Physical Exercise Activity to Increase The Handgrip Strength in Elderly Populaiton During Covid-19: A Prospective Study

2021 ◽  
Vol 17 (2) ◽  
pp. 134-140
Author(s):  
Hamid Mehmood ◽  
Muhammad Yaqoob ◽  
Ejaz Mahmood Ahmad Qureshi ◽  
Saleem Rana ◽  
Syed Amir Gilani
Keyword(s):  
Muscle Strength ◽  
Physical Exercise ◽  
Elderly People ◽  
Handgrip Strength ◽  
The Elderly ◽  
Routine Practice ◽  
Elderly Persons ◽  
Anthropometric Parameters ◽  
Usual Practice ◽  
European Working

Objective: To determine palmar grip force (PGF) in elderly population and its correlation with different parameters used in the usual practice of evaluation of nutritional status in elderly populaiton. Methodology: It was obsevational, cross-sectional study. 300 elderly people over 65 years old, who were doing gym exercises at UFC gym and Structure gym, Lahore from December 2019 to July 2020. HS was obtained using the digital dynamometer model EH101, using the average of three measurements. The cutoff point considered for low muscle strength was HS < 27 kg for men and < 16 kg for women. The standard has been taken according to the 2019 consensus of the European Working Group on Sarcopenia in Older People (EWGSOP2, version 2019). For the statistical analysis, the Statistical Package for Social Science 24.0 program was used and chi square test was applied, considering it significant when p <0.05. Results: The sample consisted of elderly people with a mean age of 71.71 ± 5.97 years, of which 28% were aged between 65 and 75 years and 51.66% were male. In the analysis of the HS, we found 57.9% of the elderly with loss of muscle strength due to non-exercise during COVID-19. The muscle circumference of the arm and tricipital skin fold indicators found the highest percentages of malnutrition, 44.1% and 57.8%, respectively. HS showed a positive association  between age and handgrip test levels. Conclusion: There was a high frequency of elderly people with impaired strength, but HS correlated only with APMT, not showing a direct relationship with other anthropometric parameters used in the routine practice of assessment with the elderly. Therefore, HS, or at least the evaluation of APMT, becomes indispensable for the evaluation and physical exercise training of elderly persons during COVID-19 pandemic.  

scholarly journals Inflammatory markers, sarcopenia and its diagnostic criteria among the elderly: a systematic review

2017 ◽  
Vol 20 (3) ◽  
pp. 441-453 ◽  
Author(s):  
Karen Mello de Mattos Margutti ◽  
Natielen Jacques Schuch ◽  
Carla Helena Augustin Schwanke
Keyword(s):  
Systematic Review ◽  
Diagnostic Criteria ◽  
Physical Performance ◽  
Gait Speed ◽  
Inflammatory Markers ◽  
Handgrip Strength ◽  
The Elderly ◽  
Elderly Persons ◽  
Reactive Protein ◽  
European Working

Abstract Objective: To identify the relationship between inflammatory markers and sarcopenia, and the diagnostic criteria of the condition among the elderly. Methods: A systematic review was performed based on the consultation of the PubMed and LILACS databases. Eligible original articles were those involving individuals aged 60 years or more, which investigated sarcopenia [low muscle mass (MM) associated with poor muscle strength and/or reduced physical performance, according to the European Working Group on Sarcopenia in Older People consensus (EWGSOP)] or its diagnostic criteria, published in English or Portuguese, between 2010-2015. Results: Four articles were included in the review, the principle results of which were: the growth differentiation factor (GDF-15) exhibited a negative correlation with MM, handgrip strength and gait speed; the insulin-like growth factor-1 (IGF-1) correlated positively with MM; follistatin exhibited a weak correlation with physical performance; activin A and myostatin did not correlate with the diagnostic criteria; the highest tercile of extracellular heat shock protein 72 (eHsp72) was associated with lower median levels of MM, handgrip strength and gait speed; elderly persons with low MM had higher serum ferritin concentrations; women with low MM exhibited lower serum concentration levels of C-reactive protein (CRP). Conclusion: the six investigated inflammatory markers (GDF-15, IGF-1, follistatin, eHsp72, ferritin and CRP) were associated with the diagnostic criteria for sarcopenia, but not with sarcopenia itself. As research in this area is still developing, additional studies are required to broaden knowledge and eventually establish the role of these markers in the diagnosis and management of sarcopenia.

