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Alghadir AH, Gabr SA, Iqbal A. Enhancing cognitive performance and mitigating dyslipidemia: the impact of moderate aerobic training on sedentary older adults. BMC Geriatr 2024; 24:678. [PMID: 39138393 PMCID: PMC11323678 DOI: 10.1186/s12877-024-05276-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Accepted: 08/02/2024] [Indexed: 08/15/2024] Open
Abstract
BACKGROUND The present study aimed to evaluate the effects of 24 weeks of moderate aerobic exercise on lipids and lipoprotein levels; Lipo (a) markers, and their association with cognitive performance in healthy older adults. METHODS A total of 150 healthy subjects (100 males and 50 females; age range: 65-95 years) were recruited for this study. Based on the LOTCA test score, subjects were classified into two groups: the control group (n = 50) and the cognitive impairment group (n = 100). Cognitive functioning, leisure-time physical activity (LTPA), lipid profile, total cholesterol, TG, HDL-c, LDL-C, and lipo(a) were assessed at baseline and post-24-week aerobic exercise interventions using LOTCA battery, pre-validated Global Physical Activity Questionnaire (GPAQ) version II, colorimetric, and immunoassay techniques, respectively. RESULTS Significant improvements in cognitive function and modulation in lipid profile and lipoprotein (a) markers were reported in all older subjects following 24 weeks of moderate exercise. LOTCA-7-sets scores significantly correlated with physical activity status and the regulation of lipids and Lipo (a) markers. Physically active persons showed higher cognitive performance along with a reduction in the levels of T-Cholest., TG, LDL-C, Lipo (a), and an increase in the levels of HDL-C and aerobic fitness VO2max compared with sedentary participants. Cognitive performance correlated positively with increased aerobic fitness, HDL-C, and negatively with T-Cholest., TG, LDL-C, and Lipo (a). However, a significant increase in the improvement of motor praxis, vasomotor organization, thinking operations, attention, and concentration were reported among older adults. CONCLUSIONS The study findings revealed that supervised moderate aerobic training for 24 weeks significantly enhances cognitive functions via mitigating older adults' lipid profiles and lipoprotein (a). Cognitive performance is positively correlated with aerobic fitness and HDL-C level and negatively with T-Cholest., TH, LDL-C, and Lipo (a).
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Affiliation(s)
- Ahmad H Alghadir
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh, 11433, Saudi Arabia
| | - Sami A Gabr
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh, 11433, Saudi Arabia
| | - Amir Iqbal
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh, 11433, Saudi Arabia.
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Pynnönen K, Hassandra M, Tolvanen A, Siltanen S, Portegijs E, Rantanen T. Do the integrated theories of self-determination and planned behavior explain the change in active life engagement following a motivational counseling intervention among older people? Soc Sci Med 2023; 339:116409. [PMID: 37984181 DOI: 10.1016/j.socscimed.2023.116409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 08/29/2023] [Accepted: 11/07/2023] [Indexed: 11/22/2023]
Abstract
BACKGROUND An integrated model based on self-determination and planned behavior theories has been used to explain physical activity and other health-related behaviors mainly among younger populations, not older adults. The present study aimed to conduct a secondary analysis to explore whether changes in theory-based constructs explain a change in activity level (including 17 activities in essential life areas) among 75- and 80-year-old individuals. METHODS Data came from the Promoting well-being through active aging (AGNES) study, a two-arm single-blinded randomized control trial, where participants in the intervention group (n = 101) received year-long individualized counseling between 2017-19 in Jyväskylä, Finland. Activity frequency was assessed using the University of Jyväskylä Active Aging Scale (UJACAS) activity sub-score, perceived autonomy support with the Health Climate Questionnaire, autonomous motivation with a sub-scale from the Self-Regulation Questionnaire, and attitude with three items. Subjective norm, perceived behavioral control, and intention were each assessed with one item. Change in variables between baseline and the 12-month follow-up was specified via latent factors. Various structural equation models were tested to assess whether the basic or modified model, including additional paths from baseline variables to change factors, provided a better data fit. RESULTS In the modified integrated model, baseline attitude and change in attitude directly explained the change in activity frequency. Moreover, statistically significant indirect paths were observed from baseline autonomous motivation through baseline attitude, and from activity frequency through change in attitude to change in activity frequency. CONCLUSIONS The theoretical integrated model did not account for the change in active life engagement. The modified integrated model revealed significant change paths, highlighting autonomous motivation and attitudes as influential change constructs. For future intervention design, the modified integrated model appears useful in identifying behavior change pathways for older adults.
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Affiliation(s)
- Katja Pynnönen
- Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
| | - Mary Hassandra
- Department of Physical Education and Sport Science, University of Thessaly, Trikala, Greece.
| | - Asko Tolvanen
- Faculty of Education and Psychology, University of Jyväskylä, Finland.
| | | | - Erja Portegijs
- University of Groningen, University Medical Center Groningen, Center of Human Movement Sciences, Groningen, the Netherlands.
| | - Taina Rantanen
- Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
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Zábó V, Csiszar A, Ungvari Z, Purebl G. Psychological resilience and competence: key promoters of successful aging and flourishing in late life. GeroScience 2023; 45:3045-3058. [PMID: 37418098 PMCID: PMC10643728 DOI: 10.1007/s11357-023-00856-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 06/15/2023] [Indexed: 07/08/2023] Open
Abstract
Many individuals, both in the public and within the field of psychology, often perceive aging as a burden that negatively impacts intellectual and mental health. Our present study aims to challenge this notion by identifying the crucial components of positive mental health in later life. These components not only promote positive mental health but also actively contribute to it, even under difficult circumstances. To accomplish this, we first offer a concise review of well-being and mental health models that highlight the psychological aspects of flourishing in late life. We then introduce a psychological competence-based model for positive mental health, which aligns with the concept of positive aging. Subsequently, we present a measurement tool suitable for practical applications. Finally, we provide a comprehensive overview of positive aging, drawing on methodological guidelines and existing research findings concerning sustainable positive mental health in later life. We examine the evidence indicating that psychological resilience (the capacity to adapt and recover from adversity or stress) and competence (skills and abilities to effectively cope with challenges across various life domains) significantly contribute to slowing down biological aging processes. Furthermore, we discuss insights into the relationship between psychological factors and aging derived from research on Blue Zones (regions characterized by a higher proportion of individuals experiencing longer, healthier lives).
