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Shi Y, Xie XY, Lao AD, Shao L, Wang ZA, Zhang JE. Prevalence of physical inactivity and its determinants among older adults living in nursing homes: A cross-sectional study based on COM-B model. J Clin Nurs 2024. [PMID: 38867609 DOI: 10.1111/jocn.17325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 05/17/2024] [Accepted: 06/03/2024] [Indexed: 06/14/2024]
Abstract
AIMS To investigate the prevalence of physical inactivity in older adults living in nursing homes and explore the determinants of physical inactivity by using the Capability, Opportunity, Motivation-Behaviour model. DESIGN A multisite, cross-sectional study was performed by convenience sampling and questionnaire survey. METHODS A total of 390 nursing home residents were recruited from three nursing homes in Southern China from May 2022 to April 2023. The participants completed a self-designed general information questionnaire, Physical Activity Scale for the Elderly, Self-Efficacy for Exercise Scale, Exercise Benefits Scale, Patient Health Questionnaire-9 and the Short Physical Performance Battery test. Descriptive statistics, univariate analysis, Spearman correlation analysis, and ordinal logistic regression were applied for data analysis. RESULTS The prevalence of physical inactivity among the nursing home residents reached 88.46%. Ordinal logistic regression results showed that exercise self-efficacy, perceived exercise benefits, physical function, availability of physical activity instruction, having depression, number of chronic diseases and living with spouse were the main influencing determinants of physical inactivity and explained 63.7% of the variance. CONCLUSIONS Physical inactivity was considerable in nursing home residents in China and influenced by complex factors. Tailored measures should be designed and implemented based on these factors to enhance physical activity while considering the uniqueness of Chinese culture. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE Healthcare professionals should enhance physical activity of residents by increasing benefits understanding, boosting self-efficacy, improving physical function, alleviating depression and integrating personalized physical activity guidance into routine care services. And more attention should be paid to the residents who had more chronic diseases or did not live with spouse. IMPACT Physical inactivity is a significant problem in nursing home residents. Understanding physical inactivity and its determinants enables the development of tailored interventions to enhance their physical activity level. REPORTING METHOD This study was reported conforming to the STROBE statement. PATIENTS OR PUBLIC CONTRIBUTION Nursing home residents who met the inclusion criteria were recruited.
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Affiliation(s)
- Ying Shi
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Xi-Yan Xie
- Department of Nursing, Home for the Aged Guangzhou, Guangzhou, China
| | - Ai-di Lao
- Department of Nursing, Home for the Aged Guangzhou, Guangzhou, China
| | - Lu Shao
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Zhang-An Wang
- School of Nursing, Sun Yat-sen University, Guangzhou, China
- Department of Health Management, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China
| | - Jun-E Zhang
- School of Nursing, Sun Yat-sen University, Guangzhou, China
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Tateoka K, Tsuji T, Shoji T, Tokunaga S, Okura T. Relationship between Acceleration in a Sit-To-Stand Movement and Physical Function in Older Adults. Geriatrics (Basel) 2023; 8:123. [PMID: 38132494 PMCID: PMC10742784 DOI: 10.3390/geriatrics8060123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 11/18/2023] [Accepted: 12/14/2023] [Indexed: 12/23/2023] Open
Abstract
Acceleration parameters in sit-to-stand (STS) movements are useful for measuring lower-limb function in older adults. The purpose of this study was to examine the relationship between acceleration in STS movements and physical function and the test-retest reliability of acceleration parameters in older adults. We performed cross-sectional analyses on 244 older adults including 107 men (mean age: 77.4 ± 4.7) and 137 women (mean age: 75.6 ± 5.3). Four acceleration parameters were measured in STS movements: maximum acceleration (MA), maximum velocity (MV), maximum power (MP), and stand-up time (ST). Good intraclass correlation coefficients (ICC > 0.70) were observed for all parameters. For the acceleration parameters, MA, MV, and MP were relatively strongly associated with the 5-time STS test (men: r = -0.36~-0.47; women: r = -0.37~-0.45) and the timed up and go test (men: r = -0.39~0.47, women: r = -0.43~-0.51): MP was also strongly associated with grip strength (men: r = 0.48, women: r = 0.43). All acceleration parameters were poorer in participants reporting mobility limitations than in those reporting no mobility limitations. These findings support the usefulness of sensor-based STS measurement. The system is expected to be useful in various settings where care prevention is addressed.
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Affiliation(s)
- Korin Tateoka
- Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba, Tsukuba 305-8571, Japan
| | - Taishi Tsuji
- Institute of Health and Sport Sciences, University of Tsukuba, Tokyo 112-0012, Japan; (T.T.); (T.O.)
| | - Takuro Shoji
- Doctoral Program in Public Health, Degree Programs in Comprehensive Human Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba 305-8571, Japan; (T.S.); (S.T.)
| | - Satoshi Tokunaga
- Doctoral Program in Public Health, Degree Programs in Comprehensive Human Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba 305-8571, Japan; (T.S.); (S.T.)
| | - Tomohiro Okura
- Institute of Health and Sport Sciences, University of Tsukuba, Tokyo 112-0012, Japan; (T.T.); (T.O.)
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Asano Y, Tsuji T, Kim M, Nagata K, Shibuya K, Tateoka K, Okura T. Cross-sectional and longitudinal study of the relationship between phase angle and physical function in older adults. Geriatr Gerontol Int 2023; 23:141-147. [PMID: 36655478 DOI: 10.1111/ggi.14532] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 12/12/2022] [Accepted: 12/16/2022] [Indexed: 01/20/2023]
Abstract
AIM Although the validity of the assessment in older adults has been supported by several studies, cross-sectional and longitudinal relationships between phase angle (PhA) and physical function by sex have not been clarified. This study aimed to examine (i) cross-sectional relationships and (ii) longitudinal relationships between PhA and physical function in older adults. METHODS A total of 816 and 445 community-dwelling older adults were included in cross-sectional and longitudinal analyses, respectively. We evaluated their physical function using grip strength, 5-repetition sit-to-stand test (5-STS), 5-meter habitual walk, Timed Up and Go test (TUG), single-leg balance with eyes open, and sit-and-reach test. A multifrequency bioelectrical impedance analyzer was used to determine the PhA at 50 kHz as well as the participants' body composition. RESULTS In the cross-sectional analysis, a higher PhA was significantly associated with higher grip strength, sit-and-reach, single-leg balance with eyes open, 5-STS and lower TUG in women, as well as higher grip strength, single-leg balance with eyes open, lower 5-STS and TUG in men, adjusting for age, body mass index and muscle mass. In the longitudinal analysis, there was a significant interaction between PhA and year in the TUG test (B = -0.08; 95% CI, -0.136 to -0.025; P = 0.005) in men. There was no significant interaction between the PhA value and year for the other physical functions. CONCLUSIONS The PhA is a useful indicator for assessing physical function in both older men and women. Furthermore, the PhA may be able to predict mobility limitation in older men. Geriatr Gerontol Int 2023; 23: 141-147.
