Determinants of Independence in the Elderly

1993 ◽  
Vol 18 (3) ◽  
pp. 243-254 ◽  
Author(s):  
David A. Cunningham ◽  
Donald H. Paterson ◽  
Joan E. Himann ◽  
Peter A. Rechnitzer
Keyword(s):  
Cardiorespiratory Fitness ◽  
Walking Speed ◽  
The Elderly ◽  
Test Body ◽  
Activity Levels ◽  
Normal Walking ◽  
Walking Test ◽  
Outdoor Activities ◽  
Shoulder Flexibility ◽  
Elderly Living

The purpose of this study was to compare strength, flexibility, and cardiorespiratory fitness of the elderly living independently (n = 64) with those in rest or nursing homes (n = 61), and to identify those variables most strongly associated with an independent lifestyle. Quantitative levels of independence (Incapacity Index) and of activity were determined by questionnaires. Flexibility was measured using the Leighton Flexometer. Strength was measured using a modified sphygmomanometer. Cardiorespiratory fitness was measured using a self-paced walking test. Body size factors were also determined. Independent and dependent subjects were significantly different in age, which imposed a limitation on interpretation of these data. However, this factor was accounted for statistically in the analyses. Independent individuals compared to dependent ones showed significantly greater flexibility, activity levels, and choice of walking speed. Through multiple regression analysis, it was found that 40% of the variance in Incapacity Index was associated with participation in outdoor activities, greater shoulder flexibility, and a faster normal walking speed (> 1.0 m∙s−1). Key words: physical activity in the elderly, flexibility, strength, self-paced walking, physical fitness

scholarly journals Effects of Centella asiatica L. Capsul on Muscle Disfunction on Elderly People

2018 ◽  
Vol 23 (2) ◽  
pp. 142
Author(s):  
I Dewa Putu Pramantara ◽  
Nyoman Nyoman Kertia ◽  
Mae Sri Hartati Wahyuningsih ◽  
Nur Arfian
Keyword(s):  
Elderly People ◽  
Walking Speed ◽  
Centella Asiatica ◽  
The Elderly ◽  
Toxicity Tests ◽  
Double Blind Study ◽  
Double Blind ◽  
Walking Test ◽  
Healthy Elderly ◽  
Better Than

Pegagan (Centella asiatica L) has been traditionally used to treat wounds, disordered nerve system, blood circulation, and prevent muscle disorders. Extract of Pegagan was considered safe and non-toxic as the acuut and chronic toxicity tests on male SD rats were not significant. It meant that further study was potential to be proceeded. Study of C.asiatica on muscle function of the elderly has not been done, therefore this study is aimed to observe  effects of C.asiatica extract on muscle masses, holding hands, walking speed (4.57 meter), walking test (6 minutes), and Time Up and Go test of the elderly. This study is designed for clinical double blind study with 2 groups of people, these are C. asiatica (18 people) treated with capsul (550 mg C. asiatica extract/day for 90 days) and placebo (17 people). This study is performed in the RSUP Dr. Sardjito hospital at the geriatric division. Subjects for this study were healthy elderly people and fit with the criteria of subjects for experiment. Result of the study, muscle masses do not decrease and all the measurements are not different with that of placebo. Except that the walking speed (6 minutes) of the treated subjects is better than that of the placebo. The conclusion of the study, the capsul containing C. asiatica extract (550 mg, once a day for 90 days) increases the strengh of hands holding, and the walking test (6 minutes) almost twice better than that of the placebo although the muscle masses does not increase significantly.

scholarly journals PENGARUH SENAM LANSIA TERHADAP KEBUGARAN KARDIORESPIRASI PADA LANSIA

2019 ◽  
Vol 1 (2) ◽  
pp. 1-6
Author(s):  
Dany Pramono Putra
Keyword(s):  
Treatment Group ◽  
Cardiorespiratory Fitness ◽  
The Elderly ◽  
Measuring Instruments ◽  
Measuring Instrument ◽  
Walking Test ◽  
Paired Sample ◽  
Group Design ◽  
Normality Test ◽  
Post Test

