to other countries. "Diet is the most important to delay or accelerate the aging process component." Aim. Determine differences in eating patterns and physical activity in older adults in El Carpio Córdoba, Spain and Guadalajara Jalisco, Mexico. Methods. A descriptive, cross-sectional comparative study in 156 elderly residents of El Carpio Córdoba Spain and Guadalajara Jalisco Mexico 156 was performed. Results. The results suggest that differences in life expectancy at birth, feeding, toxic habits and sporting aspects. The differences in patterns of diet and physical activity detected in this study in adults over. Conclusion. The Carpio Córdoba, Spain and Guadalajara Jalisco, Mexico could have transcendent meaning in the movement of life expectancy at birth, it represents in Mexico a possibility for feeding programs and physical activity for older people in order to support them in style and quality of life when young people built a legacy of experience and deserve to live longer and with better quality of life. In Spain Carpio live longer, have a higher consumption of toxic habits and do more sports activities in Guadalajara Mexico.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242942
Author(s):  
Uday Narayan Yadav ◽  
Tarka Bahadur Thapa ◽  
Sabuj Kanti Mistry ◽  
Saruna Ghimire ◽  
Krishna Kumar Yadav ◽  
...  

Background The ageing population in most low-and middle-income countries is accompanied by an increased risk of non-communicable diseases culminating in a poor quality of life (QOL). However, the factors accelerating this poor QOL have not been fully examined in Nepal. Therefore, this study examined the factors associated with the QOL of older adults residing in the rural setting of Nepal. Methods Data from a previous cross-sectional study conducted among older adults between January and April 2018 in in rural Nepal was used in this study. The analytical sample included 794 older adults aged ≥60 years, selected by a multi-stage cluster sampling approach. QOL was measured using the Older People’s Quality of Life tool; dichotomized as poor and good QOL. Other measures used included age, gender, ethnicity, religion, marital status, physical activity, and chronic diseases such as osteoarthritis, cardiovascular disease, diabetes, chronic obstructive pulmonary disease (COPD), and depression. The factors associated with QOL were examined using mixed-effects logistic regression. Results Seven in ten respondents (70.4%) reported a poor QOL. At the bivariate level, increasing age, unemployment, intake of alcohol, lack of physical activity as well as osteoarthritis, COPD and depression were significantly associated with a lower likelihood of a good QOL. The adjusted model showed that older age (AOR = 0.50, 95% CI: 0.28–0.90), the Christian religion (AOR = 0.38, 95% CI: 0.20–0.70), and of an Indigenous (AOR: 0.25; 95% CI: 0.14–0.47), Dalit (AOR: 0.23; 95% CI: 0.10–0.56), and Madheshi (AOR: 0.29; 95% CI: 0.14–0.60) ethnic background were associated with lower odds of good QOL. However, higher income of >NRs 10,000 (AOR = 3.34, 95% CI: 1.43–3.99), daily physical activity (AOR: 3.33; 95% CI: 2.55–4.34), and the absence of osteoarthritis (AOR: 1.9; 95% CI: 1.09–3.49) and depression (AOR: 3.34; 95% CI: 2.14–5.22) were associated with higher odds of good QOL. Conclusion The findings of this study reinforce the need of improving QOL of older adults through implementing programs aimed at addressing the identified biosocial and disease conditions that catalyse poor QOL in this older population residing in rural parts of Nepal.


2011 ◽  
Vol 16 (esp) ◽  
Author(s):  
Andréa Kruger Gonçalves ◽  
Adriane Ribeiro Teixeira ◽  
Cíntia De la Rocha Freitas ◽  
Eliane Jost Blessmann ◽  
Laysla Roedel ◽  
...  