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Affiliation(s)
- Yujiro Asano
- Master's Program in Physical Education, Health and Sport Sciences, Degree Programs in Comprehensive Human Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Taishi Tsuji
- Faculty of Health and Sport Sciences, University of Tsukuba, Tokyo, Japan
| | - Mijin Kim
- R&D Center for Tailor-Made QOL, University of Tsukuba, Tsukuba, Japan.,Food Research Institute, National Agriculture and Food Research Organization, Tsukuba, Japan
| | - Koki Nagata
- Doctoral Program in Public Health, Degree Programs in Comprehensive Human Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Kyohei Shibuya
- R&D Center for Tailor-Made QOL, University of Tsukuba, Tsukuba, Japan
| | - Korin Tateoka
- Doctoral Program in Physical Education, Health and Sports Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Tomohiro Okura
- R&D Center for Tailor-Made QOL, University of Tsukuba, Tsukuba, Japan.,Faculty of Health and Sport Sciences, University of Tsukuba, Tsukuba, Japan
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Ferreira SA, Vieira ER, Queiroga MR, Cavazzotto TG, Probst VS, Costa VDSP, Teixeira DDC. Functional Fitness and Cognition in Older Adults: A Mediation Model. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2022. [DOI: 10.1080/02703181.2021.2015518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Felix MS, Kitcharoen P, Le TNP, Wei M, Puspitasari DC, Guo H, Jin W. Scoping review: Influence of cisgender male and female genders on health literacy of the elderly people. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e550-e564. [PMID: 34644428 DOI: 10.1111/hsc.13604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 09/27/2021] [Accepted: 09/28/2021] [Indexed: 06/13/2023]
Abstract
This scoping review mapped out the relevant literature, identified gaps and made suggestions on the influence of cisgender on the health literacy (HL) of the elderly people. This scoping review was guided by the PRISMA-ScR checklist. The databases Wiley Online Library™ and Elsevier™ were searched for academic articles published in the English language between February 2011 and February 2021 that met a pre-set criteria of content. The process of selection of sources of evidence based on screening and eligibility of evidence reduced the initially identified 153 sources of evidence in the searched databases to 14 sources of evidence. The content of these 14 sources of evidence was mapped out on a charting table where data was summarised and synthesised individually and collectively by the authors. Repetitive and irrelevant data were deleted. Identified gaps include the lack of extensive exploration of male and female genders alone as a determinant of HL, how gender may be utilised to encourage elderly men and women to apply HL, how different sociocultural and sociodemographic backgrounds of elderly men and women would require separate academic research, the scarcity of social sciences based research and qualitative research methodologies on the subject as well as the use of mixed-methodologies and longitudinal studies. Future research directions were suggested and limitations of this scoping review are addressed in the discussion.
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Affiliation(s)
- Mark Stephan Felix
- Department of Society and Health, Faculty of Social Sciences and Humanities, Mahidol University, Salaya, Thailand
| | - Patreeya Kitcharoen
- Department of Society and Health, Faculty of Social Sciences and Humanities, Mahidol University, Salaya, Thailand
| | - Thi Ngoc Phuc Le
- Department of Development Anthropology, Faculty of Anthropology, University of Social Sciences and Humanities - Vietnam National University Ho Chi Minh City, Ho Chi Minh City, Vietnam
| | - Min Wei
- Department of Marketing, Faculty of Health Management, Inner Mongolia Medical University, Hohhot, China
| | - Dewi Cahyani Puspitasari
- Department of Sociology, Faculty of Social and Political Sciences, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Haihu Guo
- Department of Society and Health, Faculty of Social Sciences and Humanities, Mahidol University, Salaya, Thailand
| | - Weiyun Jin
- Department of Psychology, Faculty of Humanities and Education, Inner Mongolia Medical University, Hohhot, China
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Kim M, Seol J, Sato T, Fukamizu Y, Sakurai T, Okura T. Effect of 12-Week Intake of Nicotinamide Mononucleotide on Sleep Quality, Fatigue, and Physical Performance in Older Japanese Adults: A Randomized, Double-Blind Placebo-Controlled Study. Nutrients 2022; 14:755. [PMID: 35215405 PMCID: PMC8877443 DOI: 10.3390/nu14040755] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 02/06/2022] [Accepted: 02/07/2022] [Indexed: 02/06/2023] Open
Abstract
Deteriorating sleep quality and physical or mental fatigue in older adults leads to decreased quality of life and increased mortality rates. This study investigated the effects of the time-dependent intake of nicotinamide mononucleotide (NMN) on sleep quality, fatigue, and physical performance in older adults. This randomized, double-blind placebo-controlled study evaluated 108 participants divided into four groups (NMN_AM; antemeridian, NMN_PM; post meridian, Placebo_AM, Placebo_PM). NMN (250 mg) or placebo was administered once a day for 12 weeks. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index. Fatigue was evaluated using the "Jikaku-sho shirabe" questionnaire. Grip strength, 5-times sit-to-stand (5-STS), timed up and go, and 5-m habitual walk were evaluated to assess the physical performance. Significant interactions were observed between 5-STS and drowsiness. 5-STS of all groups on post-intervention and drowsiness of the NMN_PM and Placebo_PM groups on mid- and post-intervention showed significant improvement compared with those in pre-intervention. The NMN_PM group demonstrated the largest effect size for 5-STS (d = 0.72) and drowsiness (d = 0.64). Overall, NMN intake in the afternoon effectively improved lower limb function and reduced drowsiness in older adults. These findings suggest the potential of NMN in preventing loss of physical performance and improving fatigue in older adults.
