The Association of Balance Confidence with Physical Performance and Strength in Community-Dwelling Elderly Persons

This study examined gender differences in balance, gait, and muscle performance in seniors and identified gender-specific factors contributing to physical performance. Forty (20 men, 20 women) healthy, community-dwelling seniors (74.5 ± 5.3 years) participated. Limits of stability, gait speed, lower limb flexor and extensor isokinetic concentric peak torques, self-reported activity level, and balance confidence were measured. No gender differences were detected in gait speed, limits of stability when normalized to height, activity level, or balance confidence (p≥ .188). Women were weaker than men (p≤ .007), even after controlling for weight and body-mass index, suggesting that other gender-related factors contribute to strength. Gender accounted for 18–46% of the variance in strength and served as a modifier of the relationship between activity level and strength in some muscle groups. The primary factors relating to gender-specific strength was activity level in men and body weight in women.

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Associations Between Bicycling and Reduced Fall-Related Physical Performance in Older Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.2017-0243 ◽

2018 ◽

Vol 26 (3) ◽

pp. 514-519 ◽

Cited By ~ 2

Author(s):

Stephen Harvey ◽

Chris Rissel ◽

Mirjam Pijnappels

Keyword(s):

Risk Factors ◽

Older Adults ◽

Physical Performance ◽

Community Dwelling ◽

Public Health Issue ◽

Performance Tasks ◽

Falls Risk ◽

Balance Confidence ◽

Significant Public Health ◽

Average Current

Falls among older adults remain a significant public health issue. Bicycling positively influences falls risk factors including reduced balance, muscle weakness, and low self-perceived confidence in maintaining balance. However, this association has not been systematically examined. We recruited 107 community-dwelling participants aged 65 years and older in the Netherlands to determine the relationship between bicycling and falls risk factors. Participants completed three questionnaires on cycling behavior and balance confidence, and also undertook five falls-related physical performance tasks encompassing tests of balance, strength, gait, and endurance. On average, current bicyclists showed significantly better scores in all physical tasks and confidence compared with nonriders ranging from a 10% difference in 6-m walk time to a 141% difference in single-leg balance time (allps = .01). Type of bike used and duration of bicycling displayed varied associations (.01 < ps < .79). Our findings suggest that bicycle riding warrants further prospective investigation for fall prevention and active aging.

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Discrepancies between balance confidence and physical performance among community-dwelling Korean elders: a population-based study

International Psychogeriatrics ◽

10.1017/s1041610209009077 ◽

2009 ◽

Vol 21 (4) ◽

pp. 738-747 ◽

Cited By ~ 14

Author(s):

Young-Mi Ko ◽

Won-Beom Park ◽

Jae-Young Lim ◽

Ki Woong Kim ◽

Nam-Jong Paik

Keyword(s):

Activities Of Daily Living ◽

Physical Performance ◽

Daily Living ◽

Functional Disability ◽

Elderly Women ◽

Population Based ◽

Community Dwelling ◽

Psychological Variables ◽

Balance Confidence ◽

Physical Performances

ABSTRACTBackground:This study investigates discrepancies between the confidence expressed by Korean elders in their balance and their actual physical performances according to sex and age. It also attempts to identify the factors responsible for such gaps or discrepancies.Methods:The Korean Longitudinal Study on Health and Aging (KLoSHA) was designed as a population-based prospective cohort study on the health and aging of Korean adults aged 65 years and over. We evaluated 1000 of 1118 randomly selected subjects in terms of activities-specific balance confidence (ABC) and performance in regard to balance and gait (POMA). Activities of daily living (ADL) and instrumental activities of daily living (IADL) were assessed to measure disability. Pain-related dysfunctions, depression and cognitive functions were assessed. Next, we assessed the relationship between balance confidence and physical performance and functioning by sex and age.Results:The balance confidence of elderly women was lower than that of elderly men, although the physical performances of men and women under the age of 80 were similar. Women showed increased functional disability related to lower extremity pain and closely associated with balance confidence. However, psychological variables such as depression and cognitive functioning did not affect balance confidence.Conclusion:We found a discrepancy between balance confidence and physical performance according to sex and age among Koreans elders. Low balance confidence among women elders was correlated with pain-related dysfunctions other than those reflected in POMA scores. Therefore, enhancing confidence and controlling pain as a means of preventing disability should be emphasized when developing models for maintaining and promoting health in elders.