A qualidade de vida relacionada à saúde-HRQL possui um caráter multidimensional com integração da saúde física, do bem-estar psicológico e da satisfação social. O objetivo foi avaliar a qualidade de vida relacionada à saúde (HRQL) de participantes de meia-idade e de idosos de um projeto de atividade física regular. O tipo de estudo foi descritivo, com corte transversal, sendo que a amostra foi composta por 40 adultos com idade entre 50 e 80 anos, integrantes do CELARI da ESEF/UFRGS. O instrumento utilizado foi o SF-36 e a análise empregada utilizou a estatística descritiva e o teste de correlação de Pearson. A pontuação dos domínios por ordem decrescente foi: AS, AF, AE, EGS, CF, SM, VIT, DOR. Houve correlação positiva significativa entre a maioria dos domínios do SF-36. As correlações não significativas ocorreram entre EGS x AS, SM x AF. A idade apenas correlacionou-se com o domínio EGS. A HRQL da amostra mostrou-se com valores superiores, ao ser comparada com a de outros estudos. Os valores atingiram no mínimo 70% de pontuação, na média dos domínios. Os resultados indicaram um nível satisfatório de HRQL e relação entre os domínios do SF-36. palavras-chave Envelhecimento. Qualidade de Vida. Atividade Física. Saúde. abstract The health-related quality of life – HRQOL is a multidimensional issue with integration of physical health, psychological well-being and social satisfaction factors. The aim of this study was to evaluate the health-related quality of life – HRQOL in ageing people who practice regular physical activity. This study was a descriptive cross-sectional and  the sample included 40 adults, aged between 50 and 80 years, attending a University Extension Program. The instrument used was the Brazilian version of Short Form-36. Descriptive statistical analysis was used to summarize HRQL data and Pearson’s correlation for comparison between domains. The score of the domains in descending order were: AS, AF, AE, EGS, CF, SM, VIT, DOR. There was a significant positive correlation between the majority of SF-36. The correlations were not significant between EGS x AS, SM x AF. The age was correlated only with the EGS field. The HRQL of the sample proved to be higher, when compared with other studies. The values ​​reached a minimum score of 70% in average scores. The results indicated a satisfactory level of HRQOL and a significant relationship between different aspects of health-related quality of life. keywords Aging. Quality of Life. Physical Activity. Health.


2019 ◽  
Vol 4 (1) ◽  
pp. 74
Author(s):  
Mayara Kerly Coelho Ponte ◽  
Roberto Cleber Silva de Oliveira ◽  
Raimunda Hermelinda Maia Macena ◽  
Vasco Pinheiro Diógenes Bastos ◽  
Thiago Brasileiro de Vasconcelos

Introdução: O envelhecimento é definido como um processo multidimensional, e este processo de envelhecimento, salvo ocorrências abreviadoras, são inevitáveis e inerentes a todos. A atividade física é o fator que prediz de forma mais consistente um envelhecimento saudável e qualidade de vida. Objetivo: Verificar o possível benefício das atividades físicas desenvolvidas por uma equipe multidisciplinar em um grupo de idosos. Métodos: Estudo qualitativo, transversal e descritivo, no qual foram acessados múltiplos casos em campo. Realizado através de entrevistas com idosos participantes de um grupo de caminhada. Para análise dos dados foi utilizado análise de conteúdo. Resultados: A análise de depoimentos dos idosos foi dividida em quatro questionamentos: Mudanças após o inicio no grupo – “melhora dos aspectos físico, social e mental”, Quais foram as mudanças - “diminuição das dores, câimbras e aumento do bem estar”, Qual atividade que mais gosta - “o alongamento e a dança, com alegria em mexer o corpo todo” e Como se sente após a atividade - “maior disposição e diminuição da sensação de cansaço”. Conclusão: Evidenciou-se que a prática de atividade física proporciona uma melhor qualidade de vida e bem estar geral. Observou-se também que os idosos tornaram-se mais eficazes e produtivos. OLDER ADULT HEALTH: PREVENTIVE APPROACH IN A WALKING GROUP ABSTRACT Ageing is defined as a multidimensional process and, this ageing process, except abridged occurrences, is inevitable and inherent to all people. Physical activity is a very important factor to a healthy ageing and to quality of life. This study aimed at verifying the possible benefits of physical activities developed by a multidisciplinary team in the perception of a group of older people. It is a qualitative, transversal and descriptive study, in which many cases were accessed. It was carried out through interviews with older adults who participate in a walking group. Content analysis was used for data analysis. For the present study, 10 older adults (2 men and 8 women) were evaluated; they participate in a walking group in the city of Sobral/CE. According to their opinion, regular physical activity designated to older population contributes to the improvement of health conditions in many aspects as physical, social and mental, according to the following statements: “improvement of physical, social and mental aspects”, “decreased pain and cramps and increased well-being”, "Stretching and dancing, with joy in moving the whole body" and "more disposition and decrease of the sensation of fatigue". It is evident that the practice of physical activity affords a better quality of life and well-being. It is also observed that the older people became more efficient and productive according to their own perception.


2016 ◽  
pp. 1-6
Author(s):  
J. LAUSSEN ◽  
C. KOWALESKI ◽  
K. MARTIN ◽  
C. HICKEY ◽  
R.A. FIELDING ◽  
...  