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Affiliation(s)
- Mijin Kim
- R&D Center for Tailor-Made QOL, University of Tsukuba, Tsukuba 305-8550, Japan;
| | - Jaehoon Seol
- Faculty of Health and Sport Sciences, University of Tsukuba, Tsukuba 305-8572, Japan;
- Japan Society for the Promotion of Sciences, Tokyo 102-0083, Japan
- International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba 305-8575, Japan
| | - Toshiya Sato
- Research and Development Division, Mitsubishi Corporation Life Sciences Limited, Tokyo 100-0006, Japan; (T.S.); (Y.F.); (T.S.)
| | - Yuichiro Fukamizu
- Research and Development Division, Mitsubishi Corporation Life Sciences Limited, Tokyo 100-0006, Japan; (T.S.); (Y.F.); (T.S.)
| | - Takanobu Sakurai
- Research and Development Division, Mitsubishi Corporation Life Sciences Limited, Tokyo 100-0006, Japan; (T.S.); (Y.F.); (T.S.)
| | - Tomohiro Okura
- R&D Center for Tailor-Made QOL, University of Tsukuba, Tsukuba 305-8550, Japan;
- Faculty of Health and Sport Sciences, University of Tsukuba, Tsukuba 305-8572, Japan;
- International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba 305-8575, Japan
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7
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Seol J, Lee J, Nagata K, Fujii Y, Joho K, Tateoka K, Inoue T, Liu J, Okura T. Combined effect of daily physical activity and social relationships on sleep disorder among older adults: cross-sectional and longitudinal study based on data from the Kasama study. BMC Geriatr 2021; 21:623. [PMID: 34732144 PMCID: PMC8565015 DOI: 10.1186/s12877-021-02589-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 10/26/2021] [Indexed: 12/02/2022] Open
Abstract
Background This study investigated whether daily physical activity of older adults, combined with social relationships, is associated with the risk of sleep disorder. Further, it determined whether a high level of one variable with a low level of the other, leads to a significantly lower risk of sleep disorder than low levels of both. Methods The sample comprised 1339 community-dwelling older Japanese adults: 988 in Study 1 and 351 in Study 2. The level of daily physical activity and range of social relationships were assessed using the Physical Activity Scale for the Elderly and the Lubben Social Network Scale, respectively. The Pittsburgh Sleep Quality Index was used to assess sleep disorder. To test the combined relationships and effects in Studies 1 and 2, the medians for the respective scores of each of the following four groups that the participants were categorized into, were calculated: (1) low activity group with low social relationships, (2) low activity group with high social relationships, (3) high activity group with low social relationships, and (4) high activity group with high social relationships. After adjusting for potential confounders, a logistic regression analysis was conducted in Study 1. After adjusting for potential confounders, a Cox proportional hazards regression analysis was conducted in Study 2. Results Study 1 revealed that the high activity group with high social relationships showed a significantly lower risk of sleep disorder (ORs: 0.585, 95% CI: 0.404–0.847) than the low activity group with low social relationships. Study 2 also revealed that the high activity group with high social relationships showed a significantly lower prevalence of sleep disorder (HRs: 0.564, 95% CI: 0.327–0.974) than the low activity group with low social relationships. Conclusions Our findings suggest that for older adults with high social relationships, being physically active is favorably associated with sleep quality. However, a high level of one variable with a low level of the other has not been confirmed in improving sleep quality among older adults.
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Affiliation(s)
- Jaehoon Seol
- Faculty of Health and Sport Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8574, Japan. .,International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. .,Japan Society for the Promotion of Sciences, 5-3-1 Kojimachi, Chiyoda, Tokyo, 102-0083, Japan.
| | - Jaehee Lee
- Master's Program in Physical Education, Health and Sports Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8574, Japan
| | - Koki Nagata
- Doctoral Program in Public Health, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8574, Japan
| | - Yuya Fujii
- Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, 150 Tobukimachi, Hachioji, Tokyo, 192-0001, Japan
| | - Kaya Joho
- Doctoral Program in Human Care Science, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8574, Japan.,J-Stretch Association, 1132-1-504 Ochikawa, Hino-city, Tokyo, 191-0034, Japan
| | - Korin Tateoka
- Doctoral Program in Physical Education, Health and Sports Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8574, Japan
| | - Taiki Inoue
- Doctoral Program in Human Care Science, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8574, Japan
| | - Jue Liu
- Doctoral Program in Physical Education, Health and Sports Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8574, Japan
| | - Tomohiro Okura
- Faculty of Health and Sport Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8574, Japan.,R&D Center for Tailor-Made QOL, University of Tsukuba, 1-2 Kasuga, Tsukuba, Ibaraki, 305-8550, Japan
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Tang M, Wang D, Guerrien A. Effect of "freedom of choice" on Task Performance and Well-Being During Leisure Activity: An Intercultural Study Among Older Adults in China and France. Int J Aging Hum Dev 2021; 95:187-204. [PMID: 34581193 DOI: 10.1177/00914150211037656] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Based on the perspective of self-determination theory (SDT) and the cross-cultural, the aim of the present study was to explore the effect of "freedom of choice" on the well-being of institution-dwelling older adults (elderly residences and nursing homes), in particular during leisure activities. Participants (NChina = 67, Mage = 80.55 years; NFrance = 90, Mage = 82.19 years) were randomly assigned to the "elderly-choice" group or "staff choice" group to participate in a puzzle game. Consistent with SDT, results showed that basic psychological needs satisfaction (autonomy, competence, relatedness) was positively associated with elderly well-being. However, our findings did not demonstrate the importance of freedom of choice for promoting such well-being in the context of leisure activities for either culture; this may be related to the recompense of close relationships or else the particularity of the elderly population. Interestingly, competence satisfaction was observed to act as a complete mediating variable between task performance and well-being only in the French population.