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Influence of dental treatment on physical performance in community-dwelling elderly persons

Gerodontology ◽

10.1111/j.1741-2358.2011.00563.x ◽

2011 ◽

Vol 29 (2) ◽

pp. e793-e800 ◽

Cited By ~ 5

Author(s):

Shingo Moriya ◽

Kanchu Tei ◽

Ayumi Murata ◽

Yasunori Sumi ◽

Nobuo Inoue ◽

...

Keyword(s):

Physical Performance ◽

Dental Treatment ◽

Community Dwelling ◽

Elderly Persons

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Impact of Malnutrition Status on Muscle Parameter Changes over a 5-Year Follow-Up of Community-Dwelling Older Adults from the SarcoPhAge Cohort

Nutrients ◽

10.3390/nu13020407 ◽

2021 ◽

Vol 13 (2) ◽

pp. 407

Author(s):

Laetitia Lengelé ◽

Olivier Bruyère ◽

Charlotte Beaudart ◽

Jean-Yves Reginster ◽

Médéa Locquet

Keyword(s):

Older Adults ◽

Muscle Strength ◽

Physical Performance ◽

Community Dwelling ◽

Timed Up And Go ◽

P Values ◽

Student’S T ◽

The Impact ◽

Community Dwelling Older Adults

This study aimed to assess the impact of malnutrition on the 5-year evolution of physical performance, muscle mass and muscle strength in participants from the SarcoPhAge cohort, consisting of community-dwelling older adults. The malnutrition status was assessed at baseline (T0) according to the “Global Leadership Initiatives on Malnutrition” (GLIM) criteria, and the muscle parameters were evaluated both at T0 and after five years of follow-up (T5). Lean mass, muscle strength and physical performance were assessed using dual X-ray absorptiometry, handgrip dynamometry, the short physical performance battery test and the timed up and go test, respectively. Differences in muscle outcomes according to nutritional status were tested using Student’s t-test. The association between malnutrition and the relative 5-year change in the muscle parameters was tested using multiple linear regressions adjusted for several covariates. A total of 411 participants (mean age of 72.3 ± 6.1 years, 56% women) were included. Of them, 96 individuals (23%) were diagnosed with malnutrition at baseline. Their muscle parameters were significantly lower than those of the well-nourished patients both at baseline and after five years of follow-up (all p-values < 0.05), except for muscle strength in women at T5, which was not significantly lower in the presence of malnutrition. However, the 5-year changes in muscle parameters of malnourished individuals were not significantly different than those of well-nourished individuals (all p-values > 0.05).

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Short Physical Performance Battery (SPPB) score as a discriminator of dynapenic abdominal obesity among community-dwelling older adults

Geriatric Nursing ◽

10.1016/j.gerinurse.2021.02.016 ◽

2021 ◽

Vol 42 (2) ◽

pp. 467-472

Author(s):

Elane Priscila Rosa dos Santos ◽

Caroline Fátima Ribeiro Silva ◽

Daniela Gonçalves Ohara ◽

Areolino Pena Matos ◽

Ana Carolina Pereira Nunes Pinto ◽

...

Keyword(s):

Older Adults ◽

Physical Performance ◽

Abdominal Obesity ◽

Community Dwelling ◽

Short Physical Performance Battery ◽

Community Dwelling Older Adults

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The Relationship between Dental Findings and Tongue Pressure: A Survey of 745 Community-Dwelling Adults and Elderly Persons in Japan

Gerontology ◽

10.1159/000513599 ◽

2021 ◽

pp. 1-8

Author(s):

Kensuke Tashiro ◽

Sakiko Soutome ◽

Madoka Funahara ◽

Yumiko Kawashita ◽

Masayasu Kitamura ◽

...

