Community Exercise Program for Older Adults Recovering from Hip Fracture: A Pilot Study

2006 ◽  
Vol 14 (4) ◽  
pp. 439-455 ◽  
Author(s):  
Gareth R. Jones ◽  
Jennifer M. Jakobi ◽  
Albert W. Taylor ◽  
Rob J. Petrella ◽  
Anthony A. Vandervoort
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Hip Fracture ◽  
Pilot Study ◽  
Lower Extremity ◽  
Effective Means ◽  
Exercise Program ◽  
Knee Extensor ◽  
Community Dwelling ◽  
Functional Mobility

Community-based rehabilitative exercise programs might be an effective means to improve functional outcomes for hip-fracture patients. The purpose of this study was to evaluate the effectiveness of a community exercise program (CEP) for older adults recovering from hip fracture. Twenty-five older adults (mean age 80.0 ± 6.0 years; 24 women; 71 ± 23 days post–hip fracture) participated in this pilot study (17 exercise, 8 control). The CEP involved functional stepping and lower extremity–strengthening exercises. Control participants received only standard outpatient therapy. Measures of functional mobility, balance confidence, falls efficacy, lower extremity strength, and daily physical activity were evaluated at baseline and at 16 weeks. Improvements for self-reported physical activity, mobility, balance, and knee-extensor strength were observed for the CEP group. This study demonstrated that a CEP is beneficial for community-dwelling older adults post–hip fracture.

Effects of a Group Exercise Program on Risk Factors for Falls in Frail Older Adults

1994 ◽  
Vol 2 (1) ◽  
pp. 25-37 ◽  
Author(s):  
Ellen F. Binder ◽  
Marybeth Brown ◽  
Suzanne Craft ◽  
Kenneth B. Schechtman ◽  
Stanley J. Birge
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
Exercise Program ◽  
Knee Extensor ◽  
Community Dwelling ◽  
Moderate Intensity ◽  
Group Exercise ◽  
Frail Older Adults ◽  
The Mean ◽  
Risk Factors For Falls

Fifteen community dwelling older adults, ages 66 to 97 years, with at least one risk factor for recurrent falls, attended a thrice weekly group exercise class for 8 weeks. In post- versus preexercise comparisons, knee extensor torque at 0°/sec increased by 16.5% (p= 0.055); time to perform the stand-up test once, and five times consecutively, improved by 29.4 and 27.4%, respectively (p= 0.05,p= 0.01); gait speed for 24 feet increased by 16.5% (p< 0.001); and performance of the progressive Romberg test of balance improved with a mean increase of 1.1 ± 0.9 positions (p= 0.001). Participants reported a significant increase in the mean number of times per week that they went out of their apartment/home independent of exercising, and a significant increase in the mean number of city blocks they could walk. Performance data for nine exercise participants at 1-yr postintervention are presented. A low- to moderate-intensity groups exercise program can effect improvements in lower extremity strength, gait speed, balance, and self-reported mobility function in frail older adults.

Home-Based Exercise Program Improves Balance and Fear of Falling in Community-Dwelling Older Adults with Mild Alzheimer’s Disease: A Pilot Study

2017 ◽  
Vol 59 (2) ◽  
pp. 565-574 ◽  
Author(s):  
Kalpana P. Padala ◽  
Prasad R. Padala ◽  
Shelly Y. Lensing ◽  
Richard A. Dennis ◽  
Melinda M. Bopp ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Pilot Study ◽  
Fear Of Falling ◽  
Exercise Program ◽  
Community Dwelling ◽  
Home Based ◽  
Community Dwelling Older Adults

scholarly journals Implementation of an Evidence-Based Exercise Program for Older Adults in South Florida

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Richard C. Palmer ◽  
Anamica Batra ◽  
Chelsie Anderson ◽  
Timothy Page ◽  
Edgar Vieira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Program ◽  
South Florida ◽  
Community Dwelling ◽  
Evidence Based ◽  
Functional Fitness ◽  
Body Strength ◽  
High Satisfaction ◽  
Wide Scale

