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Li A, Sun Y, Li M, Wang D, Ma X. Effects of elastic band resistance training on the physical and mental health of elderly individuals: A mixed methods systematic review. PLoS One 2024; 19:e0303372. [PMID: 38739588 PMCID: PMC11090353 DOI: 10.1371/journal.pone.0303372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 04/24/2024] [Indexed: 05/16/2024] Open
Abstract
OBJECTIVES Elastic band resistance training in elderly individuals can improve physical fitness and promote mental health in addition to other benefits. This systematic review aimed to review, summarize, and evaluate quantitative, qualitative, and mixed methodological studies on the use of elastic band resistance training in elderly individuals, and to investigate the influence of elastic band resistance training on the physical and mental health of elderly individuals, as well as their preferences and obstacles in training. METHODS A convergent separation approach was used to synthesize and integrate the results, specifically the mixed systematic review approach recommended by the Joanna Briggs Institute. The extensive search strategy included electronic database searches in the Cochrane Library, PubMed, Embase, Web of Science, Google Scholar, MEDLINE, and CINAHL. The researchers rigorously screened the literature, extracted and analyzed the data, and evaluated the quality of the included studies using the Mixed Methods Appraisal Tool (MMAT). RESULTS Twenty-eight studies were included, of which 25 were quantitative studies, 2 were qualitative studies, and 1 was a mixed-methods study. A total of 1,697 subjects were investigated across all studies. Quantitative evidence supports the notion that elastic band resistance training can improve upper and lower limb flexibility, endurance, upper strength, physical balance, and cardiopulmonary function and enhance the mental health of elderly individuals. Participants in the qualitative study reported some preferences and obstacles with band resistance training, but most participants reported physical benefits. CONCLUSIONS Despite the heterogeneity between studies, this review is the first systematic review to comprehensively evaluate the effectiveness of elastic band resistance training in older adults. It not only shows the influence of elastic band resistance training on the physical and mental health of the elderly, but also emphasizes the preference and obstacles of elderly individuals face.
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Affiliation(s)
- Aiying Li
- Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu, Sichuan, China
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Yan Sun
- Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu, Sichuan, China
- The Philippines Women’s University, Manila, Metro Manila, Philippines
| | - Meng Li
- The Philippines Women’s University, Manila, Metro Manila, Philippines
- The Third People’s Hospital of Hanan Provinnce, Zhengzhou, Henan, China
| | - Dongyang Wang
- Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu, Sichuan, China
- Binzhou Medical University, Binzhou, Shangdong, China
| | - Xiaofeng Ma
- Henan University of Chinese Medicine, Zhengzhou, Henan, China
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2
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Sakaguchi M, Miyai N, Kobayashi H, Arita M. Effect of lower-extremity muscle power training on muscle strength, balance function and walking ability in older adults with heart failure: a randomized controlled trial. Eur Geriatr Med 2024; 15:361-370. [PMID: 38147270 DOI: 10.1007/s41999-023-00905-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Accepted: 11/22/2023] [Indexed: 12/27/2023]
Abstract
PURPOSE This study investigated the combined effect of lower-extremity muscle power training and regular cardiac rehabilitation on muscle strength, balance function, and walking ability of older adults with heart failure. METHODS Thirty-one patients, comprising 17 males and 14 females, aged between 66 and 89 years and diagnosed with non-severe heart failure, were randomly assigned to either the intervention group (n = 15) or control group (n = 16). Both groups participated in a 12-week regular rehabilitation program, with the intervention group receiving additional lower-extremity muscle power training. Various outcome measures, including muscle strength (the five-times-sit-to-stand test and knee extensor peak torque), balance function (Berg balance scale and functional reach test), and walking ability (4-m walk and Timed Up-and-Go tests) were assessed at baseline and 12 weeks after the intervention. RESULTS Of the 31 participants, 27 completed the study protocol. The intervention group demonstrated significantly greater improvement in the five-times-sit-to-stand test time, indicating enhanced lower-extremity muscle power compared to the control group. Both groups showed significant differences in the Berg balance scale, functional reach test, 4-m walk test, and Timed Up-and-Go test between baseline and 12 weeks. However, the effect sizes for the changes during the study period were larger in the intervention group (d = 0.74-1.19) than the control group (d = 0.57-0.96). CONCLUSION Combining lower-extremity muscle power training with regular cardiac rehabilitation may lead to additional improvements in muscle function for older adults with heart failure, resulting in enhanced dynamic balance and walking ability. TRIAL REGISTRATION NUMBER/DATE OF REGISTRATION UMIN000032087/April 4, 2018.