Association Between Muscle Strength, Mobility, and the Progression of Hyperkyphosis in the Elderly: The Kurabuchi Cohort Study

2019 ◽  
Vol 74 (12) ◽  
pp. 1987-1992 ◽  
Author(s):  
Keiko Sugai ◽  
Takehiro Michikawa ◽  
Toru Takebayashi ◽  
Yuji Nishiwaki
Keyword(s):  
Cohort Study ◽  
Muscle Strength ◽  
Elderly People ◽  
Handgrip Strength ◽  
Multivariable Analysis ◽  
Final Analysis ◽  
The Elderly ◽  
Community Dwelling ◽  
Timed Up And Go ◽  
Adjusted Risk

AbstractBackgroundThe progression of hyperkyphosis is a significant factor in declining general health. The purpose of this study was to investigate whether muscle strength and/or mobility is associated with the progression of hyperkyphosis in elderly people.MethodsAs part of a cohort study of community-dwelling elderly people, handgrip strength and mobility (evaluated with the Timed Up and Go Test: TUG) were assessed at baseline (2005–2006). Kyphosis was also evaluated at baseline and in follow-up examinations 4 years later, with the block method. To exclude the measurement error, the progression of kyphosis was defined as increase of 2 or more blocks. The association of kyphosis progression in each group with handgrip strength and/or mobility was assessed using Poisson regression analysis.ResultsResults on 403 participants were available for the final analysis, and kyphosis progression was observed in 53 (13.1%) of them. Multivariable analysis adjusted for sex, age, baseline block number, bone stiffness, TUG performance, or handgrip strength simultaneously revealed that low handgrip strength (<26 kg in men, <18 kg in women) and low mobility (>13.5 seconds) at baseline were both independently associated with kyphosis progression (adjusted risk ratio [95% confidence interval]: 2.11 [1.06–4.20] and 2.48 [1.26–4.89], respectively).ConclusionsOur study showed that low handgrip strength and low mobility are clearly associated with the progression of kyphosis. Further study is needed on the applicability of these results to preventive measures.

scholarly journals THU0346 SARC-F PERFORMANCE FOR SARCOPENIA SCREENING IN PATIENTS WITH SYSTEMIC SCLEROSIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 404.1-404
Author(s):  
V. Hax ◽  
R. Santo ◽  
L. Santos ◽  
M. Farinon ◽  
M. De Oliveira ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Likelihood Ratio ◽  
Handgrip Strength ◽  
Pulmonary Function Tests ◽  
Positive Likelihood Ratio ◽  
Negative Likelihood Ratio ◽  
Youden Index ◽  
Routine Practice ◽  
Test Accuracy ◽  
European Working

Background:Because the method of diagnosing sarcopenia is complex and is considered to be difficult to introduce into routine practice, the European Working Group on Sarcopenia in Older People’s (EWGSOP) recommends use of the SARC-F questionnaire as a way to introduce assessment and treatment of sarcopenia into clinical practice1. Only recently, some studies have focused their attention on the presence of sarcopenia in systemic sclerosis (SSc) and there is no data about the performance of SARC-F in this population.Objectives:To test the diagnostic properties of the SARC-F questionnaire for sarcopenia screening in SSc patients.Methods:Cross-sectional study, including 94 SSc patients assessed by clinical evaluation, laboratory and pulmonary function tests. Sarcopenia was evaluated using the EWGSOP diagnostic criteria updated in 2019 (EWGSOP2): dual-energy X-ray absorptiometry, handgrip strength, and short physical performance battery (SPPB)1. Participants also completed the SARC-F questionnaire. The questionnaires’ performances were evaluated through receiver operating characteristic (ROC) curves and standard measures of diagnostic accuracy were computed using the EWGSOP2 criteria as the gold standard for diagnosis of sarcopenia.Results:Sarcopenia was identified in 15 (15,9%) SSc patients by the EWGSOP2 criteria. Area under the ROC curve of SARC-F screening for sarcopenia was 0.588 (95% confidence interval (CI) 0.482, 0.688) (figure 1). The results of sensitivity, specificity, positive likelihood ratio (PLR) and negative likelihood ratio (NLR) with the EWGSOP2 criteria as the reference standard were 35.71 [95% CI, 12.76-64.86], 81.01 (95% CI, 70.62-88.97), 1.88 (95% CI, 0.81-4.35) and 0.79 (95% CI, 0.53-1.19), respectively. The optimal cut-off point of SARC-F in our sample was ≥ 4 (Youden index: 0.21), the same cut-off point recommended in the literature2,3. Only 6 (40%) out of the 15 participants with sarcopenia were identified by the SARC-F questionnaire in our population. However, the SARC-F properly identified 4 out of 5 patients who had severe sarcopenia.Conclusion:This is the first study to evaluate the performance of SARC-F questionnaire for sarcopenia screening in patients with SSc. Although it appropriately identifies severe cases of sarcopenia, the SARC-F alone may not be an adequate screening tool in high-risk populations, such as SSc, that may benefit from early intervention and treatment.References:[1]Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31.[2]Malmstrom TK, Morley JE. SARC-F: A simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc. 2013;14(8):531-532.[3]Ida S, Kaneko R, Murata K. SARC-F for Screening of Sarcopenia Among Older Adults: A Meta-analysis of Screening Test Accuracy. J Am Med Dir Assoc. 2018;19(8):685-689.Disclosure of Interests:Vanessa Hax: None declared, Rafaela Santo: None declared, Leonardo Santos: None declared, Mirian Farinon: None declared, Marianne de Oliveira: None declared, Guilherme Levi Três: None declared, Andrese Aline Gasparin: None declared, M Bredemeier: None declared, Ricardo Xavier Consultant of: AbbVie, Pfizer, Novartis, Janssen, Eli Lilly, Roche, Rafael Mendonça da Silva Chakr: None declared