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Affiliation(s)
- Virág Zábó
- Doctoral School of Psychology, Eötvös Loránd University, Budapest, Hungary
- Institute of Psychology, Faculty of Education and Psychology, Eötvös Loránd University, Budapest, Hungary
- Institute of Behavioural Sciences, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Anna Csiszar
- Vascular Cognitive Impairment, Neurodegeneration and Healthy Brain Aging Program, Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- Oklahoma Center for Geroscience and Healthy Brain Aging, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Zoltan Ungvari
- Vascular Cognitive Impairment, Neurodegeneration and Healthy Brain Aging Program, Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- Oklahoma Center for Geroscience and Healthy Brain Aging, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- International Training Program in Geroscience, Doctoral School of Basic and Translational Medicine/Department of Public Health, Semmelweis University, Budapest, Hungary
- Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - György Purebl
- Institute of Behavioural Sciences, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
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Davodi SR, Zendehtalab H, Zare M, Behnam Vashani H. Effect of Health Promotion Interventions in Active Aging in the Elderly: A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF COMMUNITY BASED NURSING AND MIDWIFERY 2023; 11:34-43. [PMID: 36650846 PMCID: PMC9839973 DOI: 10.30476/ijcbnm.2022.96246.2117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 12/14/2022] [Accepted: 12/19/2022] [Indexed: 01/19/2023]
Abstract
Background Active aging has been the paradigm of the old-age lifestyle. Integrated aging care interventions in health centers primarily focus on diseases such as diabetes, hypertension, depression, and cardiovascular diseases, and there is no program or training regarding active aging. This study was carried out from September to December 2021 to determine the effectiveness of an intervention program to promote active aging in the elderly referred to Mashhad health centers. Methods This randomized controlled clinical trial was conducted on 60 elderly individuals without disabling diseases and cognitive impairment who presented to the Daneshamooz health center in Mashhad in 2021. Through a simple block allocation scheme, those who met the inclusion criteria were randomly divided into the intervention and control groups. The intervention group received the health promotion program during 6 sessions (one session per week) about nutrition, physical activity, responsibility, stress management, communications, and spiritual aspects. The data were gathered using the active aging questionnaire and analyzed using the SPSS software version 25; independent and paired t-test, Wilcoxon, and Mann-Whitney U tests were utilized. P value< 0.05 was considered statistically significant. Results The results of this study demonstrated that after the intervention, the total active aging score in the intervention group increased significantly (68.5±3 to 85±8.25) (P<0.001) and there was a significant difference between the control and intervention groups (68±3.25 to 85±8.25) (P<0.001). Conclusion According to the results, training based on a health-enhancement approach can effectively promote active aging in the elderly. Therefore, more attention should be paid to strategic planning for active aging in health centers.Trial Registration Number: IRCT20210308050639N.
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Affiliation(s)
- Seyedeh Reyhane Davodi
- Department of Community Health of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Nursing, School of Nursing and Midwifery, Bojnourd University of Medical Sciences, Bojnourd, Iran
| | - Hamidreza Zendehtalab
- Department of Community Health of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Masoud Zare
- Department of Community Health of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hamidreza Behnam Vashani
- Department of Pediatric of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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Effect of a Community Gerontology Program on the Control of Metabolic Syndrome in Mexican Older Adults. Healthcare (Basel) 2022; 10:healthcare10030466. [PMID: 35326944 PMCID: PMC8950718 DOI: 10.3390/healthcare10030466] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Revised: 02/20/2022] [Accepted: 02/28/2022] [Indexed: 12/22/2022] Open
Abstract
Background: Metabolic syndrome (MS) is highly prevalent in older adults; it constitutes a risk factor for cognitive deterioration, frailty, and Alzheimer’s disease. For this reason, the WHO has pointed out the importance of the implementation of community programs for the training of healthy aging. The aim of this study was to evaluate the effect of a community gerontology program framed in active aging on the control of metabolic syndrome in older adults. Methods: An experimental study was carried out in a convenience sample of 80 older adults diagnosed with MS according to the ATPIII criteria, comprising (1) experimental group (EG), n = 40; (2) control group (CG), n = 40. During a 6-month period, the EG participated in a supervised community gerontology program, and the CG was assessed monthly. Results: A statistically significant decrease was observed in the number of components for the diagnosis of MS. In this regard, of the total of participants with a diagnosis of MS in EG, only 28% maintained the diagnosis of MS (ATPIII ≥ 3 criteria), in contrast to 83% of the CG participants (p < 0.0001). Conclusions: Our findings suggest that health self-care training within the framework of active aging is effective for the control of MS in older adults.
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Ajogwu A, Odeyemi K. Active ageing: process and determinants among middle-aged men in rural and urban communities in Lagos State, Nigeria. Pan Afr Med J 2021; 39:195. [PMID: 34603576 PMCID: PMC8464197 DOI: 10.11604/pamj.2021.39.195.27546] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 05/11/2021] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION active ageing is the process of optimizing opportunities for health in order to enhance quality of life and wellbeing. It is influenced by physical activity, social participation and social network, cognitive and continuous learning and socio-economic factors. It involves disease prevention and promotion of healthy behaviours that can reduce the risk and occurrence of non-communicable diseases in middle age and also at old age. The study aimed to determine and compare the active ageing process and its determinants among middle-aged men in rural and urban areas in Nigeria. METHODS this was a comparative cross-sectional study among middle-aged men 40-60 years using mixed methods. A multi-stage sampling technique was used to select 720 respondents. A structured interviewer administered questionnaire and Key informant interviews were used to collect data. RESULTS respondents in the rural area were a little older compared to the respondents in the urban area with a mean age of 49.6 ± 6.3 years and 48.6 ± 6.2 years respectively. A higher proportion of the respondents in the rural area (83.2%) than the respondents in the urban area (73.8%) practice good active ageing processes in their lives. There was a significant association between education of respondent and the practice of active ageing among respondents in the urban and rural areas. Multivariate logistic regression showed that physical activity (aOR 7.62, 95% CI: 243-23.94, P = 0.001), life-long learning (aOR 51.73, 95% CI: 12.14-220.49, P = 0.000) and community participation (aOR 3.46, 95% CI: 2.51-4.77, P=0.000) are predictors of active ageing. CONCLUSION the study showed that respondents in the rural area practice good active ageing compared to the respondents in the urban area and hence engaged more in sufficient active life in their daily activities, reducing the risk of non-communicable diseases.
