DISSEMINATING A CLINICALLY EFFECTIVE PHYSICAL ACTIVITY PROGRAM TO PRESERVE MOBILITY IN A COMMUNITY SETTING FOR OLDER ADULTS

2016 ◽  
pp. 1-6
Author(s):  
J. LAUSSEN ◽  
C. KOWALESKI ◽  
K. MARTIN ◽  
C. HICKEY ◽  
R.A. FIELDING ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Large Scale ◽  
Well Being ◽  
Moderate Intensity ◽  
Community Based ◽  
Counseling Intervention

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.

scholarly journals A physical activity program versus usual care in the management of quality of life for pre-frail older adults with chronic pain in primary care: randomized controlled trial.

2020 ◽  
Author(s):  
Pedro Otones ◽  
Eva García ◽  
Teresa Sanz ◽  
Azucena Pedraz
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Chronic Pain ◽  
Usual Care ◽  
Pain Intensity ◽  
Physical Performance ◽  
Frail Older Adults

Abstract Background Exercise have shown being effective for managing chronic pain and preventing frailty status in older adults but the effect of an exercise program in the quality of life of pre-frail older adults with chronic pain remains unclear. Our objective was to evaluate the effectiveness of multicomponent structured physical exercise program for pre-frail adults aged 65 years or more with chronic pain to improve their perceived health related quality of life, compared with usual care. Methods Open label randomized controlled trial. Participants were community-dwelling pre-frail older adults aged 65 years or older with chronic pain and non-dependent for basic activities of daily living attending a Primary Healthcare Centre. Forty-four participants were randomly allocated to a control group (n = 20) that received usual care or an intervention group (n = 24) that received an 8-week physical activity and education program. Frailty status (SHARE Frailty Index), quality of life (EuroQol-5D-5L), pain intensity (Visual Analogue Scale), physical performance (Short Physical Performance Battery) and depression (Yessavage) were assessed at baseline, after the intervention and after 3 months follow-up. The effect of the intervention was analysed by mean differences between the intervention and control groups. Results The follow-up period (3 months) was completed by 32 patients (73%), 17 in the control group and 15 in the intervention group. Most participants were women (78.1%) with a mean age (standard deviation) of 77.2 (5.9) years and a mean pain intensity of 48.1 (24.4) mm. No relevant differences were found between groups at baseline. After the intervention, mean differences in the EuroQol Index Value between control and intervention groups were significant (-0.19 95%CI(-0.33- -0.04)) and remained after three months follow-up (-0.21 95%CI(-0.37- -0.05)). Participants in the exercise group showed better results in pain intensity and frailty after the intervention, and an improvement in physical performance after the intervention and after three months. Conclusions An eight-week physical activity and education program for pre-frail older adults with chronic pain, compared with usual care, could be effective to improve quality of life after the intervention and after three-months follow-up. Study registration details: This study was retrospectively registered in ClinicalTrials.gov with the identifier NCT04045535.

scholarly journals BOTTOM-UP STRATEGIES FOR COMMUNITY ENGAGEMENT AND INFORMAL LEARNING: TARGETING MEN AGED 60 YEARS OR MORE

2019 ◽  
Vol 25 (2) ◽  
pp. 19-35 ◽  
Author(s):  
Marta Gregorčič
Keyword(s):  
Quality Of Life ◽  
Informal Learning ◽  
Large Scale ◽  
Research Study ◽  
Well Being ◽  
Community Based ◽  
Qualitative Research Study ◽  
Community Based Learning ◽  
Health And Well Being

The article presents findings from a large-scale qualitative research study conducted as part of a three-year Erasmus+ project entitled Old Guys Say Yes to Community, which included partners from Slovenia, Portugal, Poland and Estonia. The project explored how inactive ageing affects the quality of life, health and well-being of men aged 60 years or more, and how (self-)exclusion from the community can lead to social and psychological ‘death’. The article highlights four interconnected themes which are inadequately, insufficiently, or simply not addressed by national institutions and often also the non-governmental sector in the researched countries. The themes – the pluralisation of transitions to retirement and ageing; absent bodies and invisible lives; hegemonic masculinity and gendered experiences; and community-based learning, action and spaces – are supported by well-defined issues and obstacles preventing men from integrating into the community and are completed with suggestions and recommendations to implement much-needed changes. In addition to these four themes, the article touches upon a series of subtopics and questions that should be addressed by further scientific research in the observed countries.

scholarly journals COVID-19 shelter-at-home and work, lifestyle and well-being in desk workers

2021 ◽  
Author(s):  
B Barone Gibbs ◽  
C E Kline ◽  
K A Huber ◽  
J L Paley ◽  
S Perera
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Sedentary Behaviour ◽  
Well Being ◽  
Work Practices ◽  
Work Related ◽  
Working Status ◽  
At Home