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Affiliation(s)
- Minmin Tang
- College of Psychology, Sichuan Normal University, Chengdu, China.,University of Lille, ULR 4072 - PSITEC - Psychologie: Interactions Temps Émotions Cognition, F-59000 Lille, France
| | - Dahua Wang
- Institute of Developmental Psychology, 47836Beijing Normal University, Beijing, China
| | - Alain Guerrien
- University of Lille, ULR 4072 - PSITEC - Psychologie: Interactions Temps Émotions Cognition, F-59000 Lille, France
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Liao YH, Kao TW, Peng TC, Chang YW. Gender differences in the association between physical activity and health-related quality of life among community-dwelling elders. Aging Clin Exp Res 2021; 33:901-908. [PMID: 32462499 DOI: 10.1007/s40520-020-01597-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Accepted: 05/11/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Physical activity can improve health-related quality of life (HRQoL) in older adults. However, the differential effects of gender on quality of life are unclear. AIMS To determine the association between physical activity and HRQoL in men and women. METHODS This was a cross-sectional study conducted from March to August 2011. Community-dwelling older people aged 65 years or older were eligible. Physical activity in kcal per week was measured with the International Physical Activity Questionnaire (IPAQ)-Taiwan version. HRQoL was measured with the 36-Item Short Form Survey (SF-36) questionnaire. Cognitive function and depression were assessed using the Mini-Mental State Examination (MMSE) and Patient Health Questionnaire-9 (PHQ-9). The relationship between physical activity and HRQoL in men and women was investigated by a multiple linear regression model. RESULTS A total of 188 older people (M: 50.5%) participated in this study. The mean ages of men and women were 71.9 ± 5.3 and 77.1 ± 6.4 years, respectively (p < 0.001). Older women had higher physical activity levels than men (4786.1 ± 1065.6 vs 4422.2 ± 1114.3 kcal/week, p = 0.023). After adjusting for covariates, multiple linear regression analysis showed that older men with higher physical activity levels had better scores on both the physical component summary (PCS) (p = 0.031) and mental component summary (MCS) (p = 0.007) than men with lower levels. Furthermore, older men with higher moderate-vigorous physical activity levels had better scores on the PCS than older men with lower activity levels, and older men with higher walking physical activity levels had better scores on the MCS than older men with lower activity levels. CONCLUSIONS In this study, older women were more physically active than older men. However, older men (but not older women) with higher physical activity had better HRQoL. The association between physical activity and HRQoL differed between men and women.
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Affiliation(s)
- Yi-Hsueh Liao
- Department of Family Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan (R.O.C.)
- School of Medicine, Taipei Medical University, Taipei City, Taiwan (R.O.C.)
- Division of Geriatric Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.)
- School of Medicine, National Defense Medical Center, Taipei City, Taiwan (R.O.C.)
| | - Tung-Wei Kao
- Division of Geriatric Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.)
- School of Medicine, National Defense Medical Center, Taipei City, Taiwan (R.O.C.)
| | - Tao-Chun Peng
- Division of Geriatric Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.)
- School of Medicine, National Defense Medical Center, Taipei City, Taiwan (R.O.C.)
| | - Yaw-Wen Chang
- Division of Geriatric Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.).
- School of Medicine, National Defense Medical Center, Taipei City, Taiwan (R.O.C.).
- Division of Geriatric Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, Number 325, Section 2, Chang-Gong Rd, Nei-Hu District, 114, Taipei City, Taiwan (R.O.C.).
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Symptom Profiles, Health-Related Quality of Life, and Clinical Blood Markers among Korean Community-Dwelling Older Adults Living with Chronic Conditions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041745. [PMID: 33670149 PMCID: PMC7916875 DOI: 10.3390/ijerph18041745] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/05/2021] [Accepted: 02/09/2021] [Indexed: 12/26/2022]
Abstract
Older adults suffer from multiple symptoms, which negatively affects their health-related quality of life. The single-symptom management approach has been less than effective. The data of 2362 Korean community-dwelling older adults aged 70 and above were analyzed in the Korean Frailty and Aging Cohort Study (KFACS) study. A cluster analysis, correlation analysis, and logistic regression were used to analyze the data. We found three symptom clusters: high symptom burden (HSB, n = 1032); pain and fatigue group (PAF, n = 566); and the sleep deprivation group (SDP, n = 764). Participants in the HSB group are more likely to be of old age (OR = 1.1), be female (OR = 2.4), live in a rural area (OR = 1.4), have low physical activity (OR = 0.9), and have multiple chronic conditions (OR = 1.5). The clinical blood markers analysis showed a negative relationship among the physical health, free T4 (r = -0.083, p < 0.01) and insulin (r = -0.084, p < 0.01). The sex-specific blood markers analysis showed differences among three clusters. While free testosterone (male: r = 0.124, female: r = 0.110, p < 0.05) and dehydroepiandrosterone (DHEA) (male: r = 0.352 and female: r = 0.134, p < 0.05) were associated with physical health in the HSB group, only free testosterone was associated with mental health (male: r = -0.093, and female: r = -0.116, p < 0.05) in the SDP group. These findings suggest the potential role of the patient's sex and sex hormones in symptoms of Korean community-dwelling older adults. Understanding the symptom profiles and impact of biopsychosocial factors may enhance precision symptom management.