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Affiliation(s)
- Augustine Ajogwu
- Department of Community Health and Primary Health Care, Lagos University Teaching Hospital, PMB 12003, Idi-Araba, Surulere, Lagos, Nigeria
| | - Kofo Odeyemi
- Department of Community Health and Primary Care, College of Medicine University of Lagos/ Lagos University Teaching Hospital, PMB 12003,Idi-Araba, Surulere, Lagos, Nigeria
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Reis MGM, Casas-Novas MV, Serra I, Magalhães MDDC, Sousa LMM. The importance of a training program on active aging from the perspective of elderly individuals. Rev Bras Enferm 2021; 74Suppl 2:e20190843. [PMID: 33566930 DOI: 10.1590/0034-7167-2019-0843] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Accepted: 04/30/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to assess the results of a training program focused on the well-being of elderly individuals from the perspective of users, through the opinion on the program impact on their active aging. METHODS a qualitative research, carried out from an intentional sample, consisting of 10 elderly women. Interview conducted by focus group, recorded and transcribed, which constituted the corpus of analysis. Lexical analysis of textual data was performed using the Alceste software. RESULTS from the analysis, three classes emerged: 1) Health-Activity; 2) Activity-Expectation; 3) Mind-Body Unit. The Activity-Expectation class stands out. CONCLUSIONS the research revealed that elderly individuals consider it important to have expectation, which results in satisfaction and involvement with life as well as the ability to remain active in a perspective of mind-body unit. Future projects should focus on enhancing mental and physical functions to promote active and healthy aging.
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Affiliation(s)
- Maria Gorete Mendonça Reis
- Universidade de Évora, Departamento de Enfermagem. Évora, Portugal.,Comprehensive Health Research Centre. Lisboa, Portugal
| | | | - Isaura Serra
- Universidade de Évora, Departamento de Enfermagem. Évora, Portugal
| | | | - Luís Manuel Mota Sousa
- Universidade de Évora, Departamento de Enfermagem. Évora, Portugal.,Comprehensive Health Research Centre. Lisboa, Portugal
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Idárraga-Cabrera C, Dueñas JM, Martínez-González MB, Navarro-Blanco R, Denegri-Coria M, Pino M. Cognitive Functioning, Life Satisfaction, and Their Relationship with the Financial Attitudes of Older Individuals Who Participate in an Active Aging Program. Behav Sci (Basel) 2020; 10:E189. [PMID: 33321729 PMCID: PMC7763154 DOI: 10.3390/bs10120189] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 11/28/2020] [Accepted: 12/03/2020] [Indexed: 01/07/2023] Open
Abstract
Life expectancy has increased in many countries throughout the world over recent years, leading to new challenges related to aging. A large part of the population is over 60 years old, and therefore studies that focus on financial autonomy and active aging are necessary. In this paper, we analyze the relationship between cognitive functioning and life satisfaction in relation to financial attitudes in a sample of 251 elderly adults (71% women) participating in an active aging program (M = 67.5, SD = 4.5). We used the Mini-Mental State Examination, the Satisfaction with Life scale, and a questionnaire about financial attitudes to gather data. Our results show that cognitive functioning and life satisfaction are related to certain financial attitudes. We also observed differences associated with gender, education level, and financial independence. According to our findings, life satisfaction should be taken into account when the financial attitudes of older adults are evaluated. The importance of support groups for the elderly is highlighted as well as of all those recreation and health programs, since they constitute a means of promoting well-being.
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Affiliation(s)
- Claudia Idárraga-Cabrera
- Department of Social Sciences, University of La Costa, Barranquilla 080002, Colombia; (C.I.-C.); (M.-B.M.-G.)
| | - Jorge-Manuel Dueñas
- Department of Psychology, Universitat Rovira i Virgili, 43007 Tarragona, Spain
| | | | - Regina Navarro-Blanco
- Center of Excellence in Economic and Consumer Psychology, University of La Frontera, Calle Francisco Salazar, Temuco 1145, Chile; (R.N.-B.); (M.D.-C.)
| | - Marianela Denegri-Coria
- Center of Excellence in Economic and Consumer Psychology, University of La Frontera, Calle Francisco Salazar, Temuco 1145, Chile; (R.N.-B.); (M.D.-C.)
| | - Mariana Pino
- Faculty of Social Sciences, Autonomous University of the Caribbean, Barranquilla 080002, Colombia;
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From an aging person to an elegant senior: a humanistic approach to viewing older adults. FRONTIERS OF NURSING 2020. [DOI: 10.2478/fon-2020-0032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Abstract
The continuing growth in the number of adults aged 60-plus has raised global alertness of population restructuring. This demographic change, on the one hand, reduces productivity and increases public expenditure due to aging, resulting in prejudice, bias, misrepresentation, and discrimination against them. On the other hand, it develops a specific consumer market segment and extends the availability and accessibility of the elderly through employment, volunteering, or grandparenting. This study argues against the stigmatization of this age group from a functional perspective that damages social cohesion. It advocates a humanistic view toward seniors to eradicate marginalization and promotes the manageability of the senior population. With the aid of advanced technology and health equity, senior adults can retain everyday competence for self-care with dignity, as well as gracefully attain physical and psychological health, autonomy, and well-being in their later life. All these considerations give medical and nursing professionals insight into how to take care of the elderly.
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Martinez-Martin E, Costa A, Cazorla M. PHAROS 2.0-A PHysical Assistant RObot System Improved. SENSORS 2019; 19:s19204531. [PMID: 31635278 PMCID: PMC6832539 DOI: 10.3390/s19204531] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Revised: 09/15/2019] [Accepted: 10/15/2019] [Indexed: 11/16/2022]
Abstract
There are great physical and cognitive benefits for older adults who are engaged in active aging, a process that should involve daily exercise. In our previous work on the PHysical Assistant RObot System (PHAROS), we developed a system that proposed and monitored physical activities. The system used a social robot to analyse, by means of computer vision, the exercise a person was doing. Then, a recommender system analysed the exercise performed and indicated what exercise to perform next. However, the system needed certain improvements. On the one hand, the vision system captured the movement of the person and indicated whether the exercise had been done correctly or not. On the other hand, the recommender system was based purely on a ranking system that did not take into account temporal evolution and preferences. In this work, we propose an evolution of PHAROS, PHAROS 2.0, incorporating improvements in both of the previously mentioned aspects. In the motion capture aspect, we are now able to indicate the degree of completeness of each exercise, identifying the part that has not been done correctly, and a real-time performance correction. In this way, the recommender system receives a greater amount of information and so can more accurately indicate the exercise to be performed. In terms of the recommender system, an algorithm was developed to weigh the performance, temporal evolution and preferences, providing a more accurate recommendation, as well as expanding the recommendation to a batch of exercises, instead of just one.