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Affiliation(s)
- Masato Sakaguchi
- Graduate School of Health and Nursing Science, Wakayama Medical University, 580 Mikazura, P.O. Box 641-0011, Wakayama, Japan
- Sumiya Rehabilitation Hospital, Wakayama, Japan
| | - Nobuyuki Miyai
- Graduate School of Health and Nursing Science, Wakayama Medical University, 580 Mikazura, P.O. Box 641-0011, Wakayama, Japan.
| | | | - Mikio Arita
- Sumiya Rehabilitation Hospital, Wakayama, Japan
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3
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Kwak SE, Bae JH, Lee JH, Shin HE, Zhang D, Cho SC, Song W. Effects of exercise-induced beta-hydroxybutyrate on muscle function and cognitive function. Physiol Rep 2021; 9:e14497. [PMID: 33547753 PMCID: PMC7865404 DOI: 10.14814/phy2.14497] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 05/31/2020] [Accepted: 06/01/2020] [Indexed: 12/14/2022] Open
Abstract
Recent studies have shown that exercise improves skeletal muscle and cognitive function by stimulating the secretion of numerous molecules. In particular, previous studies have suggested that exercise-induced beta-hydroxybutyrate (BHB) release might improve skeletal muscle and cognitive function, but to date these studies have been limited to cell and animal models. Therefore, we aimed to determine how an exercise-induced increase in BHB affects skeletal muscle and cognitive function at a cellular level, in an animal model, and in humans. The effects of BHB on skeletal muscle and cognitive function were determined by treating C2C12 and C6 cell lines with BHB, and by measuring the skeletal muscle and serum BHB concentrations in aged mice after endurance or resistance exercise. In addition, serum BHB concentration was measured before and after high-speed band exercise in elderly people, and its relationships with muscle and cognitive function were analyzed. We found that BHB increased cell viability and brain-derived neurotrophic factor expression level in C6 cells, and endurance exercise, but not resistance exercise, increased the muscle BHB concentration in aged mice. Furthermore, the BHB concentration was positively related to skeletal muscle and cognitive function. Exercise did not increase the serum BHB concentration in the elderly people and BHB did not correlate with cognitive function, but after excluding the five people with the highest preexisting serum concentrations of BHB, the BHB concentrations of the remaining participants were increased by exercise, and the concentration showed a tendency toward a positive correlation with cognitive function. Thus, the BHB released by skeletal muscle following endurance exercise may improve muscle and cognitive function in animals and humans.