Introduction. This study aimed to examine how well an evidence-based physical activity program could be translated for wide scale dissemination and adoption to increase physical activity among community-dwelling older adults.Methods. Between October 2009 and December 2012, reach, fidelity, dosage, ease of implementation, and barriers to translation of EnhanceFitness (EF) were assessed. To assess effectiveness, a pretest-posttest design was used to measure increases in functional fitness (chair stands, arm curls, and the up-and-go test).Results. Fourteen community-based agencies offered 126 EF classes in 83 different locations and reached 4,490 older adults. Most participants were female (72%). Thirty-eight percent of participants did not complete the initial 16-week EF program. The 25% who received the recommended dose experienced an increase in upper and lower body strength and mobility. Further, participants reported high satisfaction with the program.Conclusion. EF was successfully implemented in a variety of settings throughout South Florida and reached a large number of older adults. However, challenges were encountered in ensuring that those who participated received a program dose that would lead to beneficial gains in functional fitness.

Sedentary Behavior and Physical Activity Patterns in Older Adults After Hip Fracture: A Call to Action

2016 ◽  
Vol 24 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Lena Fleig ◽  
Megan M. McAllister ◽  
Penny Brasher ◽  
Wendy L. Cook ◽  
Pierre Guy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Hip Fracture ◽  
Sedentary Behavior ◽  
Sedentary Time ◽  
Activity Patterns ◽  
Community Dwelling ◽  
Call To Action ◽  
Light Activity

Objectives:To characterize patterns of sedentary behavior and physical activity in older adults recovering from hip fracture and to determine characteristics associated with activity.Methods:Community-dwelling, Canadian adults (65 years+) who sustained hip fracture wore an accelerometer at the waist for seven days and provided information on quality of life, falls self-efficacy, cognitive functioning, and mobility.Results:There were 53 older adults (mean age [SD] 79.5 [7.8] years) enrolled in the study; 49 had valid data and demonstrated high levels of sedentary time (median [p10, p90] 591.3 [482.2, 707.2] minutes/day), low levels of light activity (186.6 [72.6, 293.7]), and MVPA (2 [0.1, 27.6]), as well as few daily steps (2467.7 [617.1, 6820.4]). Regression analyses showed that age, gender, gait speed, and time since fracture were associated with outcomes.Conclusions:Older adults have long periods of sedentary time with minimal activity. Results are a call to action to encourage people to sit less and move more.

scholarly journals The Relationship Between Cognitive Decline and Sedentary Time

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 191-191
Author(s):  
Lorraine Phillips ◽  
Mary Bowen
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cognitive Function ◽  
Lower Extremity ◽  
Sedentary Time ◽  
Community Dwelling ◽  
Physical Activity Intensity ◽  
Lower Extremity Function ◽  
Activity Intensity ◽  
Extremity Function

Abstract Early identification of functional decline in older adults with mild cognitive impairment (MCI) provides the opportunity to initiate behavioral interventions to slow decline. More frequent breaks in sedentary time has been associated with greater lower extremity function. This longitudinal study examined the effect of 6-month change in cognitive function on monthly sedentary time, controlling for lower extremity function, among community-dwelling older adults with MCI. Twenty adults with Montreal Cognitive Assessment Score (MoCA) between 19-25, who were age ≥ 60 years old, and ambulatory, wore an actigraph for 6 months and participated in monthly in-person assessments. Measures included MoCA change (baseline to month 6), Short Physical Performance Battery (SPPB; baseline, months 3 and 6); sedentary time and physical activity intensity; and falls (monthly). The sample was 70% female, 60% non-Hispanic white, with a mean age of 77 years. Sixteen participants provided complete data for mixed-model analysis. Over 6 months, 11 falls occurred among 7 participants. The mean MoCA score declined from 22.7 to 21.9 while SPPB remained stable. Overall time spent in sedentary behavior was high (71%) and physical activity intensity was low (light and moderate combined= 26.1%). Results of multi-level analysis with sedentary time as a continuous Level-1 variable and MoCA change scores, SPPB scores, and age in Level-2 showed that negative change in MoCA (β=-0.11; p≤0.05) was associated with increased sedentary time. Given sedentary time increases as cognitive function declines, older adults with MCI could benefit from interventions designed to interrupt sedentary time as well as increase physical activity.