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Ma Y, Zhang W, Han P, Kohzuki M, Guo Q. Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community. Clin Interv Aging 2020; 15:1343-1352. [PMID: 32848375 PMCID: PMC7429206 DOI: 10.2147/cia.s257739] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 06/27/2020] [Indexed: 12/12/2022] Open
Abstract
Objective The aims of this study were to investigate the association between osteosarcopenic obesity (OSO) and physical performance in Chinese elderly communities. Methods Our study population is comprised of residents of the Township Central Hospital in the suburban of Tianjin, China. Participants (n=303; percent body fat (PBF): ≥25% for men and ≥32% for women) were assessed using the direct segmental multi-frequency bioelectrical impedance analysis (BIA) for body composition. Sarcopenia was defined as the lower 20th percentile of appendicular skeletal muscle mass/height2 (ASMI). A quantitative ultrasound scan of each participants’ calcaneus with a T score≤−1.0 was used to identify the prevalence of osteopenia/osteoporosis (OP). We divided people into four groups: obesity only (O), osteopenic obesity (OO), sarcopenic obesity (SO), and osteosarcopenic obesity (OSO). We assessed the physical performance by grip strength, 4-m walk test (WS) and timed up and go test (TUGT). Results A total of 303 participants had completed data (89 men, 214 women; mean age of 68.8±6.0 years). The prevalence of OSO was 10.2% (men: 15.70%, women: 7.9%). After multiple adjustments, WS was significantly declined in OSO group when compared with the O group in men (mean value 95% CI was 0.84 (0.69, 0.99)) and women (mean value 95% CI was 0.93 (0.84, 1.02)). TUGT was significantly poorer in men (mean value 95% CI was 13.3 (10.6, 15.9)) and women (mean value 95% CI was 12.4 (11.2, 13.7)) with OSO when compared with the O group. Furthermore, the OSO group in women also had a significantly poorer TUGT compared with the OO group. The result of grip strength decreased significantly in women SO and OSO groups when compared with the O group (mean value 95% CI was 16.4 (14.5, 18.2) and 16.1 (13.9, 18.3)). But the results of grip strength in men showed no significant differences in any of the group. Conclusion In Chinese community-dwelling elderly, slower WS and lower balance function were associated with OSO in men and women. Lower grip strength was associated with SO and OSO in women.
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Affiliation(s)
- Yixuan Ma
- Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, Sendai, Japan
| | - Wen Zhang
- Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, Sendai, Japan.,Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, People's Republic of China
| | - Peipei Han
- Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences, Shanghai, People's Republic of China
| | - Masahiro Kohzuki
- Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, Sendai, Japan
| | - Qi Guo
- Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences, Shanghai, People's Republic of China
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12
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Sasaki R, Hirano M. Development of a Scale for Assessing the Meaning of Participation in Care Prevention Group Activities Provided by Local Governments in Japan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17124499. [PMID: 32585834 PMCID: PMC7344888 DOI: 10.3390/ijerph17124499] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Revised: 06/18/2020] [Accepted: 06/19/2020] [Indexed: 11/16/2022]
Abstract
The meaning of participation in care prevention group activities may encourage continuous participation, making older adults active and healthy throughout their lives. This study developed a scale to assess the meaning of participation in care prevention group activities. It involved 427 participants in care prevention group activities (CPGAs) in Japan who filled out a self-administered questionnaire between October 2017 and February 2018. The meaning of participation was assessed using 15 items. In total, there were 379 valid responses. A factor analysis yielded two factors: "promotion of self-growth" and "enrichment of daily life". The goodness of fit index (GFI), comparative fit index (CFI), and root mean square error of approximation (RMSEA) were satisfactory (GFI = 0.923; CFI = 0.960; RMSEA = 0.073). Cronbach's α was 0.939 for the entire scale. The scale scores were significantly correlated with scores of the social activity-related daily life satisfaction scale and Ikigai-9. The scale's reliability and validity were confirmed, indicating its usability for promoting care prevention efforts.
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Affiliation(s)
- Ryu Sasaki
- Graduate School of Health Sciences, Hokkaido University, Sapporo Hokkaido 060-0812, Japan;
| | - Michiyo Hirano
- Faculty of Health Sciences, Hokkaido University, Sapporo Hokkaido 060-0812, Japan
- Correspondence: ; Tel.: +81-11-706-3377
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Monma T, Takeda F, Okura T. Physical activities impact sense of coherence among community-dwelling older adults. Geriatr Gerontol Int 2017; 17:2208-2215. [PMID: 28418165 DOI: 10.1111/ggi.13063] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Revised: 01/10/2017] [Accepted: 02/20/2017] [Indexed: 12/01/2022]
Abstract
AIM The objective of the present study was to investigate bidirectional longitudinal relationships between sense of coherence (SOC) and physical activities (PA) among community-dwelling older adults. METHODS Self-administered questionnaires were sent to 508 community-dwelling adults aged 65-85 years who expressed their intention to participate in our surveys including cognitive function tests and physical performance tests. Of these, 427 people responded to the baseline survey, and 223 of them participated in the follow-up survey 1 year later. Finally, the number of eligible respondents who had no missing values in all data was 179 (valid response rate: 35.2%). We used the 13-item five-point version of the Sense of Coherence Scale to assess SOC variables, and the Physical Activity Scale for the Elderly to assess PA variables. A structural equation modeling method was used to analyze bidirectional longitudinal relationships between SOC and PA. Cross-lagged effects and synchronous effects models were applied to analyze these relationships. Demographic variables (age, sex, education, living arrangements, medical histories, employment status), cognitive function and physical performance were used as control variables. RESULTS Leisure-time PA had a cross-lagged effect (β = 0.117, P < 0.05) and a synchronous effect (β = 0.217, P < 0.001) on SOC. In contrast, no significant effect of SOC on any type of PA was observed in either the cross-lagged effects model or the synchronous effects model. CONCLUSIONS Leisure-time PA might contribute to enhancing SOC in community-dwelling older adults. Geriatr Gerontol Int 2017; 17: 2208-2215.