Keyword(s):

Propensity Score ◽

Grip Strength ◽

Propensity Score Matching ◽

Cross Sectional Study ◽

Community Dwelling ◽

Tongue Pressure ◽

Elderly Persons ◽

Cross Sectional ◽

Number Of Teeth ◽

The Relationship

Introduction: Reduced tongue pressure is one of the causes of dysphagia. The purpose of this study was to investigate the relationship between dental findings and tongue pressure, and whether prosthetic treatment prevents reduced tongue pressure. Methods: This was a cross-sectional study. Participants were 745 community-dwelling adults and elderly persons in the Goto Islands in Nagasaki, who underwent a health checkup for residents in 2015 and 2016. Data were collected on gender; age; grip strength; hemoglobin; Creatinine (Cr); glycated hemoglobin (HbA1c); history of stroke; smoking, drinking, exercise, and walking habits; number of teeth; wearing of removable dentures; functional units of natural teeth (n-FTUs), fixed prostheses (nif-FTUs), and removable dentures (t-FTUs); and tongue pressure. The associations between each variable and tongue pressure were examined using multiple regression analysis. Next, those with 3 or fewer n-FTUs were selected, and differences in tongue pressure were compared between those with 3 or fewer nif-FTUs and those with 4 or more nif-FTUs, using a propensity score matching method. Results: Male gender, weak grip strength, low HbA1c, no drinking, and a low number of teeth were independent factors significantly associated with lower tongue pressure. Among participants with 3 or fewer n-FTUs, the 43 with 4 or more nif-FTUs showed significantly higher tongue pressure than the 43 with 3 or fewer nif-FTUs after propensity score matching, although the number of t-FTUs was not associated with tongue pressure. Discussion/Conclusion: Tooth loss was significantly associated with lower tongue pressure. It was suggested that fixed prosthesis treatment might prevent the reduction of tongue pressure, but removable dentures did not have such an effect.

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Do opposite ends of same factors underlie life satisfaction vs. depressive symptoms among older people?

Aging Clinical and Experimental Research ◽

10.1007/s40520-020-01765-z ◽

2021 ◽

Author(s):

Katja Pynnönen ◽

Katja Kokko ◽

Milla Saajanaho ◽

Timo Törmäkangas ◽

Erja Portegijs ◽

...

Keyword(s):

Life Satisfaction ◽

Depressive Symptoms ◽

Older People ◽

Executive Functions ◽

Physical Performance ◽

Well Being ◽

Community Dwelling ◽

Satisfaction With Life Scale ◽

Financial Situation ◽

Self Acceptance

Abstract Background Although depressive symptoms are more common among older than younger age groups, life satisfaction tends to remain stable over the life course, possibly because the underlying factors or processes differ. Aim To study whether the factors that increase the likelihood of high life satisfaction also decrease the likelihood of depressive symptoms among older people. Methods The data were a population-based probability sample drawn from community-dwelling people aged 75, 80, and 85 years (n = 1021). Participants’ life satisfaction was measured with the Satisfaction with Life Scale and depressive symptoms with the Centre for Epidemiologic Studies Depression Scale (CES-D). Physical performance, perceived financial situation, executive functions, loneliness, self-acceptance, and having interests in one’s life were studied as explanatory variables. The data were analyzed using cross-sectional bivariate linear modeling. Results Better physical performance, not perceiving loneliness, having special interests in one’s life, and higher self-acceptance were associated with higher life satisfaction and fewer depressive symptoms. Better financial situation was related only to life satisfaction. Executive functions were not associated with either of the outcomes. Discussion The opposite ends of the same factors underlie positive and negative dimensions of mental well-being. Conclusion Further studies are warranted to better understand how people maintain life satisfaction with aging when many resources may diminish and depressive symptoms become more prevalent.

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