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Affiliation(s)
| | - Angelo Costa
- ALGORITMI Center, University of Minho, 4704-553 Braga, Portugal.
| | - Miguel Cazorla
- RoViT, University of Alicante, 03690 San Vicente del Raspeig (Alicante), Spain.
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García-Camacha A, García-Camacha I, Martínez-Andrés M, Notario-Pacheco B, Rodríguez-Martín B. Pilot testing the effectiveness of the Healthy Ageing Supported by Internet and Community programme for promoting healthy lifestyles for people over 65 years of age. Scand J Caring Sci 2019; 34:636-647. [PMID: 31614020 DOI: 10.1111/scs.12765] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2019] [Accepted: 08/29/2019] [Indexed: 11/29/2022]
Abstract
Active ageing is associated with physical, social and mental wellbeing, as well as the participation and integration of older people in society. Currently, demographic changes represent a major challenge while reinforcing the need to improve our current understanding of active ageing and promote appropriate interventions suitable for older people. The aim of this pilot study was to evaluate the impact of the Healthy Ageing Supported by Internet and Community training programme for acquiring the knowledge and skills necessary for adopting a healthy lifestyle in community-dwelling adults over 65 years of age. This study was conducted between 2015 and 2016 and was based on a convenience sample of individuals who responded to questionnaires. The study participants comprised all those who were included in the training programme (n = 71, 47 mentors and 24 participants in peer groups). The statistical analysis demonstrated the effectiveness of the programme regarding feasibility and expected results (p < 0.05 for most items, individually, as well as for the total scores of each test dimension). The programme was based on peer group training and the use of information and communication technologies and proved to be effective for acquiring the knowledge and skills necessary for adopting a healthy lifestyle. Furthermore, increased health scores were obtained in the physical, mental and social domains. It could also be beneficial for other groups of older people in order to support their integration into society, enhance their social skills and decrease any feelings of loneliness and rejection.
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Affiliation(s)
| | | | | | | | - Beatriz Rodríguez-Martín
- Faculty of Health Sciences, Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Talavera de la Reina (Toledo), Spain.,School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
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12
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Continuity and change in the transition to retirement: how time allocation, leisure practices and lifestyles evolve when work vanishes in later life. Eur J Ageing 2019; 17:81-93. [PMID: 32158374 DOI: 10.1007/s10433-019-00526-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
With increased longevity and socio-structural as well as socio-cultural changes, ageing research has shown a growing diversity of patterns in retirement lifestyles (Scherger et al. in Ageing Soc 31:146-172, 2011. 10.1017/s0144686x10000577). The transition from work to retirement is of particular interest to the study of the everyday lives, leisure activities and lifestyles of older adults, as questions on the meaning of work and leisure, activity and productivity are re-negotiated. This paper addresses the questions: how are the everyday lives of older adults re-organised when work vanishes? Are there lifestyles that are more easily maintained through retirement, whereas others are more prone to change? And which patterns of social inequalities underlie these processes? Drawing on data from the GTUS, this paper discusses similarities and differences in the time allocation of older working and non-working adults aged 55+ years (matched sample). Results show that the time spent on work is primarily taken up by household chores, media use and personal activities. Hierarchical cluster analysis identifies four activity clusters resp. lifestyles among the 55+: (1) a passive leisure lifestyle, (2) an active leisure lifestyle, (3) a paid work-centred lifestyle and (4) a housework-centred lifestyle. None of the clusters, however, comprised exclusively working or non-working older adults. The active leisure cluster comprised an equal share of working and non-working persons, suggesting that this kind of lifestyle allows for stronger continuity across work and retirement. It was more easily obtained by higher educated women who live separated from their partners.
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Wlodarczyk D, Lazarewicz M, Rzadkiewicz M, Chylinska J, Adamus M, Jaworski M, Lillefjell M, Haugan G, Espnes GA. Teaching general practitioners to activate older patients: The intervening role of changes in perceived communication skills. PATIENT EDUCATION AND COUNSELING 2019; 102:1687-1694. [PMID: 31036331 DOI: 10.1016/j.pec.2019.04.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Revised: 04/08/2019] [Accepted: 04/17/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE This report examined whether a change in the perceived communication behaviour (PeCoBe) of general practitioners (GPs) influenced the effect of the Promoting Active Aging (PRACTA) intervention on activation of older patients as perceived by GPs. METHODS Pre- and post-intervention questionnaires were filled out by 225 GPs, who were assigned to three groups, e-learning, pdf-article, and control. GPs self-reported their communication behaviour and their perceptions of the attitudes of older patients toward treatment and health. RESULTS Participation in the e-learning intervention showed an increase in the PeCoBe of GPs, while reading the pdf-article resulted in a decrease of such behaviours. An increase in the PeCoBe of GPs was positively related to an increase in their perception of an active attitude among older patients. The indirect effects observed for e-learning and pdf-article interventions had opposite directions. CONCLUSION Both types of PRACTA intervention exerted an impact on GPs' perception of the attitudes of older patients, and change in PeCoBe of GPs could be considered as a mechanism driving this effect. PRACTICAL IMPLICATIONS The methods based on a combination of knowledge delivery and modelling of communication skills are strongly recommended forms of teaching for GPs on how to communicate with and activate seniors.
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Affiliation(s)
- Dorota Wlodarczyk
- Department of Medical Psychology and Medical Communication, Medical University of Warsaw, ul. Litewska 14-16, 00-575 Warszawa, Poland.