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Affiliation(s)
- Seong Eun Kwak
- Institute of Sport ScienceSeoul National UniversitySeoulKorea
| | - Jun Hyun Bae
- Institute of Sport ScienceSeoul National UniversitySeoulKorea
| | - Ji Heun Lee
- Institute of Sport ScienceSeoul National UniversitySeoulKorea
| | - Hyung Eun Shin
- Institute of Sport ScienceSeoul National UniversitySeoulKorea
| | - DiDi Zhang
- Institute of Sport ScienceSeoul National UniversitySeoulKorea
| | | | - Wook Song
- Institute of Sport ScienceSeoul National UniversitySeoulKorea
- Institue on AgingSeoul National UniversitySeoulKorea
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4
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5
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The Associations between Functional Fitness Test Performance and Abdominal Obesity in Healthy Elderly People: Results from the National Physical Fitness Examination Survey in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 18:ijerph18010264. [PMID: 33396485 PMCID: PMC7796088 DOI: 10.3390/ijerph18010264] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 12/28/2020] [Accepted: 12/28/2020] [Indexed: 12/31/2022]
Abstract
The relationships between different functional fitness performance and abdominal obesity among the elderly have not been widely discussed in the literature. The present study aimed to investigate the associations between functional fitness test performance and abdominal obesity in Taiwanese elderly people. A total of 22,399 items of data from the National Physical Fitness Survey Databases in Taiwan (NPFSD 2014-15) were reviewed and analyzed. The quartiles of functional fitness test results were identified as the dependent variable in the multiple linear regression analysis to examine the association between functional fitness and abdominal obesity status. The results showed that body balance (odds ratios (ORs) listed from 1.18 to 2.29, p < 0.05) and flexibility (ORs listed from 1.23 to 2.16, p < 0.05) were critically associated with abdominal obesity. However, measurements related to muscle strength revealed the limited effect sizes for abdominal obesity. From a disability prevention perspective, the development of muscle strength in the elderly should be emphasized and encouraged to maintain their daily capabilities instead of satisfaction with a lean body.
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6
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Shakeri A, Hashempur MH, Beigomi A, Khiveh A, Nejatbakhsh F, Zohalinezhad ME, Emtiazy M. Strategies in traditional Persian medicine to maintain a healthy life in the elderly. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2020; 18:29-36. [PMID: 32554835 DOI: 10.1515/jcim-2019-0273] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2019] [Accepted: 12/31/2019] [Indexed: 11/15/2022]
Abstract
As time goes on, a greater number of people experience an age of more than 60 years old and subsequently geriatric syndromes are increasingly more common. Despite recent improvements in modern healthy living, literature on traditional Persian medicine (TPM) about the prevention and treatment of such syndromes and healthy living of the elderly is hardly known. We aimed, in this study, to explore some traditional Persian sources and briefly explain their writers' beliefs on keeping healthy living for old people. We used several TPM sources and literature, and then based on these texts, we collected issues about geriatric temperament and syndromes and classified the results including exercise, nutrition, massage, bathing, aromatherapy, and sleeping. Our search yielded some recommendations about a healthy lifestyle for the elderly, which are in fact equivalent to primary, secondary, and tertiary preventive measures in modern medicine. Our results also showed that they believed such modifications would help the elderly to improve their geriatric conditions. In general, TPM provides some pieces of advice to prevent and treat geriatric syndromes that may be helpful in practice although the scope of their effectiveness remains to be examined in carefully designed randomized controlled trials.
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Affiliation(s)
- Afsaneh Shakeri
- Department of Traditional Medicine, The School of Iranian Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Hashem Hashempur
- Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.,Department of Persian Medicine, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran
| | | | - Ali Khiveh
- Department of Traditional Medicine, The School of Iranian Traditional Medicine, Shahid Sadoughi University of Medical Sciences, Ardakan, Yazd, Iran
| | - Fatemeh Nejatbakhsh
- Department of Traditional Medicine, The School of Iranian Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Ebrahim Zohalinezhad
- Department of Persian Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.,Essence of Parsiyan Wisdom Institute, Traditional Medicine and Medicinal Plant Incubator, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Majid Emtiazy