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Affiliation(s)
- Takafumi Monma
- Research Fellow of Japan Society for the Promotion of Science, Japan
| | - Fumi Takeda
- Faculty of Health and Sport Sciences, University of Tsukuba, Japan
| | - Tomohiro Okura
- Faculty of Health and Sport Sciences, University of Tsukuba, Japan
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Parker R, Bergman E, Mntambo A, Stubbs S, Wills M. Levels of physical activity in people with chronic pain. SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY 2017; 73:323. [PMID: 30135895 PMCID: PMC6093138 DOI: 10.4102/sajp.v73i1.323] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Accepted: 12/03/2016] [Indexed: 01/08/2023] Open
Abstract
Background People who suffer from chronic pain are thought to have lower levels of physical activity compared to healthy individuals. However, there is a lack of evidence concerning levels of physical activity in South Africans with chronic pain. Objectives To compare levels of physical activity in a South African sample of people with chronic pain compared to matched controls. Methods A cross-sectional study was conducted with 24 participants (12 with chronic pain and 12 in the control group matched for age, gender and residential area). Convenience sampling was used. The participants with chronic pain (12) were identified from the Groote Schuur Hospital, Chronic Pain Management Clinic (CPMC) waiting list and had not yet received any chronic pain management intervention. Healthy matched controls were selected from volunteers in the community. With the desired alpha level set at 0.05 and the power at 0.9, 45 participants were required to detect a minimum of a 50 per cent difference between groups in levels of physical activity as measured in steps per day using pedometers. The international physical activity questionnaire (IPAQ) and the brief pain inventory (BPI) were used as measures of physical activity and pain. Objective indicators of physical activity that were used included the 6-minute walk test (6MWT), repeated sit-to-stand test (RSST), 7 days of pedometry and body mass index (BMI). Results The chronic pain group performed significantly worse on the 6MWT (335 m [30-430] vs 680 m [430-795]; U = 0.5; p < 0.01) and on the RSST (17.9 s [11.83-105] vs 7.85 s [5.5-11.5]; U = 0; p < 0.01). The chronic pain group also had significantly lower scores on pedometry (mean daily: 2985.1 [32.8-13785.4] vs 6409.4 [4207.1-15313.6]; U = 35; p < 0.03). The BMI for the chronic pain group was significantly higher than matched controls (29.36 kg/m2 [18.94-34.63] vs 22.16 kg/m2 [17.1-30.86]; U = 34; p < 0.03). Conclusion Participants with chronic pain had a reduced capacity for physical activity. The pedometry results illustrate a range of maladaptive strategies adopted by those with chronic pain. The majority of people with chronic pain appear to avoid physical activity leading to greater disability as a result of immobility and muscle atrophy. However, a small subgroup appears to ignore their pain and push themselves physically despite their pain. This perseverance behaviour leads to further pain as a consequence of muscle and joint overuse. Both maladaptive behavioural responses result in further sensitisation of the central nervous system. The method used to target physical activity in these patients should be considered in treatment planning, specifically for physiotherapy.
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Affiliation(s)
- Romy Parker
- Department of Health and Rehabilitation Sciences, Division of Physiotherapy, University of Cape Town, South Africa
| | - Emma Bergman
- Klipfontein Mitchell's Plain Substructure Community Health Centre, South Africa
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Okura T, Tsuji T, Tsunoda K, Kitano N, Yoon JY, Saghazadeh M, Soma Y, Yoon J, Kim M, Jindo T, Shen S, Abe T, Sato A, Kunika S, Fujii K, Sugahara H, Yano M, Mitsuishi Y. Study protocol and overview of the Kasama Study: Creating a comprehensive, community-based system for preventive nursing care and supporting successful aging. THE JOURNAL OF PHYSICAL FITNESS AND SPORTS MEDICINE 2017. [DOI: 10.7600/jpfsm.6.49] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Tomohiro Okura
- Faculty of Health and Sport Sciences, University of Tsukuba
| | - Taishi Tsuji
- Center for Preventive Medical Sciences, Chiba University
| | - Kenji Tsunoda
- Faculty of Social Welfare, Yamaguchi Prefectural University
| | - Naruki Kitano
- Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare
| | - Ji-Yeong Yoon
- Faculty of Health and Sport Sciences, University of Tsukuba
| | | | - Yuki Soma
- Department of Social Medicine, Hirosaki University Graduate School of Medicine
| | - Jieun Yoon
- Faculty of Health and Sport Sciences, University of Tsukuba
| | - Mijin Kim
- Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba
| | - Takashi Jindo
- Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare
| | - Shaoshuai Shen
- Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba
| | - Takumi Abe
- Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba
- Japan Society for the Promotion of Science
| | - Ayane Sato
- Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba
| | - Shoko Kunika
- Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba
| | - Keisuke Fujii
- Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba
| | - Haruka Sugahara
- Master's Program in Health and Sport Sciences, University of Tsukuba
| | - Miki Yano
- Master's Program in Health and Sport Sciences, University of Tsukuba
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Yu HW, Chiang TL, Chen DR, Tu YK, Chen YM. Trajectories of Leisure Activity and Disability in Older Adults Over 11 Years in Taiwan. J Appl Gerontol 2016; 37:706-727. [PMID: 27231245 DOI: 10.1177/0733464816650800] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We aimed to identify leisure activity (LA) trajectories and examined the association among baseline characteristics, LA trajectories, and the later disability among older Taiwanese adults. Data were from the Taiwan Longitudinal Study on Aging Survey for the years 1996-2007 ( N = 3,186). LA trajectories were identified by using latent class growth curve modeling. Regression analyses were applied to predict the relationships among baseline characteristics, LA trajectories, and disability. Four LA trajectories-consistent high, consistent low, increasing, and decreasing-were identified. Lower depressive symptom was related to consistently active in LAs. Younger age and fewer comorbidities were related to develop an increasing LA trajectory. Participants in the consistent-high or increasing LA trajectories were more likely to be functionally independent, but those in the decreasing LA subgroup were more at risk of developing disability. The findings suggested that long-term changes in LA over time have benefits on physical health in older population.