scholarly journals Prolonged nightly fasting and lower-extremity functioning in community-dwelling older adults

2020 ◽  
pp. 1-26
Author(s):  
Daniela B. Estrada-deLeón ◽  
Ellen A. Struijk ◽  
Francisco Félix Caballero ◽  
Mercedes Sotos Prieto ◽  
Fernando Rodríguez-Artalejo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Lower Extremity ◽  
Large Population ◽  
Community Dwelling ◽  
Lower Extremity Function ◽  
Fasting Period ◽  
Balance Impairment ◽  
Fasting Time ◽  
Community Dwelling Older Adults

Abstract It is unknown if time-restricted feeding confers a protective effect on the physical function of older adults. The aim of this study was to assess prolonged nightly fasting in association with performance-based lower-extremity function (LEF) in a large population of community-dwelling older adults. A cross-sectional study was carried out among 1,226 individuals ≥64 years from the Seniors-ENRICA-II cohort. In 2016-2017, habitual diet was assessed through a validated diet history. Fasting time was classified into the following categories: ≤9, 10-11, and ≥12hours/day, the latter being considered prolonged nightly fasting. Performance-based LEF was assessed with the Short Physical Performance Battery (SPPB). After adjusting for potential confounders, a longer fasting period was associated with a higher likelihood of impaired LEF [odds ratio (OR) and 95% confidence intervals (CI) for the second and third categories: 2.27 (1.56-3.33) and 2.70 (1.80-4.04), respectively, considering the ≤9 hours/day fasting group as reference; p-trend <0.001]. When assessing each SPPB subtest separately, fasting time showed a significant association with balance impairment (OR for highest vs. lowest fasting time: 2.48; 95% CI: 1.51-4.08; p-trend =0.001) and difficulty to rise from a chair (OR for highest vs. lowest fasting time: 1.47; 95% CI: 1.05-2.06; p-trend =0.01). The risk associated with ≥12 h fasting among those with the lowest levels of physical activity was three times higher than among those with ≤9 hours fasting with the same low level of physical activity. Prolonged nightly fasting was associated with a higher likelihood of impaired LEF, balance impairment, and difficulty to rise from a chair in older adults, especially among those with low levels of physical activity.

scholarly journals The Gender-Specific Relationship between Nutritional Status, Physical Activity and Functional Mobility in Irish Community-Dwelling Older Adults

2021 ◽  
Vol 18 (16) ◽  
pp. 8427
Author(s):  
Maeve Lorraine O’Connell ◽  
Tara Coppinger ◽  
Seán Lacey ◽  
Tijana Arsenic ◽  
Aoife Louise McCarthy
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Nutritional Status ◽  
Short Form ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Activity Level ◽  
Specific Relationship ◽  
Community Dwelling Older Adults ◽  
Gender Specific

Research suggests that both nutrition and physical activity can protect mobility in older adults, but it is yet to be determined whether these relationships are affected by gender. Thus, we investigated the gender-specific relationship between nutritional status, physical activity level and functional mobility in Irish older adults. A cross-sectional study was undertaken in 176 community-dwelling older adults (73.6 ± 6.61 years) living in Cork, Ireland. Nutritional status was measured using the Mini Nutritional Assessment-Short Form (MNA-SF) and physical activity was assessed via the Physical Activity Scale for the Elderly (PASE). Functional mobility was measured using the Timed Up and Go (TUG) test. The gender-stratified relationship between variables was assessed using Pearson’s correlations and multiple linear regression. Partial correlations (p < 0.05) were observed for TUG with PASE score in both genders, and with MNA-SF score in females, only. Multiple regression showed that physical activity was a predictor of TUG in both genders (β = 0.257 for males, β = 0.209 for females, p < 0.05), while nutritional status was a predictor of TUG in females, only (β = −0.168, p = 0.030). Our results suggest that physical activity is associated with functional mobility in both genders, while the relationship between nutritional status and mobility may be specific to older females. These findings may be of interest for the design of functional preservation strategies.

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