목적 본 연구는 퇴행성 슬관절염 진단을 받은 노인 여성을 대상으로 가속화 재활운동이 체력, 하지 등척성 근력, 혈액변인에 미치는 효과는 살펴보는데 있었다.
방법 G광역시에 거주하는 퇴행성 슬관절염 진단을 받은 29명의 노인 여성 참가자 중 이탈자를 제외한 총 19명이 실험에 참가하였다. 이들을 대상으로 12주 간, 주 2회, 회당 60분의 운동을 ...실시하였으며, 실험 전과 후 노인체력평가 (SFT), 하지 등척성 근력 및 혈액변인을 측정하였다. 본 연구의 데이터 분석은 SPSS 25.0을 사용하였으며, 운동 전과 후의 효과를 확인하기 위해 paired sample t-tests를 실시하였다.
결과 연구 결과 운동 전·후 체질량 지수(BMI)에서 유의한 차이가 나타났으며(p <.05), 노인체력검사(SFT) 또한 모든 항목에서 유의한 차이가 나타났다(p <.01). 하지 등척성 근력은 20° 우측 굴곡근의 측정값(Nm)과 체중대비값(%BW)에서 유의한 차이가 나타났으며(p <.01), 혈액 변인의 경우 운동 전·후 크레아틴과 ESR에서 유의한 차이가 나타났다(p <.01).
결론 본 연구의 결과는 주기적인 신체 활동과 가속화 재활운동 프로그램이 퇴행성 슬관절염 진단을 받은 노인 여성의 근력과 심폐지구력, 운동 기능 그리고 혈액 구성에 긍정적인 영향을 미칠 수 있다는 것을 시사하고 있다. 주기적인 운동 프로그램을 포함해 향후 연구를 진행한다면 지속적인 운동 참여에 도움이 될 수 있을 것으로 사료된다.
PURPOSE This study aimed to investigate the effects of accelerated rehabilitation exercise on physical fitness, lower extremity isometric strength, and blood variables in older adult women diagnosed with degenerative osteoarthritis. METHODS A total of 29 older adult women diagnosed with degenerative osteoarthritis residing in G city participated in the study, and 19 participants, excluding dropouts, took part in the experiment. They underwent exercise twice a week for 60 minutes per session over a period of 12 weeks. Pre- and post-experiment, the older adult fitness assessment (SFT), lower extremity isometric strength, and blood variables were measured. Data analysis was performed using SPSS 25.0, and paired sample t-tests were conducted to examine the effects before and after exercise. RESULTS The study results showed significant differences in body mass index (BMI) before and after exercise (p<0.05), and the older adult fitness assessment (SFT) showed significant differences in all items (p<0.01). Lower extremity isometric strength showed significant differences in absolute (Nm) and relative (%BW) values of 20° right flexion muscle (p<0.01). In terms of blood variables, significant differences were observed in creatine and ESR before and after exercise (p<0.01). CONCLUSIONS This study’s results suggest that regular physical activity and rehabilitation exercise programs can positively impact the muscular strength, cardiovascular endurance, exercise function, and blood composition of older adult women diagnosed with degenerative osteoarthritis. It is indicated that conducting future research, including periodic exercise programs, could be beneficial in promoting sustained exercise participation.
A cross-sectional design investigated the physical attributes of 15 dyads of people with dementia and their caregivers. Physical and cognitive markers determined deviations from clinical thresholds ...for loss of functional independence, where 100% of participants performed below criterion-referenced threshold values for aerobic endurance. Walking distance for people with dementia was associated with bath/shower activity (
= .007), transfers (
< .001), and mobility (
= .013). Less distance walked was associated with more assistance with self-care tasks. Physical deficits associated with low aerobic endurance and lower body strength compromised independence, placing dyads at risk for falls and mobility-related health issues.
Sex-related differences in changes in functional fitness over time were longitudinally assessed in older adults participating in a group-based multimodal exercise program. From a database, functional ...fitness scores were obtained for 89 older adults (71.6 ± 6.5 years old) who had completed two assessments, 5-8 years apart. Lower body strength, upper body strength, aerobic endurance, flexibility, and change of direction performances were compared over time and with normative values. Females (p = .02), but not males, had an improvement in upper body strength over time. Females were also more flexible than males at both assessments (p ≤ .02). Of those who had five consecutive assessments, females were more flexible than males (p ≤ .05) and had a faster change of direction ability (p < .001). When compared with normative values, our results indicate that typical time-related functional fitness loss can be attenuated with group exercise. Our results further support the need to tailor exercise prescription according to the individual.