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Affiliation(s)
| | | | | | - Yu-Kang Tu
- 1 National Taiwan University, Taipei, Taiwan
| | - Ya-Mei Chen
- 1 National Taiwan University, Taipei, Taiwan
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17
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Jindo T, Kitano N, Tsunoda K, Kusuda M, Hotta K, Okura T. Daily Life Physical Activity Modulates the Effects of an Exercise Program on Lower-Extremity Physical Function in Japanese Older Adults. J Geriatr Phys Ther 2016; 40:150-157. [PMID: 27088549 DOI: 10.1519/jpt.0000000000000087] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND AND PURPOSE Decreasing daily life physical activity (PA) outside an exercise program might hinder the benefit of that program on lower-extremity physical function (LEPF) in older adults. The purpose of this study was to investigate how daily life PA modulates the effects of an exercise program on LEPF. METHODS The participants were 46 community-dwelling older adults (mean age, 70.1 ± 3.5 years) in Kasama City, a rural area in Japan. All participated in a fall-prevention program called square-stepping exercise once a week for 11 weeks. We evaluated their daily life PA outside the exercise program with pedometers and calculated the average daily step counts during the early and late periods of the program. We divided participants into 2 groups on the basis of whether or not they decreased PA by more than 1000 steps per day between the early and late periods. To ascertain the LEPF benefits induced by participating in the exercise program, we measured 5 physical performance tests before and after the intervention: 1-leg stand, 5-time sit-to-stand, Timed Up and Go (TUG), habitual walking speed, and choice-stepping reaction time (CSRT). We used a 2-way analysis of variance to confirm the interaction between the 2 groups and the time effect before and after the intervention. RESULTS During the exercise program, 8 participants decreased their daily life PA (early period, 6971 ± 2771; late period, 5175 ± 2132) and 38 participants maintained PA (early period, 6326 ± 2477; late period, 6628 ± 2636). Both groups significantly improved their performance in TUG and CSRT at the posttest compared with the baseline. A significant group-by-time interaction on the walking speed (P = .038) was observed: participants who maintained PA improved their performance more than those who decreased their PA. DISCUSSION Square-stepping exercise requires and strengthens dynamic balance and agility, which contributed to the improved time effects that occurred in TUG and CSRT. On the contrary, because PA is positively associated with walking speed, maintaining daily life PA outside an exercise program may have a stronger influence on walking speed. To enhance the effectiveness of an exercise program for young-old adults, researchers and instructors should try to maintain the participant's daily life PA outside the program. CONCLUSION Regardless of decreasing or maintaining daily life PA, the square-stepping exercise program could improve aspects of LEPF that require complex physical performance. However, a greater effect can be expected when participants maintain their daily life PA outside the exercise program.
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Affiliation(s)
- Takashi Jindo
- 1Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan. 2Japan Society for the Promotion of Science, Tokyo, Japan. 3Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan. 4Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan. 5Master's Program in Physical Education, Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan. 6Department of Occupational Therapy, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan
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18
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Soma Y, Tsunoda K, Kitano N, Jindo T, Tsuji T, Saghazadeh M, Okura T. Relationship between built environment attributes and physical function in Japanese community-dwelling older adults. Geriatr Gerontol Int 2016; 17:382-390. [DOI: 10.1111/ggi.12717] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Revised: 11/16/2015] [Accepted: 11/22/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Yuki Soma
- Graduate School of Comprehensive Human Sciences; University of Tsukuba; Tsukuba Ibaraki Japan
| | - Kenji Tsunoda
- Physical Fitness Research Institute; Meiji Yasuda Life Foundation of Health and Welfare; Hachioji Tokyo Japan
| | - Naruki Kitano
- Sports Research & Development Core; University of Tsukuba; Tsukuba Ibaraki Japan
| | - Takashi Jindo
- Graduate School of Comprehensive Human Sciences; University of Tsukuba; Tsukuba Ibaraki Japan
- Japan Society for the Promotion of Science; Chiyoda Tokyo Japan
| | - Taishi Tsuji
- Center for Preventive Medical Science; Chiba University; Chuoh Chiba Japan
| | - Mahshid Saghazadeh
- Faculty of Health and Sport Sciences; University of Tsukuba; Tsukuba Ibaraki Japan
| | - Tomohiro Okura
- Faculty of Health and Sport Sciences; University of Tsukuba; Tsukuba Ibaraki Japan
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Shin S, Kim HS, Sung SC, Yabumoto T, Kasuga K, Kim K, Matsuoka T. Regional Differences in Fall-Related Physical Fitness of the Elderly between Seoul, Korea and Gifu, Japan. TOHOKU J EXP MED 2016; 238:247-53. [DOI: 10.1620/tjem.238.247] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Sohee Shin
- School of Exercise and Sport Science, University of Ulsan
| | - Hyun-soo Kim
- Department of Sports Science, Seoul National University of Science and Technology
| | - Soon-chang Sung
- Department of Sports Science, Seoul National University of Science and Technology
| | - Tamotsu Yabumoto
- Department of Sports Medicine and Sports Science, Gifu University
| | | | - Kijeong Kim
- School of Exercise and Sport Science, University of Ulsan
| | - Toshio Matsuoka
- Department of Sports Medicine and Sports Science, Gifu University
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20
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Jindo T, Tsunoda K, Kitano N, Tsuji T, Abe T, Muraki T, Hotta K, Okura T. Pedometers Affect Changes in Lower-Extremity Physical Function During a Square-Stepping Exercise Program in Older Japanese Adults. J Geriatr Phys Ther 2015; 39:83-8. [PMID: 26135887 DOI: 10.1519/jpt.0000000000000054] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND AND PURPOSE Pedometers are often used as motivational tools to increase physical activity. Hence, providing a pedometer during an exercise intervention may enhance the benefit of exercise on lower-extremity physical function (LEPF) by maintaining or increasing daily physical activity. The purpose of this study was to compare the effect on LEPF between an exercise intervention with and without the use of a pedometer. METHODS The subjects of this study were 68 community-dwelling older adults (mean age: 70.0 ± 3.6 years) in Kasama City, rural Japan. All subjects participated in a fall-prevention exercise program called square-stepping exercise (SSE) conducted once a week for 11 weeks. Participants were allocated to 2 groups: SSE with pedometer group (n = 34) and SSE without pedometer group (n = 34). We matched the participants of both groups by their standardized score of physical function tests. To ascertain the LEPF benefits induced by the exercise intervention, we measured 5 physical function tests: single-leg balance with eyes open, 5-repetition sit-to-stand, timed up and go, 5-m habitual walk, and choice stepping reaction time. We used a 2-way analysis of variance to confirm the interaction between the 2 groups. RESULTS Significant group-by-time interactions were observed on timed up and go (P < .01) and 5-m habitual walk (P = .02); participants in the SSE with pedometer group enhanced their physical function more than the SSE without pedometer group participants. CONCLUSIONS This study suggests that providing a pedometer during an exercise intervention is an effective addition to an exercise program to improve LEPF.