| | - Magdalena Lazarewicz
- Department of Medical Psychology and Medical Communication, Medical University of Warsaw, ul. Litewska 14-16, 00-575 Warszawa, Poland
| | - Marta Rzadkiewicz
- Department of Medical Psychology and Medical Communication, Medical University of Warsaw, ul. Litewska 14-16, 00-575 Warszawa, Poland
| | - Joanna Chylinska
- Department of Medical Psychology and Medical Communication, Medical University of Warsaw, ul. Litewska 14-16, 00-575 Warszawa, Poland
| | - Miroslawa Adamus
- Department of Medical Psychology and Medical Communication, Medical University of Warsaw, ul. Litewska 14-16, 00-575 Warszawa, Poland
| | - Mariusz Jaworski
- Department of Medical Psychology and Medical Communication, Medical University of Warsaw, ul. Litewska 14-16, 00-575 Warszawa, Poland
| | - Monica Lillefjell
- Department of Neuromedicine and Movement Science, NTNU Center for Health Promotion Research, Norwegian University of Science and Technology, Tungasletta 2, 7491 Trondheim, Norway
| | - Gørill Haugan
- Department of Public Health and Nursing, Center for Health Promotion Research, Norwegian University of Science and Technology, Tungasletta 2, 7491 Trondheim, Norway
| | - Geir A Espnes
- Department of Public Health and Nursing, Center for Health Promotion Research, Norwegian University of Science and Technology, Tungasletta 2, 7491 Trondheim, Norway
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Pham VT, Chen YM, Van Duong T, Nguyen TPT, Chie WC. Adaptation and Validation of Active Aging Index Among Older Vietnamese Adults. J Aging Health 2019; 32:604-615. [PMID: 30964384 DOI: 10.1177/0898264319841524] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: The objective of this study was to adapt and validate the Vietnamese version of Active Aging Index (AAI). Method: We conducted an expert panel, focus groups, test-retest and examination of internal consistency, and construct and concurrent validity among 804 older Vietnamese adults. Results: Scale content validity index (CVI) was 0.98. Test-retest coefficients ranged from 0.70 to 1.00. The Cronbach's alphas of well-being, voluntary, affordability, and politics were 0.94, 0.70, 0.65, and 0.16, respectively. Voluntary and well-being had good construct validity. Regarding politics, only one of four items had good test-retest reliability (Kappa 0.84), while other three had low variance in both test-retest and field study. In exploratory factor analysis, items assessing affordability loaded on three components. AAI was positively associated with perceived health, life satisfaction, and quality of life; it was negatively associated with falls, loneliness, and frailty. Discussion: In adapting AAI, researchers should consider cultural sensitivity. Key modifications, findings, explanations, and suggestions are presented here.
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Affiliation(s)
- Vu Tuan Pham
- College of Public Health, Institute of Health Policy and Management, National Taiwan University, Taiwan.,Faculty of Nursing, Thai Nguyen University of Medicine and Pharmacy, Vietnam
| | - Ya-Mei Chen
- College of Public Health, Institute of Health Policy and Management, National Taiwan University, Taiwan
| | | | | | - Wei-Chu Chie
- Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taiwan
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Wesselman LM, Hooghiemstra AM, Schoonmade LJ, de Wit MC, van der Flier WM, Sikkes SA. Web-Based Multidomain Lifestyle Programs for Brain Health: Comprehensive Overview and Meta-Analysis. JMIR Ment Health 2019; 6:e12104. [PMID: 30964438 PMCID: PMC6477576 DOI: 10.2196/12104] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Revised: 01/28/2019] [Accepted: 02/14/2019] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The number of people living with dementia is increasing worldwide, mainly because of aging of the population. To date, there is no pharmaceutical intervention to delay or treat cognitive decline or dementia. As an estimated one-third of dementia cases might be attributable to modifiable lifestyle factors (such as cognitive and physical activity), multidomain lifestyle interventions are a promising way to maintain or improve brain health. Offering programs online would enable large-scale implementation. An overview of multidomain Web-based lifestyle programs for brain health would facilitate comparison and improvement of such programs to develop effective and sustainable interventions. OBJECTIVE This study aimed to (1) provide a comprehensive overview of Web-based multidomain lifestyle programs aimed at optimizing brain health in healthy adult populations and (2) describe the programs and targeted lifestyle factors, availability, and evaluation of adherence and user experience. In addition, a meta-analysis was performed to evaluate the effectiveness of these programs. METHODS Electronic databases (PubMed, EMBASE, and PsycINFO) were searched for Web-based lifestyle programs that were included when the program (1) aimed to optimize brain health, (2) focused on multiple lifestyle factors, (3) was completely Web-based (website, Web application or mobile app), (4) consisted of multiple sessions, and (5) focused on a healthy adult population. Program characteristics (target population, duration, frequency, tailoring, platform, and availability) and results of program evaluations (effectiveness, user evaluations, and adherence) were extracted and compared. Studies using a controlled design were included in a random-effects meta-analysis on the effectiveness on brain health outcomes. Study quality was assessed using the physiotherapy evidence database (PEDro) scale. RESULTS The electronic searches yielded 44 documents describing 14 Web-based lifestyle programs; physical and cognitive activities were targeted in all programs. Four programs (4/14, 29%) were publicly available and free of charge, whereas others were restricted to research settings (5/14, 36%), available after payment (1/14, 7%), or not available at all (2/14, 14%). User evaluations were reported for 8 (57%) of the 14 programs. Reported dropout of the intervention groups ranged from 2% to 52%. Overall, 3 studies evaluated the effectiveness of a program using a controlled design and were included in the meta-analysis (moderate-to-high quality). Pooled results showed a significant small-to-medium effect of the Web-based multidomain lifestyle interventions on outcome measures for brain health (global cognition score, subjective cognitive score, and lifestyle risk score; standard mean difference=0.45; 95% CI 0.12-0.78), with a high degree heterogeneity across studies (I2=75%; P=.02). CONCLUSIONS In total, 14 Web-based multidomain lifestyle programs aimed at optimizing brain health were found. The programs showed heterogeneity in both characteristics and effectiveness evaluation. Despite this heterogeneity, this meta-analysis suggests that Web-based lifestyle programs can positively influence brain health outcomes and have the potential to contribute to the prevention of dementia.
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Affiliation(s)
- Linda Mp Wesselman
- Alzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Netherlands
| | - Astrid M Hooghiemstra
- Alzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Netherlands.,Department of Medical Humanities, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Netherlands
| | - Linda J Schoonmade
- University Library, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Marjolein Cj de Wit
- Alzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Netherlands
| | - Wiesje M van der Flier
- Alzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Netherlands.,Department of Epidemiology and Biostatistics, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Netherlands
| | - Sietske Am Sikkes
- Alzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Netherlands.,Department of Epidemiology and Biostatistics, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Netherlands.,Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
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16
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Borelli E, Paolini G, Antoniazzi F, Barbiroli M, Benassi F, Chesani F, Chiari L, Fantini M, Fuschini F, Galassi A, Giacobone GA, Imbesi S, Licciardello M, Loreti D, Marchi M, Masotti D, Mello P, Mellone S, Mincolelli G, Raffaelli C, Roffia L, Salmon Cinotti T, Tacconi C, Tamburini P, Zoli M, Costanzo A. HABITAT: An IoT Solution for Independent Elderly. SENSORS 2019; 19:s19051258. [PMID: 30871107 PMCID: PMC6427271 DOI: 10.3390/s19051258] [Citation(s) in RCA: 48] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Revised: 03/04/2019] [Accepted: 03/05/2019] [Indexed: 02/05/2023]
Abstract
In this work, a flexible and extensive digital platform for Smart Homes is presented, exploiting the most advanced technologies of the Internet of Things, such as Radio Frequency Identification, wearable electronics, Wireless Sensor Networks, and Artificial Intelligence. Thus, the main novelty of the paper is the system-level description of the platform flexibility allowing the interoperability of different smart devices. This research was developed within the framework of the operative project HABITAT (Home Assistance Based on the Internet of Things for the Autonomy of Everybody), aiming at developing smart devices to support elderly people both in their own houses and in retirement homes, and embedding them in everyday life objects, thus reducing the expenses for healthcare due to the lower need for personal assistance, and providing a better life quality to the elderly users.