- Department of Traditional Medicine, The School of Iranian Traditional Medicine, Shahid Sadoughi University of Medical Sciences, Ardakan, Yazd, Iran.,The Research Center of Iranian Traditional Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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7
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Chen R, Wu Q, Wang D, Li Z, Liu H, Liu G, Cui Y, Song L. Effects of elastic band exercise on the frailty states in pre-frail elderly people. Physiother Theory Pract 2019; 36:1000-1008. [DOI: 10.1080/09593985.2018.1548673] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Rujie Chen
- Rehabilitation Department, North China University of Science and Technology, Tangshan, Hebei, China
| | - Qingwen Wu
- Rehabilitation Department, North China University of Science and Technology, Tangshan, Hebei, China
| | - Dongyan Wang
- Rehabilitation Department, North China University of Science and Technology, Tangshan, Hebei, China
| | - Zhou Li
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China
| | - Howe Liu
- Physical Therapy Department, University of North Texas Health Science Center, Fort Worth, TX, USA
| | - Guangtian Liu
- Rehabilitation Department, North China University of Science and Technology, Tangshan, Hebei, China
| | - Ying Cui
- Rehabilitation Department, North China University of Science and Technology, Tangshan, Hebei, China
| | - Linlin Song
- Rehabilitation Department, North China University of Science and Technology, Tangshan, Hebei, China
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8
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Ten Haaf DSM, van Dongen EJI, Nuijten MAH, Eijsvogels TMH, de Groot LCPGM, Hopman MTE. Protein Intake and Distribution in Relation to Physical Functioning and Quality of Life in Community-Dwelling Elderly People: Acknowledging the Role of Physical Activity. Nutrients 2018; 10:nu10040506. [PMID: 29671766 PMCID: PMC5946291 DOI: 10.3390/nu10040506] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Revised: 03/29/2018] [Accepted: 04/17/2018] [Indexed: 12/19/2022] Open
Abstract
Increasing total protein intake and a spread protein intake distribution are potential strategies to attenuate sarcopenia related loss of physical function and quality of life. The aim of this cross-sectional study was to investigate whether protein intake and protein intake distribution are associated with muscle strength, physical function and quality of life in community-dwelling elderly people with a wide range of physical activity. Dietary and physical activity data were obtained from two studies (N = 140, age 81 ± 6, 64% male), with the following outcome measures: physical functioning (Short Physical Performance Battery (SPPB), comprising balance, gait speed and chair rise tests), handgrip strength and quality of life (EQ-5D-5L). Protein intake distribution was calculated for each participant as a coefficient of variance (CV = SD of grams of protein intake per main meal divided by the average total amount of proteins (grams) of the main meals). Based on the CV, participants were divided into tertiles and classified as spread, intermediate or pulse. The average total protein intake was 1.08 ± 0.29 g/kg/day. Total protein intake was not associated with outcome measures using multivariate regression analyses. Individuals with a spread protein diet during the main meals (CV < 0.43) had higher gait speed compared to those with an intermediate diet (CV 0.43⁻0.62) (β = -0.42, p = 0.035), whereas a spread and pulse protein diet were not associated with SPPB total score, chair rise, grip strength and Quality-Adjusted Life Year (QALY). The interaction of higher physical activity and higher total protein intake was significantly associated with higher quality of life (β = 0.71, p = 0.049). While this interaction was not associated with SPPB or grip strength, the association with quality of life emphasizes the need for a higher total protein intake together with an active lifestyle in the elderly.
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Affiliation(s)
- Dominique S M Ten Haaf
- Department of Physiology (392), Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
| | - Ellen J I van Dongen
- Wageningen Food & Biobased Research, Food, Health & Consumer Research, P.O. Box 17, 6700 AA Wageningen, The Netherlands.
| | - Malou A H Nuijten
- Department of Physiology (392), Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
| | - Thijs M H Eijsvogels
- Department of Physiology (392), Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
| | - Lisette C P G M de Groot
- Division of Human Nutrition, Wageningen University, P.O. Box 17, 6700 AA Wageningen, The Netherlands.
| | - Maria T E Hopman
- Department of Physiology (392), Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
- Division of Human Nutrition, Wageningen University, P.O. Box 17, 6700 AA Wageningen, The Netherlands.