ObjectivesMaintaining a healthy aging process is vital to combating and delaying the adverse health outcomes faced by the growing older adult population, where a key aspect to achieving healthy aging ...is the preservation of functional fitness. This study aims to present trends on the functional fitness of Portuguese older adults between 2008 and 2018 and build new normative reference standards for the Senior Fitness Battery Tests.DesignCross-sectional study.MethodsFunctional fitness was measured with the Senior Fitness Battery Tests in two national representative cohorts of the Portuguese older adult population (≥65 years) using the 2008 (n = 4712) and 2018 (n = 2717) surveys. Changes were assessed according to sex and age group. Sex and age-group normative fitness scores were developed.ResultsOverall findings suggested that older adults' point prevalence for arm-curl, 8-ft up-and-go, and 30-s chair sit-to-stand remained stable between 2008 and 2018, with declining trends being observed for the 6-min walk and back-scratch tests. However, results for trends varied when stratified by sex and age categories.ConclusionsOur results suggest a trend toward a stabilization of most of the functional fitness tests over the past decade, but with a critical decline in the 6-min walk test. Thus, this test should be targeted by future health-care policies. Moreover, this investigation provides new and updated normative reference standards for the Senior Fitness Battery Tests that should be used as a tool to promote a healthy aging process among Portuguese older adults.
physical performance is a key factor that determines how older people cope with daily tasks and maintain independency. There is strong evidence suggesting that physical activity (PA) is important in ...maintaining physical performance in old age. However, most studies have been done using self-reported PA. Our aim was to explore the association between objectively measured PA and physical performance in old age.
we studied 695 participants (mean age 70.7 years, SD 2.7) from the Helsinki Birth Cohort Study. Physical performance was assessed with the Senior Fitness Test (SFT) and PA with a multisensory activity monitor SenseWear Pro 3 Armband.
total volume of PA was significantly associated with the overall SFT score (β = 0.08; 95% confidence interval: 0.07-0.10, P < 0.001). There were no significant differences between men and women. Both light and moderate to vigorous level of PA were positively associated with the overall SFT score, while sedentary time was negatively associated with the overall SFT score.
volume of objectively measured PA among older people was positively associated with the physical performance measured with a validated fitness test battery.
Regular physical exercise is believed to counteract the adverse physiological consequences of aging. However, smart fitness equipment specifically designed for older adults is quite rare. Here we ...designed an exergame-integrated internet of things (IoT)-based ergometer system (EIoT-ergo) that delivers personalized exercise prescriptions for older adults. First, physical fitness was evaluated using the Senior Fitness Test (SFT) application. Then, radio frequency identification (RFID) triggered the EIoT-ergo to deliver the corresponding exercise session based on the individual level of physical fitness. The exercise intensity during each workout was measured to generate the next exercise session. Further, EIoT-ergo provides an exergame to help users control and maintain their optimal cadence while engaging in exercise.
This was a randomized controlled trial with 1:1 randomization. Participants were older adults, 50+ years of age (N = 35), who are active in their community. Participants in the EIoT-ergo group received a 12-week personalized exercise program delivered by EIoT-ergo for 30 min per session, with 2 sessions per week. Participants in the control group continued with their usual activities. A senior's fitness test and a health questionnaire were assessed at baseline and at a 13-week reassessment. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) was used to evaluate the satisfaction of EIoT-ergo.
Compared with the control group, the EIoT-ergo group showed significant improvements in muscle strength (time-by-group interaction, sit-to-stand: β = 5.013, p < 0.001), flexibility (back stretch: β = 4.008, p = 0.005; and sit-and-reach: β = 4.730, p = 0.04), and aerobic endurance (2-min step: β = 9.262, p = 0.03). The body composition was also improved in the EIoT-ergo group (body mass index: β = -0.737, p < 0.001; and skeletal muscle index: β = 0.268, p = 0.03). Satisfaction with EIoT-ergo was shown in QUEST, with an average score of 4.4 ± 0.32 (5 for very satisfied). The percentage maximum heart rate in each session also indicated that EIoT-ergo can gradually build up the exercise intensity of users.
EIoT-ergo was developed to provide personal identification, exergames, intelligent exercise prescriptions, and remote monitoring, as well as to significantly enhance the physical fitness of the elderly individuals under study.