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Affiliation(s)
- Elena Borelli
- CIRI-Health Sciences & Technologies, University of Bologna, 40126 Bologna, Italy.
| | - Giacomo Paolini
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
| | - Francesco Antoniazzi
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DISI-Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy.
- INFN CNAF-Italian Institute for Nuclear Physics for the Research and Development in Information and Communication Technologies, 40127 Bologna, Italy.
| | - Marina Barbiroli
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
| | - Francesca Benassi
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
| | - Federico Chesani
- DISI-Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy.
| | - Lorenzo Chiari
- CIRI-Health Sciences & Technologies, University of Bologna, 40126 Bologna, Italy.
| | | | - Franco Fuschini
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
| | - Andrea Galassi
- DISI-Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy.
| | | | - Silvia Imbesi
- TekneHub, University of Ferrara, 44122 Ferrara, Italy.
| | - Melissa Licciardello
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
| | - Daniela Loreti
- CIRI-Health Sciences & Technologies, University of Bologna, 40126 Bologna, Italy.
| | | | - Diego Masotti
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
| | - Paola Mello
- DISI-Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy.
| | - Sabato Mellone
- CIRI-Health Sciences & Technologies, University of Bologna, 40126 Bologna, Italy.
| | | | - Carla Raffaelli
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
| | - Luca Roffia
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DISI-Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy.
| | - Tullio Salmon Cinotti
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DISI-Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy.
- ARCES-Advanced Research Center on Electronic Systems "Ercole De Castro", University of Bologna, 40125 Bologna, Italy.
| | - Carlo Tacconi
- CIRI-Health Sciences & Technologies, University of Bologna, 40126 Bologna, Italy.
| | - Paola Tamburini
- CIRI-Health Sciences & Technologies, University of Bologna, 40126 Bologna, Italy.
| | - Marco Zoli
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
| | - Alessandra Costanzo
- CIRI-Information and Communication Technologies, University of Bologna, 40126 Bologna, Italy.
- DEI-Department of Electrical, Electronic and Information Engineering "Guglielmo Marconi", University of Bologna, 40136 Bologna, Italy.
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Abstract
The concept of ‘Active Aging’ emerged in the 1990s, reflecting a growing emphasis on the relationships between health, participation, aging, and independence. The concept focuses on encouraging the participation of older adults in society and it recognizes the competence and knowledge that older people possess. The Active Aging discourse developed as a broad political response to demographic aging, one which promotes a cultural shift in what ‘old age’ may mean, by providing older people with new roles. The initiative “Age-Friendly Cities and Communities”, which was launched by the WHO in 2007, was developed with the aim of applying this paradigm into practice at the local level. Its purpose was to promote a movement of citizen participation where older people have a leading role as generators of well-being, and tackling the barriers of Active Aging. This paper provides a theoretical reflection concerning the development of the concept of Active Aging and how this has led to new ways of active citizenship in later life. New generations of older people demand a space where they can develop and contribute to society, regardless of their age. The aging of the population poses challenges and opportunities, which we can and must take advantage of in order to build a better and more egalitarian society, one that recognizes the value of diversity.
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Bárrios MJ, Fernandes AA, Fonseca AM. Identifying Priorities for Aging Policies in Two Portuguese Communities. J Aging Soc Policy 2018; 30:458-477. [PMID: 29461933 DOI: 10.1080/08959420.2018.1442112] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The aging population has an impact on health, social, and economic issues in regard to individuals, communities, and organizations. The challenge for local policies in response to aging is to create sufficient resources to meet the population's needs, wishes, and rights as people age. Active aging constitutes one of the guiding perspectives on policies. Taking into account the local governance perspective, the Model for Aging Local Policies Analysis (MALPA) was created in order to convert the active aging paradigm into a practical approach, as a technique to evaluate and analyze local aging policies. In this research, the MALPA instrument was applied in two Portuguese communities (Coruche and Oeiras). The objective was to identify the intervention priorities of aging policies in both communities, determining whether the instrument can facilitate the development of proposals for the improvement of local aging policies. It was possible to evaluate the communities and programs, identifying the least appropriate policy actions regarding the intervention priorities. The results allowed us to identify 10 priorities about collaborative governance, involvement of the elderly in the policy-making process, lifelong learning, economic hardship, policies for all ages, isolated vulnerable and fragile groups, intergenerational contacts, safety in all policies, labor opportunities, and conditions and transport network improvement.
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Affiliation(s)
- Maria João Bárrios
- a Rua Almerindo Lessa , ISCSP-Universidade de Lisboa , Lisboa , Portugal
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19
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Forsman AK, Nordmyr J, Matosevic T, Park AL, Wahlbeck K, McDaid D. Promoting mental wellbeing among older people: technology-based interventions. Health Promot Int 2017; 33:1042-1054. [DOI: 10.1093/heapro/dax047] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Anna K Forsman
- Faculty of Education and Welfare Studies, Developmental Psychology, Åbo Akademi University, Vaasa, Finland
- Faculty of Education and Welfare Studies, Health Sciences, Åbo Akademi University, Vaasa, Finland
| | - Johanna Nordmyr
- Faculty of Education and Welfare Studies, Developmental Psychology, Åbo Akademi University, Vaasa, Finland
| | - Tihana Matosevic
- Personal Social Services Research Unit, Department of Health Policy, London School of Economics and Political Science, London, UK
| | - A-La Park
- Personal Social Services Research Unit, Department of Health Policy, London School of Economics and Political Science, London, UK
| | | | - David McDaid
- Personal Social Services Research Unit, Department of Health Policy, London School of Economics and Political Science, London, UK
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21
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Fernandez-Ballesteros R, Olmos R, Santacreu M, Bustillos A, Molina MA. The role of perceived discrimination on active aging. Arch Gerontol Geriatr 2017; 71:14-20. [PMID: 28242578 DOI: 10.1016/j.archger.2017.02.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Revised: 11/16/2016] [Accepted: 02/01/2017] [Indexed: 11/27/2022]
Abstract
Among older adults, perceived age discrimination is highly associated with unhealthy outcomes and dissatisfaction. Active aging is a multidimensional concept described by a set of characteristics, particularly health, positive mood and control; most importantly, active aging is currently at the core of public policies. The aim of the present study was to test to what extent perceived discrimination influences active aging. Methods A total of 2005 older adults in three representative samples from regions of Germany, Mexico and Spain participated; they were tested on active aging and perceived discrimination. First, active aging was defined as high reported health, life satisfaction and self-perception of aging. Second, authors introduced the assumption that, in the total sample, structural equation modelling would confirm the hypothesis of a direct negative link between perceived age discrimination and active aging. Finally, multiple group comparison performed through structural equation modelling also provided support for the negative association between perceived discrimination and active aging proposed. In spite of the differences found among the three countries in both active aging variables and age discrimination perception, multiple group comparison indicates that regardless of the culture, perceived discrimination is a negative predictor of active aging.