Abstract Background Emerging cross-sectional reports find that the COVID-19 pandemic and related social restrictions negatively affect lifestyle behaviours and mental health in general populations. Aims To study the longitudinal impact of COVID-19 on work practices, lifestyle and well-being among desk workers during shelter-at-home restrictions. Methods We added follow-up after completion of a clinical trial among desk workers to longitudinally measure sedentary behaviour, physical activity, sleep, diet, mood, quality of life and work-related health using validated questionnaires and surveys. We compared outcomes assessed before and during COVID-19 shelter-at-home restrictions. We assessed whether changes in outcomes differed by remote working status (always, changed to or never remote) using analysis of covariance (ANCOVA). Results Participants (N = 112; 69% female; mean (SD) age = 45.4 (12.3) years; follow-up = 13.5 (6.8) months) had substantial changes to work practices, including 72% changing to remote work. Deleterious changes from before to during shelter-at-home included: 1.3 (3.5)-h increase in non-workday sedentary behaviour; 0.7 (2.8)-point worsening of sleep quality; 8.5 (21.2)-point increase in mood disturbance; reductions in five of eight quality of life subscales; 0.5 (1.1)-point decrease in work-related health (P &lt; 0.05). Other outcomes, including diet, physical activity and workday sedentary behaviour, remained stable (P ≥ 0.05). Workers who were remote before and during the pandemic had greater increases in non-workday sedentary behaviour and stress, with greater declines in physical functioning. Wake time was delayed overall by 41 (61) min, and more so in workers who changed to remote. Conclusions Employers should consider supporting healthy lifestyle and well-being among desk workers during pandemic-related social restrictions, regardless of remote working status.

scholarly journals SAÚDE DO IDOSO: ABORDAGEM PREVENTIVA EM UM GRUPO DE CAMINHADA

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
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Older People ◽  
Well Being ◽  
Whole Body ◽  
Adult Health ◽  
The City ◽  
Walking Group

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.

Subjective well-being and quality of life of rural-to-urban migrant and local older adults in Dongguan, China

2021 ◽  
Vol 49 (12) ◽  
pp. 1-11
Author(s):  
Yuxi Liu ◽  
Thammasin Ingviya ◽  
Rassamee Sangthong ◽  
Chonghua Wan
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Policy Decision ◽  
Well Being ◽  
Subjective Well Being ◽  
Community Based ◽  
Chinese Policy ◽  
Local Residents ◽  
Urban Migrant

We conducted a community-based survey to compare the subjective well-being (SWB) and quality of life (QoL) of 470 rural-to-urban migrant and 422 local older adults living in Dongguan, China. Ordinal logistic regression was used to assess the dose-response relationships of SWB, QoL, and individual and environmental factors. Results show that migrant (vs. local) residents had greater SWB and better QoL. Positive self-rated health, lack of chronic diseases, not being depressed, taking regular exercise, living close to recreation facilities, and having good social cohesion were positive determinants for SWB and QoL of both local and migrant respondents. Our results provide useful information for Chinese policy decision making to promote the health of older adults.

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
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Old Age ◽  
Well Being ◽  
Activity Level ◽  
Cross Sectional ◽  
Community Dwellers ◽  
Old Age Homes

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).

scholarly journals A physical activity program versus usual care in the management of quality of life for pre-frail older adults with chronic pain: randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Pedro Otones ◽  
Eva García ◽  
Teresa Sanz ◽  
Azucena Pedraz
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Chronic Pain ◽  
Usual Care ◽  
Pain Intensity ◽  
Physical Performance ◽  
Frail Older Adults

Abstract Background Exercise has shown being effective for managing chronic pain and preventing frailty status in older adults but the effect of an exercise program in the quality of life of pre-frail older adults with chronic pain remains unclear. Our objective was to evaluate the effectiveness of multicomponent structured physical exercise program for pre-frail adults aged 65 years or more with chronic pain to improve their perceived health related quality of life, compared with usual care. Methods Open label randomized controlled trial. Participants were community-dwelling pre-frail older adults aged 65 years or older with chronic pain and non-dependent for basic activities of daily living attending a Primary Healthcare Centre. Forty-four participants were randomly allocated to a control group (n = 20) that received usual care or an intervention group (n = 24) that received an 8-week physical activity and education program. Frailty status (SHARE Frailty Index), quality of life (EuroQol-5D-5L), pain intensity (Visual Analogue Scale), physical performance (Short Physical Performance Battery) and depression (Yessavage) were assessed at baseline, after the intervention and after 3 months follow-up. The effect of the intervention was analysed by mean differences between the intervention and control groups. Results The follow-up period (3 months) was completed by 32 patients (73%), 17 in the control group and 15 in the intervention group. Most participants were women (78.1%) with a mean age (standard deviation) of 77.2 (5.9) years and a mean pain intensity of 48.1 (24.4) mm. No relevant differences were found between groups at baseline. After the intervention, mean differences in the EuroQol Index Value between control and intervention groups were significant (− 0.19 95% CI(− 0.33- -0.04)) and remained after 3 months follow-up (− 0.21 95% CI(− 0.37- -0.05)). Participants in the exercise group showed better results in pain intensity and frailty after the intervention, and an improvement in physical performance after the intervention and after 3 months. Conclusions An eight-week physical activity and education program for pre-frail older adults with chronic pain, compared with usual care, could be effective to improve quality of life after the intervention and after three-months follow-up. Study registration details This study was retrospectively registered in ClinicalTrials.gov with the identifier NCT04045535.

