scholarly journals Technology-based fall risk assessments for older adults in low-income settings: A cross-sectional study protocol (Preprint)

2021 ◽  
Author(s):  
Ladda Thiamwong ◽  
Jeffrey R. Stout ◽  
Joon-Hyuk Park ◽  
Xin Yan
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Composition ◽  
Low Income ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Balance Performance ◽  
Cross Sectional ◽  
Risk Appraisal

BACKGROUND One-third of older adults have maladaptive fall risk appraisal (FRA), a condition in which there is a discrepancy between a level of fear of falling (FOF) and physiological fall risk (balance performance). Older adults who overestimate their physiological fall risk and report high fear of falling are less likely to participate in physical activity. Limited data suggest the association between fear of falling, body composition, and physical activity intensity differs by fear severity. OBJECTIVE This study examines the associations among fall risk appraisal, body composition, and physical activity using Assistive Health Technology, including the BTrackS Balance System (BBS), Bioelectrical Impedance Analysis, and activity monitoring devices. This study also aims to examine the feasibility of recruitment and acceptability of technologies and procedures for use among older adults in low-income settings. METHODS This is a cross-sectional study. This study will be conducted at older adults’ homes/apartments in low-income settings in Central Florida, USA. Following consent, participants will be contacted, and our team will have two visits with them. The first visit includes questionnaires completion (e.g., socio-demographic, FOF) and the balance performance test using the BBS. Participants will be stratified by the FRA matrix. Also, they will perform the hand-grip strength and dynamic balance performance tests. Participants will then be asked to wear the ActiGraph GT9X Link wireless activity monitor on the non-dominant wrist for 7 consecutive days. The second visit includes body composition testing and a structured interview about the acceptability of technologies and procedures. RESULTS The ethical approval was obtained from the institutional review board, University of Central Florida (Protocol No. 2189; September 10, 2020). As of December 2020, the enrollment of participating is ongoing. CONCLUSIONS Accurate fall risk appraisal is essential in implementing physical activity programs, especially in low-income older adults. This study will provide data for developing technology-based fall risk assessments for improving participation in physical activity, thus enhancing healthy longevity among older adults in low-income settings.

scholarly journals Using Assistive Health Technology to Assess Fall Risk Appraisal, Body Composition, and Physical Activity

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 28-28
Author(s):  
Ladda Thiamwong ◽  
Joon-Hyuk Park ◽  
Renoa Choudhury ◽  
Oscar Garcia ◽  
Maxine Furtado ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Composition ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Health Technology ◽  
Cross Sectional ◽  
Risk Appraisal

Abstract One-third of older adults have a discrepancy between perceived and physiological fall risks or maladaptive fall risk appraisal (FRA). Older adults who report high fear of falling and overestimate their physiological fall risk are less likely to participate in physical activity (PA). Limited data suggest the interrelation between fall risk appraisal, body composition, and objective measured PA. This cross-sectional study examines the feasibility of recruitment and acceptability of Assistive Health Technology (AHT), including the BTrackS Balance System (BBS), Bioelectrical Impedance Analysis (InBody s10), and ActiGraph GT9X Link wireless activity monitor. This study demonstrates the benefits of using AHT to study the associations among FRA, body composition, and PA in older adults. We hypothesize that rational FRA is associated with higher levels of PA and skeletal muscle mass and lower levels of percent of body fat and body mass index. Topics presentation included research protocol and preliminary results.

Compliance of the Physical Activity Guidelines Accumulated in Bouts ≥10 Min and Nonbouts and Its Association With Body Composition and Physical Function: A Cross-Sectional Study in Brazilian Older Adults

2020 ◽  
pp. 1-8
Author(s):  
Anna Gabriela Silva Vilela Ribeiro ◽  
Rozangela Verlengia ◽  
Maria Rita Marques de Oliveira ◽  
Matheus Valério Almeida Oliveira ◽  
Idico Luiz Pellegrinotti ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Composition ◽  
Physical Function ◽  
Vigorous Physical Activity ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Physically Active ◽  
Physical Activity Guidelines ◽  
Appendicular Skeletal Muscle

This study aimed to investigate the association between compliance with the guidelines of moderate to vigorous physical activity (MVPA) accumulated in bouts of ≥10 min or nonbouts with body composition and physical function in older adults. The authors evaluated 230 noninstitutionalized older adults. Body composition was estimated using bioimpedance, and physical function was assessed using four physical tests. Physical activities were monitored for 7 days using an accelerometer. Older adults who were physically active according to MVPA in bouts of ≥10 min were less likely to have low appendicular skeletal muscle mass (odds ratio [OR] = 0.12), excess body fat (OR = 0.30), and abdominal obesity (OR = 0.34) and more likely to have a higher physical function (OR = 5.78). No significant association was observed with MVPA nonbout. Our findings indicate that older adults who accumulate MVPA in bouts of  ≥10 min have better parameters for body composition and physical function.

scholarly journals Associations among Fall Risk Appraisal, Body Composition, and Physical Activity in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1001-1002
Author(s):  
Ladda Thiamwong ◽  
Rui Xie ◽  
Renoa Choudhury ◽  
Joon-Hyuk Park ◽  
Oscar Garcia ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Skeletal Muscle ◽  
Body Composition ◽  
Body Fat ◽  
Fall Risk ◽  
Health Technology ◽  
Whole Body ◽  
Risk Appraisal ◽  
Difficulty Walking