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9
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Fritz NB, Juesas Á, Gargallo P, Calatayud J, Fernández-Garrido J, Rogers ME, Colado JC. Positive Effects of a Short-Term Intense Elastic Resistance Training Program on Body Composition and Physical Functioning in Overweight Older Women. Biol Res Nurs 2018; 20:321-334. [PMID: 29430940 DOI: 10.1177/1099800418757676] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
The aim of this study was to investigate the effects of a resistance training program (RTP) in older overweight women (OOW) using two different types of elastic devices. METHODS This study was a randomized controlled trial with pre- and postintervention measures. Participants included OOW, aged 60-85 years, with no medical history of disease that would preclude them from engaging in physical exercise. Participants were randomly divided into the following groups: elastic tubes with handles group (ETG; n = 22), traditional elastic bands group ( n = 21), and control group (CG; n = 20). Exercise groups (EGs) performed the following supervised RTP: 8 weeks, twice weekly, six overall body exercises, and 3-4 sets of 10 repetitions at a rate of perceived exertion (RPE) of 7-9 on the OMNI-Resistance Exercise Scale of perceived exertion. The controls did not change their usual lifestyle. Outcome measures included body composition (BC; total and regional percentage of fat mass [FM] and fat-free mass [FFM]) and physical performance (PP; dynamic and isometric strength, flexibility, agility/dynamic balance, and endurance). RESULTS Both EGs exhibited significantly reduced FM in the upper limbs (ULs) and trunk and increased FFM in the UL, while the ETG exhibited a significantly increased trunk FFM. Both EGs improved in PP, and there were no intergroup differences. Trunk FM and FFM and meters walked differed significantly between the ETG and CG. The CG did not exhibit any significant changes. CONCLUSION Training with elastic devices at a moderate-high RPE produces short-term improvements in BC and PP in OOW.
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Affiliation(s)
- Nicole B Fritz
- 1 Kinesiology Department, Austral University of Chile, Valdivia, Chile.,2 Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain
| | - Álvaro Juesas
- 2 Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain
| | - Pedro Gargallo
- 2 Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain
| | - Joaquín Calatayud
- 3 Research Unit in Sport and Health, University of Valencia, Valencia, Spain
| | - Julio Fernández-Garrido
- 2 Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain.,4 Nursing Department, Faculty of Nursing and Chiropody, University of Valencia, Valencia, Spain
| | - Michael E Rogers
- 5 Department of Human Performance Studies, Wichita State University, Wichita, KS, USA
| | - Juan C Colado
- 2 Research Group in Prevention and Health in Exercise and Sport, University of Valencia, Valencia, Spain.,3 Research Unit in Sport and Health, University of Valencia, Valencia, Spain
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10
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Cancela Carral JM, Pallin E, Orbegozo A, Ayán Pérez C. Effects of Three Different Chair-Based Exercise Programs on People Older Than 80 Years. Rejuvenation Res 2017; 20:411-419. [PMID: 28482740 DOI: 10.1089/rej.2017.1924] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
This study aimed at comparing the effects of three chair-based exercise programs on people older than 80 years. Thirty-six participants (87.91 ± 4.70 years) were randomly allocated to an aerobic, muscular resistance, or joint mobility exercise program. The participants exercised 3 days per week during 3 months. A hand-held dynamometer, the Tinetti Gait Balance, the Barthel Index, and the Timed Up and Go Test (TUG) (assessed by means of the Wiva® science sensor) were used to evaluate the effects of the programs on the participants' strength, balance, functional independence, and functional mobility, respectively. After the intervention, it was observed that only the elastic-band program resulted in significant improvements in strength and balance. These results imply that when choosing a low-cost exercise program for very old people, the use of elastic bands stands as a far better option than pedaling on a pedal exerciser or performing mobility exercises.