Mourning and Reminiscence: Parallel Psychotherapeutic Processes for Elderly People

1989 ◽  
Vol 28 (4) ◽  
pp. 239-249 ◽  
Author(s):  
Linda L. Viney ◽  
Yvonne N. Benjamin ◽  
Carol Preston
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
Relevant Information ◽  
Theoretical Explanation ◽  
Personal Construct ◽  
Elderly Persons ◽  
Personal Construct Theory ◽  
Psychotherapeutic Processes ◽  
Construct Theory ◽  
The Relationship

Mourning and reminiscence are therapeutic processes common in therapeutic work with the elderly. However, a theoretical explanation of why they are effective has been lacking. Personal construct theory accounts for both in terms of the search of elderly persons for validation of their construct systems. In this article, this explanation of the parallel psychotherapeutic processes is explored, together with relevant information from the literature on mourning and reminiscence. Therapeutic case studies illustrate the characteristics of the two processes and the relationship between them.

Muscle strength cut-points for metabolic syndrome detection among adults and the elderly from Brazil

2021 ◽  
Vol 46 (4) ◽  
pp. 379-388
Author(s):  
Tiago Rodrigues de Lima ◽  
David Alejandro González-Chica ◽  
Eleonora D’Orsi ◽  
Xuemei Sui ◽  
Diego Augusto Santos Silva
Keyword(s):  
Metabolic Syndrome ◽  
Muscle Strength ◽  
Lifestyle Modification ◽  
Handgrip Strength ◽  
Area Under The Curve ◽  
Roc Curves ◽  
The Elderly ◽  
Youden Index ◽  
Cross Sectional ◽  
Cut Points

We aimed to determine cut-points for muscle strength based on metabolic syndrome diagnosis. This cross-sectional analysis comprised data from 2 cohorts in Brazil (EpiFloripa Adult, n = 626, 44.0 ± 11.1 years; EpiFloripa Aging, n = 365, 71.6 ± 6.1 years). Metabolic syndrome was assessed by relative handgrip strength (kgf/kg). Metabolic syndrome was defined as including ≥3 of the 5 metabolic abnormalities according to the Joint Interim Statement. Optimal cut-points from Receiver Operating Characteristic (ROC) curves were determined. Adjusted logistic regression was used to test the association between metabolic syndrome and the cut-points created. The cut-point identified for muscle strength was 1.07 kgf/kg (Youden index = 0.310; area under the curve (AUC)) = 0.693, 95% CI 0.614–0.764) for men and 0.73 kgf/kg (Youden index = 0.481; AUC = 0.768, 95% confidence interval (CI) = 0.709–0.821) for women (age group 25 to < 50 years). The best cut-points for men and women aged 50+ years were 0.99 kgf/kg (Youden index = 0.312; AUC = 0.651; 95% CI = 0.583–0.714) and 0.58 kgf/kg (Youden index = 0.378; AUC = 0.743; 95% CI = 0.696–0.786), respectively. Cut-points derived from ROC analysis have good discriminatory power for metabolic syndrome among adults aged 25 to <50 years but not for adults aged 50+ years. Novelty: First-line management recommendation for metabolic syndrome is lifestyle modification, including improvement of muscle strength. Cut-points for muscle strength levels according to sex and age range based on metabolic syndrome were created. Cut-points for muscle strength can assist in the identification of adults at risk for cardiometabolic disease.