scholarly journals Home-Based Exercise Prehabilitation During Preoperative Treatment for Pancreatic Cancer Is Associated With Improvement in Physical Function and Quality of Life

2019 ◽  
Vol 18 ◽  
pp. 153473541989406 ◽  
Author(s):  
An Ngo-Huang ◽  
Nathan H. Parker ◽  
Eduardo Bruera ◽  
Rebecca E. Lee ◽  
Richard Simpson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Pancreatic Cancer ◽  
Aerobic Exercise ◽  
Physical Function ◽  
Pancreatic Adenocarcinoma ◽  
Moderate Intensity ◽  
Home Based

Purpose: To investigate relationships among physical activity, changes in physical function, and health-related quality of life (HRQOL) among patients with pancreatic adenocarcinoma enrolled in a home-based exercise prehabilitation program. Methods: Patients with resectable pancreatic adenocarcinoma receiving preoperative chemotherapy and/or chemoradiation were enrolled on this prospective, single-arm trial and were advised to perform ≥60 minutes each of moderate-intensity aerobic exercise and strengthening exercise weekly. Activity was measured via self-report and accelerometers, including moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), and sedentary activity (SA). Physical function measures at baseline and restaging follow-up included 6-minute walk test (6MWT), 5 times sit-to-stand (5×STS), handgrip strength (HGS), 3-m walk for gait speed (GS), and the PROMIS Physical Function Short Form. HRQOL was measured via the FACT-Hep questionnaire. Results: Fifty participants with mean age 66 years (standard deviation = 8 years) were enrolled. The 6MWT, 5×STS, and GS significantly improved from baseline to restaging follow-up (P=.001, P=.049, and P=.009, respectively). Increases in self-reported aerobic exercise, weekly MVPA, and LPA were associated with improvement in 6MWT (β=.19, P=.048; β=.18, P=.03; and β=.08, P=.03, respectively) and self-reported physical functioning (β=.02, P=.03; β=.03, P=.005; and β=.01, P=.02, respectively). Increased weekly LPA was associated with increased HRQOL (β=.03, P=.02). Increased SA was associated with decreased HRQOL (β=-.02,P=.01). Conclusions: Patients with potentially resectable pancreatic cancer exhibit meaningful improvement in physical function with prehabilitation; physical activity was associated with improved physical function and HRQOL. These data highlight the importance of physical activity during treatment for pancreatic cancer.

scholarly journals Positive and negative well-being of older adults with symptomatic peripheral artery disease: A population-based investigation

2020 ◽  
Vol 9 ◽  
pp. 204800402096171
Author(s):  
Snorri Bjorn Rafnsson ◽  
Gerry Fowkes
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Peripheral Artery Disease ◽  
Well Being ◽  
Peripheral Artery ◽  
Artery Disease

Objective We investigated positive and negative subjective well-being in relation to lower-extremity peripheral artery disease (PAD) in a sample of older adults. Method 4760 participants in the English Longitudinal Study of Ageing (ELSA) provided baseline data on symptomatic PAD, sociodemographic characteristics, lifestyle risk factors, and co-morbid conditions. Baseline and two-year follow-up data were available for life satisfaction, quality of life, and depressive symptoms. Results Participants with PAD symptoms had lower baseline levels of life satisfaction (β = −0.03, p < .05) and quality of life (β = −0.04, p < .01), and more depressive symptoms (β = 0.03, p < .05). These associations remained statistically significant in multivariate analyses. Baseline PAD did not, however, influence well-being levels at two-year follow-up. Discussion Greater awareness of the potential for chronic vascular morbidity to disrupt the lives of older adults is needed to inform effective multidisciplinary support and interventions that help maintain the quality of life of those affected.

scholarly journals COVID-19 pandemic-related changes in wellness behavior among older Americans

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elgloria Harrison ◽  
Lillie Monroe-Lord ◽  
Andrew D. Carson ◽  
Anne Marie Jean-Baptiste ◽  
Janet Phoenix ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Food Security ◽  
Well Being ◽  
The United States ◽  
Negative Impacts ◽  
The Impact ◽  
Health And Well Being

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.

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