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Affiliation(s)
- José M Cancela Carral
- 1 HealthyFit Research Group, University of Vigo , Galicia Sur Health Research Institute (IIS Galicia Sur), Sergas-UVIGO, Pontevedra, Spain .,2 Faculty of Education and Sport Sciences, Sport Sciences, University of Vigo , Pontevedra, Spain
| | - Estrella Pallin
- 2 Faculty of Education and Sport Sciences, Sport Sciences, University of Vigo , Pontevedra, Spain
| | - Ander Orbegozo
- 2 Faculty of Education and Sport Sciences, Sport Sciences, University of Vigo , Pontevedra, Spain
| | - Carlos Ayán Pérez
- 1 HealthyFit Research Group, University of Vigo , Galicia Sur Health Research Institute (IIS Galicia Sur), Sergas-UVIGO, Pontevedra, Spain .,2 Faculty of Education and Sport Sciences, Sport Sciences, University of Vigo , Pontevedra, Spain
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11
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Lee DH, Park JS, Lee SW, Choi JB. Effects of electrical stimulation combined with dysphagia therapy in elderly individual with oropharyngeal dysphagia: a case study. J Phys Ther Sci 2017; 29:556-557. [PMID: 28356653 PMCID: PMC5361032 DOI: 10.1589/jpts.29.556] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2016] [Accepted: 11/24/2016] [Indexed: 01/05/2023] Open
Abstract
[Purpose] The purpose of the present study was to investigate the effects of dysphagia
therapy in an old man with difficulty swallowing in the oral and pharyngeal phases.
[Subjects and Methods] The subject was a 72-year-old man with no history of neurological
disorders. He was admitted to local hospital because of the complaint of swallowing
difficulty. The interventions performed were electrical stimulation and conventional
dysphagia therapy. We assessed the tongue and lip muscle strengths. Swallowing function
was evaluated by using the videofluoroscopic dysphagia and penetration-aspiration scales.
[Results] After the intervention, the tongue and lip muscle strengths increased from 35 to
39 kPa and from 18 to 23 kPa, respectively. Moreover, the oral and pharyngeal phases of
the videofluoroscopic dysphagia scale were improved. Furthermore, aspiration decreased
from 4 to 2 points in the penetration-aspiration scale. [Conclusion] Our results suggest
that electrical stimulation and conventional dysphagia therapy were effective in improving
the swallowing function in an elderly individual with dysphagia.
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Affiliation(s)
- Doo-Ho Lee
- Department of Rehabilitation Science, Graduate School, Inje University, Republic of Korea
| | - Ji-Su Park
- Department of Rehabilitation Science, Graduate School, Inje University, Republic of Korea
| | - Seung-Woong Lee
- Department of Biomedical Health Science, Graduate School, Dong-Eui University, Republic of Korea
| | - Jong-Bae Choi
- Department of Occupational Therapy, Kyung Hee Medical Center, Republic of Korea
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12
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Chen KM, Kuo CC, Chang YH, Huang HT, Cheng YY. Resistance Band Exercises Reduce Depression and Behavioral Problems of Wheelchair-Bound Older Adults with Dementia: A Cluster-Randomized Controlled Trial. J Am Geriatr Soc 2016; 65:356-363. [PMID: 27879982 DOI: 10.1111/jgs.14526] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVES To test the effects of a 15-month wheelchair-bound resistance band exercise program on depression and behavioral problems of wheelchair-bound older adults with dementia. DESIGN Single-blind, cluster-randomized controlled trial with repeated measures. SETTING Eight nursing homes in southern Taiwan. PARTICIPANTS Wheelchair-bound nursing home older adults with dementia who participated voluntarily (N = 150) were cluster-randomized to two groups (experimental or control group); 127 completed the study (experimental: four nursing homes, n = 65; control: four nursing homes, n = 62). INTERVENTION The resistance band exercises were conducted three times per week in 40-minute sessions in the following two sequences: volunteer-led sessions for the first 6 months (Stage I) followed by DVD-guided sessions for the next 9 months (Stage II). MEASUREMENTS Depression, as measured using the Cornell Scale for Depression in Dementia, and behavioral problems, as measured using the Clifton Assessment Procedures for the Elderly-Behavior Rating Scale, of participants were observed at six time points at 3-month intervals: pretest, two posttests at Stage I, and three posttests at Stage II. RESULTS By the sixth month of the study, experimental group participants were significantly less depressed and had fewer behavioral problems than control group participants (all P < .05). These small but statistically significant differences persisted throughout the 9 months of the DVD-guided sessions (all P < .05). CONCLUSION Volunteer-led sessions followed by DVD-guided sessions of resistance band exercise is effective and practical in institutional settings.