 Background: As people get older, the condition ofcardiorespiratory fitness will decrease.Cardiorespiratory fitness is the ability of the heart,lungs, and blood vessels to take oxygen and thendistribute it to the tissues during rest and exercise.The cardiorespiratory fitness can be measured bydetermining VOmax. Low impact physical exercisesuch as gymnastics can help improvecardiorespiratory fitness and reduce the risk ofcardiovascular disease in the elderly. Elderlygymnastics is a mild exercise that is easy to do andnot burdensome if applied to the elderly. Objective:This study was conducted to determine the effect ofelderly gymnastics on cardiorespiratory fitness inthe elderly. Method: This study used quasiexperimental method with pre-test and post-test ofone group design. The sample was 17 elderly withnon-probability sampling. The sample was dividedinto 1 group i.e. the group given elderly gymnasticpractice done 3 times a week for 4 weeks. Thestudy used a Six Minutes Walking Test (SMWT)measuring instrument that was converted into theVO22max formula to measure the cardiorespiratoryfitness. The normality test was SaphiroWilk test.Hypothesis test with paired sample t-test was usedto determine the improvement of cardiorespiratoryfitness in the treatment group. Result: Hypothesistest result in treatment group with paired sample ttest obtained p = 0,000, which means there isinfluence of elderly gymnastics towardimprovement of cardiorespiratory fitness in theelderly. Conclusion: There is an influence ofelderly gymnastics on improving cardiorespiratoryfitness in the elderly. Suggestion: Further researchis suggested using more samples, longer studytime, and different measuring instruments.  

scholarly journals Hubungan antara sindrom metabolik dengan kebugaran jasmani pada lansia

2021 ◽  
Vol 9 (2) ◽  
pp. 159-167
Author(s):  
Prijo Sudibjo ◽  
Cerika Rismayanthi ◽  
Krisnanda Dwi Apriyanto
Keyword(s):  
Metabolic Syndrome ◽  
Muscle Strength ◽  
Cardiorespiratory Fitness ◽  
The Elderly ◽  
Adult Treatment Panel ◽  
Cross Sectional ◽  
Walking Test ◽  
Leg Strength ◽  
Consecutive Sampling ◽  
Hand Grip