Introduction: Physical frailty is a syndrome characterised by deterioration in multiple physiological domains, including muscle mass and strength, flexibility, balance, neuromuscular coordination, ...and cardiovascular function. Evidence suggests that regular exercise provides substantial health benefits, reducing the risk of many chronic diseases and medical costs, especially for frail older adults. However, the effect of exercise on functional status in this population is not well explored. Need of the study: Population aging in India is rapidly accelerating, and frailty is a significant clinical condition associated with aging. Frailty increases the risk of institutionalisation, morbidity, and mortality. Regular exercise has been shown to improve functional fitness in older adults, but exercises performed while standing unaided can be challenging for individuals with compromised balance and mobility. Chair Suryanamaskar, a form of exercise performed while seated, may be an alternative mode of exercise for this population. Although aerobic and resistance exercises have shown benefits, there is growing interest in exploring the potential benefits of a multicomponent intervention for frail older adults. Aim: The aim of this study is to investigate the effect of chair Suryanamaskar with strength training on functional fitness in community-dwelling frail older adults. Materials and Methods: The study will be conducted from March 2021 to March 2024. This two-group parallel singleblind randomised controlled trial will take place at MAEER's Physiotherapy College in TalegaonDabhade, Maharashtra, India. Approximately 400 older adults will be screened for frailty using the Short Physical Performance Battery (SPPB) test. Participants with an SPPB score ≤7 will be considered frail and a total of 108 participants aged 65-84 years will be recruited based on inclusion and exclusion criteria. The participants will be equally divided into two groups (54 participants in each group) using computer-generated random tables. The experimental group (group A) will receive a 45-minute Chair Suryanamaskar with strength training protocol three times a week for 12 weeks. Before the study begins, participants will have two practice sessions of 20 minutes each to become familiar with Chair Suryanamaskar. The control group (group B) will participate in two 20-minute health education program sessions and receive weekly telephonic follow-ups to monitor for adverse events. Additionally, a health education program booklet will be provided. The primary outcome of the study is the Senior Fitness Test (SFT). Assessments will be conducted at baseline (0 weeks) and post-intervention (12 weeks). Intentionto-treat analyses with mixed linear modeling will be used for statistical analysis.
Older adults often face barriers to obtaining recommended diet, physical activity, and fitness levels. Understanding these patterns can inform effective interventions targeting health beliefs and ...behavior. This cross-sectional study included a multicultural sample of 58 older adults (aged 55+ years, M=71.98) living in independent senior housing in urban Southcentral Alaska. Participants completed a questionnaire and the Senior Fitness Test that assessed self-reported fruit and vegetable intake, physical activity, self-efficacy, and functional fitness. T-tests and bivariate correlation analyses were used to test six hypotheses. Results indicated that participants had low physical activity but had a mean fruit and vegetable intake that was statistically significantly higher than the hypothesized "low" score. Only 4.26% of participants met functional fitness standards for balance/agility, and 8.51% met standards for lower-body strength. However, 51.1% met standards for upper-body strength and 46.8% met standards for endurance The results also indicated that nutrition self-efficacy and exercise self-efficacy were positively related to fruit and vegetable intake and physical activity levels, respectively. Interestingly, income was not related to nutrition or activity patterns. These data complicate the picture on dietary and physical activity patterns for older adults in Alaska and offer recommendations for future health promotion activities.
Various positive effects of exercise on older women have been identified in many studies. Despite the importance of preserving the health of brain as well as body, few studies have investigated the ...effects of strength exercise on the brain health of older women to date. This study aimed to identify the effects of 24weeks of the Growing Stronger program on hippocampus volume and functional fitness of older women.
Twenty one older women aged 67 to 81 participated in this study. Growing Stronger, which is a strength exercise program that is safe and effective for women and men of all ages, was conducted. The 11 strength exercise group (n=11) participated for 50–80min a day three times per week for a total of 24weeks. The control group maintained their lifestyles without any special intervention. Participants were given a pre-test (before applying for the program) and post-test (after 24weeks) to identify effects of the program. The data were analyzed with repeated measures ANOVA.
Hippocampus volume was significantly increased in the strength exercise group, but decreased in the control group. Moreover, there was an interaction effect (p<0.001) between time and group. Strength exercise has improved upper and lower body strength, lower body flexibility, agility, and dynamic balance. Upper body flexibility significantly decreased in the strength exercise group, but there was no interaction between the strength exercise group and the control group.
The results of this study suggest that strength exercise has beneficial effects on hippocampus volume and functional fitness. Therefore, strength exercise can be an effective exercise for older women.
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