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Affiliation(s)
- Kuei-Min Chen
- College of Nursing, National Kaohsiung First University of Science and Technology, Kaohsiung, Taiwan
| | - Chang-Chih Kuo
- College of Health Sciences, National Kaohsiung First University of Science and Technology, Kaohsiung, Taiwan
| | - Ya-Hui Chang
- Office of Student Affairs, National Kaohsiung First University of Science and Technology, Kaohsiung, Taiwan
| | - Hsin-Ting Huang
- College of Nursing, National Kaohsiung First University of Science and Technology, Kaohsiung, Taiwan
| | - Yin-Yin Cheng
- Bao-Dian Social Welfare Charity Foundation, Kaohsiung, Taiwan
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13
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Park J. Effects of 24-week resistance exercise training on carotid peak systolic and end diastolic flow velocity in healthy older adults. J Phys Ther Sci 2016; 28:2793-2797. [PMID: 27821937 PMCID: PMC5088128 DOI: 10.1589/jpts.28.2793] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2016] [Accepted: 06/16/2016] [Indexed: 12/02/2022] Open
Abstract
[Purpose] The aim of this study was to examine the effect of resistance exercise on
carotid intima-media thickness, luminal diameter, peak systolic flow velocity, end
diastolic flow velocity, and wall shear rate in healthy elderly men. [Subjects and
Methods] Thirty healthy elderly men (age ≥65 years) were randomly divided into a control
(n=15) and resistance exercise (n=15) groups. The 24-week exercise intervention consisted
of 3 days of resistance exercise per week using an elastic band per week. Body
composition, physical function, blood pressure, and carotid variables were measured at
baseline and after 24 weeks. [Results] Body fat percent, skeletal muscle mass, systolic
blood pressure, grip strength, arm curl, chair stand up, sit and reach, maximum walking
speed, time up and go, and two-minute step test showed significant interaction. Peak
systolic flow velocity, end diastolic flow velocity, and wall shear rate also showed
significant interaction. [Conclusion] A 24-week resistance exercise program, using elastic
bands, effectively improves carotid flow velocity and wall shear rate in healthy elderly
men.
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Affiliation(s)
- Jinkee Park
- Institute of Taekwondo for Health and Culture, Dong-A University, Republic of Korea
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14
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Gim MN, Choi JH. The effects of weekly exercise time on VO2max and resting metabolic rate in normal adults. J Phys Ther Sci 2016; 28:1359-63. [PMID: 27190483 PMCID: PMC4868243 DOI: 10.1589/jpts.28.1359] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2015] [Accepted: 01/16/2016] [Indexed: 01/20/2023] Open
Abstract
[Purpose] The present study examined the effect of individual weekly exercise time on
resting metabolic rate and VO2max (maximal oxygen uptake), which are important
components of individual health indexes. [Subjects and Methods] Thirty healthy adults
participated in this study. Questionnaires were used to divide the participants into
groups based on average weekly walking. Resting metabolic rate was measured using a
respiratory gas analyzer. Graded exercise tests were conducted using a treadmill, and the
modified Bruce protocol was used as an exercise test method. [Results] VO2max,
anaerobic threshold, and resting metabolic rate were significantly different among the
groups. [Conclusion] Average weekly exercise time affected VO2max, resting
metabolic rate, and anaerobic threshold, all of which are indicators of individual
physical ability and health. These values increased as the individual amount of exercise
increased. In addition, VO2max, resting metabolic rate, and anaerobic threshold
were found to be closely correlated. These findings were consistent with the results of
similar previous studies.