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22
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Marsillas S, De Donder L, Kardol T, van Regenmortel S, Dury S, Brosens D, Smetcoren AS, Braña T, Varela J. Does active ageing contribute to life satisfaction for older people? Testing a new model of active ageing. Eur J Ageing 2017; 14:295-310. [PMID: 28936139 DOI: 10.1007/s10433-017-0413-8] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Several debates have emerged across the literature about the conceptualisation of active ageing. The aim of this study is to develop a model of the construct that is focused on the individual, including different elements of people's lives that have the potential to be modified by intervention programs. Moreover, the paper examines the contributions of active ageing to life satisfaction, as well as the possible predictive role of coping styles on active ageing. For this purpose, a representative sample of 404 Galician (Spain) community-dwelling older adults (aged ≥60 years) were interviewed using a structured survey. The results demonstrate that the proposed model composed of two broad categories is valid. The model comprises status variables (related to physical, psychological, and social health) as well as different types of activities, called processual variables. This model is tested using partial least squares (PLS) regression. The findings show that active ageing is a fourth-order, formative construct. In addition, PLS analyses indicate that active ageing has a moderate and positive path on life satisfaction and that coping styles may predict active ageing. The discussion highlights the potential of active ageing as a relevant concept for people's lives, drawing out policy implications and suggestions for further research.
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Affiliation(s)
- Sara Marsillas
- Area of Methodology of Behavioural Sciences, Faculty of Psychology, University of Santiago de Compostela, Calle Xosé María Suárez Núñez, s/n. Campus Vida, 15782 Santiago de Compostela, Spain
| | - Liesbeth De Donder
- Department of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium
| | - Tinie Kardol
- Department of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium
| | - Sofie van Regenmortel
- Department of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium
| | - Sarah Dury
- Department of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium
| | - Dorien Brosens
- Department of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium
| | - An-Sofie Smetcoren
- Department of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium
| | - Teresa Braña
- Area of Methodology of Behavioural Sciences, Faculty of Psychology, University of Santiago de Compostela, Calle Xosé María Suárez Núñez, s/n. Campus Vida, 15782 Santiago de Compostela, Spain
| | - Jesús Varela
- Area of Methodology of Behavioural Sciences, Faculty of Psychology, University of Santiago de Compostela, Calle Xosé María Suárez Núñez, s/n. Campus Vida, 15782 Santiago de Compostela, Spain
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Mendoza-Ruvalcaba NM, Fernández-Ballesteros R. Effectiveness of the Vital Aging program to promote active aging in Mexican older adults. Clin Interv Aging 2016; 11:1631-1644. [PMID: 27881913 PMCID: PMC5115686 DOI: 10.2147/cia.s102930] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Aging is not only a population phenomenon but also an experience and an individual reality. Vital Aging® is a program that considers active aging as the lifelong adaptation process of maximizing health and independence, physical and cognitive functioning, positive affect regulation and control, and social engagement. Through its different versions and editions, it has demonstrated being an effective program to promote active aging. The aim of this study is to determine the effectiveness of the “face-to-face” and “combined” versions of the program to promote active aging in Mexican older adults trial. Methods Seventy-six older adults aged 60 years and over participated in a quasi-experimental study and were recruited in a senior center to participate in the two experimental conditions: Vital Aging face-to-face (VA-FF) (n=35) and Vital Aging combined (VA-C; multimedia/face-to-face) (n=15), and the remaining 26 adults were assigned to a control group. Pretest and posttest assessments were performed after the theoretical–practical intervention. Mean differences and size effects were calculated for estimating the effect of the program. Results At the end of the study, participants showed improvements in the active aging outcome measures. Positive effects were observed in the frequency of intellectual, cultural – artistic, and social activities, perceptions of aging, satisfaction with social relationships, and self-efficacy for aging. Additionally, those who participated in VA-FF showed better memory performance, meta-memory, and a trend to report less memory problems, while older persons in VA-C showed a trend to have better life satisfaction. No effects were observed in physical activity, frequency of social relationships, and subjective health. Conclusion Findings show that the Vital Aging program in face-to-face and combined versions encourages active aging in Mexican older persons. These results are in general similar to those found in editions performed in Spain, revealing its consistency as a cross-cultural practical initiative for promoting active aging.
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Affiliation(s)
- Neyda Ma Mendoza-Ruvalcaba
- Health Sciences Department, University of Guadalajara, University Center of Tonalá, Tonalá, Jalisco, Mexico
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Effects of Moderate Aerobic Exercise on Cognitive Abilities and Redox State Biomarkers in Older Adults. OXIDATIVE MEDICINE AND CELLULAR LONGEVITY 2016; 2016:2545168. [PMID: 27195073 PMCID: PMC4852338 DOI: 10.1155/2016/2545168] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/18/2016] [Accepted: 03/23/2016] [Indexed: 01/26/2023]
Abstract
We used a moderate aerobic exercise program for 24 weeks to measure the positive impact of physical activity on oxidative stress and inflammatory markers and its association with cognitive performance in healthy older adults. A total of 100 healthy subjects (65–95 Yrs) were randomly classified into two groups: control group (n = 50) and exercise group (n = 50). Cognitive functioning, physical activity score, MDA, 8-OHdG, TAC, and hs-CRP were assessed using LOTCA battery, prevalidated PA questionnaire, and immunoassay techniques. LOTCA 7-set scores of cognitive performance showed a significant correlation with physical activity status and the regulation of both oxidative stress free radicals and inflammatory markers in all older subjects following 24 weeks of moderate exercise. Physically active persons showed a higher cognitive performance along with reduction in the levels of MDA, 8-OHdG, and hs-CRP and increase in TAC activity compared with sedentary participants. Cognitive performance correlated positively with the increase in TAC activity and physical fitness scores and negatively with MDA, 8-OHdG, and hs-CRP, respectively. There was a significant improvement in motor praxis, vasomotor organization, thinking operations, and attention and concentration among older adults. In conclusion, moderate aerobic training for 24 weeks has a positive significant effect in improving cognitive functions via modulating redox and inflammatory status of older adults.