Abstract One-third of older adults have maladaptive fall risk appraisal (FRA), a condition in which there is a discrepancy between perceived fall risk or levels of fear of falling (FOF) and physiological fall risk (balance performance). We aimed to examine the associations among FRA, body composition, and physical activity (PA) using Assistive Health Technology, including the Bioelectrical Impedance Analysis, BTrackS Balance System, and activity monitoring devices. We evaluated 124 older adults with a mean age of 74.81 (SD=7.31, range 60 to 96), 77% were female, and 72% had no history of falls. The multinomial logistic regression was used to analyze the data. FRA was classified into 4 quadrants, and we found 47% of rational FRA (low FOF and normal balance), 19% of incongruent FRA (low FOF despite poor balance), 18% of irrational FRA (high FOF despite normal balance), and 16% congruent FRA (high FOF and poor balance). We found these following variables are associated with FRA: accelerometer-based moderate to vigorous physical activity (MVPA: mins), self-reported PA score (strength & flexibility), had difficulty walking up 10 steps without resting (resistance), had difficulty walking several city blocks (ambulation), left-hand average handgrip strength, CDC fall risk score, Senior Technology Acceptance (STA) score and body composition including Body Fat Mass (BFM), Percent Body Fat (PBF), Body Mass Index (BMI), Whole Body Phase Angle, Skeletal Muscle Mass (SMM) and Skeletal Muscle Index (SMI). Our results support the efficacy of using Assistive Health Technology on screening individuals with maladaptive FRA with targeted interventions to reduce fall risk.

scholarly journals Visual Acuity’s Association With Levels of Leisure-Time Physical Activity in Community-Dwelling Older Adults

2012 ◽  
Vol 20 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Mark W. Swanson ◽  
Eric Bodner ◽  
Patricia Sawyer ◽  
Richard M. Allman
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Visual Acuity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
University Of Alabama ◽  
Cross Sectional ◽  
The University

Little is known about the effect of reduced vision on physical activity in older adults. This study evaluates the association of visual acuity level, self-reported vision, and ocular disease conditions with leisure-time physical activity and calculated caloric expenditure. A cross-sectional study of 911 subjects 65 yr and older from the University of Alabama at Birmingham Study of Aging (SOA) cohort was conducted evaluating the association of vision-related variables to weekly kilocalorie expenditure calculated from the 17-item Leisure Time Physical Activity Questionnaire. Ordinal logistic regression was used to evaluate possible associations while controlling for potential confounders. In multivariate analyses, each lower step in visual acuity below 20/50 was significantly associated with reduced odds of having a higher level of physical activity, OR 0.81, 95% CI 0.67, 0.97. Reduced visual acuity appears to be independently associated with lower levels of physical activity among community-dwelling adults.

scholarly journals Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults: cross-sectional study

2017 ◽  
Vol 135 (5) ◽  
pp. 434-443 ◽  
Author(s):  
Ricardo Aurélio Carvalho Sampaio ◽  
Priscila Yukari Sewo Sampaio ◽  
Luz Albany Arcila Castaño ◽  
João Francisco Barbieri ◽  
Hélio José Coelho Júnior ◽  
...  
Keyword(s):  
Older Adults ◽  
Skeletal Muscle ◽  
Muscle Mass ◽  
Skeletal Muscle Mass ◽  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Appendicular Skeletal Muscle ◽  
Appendicular Skeletal Muscle Mass

scholarly journals Effects of Attitude, Motivation, and Eagerness for Physical Activity among Middle-Aged and Older Adults

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Md Mizanur Rahman ◽  
Dongxiao Gu ◽  
Changyong Liang ◽  
Rao Muhammad Rashid ◽  
Monira Akter
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Positive Attitude ◽  
Sports Participation ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Cost Effective Method ◽  
Global Statistics

Background. Although physical activity (PA) is a noninvasive and cost-effective method of improving the quality of health, global statistics show that only a few middle-aged and older adults engage in the recommended PAs. This is due to a lack of motivation and companionship. Objective. This study analyses the attitudes and self-determined motivation of Chinese middle-aged and older adults for PAs and their eagerness to participate in PAs such as sports, exercise, and recreational and cultural activities (RCAs), from attitudinal, eagerness, and motivational objectives of PAs perspective. Methods. A cross-sectional study was carried out on 840 middle-aged (35–54 years) and older adults (55+ years). To determine their attitude, eagerness, and self-determined motivation for PA, we used attitudinal, Eagerness for Physical Activity Scale (EPAS), and Situational Motivational Scale (SIMS). The data were analyzed with SPSS 23.0. Results. The results show that 39.1% of the participants were not satisfied with PAs. Compared with females, males reported a less positive attitude towards PAs. Moreover, a positive attitude decreases with age. Participants’ motivation and eagerness in activities such as RCAs, exercise, and sports are decreasing. Regarding self-determined motivation, there are gender differences in RCAs, but there is none for exercise and sports participation. Conclusion. The findings show the importance of RCAs and the support of family and friends enhancing the eagerness, attitude, and motivation to participate in PAs. Furthermore, the findings can help to create more effective PA programs for middle-aged and older adults. By engaging in RCAs, participants can reap the benefits of PAs. Participating in RCAs can lead to social equity in health.

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