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Affiliation(s)
- Mi-Na Gim
- Department of Physical Therapy, Institute for Elderly Health and Welfare, Namseoul University, Republic of Korea
| | - Jung-Hyun Choi
- Department of Physical Therapy, Institute for Elderly Health and Welfare, Namseoul University, Republic of Korea
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Effect of Angiotensin-Converting Enzyme Inhibitors on Physical Function in Elderly Subjects: A Systematic Review and Meta-Analysis. Drugs Aging 2016; 32:727-35. [PMID: 26286094 DOI: 10.1007/s40266-015-0288-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
BACKGROUND Sarcopenia has been accepted as a new geriatric syndrome, which will become a common and important public health challenge. And angiotensin-converting enzyme inhibitors (ACEIs) have been shown to improve exercise capacity in elderly without heart failure. OBJECTIVES To evaluate the effect of angiotensin-converting enzyme inhibitors (ACEIs) on physical function in elderly. DATA SOURCES The Cochrane Library, PubMed, EMBASE and Web of Science were searched. ELIGIBILITY CRITERIA All researches included were randomized controlled trials (RCTs) which compared any kind of ACEIs with placebo or other anti-hypertensives in elderly, and provided empirical data of grip strength and 6-min walk distance change from baseline. STUDY APPRAISAL AND SYNTHESIS METHODS Risk of bias was systematically assessed by using the Cochrane risk of bias tool. Data of grip strength and 6-min walk distance change from baseline were collected and mean differences (MDs) were calculated along with 95% CI (confidence interval) by using a random effects model. RESULTS In 3 RCTs including 337 elderly participants, ACEIs (n = 178) did not significantly improved 6-min walk distance (13.45, 95% CI: -16.71 to 43.61; P = 0.38) versus placebo or other antihypertensives (n = 159). In 3 RCTs including 499 elderly participants, grip strength was not significantly different (-0.67, 95% CI: -1.53 to 0.19; P = 0.12) between ACEIs (n = 260) and placebo or other antihypertensives (n = 239). LIMITATIONS There exists only 4 RCTs and the number of participants is limited. Pooling of data were from different trials including different participant characteristics. And intervention is not strictly consistent. CONCLUSION This study shows that ACEIs can not significantly improve walk distance or the age-related decline of muscle strength for older participants in clinical trials.
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Küçük F, Livanelioglu A. Impact of the clinical Pilates exercises and verbal education on exercise beliefs and psychosocial factors in healthy women. J Phys Ther Sci 2015; 27:3437-43. [PMID: 26696715 PMCID: PMC4681922 DOI: 10.1589/jpts.27.3437] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2015] [Accepted: 08/19/2015] [Indexed: 12/17/2022] Open
Abstract
[Purpose] Exercise is one of the most important components of a healthy life. The purpose of this study was to analyze exercise beliefs and psychosocial factors in sedentary and active healthy women and observe the changes in these parameters resulting from clinical Pilates exercises and verbal education in healthy women. [Subjects and Methods] Sixty-six healthy women were included in the study. Participants were divided into clinical Pilates (n=21), verbal education (n=25), and control groups (n=20). Prior to and at the end of the study, demographic information, body mass index, waist-hip circumference, exercise beliefs, physical activity index, and psychosocial factors (Rosenberg self-esteem scale, Body Cathexis Index, SF-36 quality of life, Beck Depression Scale, visual analog scale for tiredness) of the subjects were recorded. [Results] Meaningful changes for all the parameters took place in the clinical Pilates and verbal education groups. Our analyses indicated that the changes in the clinical Pilates group were more meaningful than those in the verbal education group. When the data of the study groups were compared with those of the control group, the clinical Pilates group showed meaningful differences. [Conclusion] The result of this study indicate that both clinical Pilates and verbal education are effective in changing exercise beliefs and physical and psychosocial parameters.
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Affiliation(s)
- Fadime Küçük
- Department of Physical Therapy and Rehabilitation, School of Health Sciences, İzmir University, Turkey
| | - Ayşe Livanelioglu
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Turkey
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