Background: As the population of older adults continues to increase, the dissemination of strategies to maintain independence of older persons is of critical public health importance. Recent large-scale clinical trial evidence has definitively shown intervention of moderate-intensity physical activity (PA) reduces major mobility disability in at-risk older adults. However, it remains unknown whether structured PA interventions, with demonstrated efficacy in controlled, clinical environments, can be successfully disseminated into community settings to benefit wider populations of older adults. Objective: To assess the dissemination of an evidence-based PA program for older adults by evaluating program participation and its impact on mobility, strength and quality of life. Setting: An urban senior center. Participants: Fifty older adults (71.2 ± 8 years aged; BMI: 30.1 ± 7 kg/m2). Intervention: Average of 8.0 ± 1.8 months of participation in the Fit-4-Life Program, a community-based PA and nutrition counseling intervention. Measurements: Mobility (Short Physical Performance Battery (SPPB)), self-reported physical activity (CHAMPS questionnaire), leg strength, grip strength, and quality of life (Quality of Well-Being Self-Administered (QWB-SA) scale) were assessed at baseline and follow-up. Results: Mean attendance was 55.8%. Fourteen participants were lost to follow-up. Those who dropped-out engaged in less PA at baseline (78 ± 108 mins/wk) compared to those who completed follow-up (203 ± 177 mins/wk, P=0.01). Participants exhibited sustained increases of PA (65 ± 153 mins/wk, P= 0.08), and there were meaningful improvements in SPPB (0.5 ± 0.2, P< 0.01), knee extensor strength (2.6 ± 4.4 kg, P< 0.01) and QWB-SA (0.04 ± 0.09, P= 0.05). Conclusion: The dissemination of a clinically efficacious PA intervention into a community-based setting can improve mobility, strength and quality of life for older adults. This knowledge may be helpful for the design and implementation of larger-scale PA intervention studies designed to preserve mobility in older adults within community-based settings.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elgloria Harrison ◽  
Lillie Monroe-Lord ◽  
Andrew D. Carson ◽  
Anne Marie Jean-Baptiste ◽  
Janet Phoenix ◽  
...  

Abstract Background COVID-19 has taken its toll on citizens in all 50 states of the United States. The United States (U.S.) leads the world with 30,291,863 confirmed reported cases and 549,664 deaths as of March 29, 2021 compared to globally confirmed cases at 127,442,926 and 2,787,915 deaths as of March 29, 2021. The U.S. federal government primarily left the response to the virus to individual states, and each implemented varying measures designed to protect health of citizens and the state’s economic well-being. Unintended consequences of the virus and measures to stop its spread may include decreased physical activity and exercise, shifting access and consumption of food, and lower quality-of-life. Therefore, our primary goal was to quantify the impact of COVID-19 on health and well-being by measuring changes in physical activity, mental health-quality of life, food security and nutrition in adults ages 40 and older. We believed shifts in health behaviors would be more prevalent in minorities, less educated, lower socio-economic status, older adults, and those with underlying health conditions, so a secondary goal was to determine the impact of COVID-19 on these sub-populations. Methods We conducted an online survey with 9969 adults 40 years and older between 9 August and 15 September 2020 in urban areas across the four U.S. census regions. The survey included questions about demographic variables, pre-existing health conditions, physical activity, access to food, quality-of-life, and nutritional food status and asked participants to respond with information from pre-pandemic and pandemic conditions. We used paired-sample t-tests to detect changes in variables after the start of the pandemic and Cohen’s d to determine effect sizes. Results Our main findings showed a decrease in physical activity since the onset of COVID-19 for minorities and non-minorities. Food security also slightly increased for minorities during the pandemic, but we found no other changes in food security, quality-of-life indicators, or nutritional status of those who responded to this survey. Conclusions It is concerning that physical activity declined. Such activity helps maintain physical and mental health, and it is also an important time to socialize for many older adults. In many ways, our data indicate that the older adult population in U.S. cities may be more resilient than expected during the pandemic. However, the pandemic could have negative impacts that we did not detect, either due to the survey instrument or the timing of our survey, so the health and well-being of older adults should continue to be monitored in order to mitigate potential negative impacts.