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Parisien M, Lorthios-Guilledroit A, Bier N, Gilbert N, Nour K, Guay D, Langlois F, Fournier B, Laforest S. Design and Implementation of a Community Program to Promote Cognitive Vitality Among Seniors. AMERICAN JOURNAL OF HEALTH EDUCATION 2016. [DOI: 10.1080/19325037.2015.1133338] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Manon Parisien
- Integrated Health and Social Services University Network for West-Central Montreal
| | | | | | - Norma Gilbert
- Integrated Health and Social Services University Network for West-Central Montreal
| | - Kareen Nour
- Integrated Health and Social Services Network for Montérégie-Centre
| | - Danielle Guay
- Integrated Health and Social Services University Network for West-Central Montreal
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Abstract
ABSTRACTIn 2002, the World Health Organization emphasised the concept of active ageing to manage and increase the last third of life. Although many efforts have been made to optimise treatment management, less attention has been paid to health promotion initiatives. To date, few shared guidelines exist that promote an active life in healthy older targets. To fill this gap, we conducted a systematic review to map health promotion interventions that targeted an active and healthy ageing among older citizens. Articles containing the key term active ageing and seven synonyms were searched for in the electronic databases. Because we were interested in actions aimed to promote healthier lifestyles, we connected the string with the term health. A total of 3,918 titles were retrieved and 20 articles were extracted. Twelve of the 20 studies used group interventions, five interventions targeted the individual level and three interventions targeted the community level. Interventions differed for the health focus of the programmes, which ranged from physical activity interventions to social participation or cognitive functioning. Most of the studies aimed to act on psychological components. The review suggests that different interventions promoted for active ageing are effective in improving specific healthy and active lifestyles; however, no studies were concerned directly with a holistic process of citizen health engagement to improve long-term outcomes.
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Mendoza-Ruvalcaba NM, Arias-Merino ED. "I am active": effects of a program to promote active aging. Clin Interv Aging 2015; 10:829-37. [PMID: 26005337 PMCID: PMC4427596 DOI: 10.2147/cia.s79511] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Active aging involves a general lifestyle strategy that allows preservation of both physical and mental health during the aging process. "I am Active" is a program designed to promote active aging by increased physical activity, healthy nutritional habits, and cognitive functioning. The purpose of this study was to assess the effectiveness of this program. METHODS Sixty-four healthy adults aged 60 years or older were recruited from senior centers and randomly allocated to an experimental group (n=31) or a control group (n=33). Baseline, post-test, and 6-month follow-up assessments were performed after the theoretical-practical intervention. Effect sizes were calculated. RESULTS At the conclusion of the program, the experimental group showed significant improvement compared with the control group in the following domains: physical activity (falls risk, balance, flexibility, self-efficacy), nutrition (self-efficacy and nutritional status), cognitive performance (processing speed and self-efficacy), and quality of life (general, health and functionality, social and economic status). Although some declines were reported, improvements at follow-up remained in self-efficacy for physical activity, self-efficacy for nutrition, and processing speed, and participants had better nutritional status and quality of life overall. CONCLUSION Our findings show that this program promotes improvements in domains of active aging, mainly in self-efficacy beliefs as well as in quality of life in healthy elders.
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Affiliation(s)
- Neyda Ma Mendoza-Ruvalcaba
- Health Sciences Department, University of Guadalajara, University Center of Tonala Guadalajara, Jalisco, Mexico
| | - Elva Dolores Arias-Merino
- Public Health Department, University of Guadalajara, University Center of Health Sciences, Guadalajara, Jalisco, Mexico
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Caprara M, Fernández-Ballesteros R, Alessandri G. Promoting aging well: evaluation of Vital-Aging-Multimedia Program in Madrid, Spain. Health Promot Int 2015; 31:515-22. [PMID: 25784303 DOI: 10.1093/heapro/dav014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This article attests to the effectiveness of Vital Aging-Multimedia (VA-M, 'Vivir con Vitalidad-M'), a psycho-educational multimedia program designed to promote successful aging. The program was implemented over 3 months through 35 h of video lessons grouped into 15 thematic units addressing four domains of experience commonly associated with aging well: health and healthy habits, cognitive functioning, aging self-efficacy and well-being and social participation. In accordance with a quasi-experimental design, a total of 115 senior citizens (aged 54-82) participated: 73 subjects attended the VA-M, while 42 subjects with similar characteristics served as controls. All subjects were assessed before and after the program on target variables related to the above domains of functioning. Significant changes in most of the examined variables documented the positive effects of the program.
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Affiliation(s)
- Mariagiovanna Caprara
- Department of Psychology, Madrid Open University, Carretera de la Coruña (Vía de servicio no 15) Km. 38,500, Madrid 28400, Spain
| | | | - Guido Alessandri
- Department of Psychology, University of Rome La Sapienza, Rome, Italy
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Garcia D, Archer T. Positive affect and age as predictors of exercise compliance. PeerJ 2014; 2:e694. [PMID: 25548730 PMCID: PMC4273932 DOI: 10.7717/peerj.694] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2014] [Accepted: 11/21/2014] [Indexed: 01/24/2023] Open
Abstract
Physical exercise is linked to individuals whose affect profiles are invariably positive and it induces anti-apoptotic and anti-excitotoxic effects, buttressing blood–brain barrier intactness in both healthy individuals and those suffering from disorders accompanying overweight and obesity. In this regard, exercise offers a unique non-pharmacologic, non-invasive intervention that incorporates different regimes, whether dynamic or static, endurance, or resistance. In this brief report we present a self-reported study carried out on an adolescent and adult population (N = 280, 144 males and 136 females), which indicated that the propensity and compliance for exercise, measured as the “Archer ratio”, was predicted by a positive affect. This association is discussed from the perspective of health, well-being, affect dimensions, and age.
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Affiliation(s)
- Danilo Garcia
- Institute of Neuroscience and Physiology, Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg , Gothenburg , Sweden ; Network for Empowerment and Well-Being , Sweden
| | - Trevor Archer
- Network for Empowerment and Well-Being , Sweden ; Department of Psychology, University of Gothenburg , Gothenburg , Sweden
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