scholarly journals The role of quadriceps muscle strength in the development of falls in the elderly people, a cross-sectional study

2018 ◽  
Vol 26 (1) ◽  
Author(s):  
Alijan Ahmadiahangar ◽  
Yahya Javadian ◽  
Mansour Babaei ◽  
Behzad Heidari ◽  
Seyedreza Hosseini ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Elderly People ◽  
The Elderly ◽  
Quadriceps Muscle ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quadriceps Muscle Strength

scholarly journals Scientific production on housing for autonomous elderly persons: an integrative literature review

2017 ◽  
Vol 20 (5) ◽  
pp. 713-721 ◽  
Author(s):  
Roberta de Miranda Henriques Freire ◽  
Nivaldo Carneiro Junior
Keyword(s):  
Quality Of Life ◽  
Public Housing ◽  
Elderly People ◽  
The Elderly ◽  
Scientific Production ◽  
Elderly Persons ◽  
Housing Policies ◽  
Analysis Technique ◽  
Housing For The Elderly

Abstract Objective: To analyze Brazilian scientific production on housing for autonomous elderly persons. Method: A descriptive, analytical integrative review type study was carried out. The following guiding question was defined: what is the Brazilian scientific production relating to housing for autonomous elderly persons in indexed on-line periodicals from 2000 to 2015? Results: Thirty-three articles were identified in total, of which only 13 met the inclusion criterion. Using the Content Analysis technique, the following categories were formed: Modalities of housing for the elderly; Public housing policies for the elderly and Housing and quality of life. Conclusion: Most of the studies discussed types of housing for the elderly, falling into the category "Modalities of housing for the elderly", and identifying a tendency towards one-person dwellings. In relation to the category "Public housing policies for the elderly", the articles reflected on the rights and the guarantees of the elderly in relation to a suitable home. The "Housing and quality of life" category aimed to compare the quality of life of elderly people living alone or with a partner, as well as their perception of exclusive condominium developments for this population. There is a need for research on the issue in question, since there is an increase in the number of elderly people without housing, making it necessary for the state to meet this demand.

Social Dimensions of Mental Illness among Rural Elderly Populations

1988 ◽  
Vol 26 (3) ◽  
pp. 169-190 ◽  
Author(s):  
Jon Hendricks ◽  
Howard B. Turner
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Elderly People ◽  
The Elderly ◽  
Rural Elderly ◽  
Policy Implications ◽  
Elderly Persons ◽  
Increased Risk ◽  
Elderly Populations

Despite growing concern with rural elderly populations, little attention has focused on their mental health, ways it may correlate with physical health, or how rural mental health patterns compare to urban. Popular wisdom contends that elderly people in general, and rural elderly persons in particular, are at increased risk for mental illness. This article examines these questions. A review of available literature suggests that elderly people may be at only slightly greater risk of mental illness than the population at large, though there are some indications that rates of depression may be somewhat higher among the elderly population. Much of this same literature implies that objective environmental conditions play a significant role in the incidence of depression. Analysis of data gathered in a statewide random poll ( N = 743) indicates that while physical health tends to be poorer among rural populations, when health is held constant there is actually an inverse relationship between age and depression. Therefore, rural elderly persons are no more likely to be depressed than their urban counterparts despite harsher living conditions. Both conceptual and policy implications are discussed.

Living Arrangement Preferences of Elderly People in Taiwan as Affected by Family Resources and Social Participation

2012 ◽  
Vol 37 (4) ◽  
pp. 381-394 ◽  
Author(s):  
Yen-Jong Chen ◽  
Ching-Yi Chen
Keyword(s):  
Elderly People ◽  
Social Participation ◽  
Living Arrangements ◽  
Independent Living ◽  
Choice Theory ◽  
Living Arrangement ◽  
Large Family ◽  
The Elderly ◽  
Elderly Persons ◽  
Family Resources

This article investigates living arrangement preferences of elderly people in Taiwan, including coresidence with family (their children or spouse), coresidence with spouse only, living alone, and living in an institution. The authors consider the effects of three factors: the elderly persons’ health situation, their family resources, and their social participation, such as community workshops or political activities. Accordingly, the authors propose empirical logit models based on the well-developed discrete choice theory. Empirical results reveal that (1) elderly people with higher socioeconomic status, prefer either independent living arrangements or coresidence with their children, (2) elderly people with more family resources, such as large family size, prefer to coreside with their children, and (3) elderly people with adequate social support and/or contact networks prefer independent living arrangements.

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