Daily Life Physical Activity Modulates the Effects of an Exercise Program on Lower-Extremity Physical Function in Japanese Older Adults

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.

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Driving frequency associated with deficits in lower extremity function, dynamic vision, and physical activity in Japanese older adults

Journal of Transport & Health ◽

10.1016/j.jth.2018.01.010 ◽

2018 ◽

Vol 9 ◽

pp. 282-287 ◽

Cited By ~ 1

Author(s):

Takumi Abe ◽

Keisuke Fujii ◽

Jaehoon Seol ◽

Yuya Fujii ◽

Kaya Joho ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Lower Extremity ◽

Driving Frequency ◽

Lower Extremity Function ◽

Extremity Function ◽

Dynamic Vision ◽

Japanese Older Adults

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Effect Of Increased Daily Physical Activity On Lower-extremity Physical Function In Older Adults

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000485380.95433.b1 ◽

2016 ◽

Vol 48 ◽

pp. 127-128

Author(s):

TAKASHI JINDO ◽

KEISUKE FUJII ◽

KENJI TSUNODA ◽

YUYA FUJII ◽

KEIKO SAKAIDA ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Lower Extremity ◽

Physical Function ◽

Daily Physical Activity

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Long-term participation in community group exercise improves lower extremity muscle strength and delays age-related declines in walking speed and physical function in older adults

European Review of Aging and Physical Activity ◽

10.1186/s11556-021-00260-2 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Chisato Hayashi ◽

Soshiro Ogata ◽

Tadashi Okano ◽

Hiromitsu Toyoda ◽

Sonoe Mashino

Keyword(s):

Older Adults ◽

Muscle Strength ◽

Physical Exercise ◽

Lower Extremity ◽

Physical Function ◽

Community Dwelling ◽

Group Exercise ◽

Community Based ◽

Lower Extremity Muscle

Abstract Background The effects of group exercise on the physical function of community-dwelling older adults remain unclear. The changes in lower extremity muscle strength, timed up and go (TUG) time, and the motor fitness scale (MFS), over time, among older adults who expressed a willingness to participate in community-based physical exercise groups, were determined using multilevel modelling. Methods We analyzed data of 2407 older adults between April 2010 and December 2019 from the registry of physical tests of community-based physical exercise groups. We conducted a retrospective cohort study to assess the effect of physical exercise on lower extremity muscle strength, TUG time, and MFS scores. The durations of the exercises were evaluated by frequency of physical test’s participate. Results A deterioration in lower extremity muscle strength was found in the short-term participant group only. However, in the mid-term and long-term participation groups, lower extremity muscle strength showed a trend of improvement. The TUG time and the MFS score were negatively correlated with increasing age in both groups divided by the duration of participation. However, there was a slower rate of deterioration in the long-term participation group. Discussion Lower extremity muscle strength, TUG time, and MFS scores decline with increasing age and there were differences in the slope of deterioration that depended on the duration of participation in community-based group exercise. Conclusion Participation in group exercise improved lower extremity muscle strength, TUG time, and MFS scores of older adults living in a community. The positive effects of group exercise were dependent on long-term participation.

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ASSESSING DAILY LIFE PHYSICAL ACTIVITY BY ACTIGRAPHY IN PULMONARY ARTERIAL HYPERTENSION: INSIGHTS FROM THE RANDOMIZED CONTROLLED STUDY WITH SELEXIPAG (TRACE)

CHEST Journal ◽

10.1016/j.chest.2020.09.033 ◽

2020 ◽

Vol 158 (4) ◽

pp. A2449-A2451

Author(s):

Luke Howard ◽

Stephan Rosenkranz ◽

Robert Frantz ◽

Anna Hemnes ◽

Thomas Pfister ◽

...

Keyword(s):

Physical Activity ◽

Pulmonary Arterial Hypertension ◽

Arterial Hypertension ◽

Daily Life ◽

Randomized Controlled Study ◽

Controlled Study ◽

Randomized Controlled ◽

Pulmonary Arterial ◽

Daily Life Physical Activity

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Walkable Urban Design Attributes and Japanese Older Adults’ Body Mass Index: Mediation Effects of Physical Activity and Sedentary Behavior

American Journal of Health Promotion ◽

10.1177/0890117118814385 ◽

2018 ◽

Vol 33 (5) ◽

pp. 764-767 ◽

Cited By ~ 7

Author(s):

Mohammad Javad Koohsari ◽

Andrew T. Kaczynski ◽

Tomoki Nakaya ◽

Ai Shibata ◽

Kaori Ishii ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Body Mass Index ◽

Population Density ◽

Sedentary Behavior ◽

Urban Design ◽

Mediation Effects ◽

Design Attributes ◽

Walk Score ◽

Japanese Older Adults

Purpose: The purposes of this study were to examine associations between objectively measured walkable urban design attributes with Japanese older adults’ body mass index (BMI) and to test whether objectively assessed physical activity and sedentary behavior mediated such associations. Design: Cross-sectional. Setting: Matsudo City, Chiba Prefecture, Japan. Participants: Participants were 297 older residents (aged 65-84 years) randomly selected from the registry of residential addresses. Measures: Walkable urban design attributes, including population density, availability of physical activity facilities, intersection density, and access to public transportation stations, were calculated using geographic information systems. Physical activity, sedentary behavior, and BMI were measured objectively. Analysis: The relationships of walkable urban design attributes, Walk Score®, and BMI were examined by multiple linear regression with adjustment for covariates in all models. Mediation effects of the physical activity and sedentary behavior variables in these relationships were tested using a product-of-coefficients test. Results: Higher population density and Walk Score® were associated with lower BMI. Light and moderate-to-vigorous physical activities partially mediated the relationships between these walkable urban design attributes and BMI. Conclusions: Developing active-friendly environmental policies to (re)design neighborhoods may not only promote active transport behaviors but also help in improving residents’ health status in non-Western contexts.

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Delivering an In-Home Exercise Program via Telerehabilitation: A Pilot Study of Lung Transplant Go (LTGO)

International Journal of Telerehabilitation ◽

10.5195/ijt.2016.6201 ◽

2016 ◽

Vol 8 (2) ◽

pp. 15-26 ◽

Cited By ~ 7

Author(s):

JiYeon Choi ◽

Andrea L. Hergenroeder ◽

Lora Burke ◽

Annette DeVito Dabbs ◽

Matthew Morrell ◽

...

Keyword(s):

Physical Activity ◽

Physical Function ◽

Lung Transplant ◽

Exercise Intervention ◽

Exercise Program ◽

Integrated System ◽

Home Exercise ◽

Transplant Recipients ◽

Walk Distance ◽

Lung Transplant Recipients

We evaluated the feasibility, safety, system usability, and intervention acceptability of Lung Transplant Go (LTGO), an 8-week in-home exercise intervention for lung transplant recipients using a telerehabilitation platform, and described changes in physical function and physical activity from baseline to post-intervention. The intervention was delivered to lung transplant recipients in their home via the Versatile and Integrated System for TeleRehabilitation (VISYTER). The intervention focused on aerobic and strengthening exercises tailored to baseline physical function. Participants improved walk distance (6-minute walk distance), balance (Berg Balance Scale), lower body strength (30-second chair stand test) and steps walked (SenseWear Armband®). No adverse events were reported. Participants rated the program highly positively in regard to the technology and intervention. The telerehabilitation exercise program was feasible, safe, and acceptable. Our findings provide preliminary support for the LTGO intervention to improve physical function and promote physical activity in lung transplant recipients.

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