Prevalensi sindrom metabolik pada lansia cukup tinggi. Sindrom metabolik dapat dicegah salah satunya dengan aktivitas fisik. Aktivitas fisik juga dapat meningkatkan kebugaran kardiorespirasi, kelenturan sendi, keseimbangan dan kekuatan otot. Penelitian ini bertujuan untuk mengetahui hubungan antara sindrom metabolik dengan kebugaran kardiorespirasi, fleksibilitas, kekuatan, dan keseimbangan pada lansia. Penelitian ini merupakan penelitian cross sectional dengan teknik consecutive sampling pada 118 lansia di Yogyakarta. Sindrom metabolik ditetapkan berdasarkan kriteria diagnosis dari Adult Treatment Panel. Instrumen yang digunakan untuk mengumpulkan data adalah tes jalan 6 menit (6-minute walking test), sit and reach, hand grip dynamometer, leg and back dynamometer dan berdiri satu kaki. Teknik analisis dengan menggunakan uji korelasi Spearman. Hasil dari penelitian menunjukkan bahwa sebanyak 32 lansia mengalami sindrom metabolik. Tujuh puluh dari 118 orang memiliki data yang lengkap untuk analisis korelasi. Terdapat korelasi antara sindrom metabolik dengan kekuatan otot tungkai/leg strength (r=-0,295, p=0,013) dan keseimbangan (r=-0,282, p=0,018), namun tidak ada korelasi antara sindrom metabolik dengan kekuatan peras tangan/hand grip, kekuatan otot punggung/back strength (p=0,405), kebugaran kardiorespirasi (p=0,103) dan fleksibilitas (p=0,488). Dapat disimpulkan bahwa lansia yang terdiagnosis mengalami sindrom metabolik cenderung mengalami pelemahan kekuatan tungkai dan penurunan keseimbangan. Oleh karenanya, lansia perlu melakukan aktivitas fisik untuk meningkatkan kekuatan otot tungkai dan keseimbangan. The Correlation between metabolic syndrome and physical fitness in elderly AbstractThe prevalence of metabolic syndrome in the elderly is quite high. One way to prevent metabolic syndrome is by being physical active. Physical activity can also improve cardiorespiratory fitness, joint flexibility, balance and muscle strength. This study aimed to determine the relationship between metabolic syndrome and cardiorespiratory fitness, flexibility, strength, and balance in the elderly. This study was a cross sectional study with a consecutive sampling technique on 118 elderly people in Yogyakarta. Metabolic syndrome was defined based on the diagnostic criteria from the Adult Treatment Panel. The instruments used to collect the data were a 6-minute walking test, sit and reach, hand grip dynamometer, leg and back dynamometer and standing on one leg. The analysis technique used the Spearman correlation test. The results of the study showed that 32 elderly had metabolic syndrome. Seventy out of 118 people had complete data for correlation analysis. There was a correlation between metabolic syndrome and leg muscle strength (r = -0.295, p = 0.013) and balance (r = -0.282, p = 0.018), but there was no correlation between metabolic syndrome and hand grip strength. back muscle strength (p = 0.405), cardiorespiratory fitness (p = 0.103) and flexibility (p = 0.488). It can be concluded that the elderly who are diagnosed with metabolic syndrome tend to experience weakened leg strength and decreased balance. Therefore, the elderly need to do physical activity to improve leg muscle strength and balance.

PHYSICAL, SOCIAL ACTIVITIES AND QUALITY OF LIFE OF THE ELDERLY LIVING IN TRUONG AN WARD, HUE CITY IN 2016

2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen
Keyword(s):  
Quality Of Life ◽  
The Elderly ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Physical Activities ◽  
Social Activities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elderly Living

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly

The Depressed Elderly Living in the Community

1990 ◽  
Vol 157 (3) ◽  
pp. 425-427 ◽  
Author(s):  
O. Ben-Arie ◽  
M. Welman ◽  
A. F. Teggin
Keyword(s):  
Depressive Disorder ◽  
The Elderly ◽  
Community Survey ◽  
One Year ◽  
Elderly Living ◽  
Course Of Depression

In a 1982 community survey, 23 elderly respondents were rated as having a depressive disorder by catego. Twenty survivors were followed up three and a half years later. The depression had remitted within one year in seven cases but nine were still depressed. There is a need for ongoing education of GPs about the recognition and course of depression in the elderly.

scholarly journals Nonresponders of Physical Activity on Prescription (PAP) Can Increase Their Exercise Capacity with Enhanced Physiotherapist Support

2021 ◽  
Vol 18 (9) ◽  
pp. 4795
Author(s):  
Tom Martinsson Ngouali ◽  
Mats Börjesson ◽  
Åsa Cider ◽  
Stefan Lundqvist
Keyword(s):  
Physical Activity ◽  
Oxygen Uptake ◽  
Exercise Capacity ◽  
Cardiorespiratory Fitness ◽  
Medium Effect ◽  
Control Group ◽  
Activity Levels ◽  
The Metabolic Syndrome ◽  
Physical Activity Levels ◽  
Insufficient Physical Activity