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Affiliation(s)
- Takashi Jindo
- 1Doctoral Program in Physical Education, Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan. 2Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan. 3Japan Society for the Promotion of Science, Tokyo, Japan. 4Gerontology Research Center, University of Jyväskylä, Jyväskylä, Finland. 5Master's Program in Physical Education, Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan. 6Department of Occupational Therapy, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan. 7Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan
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21
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Zhang W, Shen S, Wang W, Zhou C, Xu L, Qiu J, Wang J, Meng X, Liang Y, Niu K, Guo Q. Poor lower extremity function was associated with pre-diabetes and diabetes in older chinese people. PLoS One 2014; 9:e115883. [PMID: 25531769 PMCID: PMC4274122 DOI: 10.1371/journal.pone.0115883] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2014] [Accepted: 12/02/2014] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVE To determine whether a relationship exists between performance-based physical assessments and pre-diabetes/diabetes in an older Chinese population. METHODS Our study population comprised 976 subjects (mean ± SD age: 67.6±6.0 years; 44.5% men) from the Hangu area of Tianjin, China. Diabetes was defined by self-reporting of a physician's diagnosis, or a fasting plasma glucose level ≥126 mg/dL; and pre-diabetes was defined as a fasting plasma glucose level ≥100 mg/dL and <126 mg/dL. RESULTS When all other variables were adjusted for, men needing longer to finish a Timed Up and Go Test and a decreased usual walking speed had higher odds of pre-diabetes (P for trend = 0.007 and 0.008, respectively) and diabetes (P for trend = 0.012 and 0.014, respectively). However, women needing longer to finish the test and a decreased usual walking speed had a higher odds of diabetes (P for trend = 0.020 and 0.034, respectively) but not of pre-diabetes. There was no apparent association between grip strength and pre-diabetes/diabetes in both sexes. CONCLUSIONS In this study, poor lower extremity function was associated with pre-diabetes/diabetes in older people.
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Affiliation(s)
- Wen Zhang
- Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China
| | - Suxing Shen
- Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China
| | - Wei Wang
- Department of Rehabilitation, Tianjin Medical University General Hospital, Tianjin, China
| | - Chunling Zhou
- Community Service Center, Chadian Street, Binhai New Area, Tianjin, China
| | - Limin Xu
- Department of Rehabilitation, Tianjin Medical University General Hospital, Tianjin, China
| | - Jiahe Qiu
- Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China
| | - Jiaqi Wang
- Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China
| | - Xiangxue Meng
- Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China
| | - Yixiong Liang
- Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China
| | - Kaijun Niu
- Nutritional Epidemiology Institute, Tianjin Medical University, Tianjin, China
- School of Public Health, Tianjin Medical University, Tianjin, China
| | - Qi Guo
- Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, China
- Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, TEDA, Tianjin, China
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Jindo T, Tsunoda K, Soma Y, Kitano N, Tsuji T, Muraki T, Hotta K, Okura T. [Determinants of changes in physical fitness after a square-stepping exercise program in community-dwelling older Japanese females]. Nihon Ronen Igakkai Zasshi 2014; 51:251-8. [PMID: 24999200 DOI: 10.3143/geriatrics.51.251] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM The purpose of this study was to investigate determinants of changes in physical fitness after a fall-prevention exercise program in older females. METHODS The study subjects included 83 community-dwelling females 65 years of age or older (mean age: 70.4±4.0 years) living in Kasama City, rural Japan. All subjects participated in a fall-prevention exercise program called square-stepping exercise (SSE) conducted once a week for 11 weeks. In order to assess the physical fitness benefits of by the exercise program, we measured the results of five physical performance tests: grip strength, one leg stand, sit and reach, timed up and go and the choice-stepping reaction time. In addition, we evaluated comprehensive physical fitness scores based on the standardized total score of the five physical performance tests. The changes in the comprehensive physical fitness score between baseline and after the program was used as the dependent variable, while the baseline values of age, education, clinical history, physical activity, Lubben social network scale, geriatric depression scale, five cognitive function test result, comprehensive physical fitness score and percentage of attendance were treated as independent variables. RESULTS A stepwise multiple regression analysis revealed that the change in comprehensive physical fitness score correlated significantly with the baseline values of age (β=-0.273), the five cognitive function test result (β=0.293) and comprehensive physical fitness score (β=-0.607). CONCLUSIONS These results suggest that older females with a low level of physical fitness at baseline are more likely to improve their physical fitness with a period of exercise training. However, the improvements in physical fitness are lower in older females with a low level of cognitive function than in those with a high level of cognitive function.
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Affiliation(s)
- Takashi Jindo
- Graduate School of Comprehensive Human Sciences, University of Tsukuba
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Wall BT, Dirks ML, van Loon LJC. Skeletal muscle atrophy during short-term disuse: implications for age-related sarcopenia. Ageing Res Rev 2013; 12:898-906. [PMID: 23948422 DOI: 10.1016/j.arr.2013.07.003] [Citation(s) in RCA: 256] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2013] [Revised: 07/11/2013] [Accepted: 07/29/2013] [Indexed: 12/25/2022]
Abstract
Situations such as the recovery from injury and illness can lead to enforced periods of muscle disuse or unloading. Such circumstances lead to rapid skeletal muscle atrophy, loss of functional strength and a multitude of related negative health consequences. The elderly population is particularly vulnerable to the acute challenges of muscle disuse atrophy. Any loss of skeletal muscle mass must be underpinned by a chronic imbalance between muscle protein synthesis and breakdown rates. It is recognized that muscle atrophy during prolonged (>10 days) disuse is brought about primarily by declines in post-absorptive and post-prandial muscle protein synthesis rates, without a clear contribution from changes in muscle protein breakdown. Few data are available on the impact of short-term disuse (<10 days) on muscle protein turnover in humans. However, indirect evidence indicates that considerable muscle atrophy occurs during this early phase, and is likely attributed to a rapid increase in muscle protein breakdown accompanied by the characteristic decline in muscle protein synthesis. Short-term disuse atrophy is of particular relevance in the development of sarcopenia, as it has been suggested that successive short periods of muscle disuse, due to sickness or injury, accumulate throughout an individual's lifespan and contributes considerably to the net muscle loss observed with aging. Research is warranted to elucidate the physiological and molecular basis for rapid muscle loss during short periods of disuse. Such mechanistic insight will allow the characterization of nutritional, exercise and/or pharmacological interventions to prevent or attenuate muscle loss during periods of disuse and therefore aid in the treatment of age-related sarcopenia.
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Affiliation(s)
- Benjamin T Wall
- Department of Human Movement Sciences, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre, Maastricht, The Netherlands
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