Author(s):  
Vanessa Miranda Vitório ◽  
Carla Camila Nascimento Gil ◽  
Saulo Vasconcelos Rocha ◽  
Jefferson Paixão Cardoso ◽  
Lélia Renata Das Virgens Carneiro ◽  
...  

resumo   Este estudo teve como objetivo analisar os fatores associados ao nível de atividade física em idosos asilares. Trata-se de um estudo transversal, de caráter descritivo, realizado com 16 idosos de uma instituição asilar no município de Jequié-BA. Na coleta de dados, realizou-se uma entrevista sobre informações sociodemográficas, sendo aplicado questionário sobre perfil do estado de saúde e nível de atividade física. Utilizaram-se procedimentos da estatística descritiva, através de medidas de tendência central, (média e mediana) e de dispersão (desvio-padrão), para variáveis numéricas e frequência simples, para variáveis categóricas. Calculou-se o nível de atividade física (NAF) segundo características sociodemográficas e estado de saúde. Nos resultados, observou-se que, 12,5% dos idosos foram classificados como ativos fisicamente e 87,5%, como inativos fisicamente. Indivíduos com idade mais avançada (com 80 ou mais) (14,3%), do sexo masculino (16,7%), com estado civil solteiro/separado (25,0%), não alfabetizado (14,3%) e de raça/cor branca (25,0%) apresentaram maior frequência de atividade física habitual. Um maior nível de independência (15,4%), percepção positiva da qualidade de vida (20,0%) e do estado de saúde (20,0%) e maior risco coronariano (20,0%) foram verificados nos indivíduos ativos fisicamente. O conhecimento sobre os fatores associados ao nível de atividade física habitual favorece o melhor direcionamento dos programas de atenção à saúde dos idosos residentes em instituições de longa permanência. Faz-se necessário a realização de outros estudos no intuito de compreender melhor esta associação.   palavras-chave Atividade Física. Qualidade de Vida. Asilo.   abstract   This study aimed to analyze the factors associated with physical activity in elderly nursing homes. This is a descriptive cross-sectional study, which was conducted with 16 individuals from a nursing home in Jequié-BA. To collect data, the following instruments were used: a questionnaire applied in the form of individual interviews with information sociodemographic profile of health status and physical activity level. We used descriptive statistics procedures to trace the profile of elderly subjects according to sociodemographic characteristics and health status. Physical activity level (PAL) was calculated according to sociodemographic characteristics and health status. The results showed that 12.5% of the elderly were classified as physically active and 87.5% as physically inactive. Individuals with more advanced age (80 or older) (14.3%), male (16.7%), with being single / separated (25.0%), illiterate (14.3%) and race / white (25.0%) had higher frequency of physical activity. A higher level of independence (15.4%), positive perceptions of quality of life (20.0%) and health (20.0%) and higher coronary risk (20.0%) were found for active individuals physically. Knowledge about the factors associated with level of habitual physical activity promotes improved targeting of programs for health care to elderly residents in long-stay institutions. It is necessary to conduct further studies in order to better understand this association.  keywords Physical Inactivity. Quality of Life. Asylum.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1030-1030
Author(s):  
Renoa Choudhury ◽  
Ladda Thiamwong ◽  
Oscar Garcia ◽  
Rui Xie ◽  
Jeffrey Stout ◽  
...  

Abstract COVID-19 pandemic has caused a severely detrimental effect on the physical, psychological, and functional well-being of older adults by forcing them to limit their social activities. This study investigates the amount and intensity of daily physical activity (PA) in older adults, living under the social distancing guidelines during COVID-19 pandemic. In this cross-sectional study, 124 community-dwelling older adults (Age:60–96 years, mean:75±7.14) were recruited via word-of–mouth and key person approach between March 2021-August 2021. Participants completed an online survey on COVID-19 questionnaires and wore an ActiGraph GT9X accelerometer on their non-dominant wrist for consecutive 7 days in free-living conditions. Euclidean Norm Minus One cut-points were used to estimate the total time spent in sedentary behavior (SB), light PA (LPA) and moderate-to-vigorous PA (MVPA). Results showed that, 7% had COVID-positive, 55% perceived moderate severity of COVID in their area, 31% reported fear of COVID, and 14.5% were afraid of losing their life to COVID. On average, participants obtained 12.43±2.1 hours/day of SB, 3.47±1.05 hours/day of LPA and 42.71±29.71 minutes/day of MVPA. MVPA minutes/day was significantly higher (P = 0.006) in participants aged 60-85 years than those aged 85+ years (45.38 minutes/day vs 14.25 minutes/day). When age-adjusted data was compared to pre-COVID-19 studies, we found COVID-19 pandemic had negatively impacted the physical activity level in older adults (29.33% decrease in MVPA and 39.2% increase in SB). These findings can be useful in developing guidelines and/or interventions to promote physical activity and healthy aging among older adults, particularly those in social isolation.


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