Swedish physical activity on prescription (PAP) is an evidence-based method to promote physical activity. However, few studies have investigated the effect of Swedish PAP on physical fitness, in which better cardiorespiratory fitness is associated with lower risks of all-cause mortality and diagnose-specific mortality. Direct measures of cardiorespiratory fitness, usually expressed as maximal oxygen uptake, are difficult to obtain. Hence, exercise capacity can be assessed from a submaximal cycle ergometer test, taking the linear relationship between heart rate, work rate, and oxygen uptake into account. The aim of this study was to evaluate exercise capacity in the long term, following PAP treatment with enhanced physiotherapist support in a nonresponding patient cohort. In total, 98 patients (48 women) with insufficient physical activity levels, with at least one component of the metabolic syndrome and nonresponding to a previous six-month PAP treatment, were randomized to PAP treatment with enhanced support from a physiotherapist and additional exercise capacity tests during a two-year period. A significant increase in exercise capacity was observed for the whole cohort at two-year follow-up (7.6 W, p ≤ 0.001), with a medium effect size (r = 0.34). Females (7.3 W, p = 0.025), males (8.0 W, p = 0.018) and patients ≥58 years old (7.7 W, p = 0.002) improved significantly, whereas a nonsignificant increase was observed for patients <58 years old (7.6 W, p = 0.085). Patients with insufficient physical activity levels who did not respond to a previous six-month PAP treatment can improve their exercise capacity following PAP treatment with enhanced support from a physiotherapist during a two-year period. Future studies should include larger cohorts with a control group to ensure valid estimations of exercise capacity and PAP.

scholarly journals Nutrition Study People over 80 Years

2012 ◽  
Vol 2 (3) ◽  
pp. 77-89
Author(s):  
Javier Benítez ◽  
Nieves Perejón ◽  
Marcelino Arriaza ◽  
Pilar Bellanco
Keyword(s):  
Quality Of Life ◽  
The Elderly ◽  
Blood Chemistry ◽  
Living Alone ◽  
Age Group ◽  
Nutrition Study ◽  
Geriatric Evaluation ◽  
The Mean ◽  
Elderly Living

Loneliness has always been associated and reported as a risk factor of malnutrition in the elderly. People over 80 who live alone have deserved this study to detect their situation and potential for action to improve their quality of life. Objectives: To determinate the nutritional status of people over 80 living alone in the area of “La Laguna”, Cádiz. Material and method: In PIAMLA`80 program analyse those parameters and their possible correlations in a group of 342 elderly living alone over 80 years old. Different parameters were measured: Integral Geriatric Evaluation, Barthel, Lawton-Brody, Lobo, Gijon, specific analytical blood chemistry and MNA. Results: In a population of 984 people, were selected 342 initially, but finally the group decreases to 247 people. The mean Barthel was 80.42 points, 5.76 Lawton and Gijon from 11.3 Lobo 26.48. The MNA for the whole population was 24.25/30 detecting only a risk age group in women of 85-95. Correlation between nutrition and the biochemical test values showed positive for haemoglobin (0.19), total protein (0.26), Fe (0.32) and albumin (0.46). Conclusions: In our research we have not detected malnutrition in any age group or gender. The use of nutrition test MNA and its MINI version must be generalized as an accurate, clear, quick and easy tool to use.

scholarly journals Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

2021 ◽  
Vol 18 (5) ◽  
pp. 2241
Author(s):  
Ladislav Batalik ◽  
Vladimir Konecny ◽  
Filip Dosbaba ◽  
Daniela Vlazna ◽  
Kristian Brat
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Cardiorespiratory Fitness ◽  
Test Time ◽  
Target Heart Rate ◽  
Walking Test ◽  
Novel Approach ◽  
Home Based ◽  
Study Participants

This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants (n = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our study, the participants were supervised using telerehabilitation. A total of 84% of participants completed the 8-week intervention. No adverse events were reported during telerehabilitation. The study participants noted a significant improvement (p < 0.001) in cardiorespiratory fitness expressed by an 8% reduction in the walking test time (Δ 8.8 ± 5.9 s). Home-based telerehabilitation based on 200 mFWT effectively increased the cardiorespiratory fitness in people with CHD with a low to moderate cardiovascular risk. This was a novel approach in CR during the COVID-19 pandemic. As research in this area is justified, this paper may serve as an alternative method of providing healthcare during the COVID-19 pandemic and as a basis for further upcoming randomized controlled trials.

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