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Zhou Y, Miao XM, Zhou KL, Yu CJ, Lu P, Lu Y, Zhao J. Effects of exercise-cognitive dual-task training on elderly patients with cognitive frailty and depression. World J Psychiatry 2025; 15:103827. [DOI: 10.5498/wjp.v15.i4.103827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2024] [Revised: 01/20/2025] [Accepted: 02/21/2025] [Indexed: 03/25/2025] Open
Abstract
BACKGROUND Cognitive frailty and depression are prevalent among the elderly, significantly impairing physical and cognitive functions, psychological well-being, and quality of life. Effective interventions are essential to mitigate these adverse effects and enhance overall health outcomes in this population.
AIM To evaluate the effects of exercise-cognitive dual-task training on frailty, cognitive function, psychological status, and quality of life in elderly patients with cognitive frailty and depression.
METHODS A retrospective study was conducted on 130 patients with cognitive frailty and depression admitted between December 2021 and December 2023. Patients were divided into a control group receiving routine intervention and an observation group undergoing exercise-cognitive dual-task training in addition to routine care. Frailty, cognitive function, balance and gait, psychological status, and quality of life were assessed before and after the intervention.
RESULTS After the intervention, the frailty score of the observation group was (5.32 ± 0.69), lower than that of the control group (5.71 ± 0.55). The Montreal cognitive assessment basic scale score in the observation group was (24.06 ± 0.99), higher than the control group (23.43 ± 1.40). The performance oriented mobility assessment score in the observation group was (21.81 ± 1.24), higher than the control group (21.15 ± 1.26). The self-efficacy in the observation group was (28.27 ± 2.66), higher than the control group (30.05 ± 2.66). The anxiety score in the hospital anxiety and depression scale (HADS) for the observation group was (5.86 ± 0.68), lower than the control group (6.21 ± 0.64). The depression score in the HADS for the observation group was (5.67 ± 0.75), lower than the control group (6.27 ± 0.92). Additionally, the scores for each dimension of the 36-item short form survey in the observation group were higher than those in the control group, with statistically significant differences (P < 0.05).
CONCLUSION Exercise-cognitive dual-task training is beneficial for improving frailty, enhancing cognitive function, and improving psychological status and quality of life in elderly patients with cognitive frailty and depression.
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Affiliation(s)
- Ying Zhou
- Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
- Department of Nursing, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
| | - Xiao-Ming Miao
- Acupuncture and Rehabilitation Center, Tongxiang Hospital of Traditional Chinese Medicine, Tongxiang 314599, Zhejiang Province, China
| | - Kai-Lian Zhou
- Department of Nursing, The First Affiliated Hospital of Jiaxing University, Jiaxing 314299, Zhejiang Province, China
| | - Cheng-Ji Yu
- Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
- Department of Nursing, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
| | - Ping Lu
- Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
- Department of Nursing, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
| | - Yin Lu
- Department of Rehabilitation, Affiliated Rehabilitation Hospital of Tongxiang Health School, Tongxiang 314599, Zhejiang Province, China
| | - Juan Zhao
- Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
- Department of Nursing, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang Province, China
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Cheng S, Duan Y, Yang M, Wang X. Use of multicomponent structured exercise to improve depression in older adults: A systematic review and meta-analysis. J Exerc Sci Fit 2025; 23:91-101. [PMID: 39926605 PMCID: PMC11803849 DOI: 10.1016/j.jesf.2025.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2024] [Revised: 01/20/2025] [Accepted: 01/20/2025] [Indexed: 02/11/2025] Open
Abstract
Objective To summarize the characteristics, estimate the efficacy of multicomponent structured exercise (MSE) intervention on older adults' depression, and investigate its potential moderators. Methods MEDLINE, PubMed, PsycINFO, SPORTDiscus, Web of Science and Embase databases were searched from January 1, 2000 to June 1, 2024. Randomized controlled trials (RCTs) that included MSE intervention with aerobic, resistance and balance components targeting older adults, and reported depression as an outcome were selected. Random-effects meta-analyses were used to calculate effect sizes from the standardized mean difference (SMD) and 95 % confidence intervals (CIs). Meta-regression was conducted to identify the potential moderators. Results Data were extracted from 19 studies (22 comparisons) with 1763 older adults. MSE showed a significant intervention effect on buffering older adults' depression (SMD, -0.49; 95 % CI, -0.84 to -0.14) but with considerable heterogeneity (I2 = 92 %) and low certainty of evidence. In subgroup analyses, MSE with unhealthy status participants, intervention duration of 12-24 weeks, over 2 times/week intervention frequency, equipment used and ≥ 80 % retention rate showed significant effects on improvement of older adults' depression. Intervention frequency (β, -0.83; 95 % CI, -1.50 to -0.16) and retention rate (β, 0.80; 95 % CI, 0.05 to 1.56) were identified as moderators. Conclusion MSE significantly improved older adults' depression. The findings highlighted the importance of intervention frequency and retention rate in enhancing MSE effectiveness. More high quality RCTs are required to explore and optimize the intervention strategies and dosages of MSE to extend the application in the prevention and treatment of geriatric depression.
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Affiliation(s)
- Shishi Cheng
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon, Hong Kong, China
| | - Yanping Duan
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon, Hong Kong, China
| | - Min Yang
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Sha Tin, Hong Kong, China
| | - Xiang Wang
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon, Hong Kong, China
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Sanchís-Soler G, Sebastiá-Amat S, Parra-Rizo MA. Mental health and social integration in active older adults according to the type of sport practiced. Acta Psychol (Amst) 2025; 255:104920. [PMID: 40154052 DOI: 10.1016/j.actpsy.2025.104920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2024] [Revised: 03/07/2025] [Accepted: 03/13/2025] [Indexed: 04/01/2025] Open
Abstract
BACKGROUND The practice of general gymnastics, aquatic activities, dance, yoga or pilates, bring benefits to the physical and mental health of people over 65 years of age. However, the benefits of the practice of these activities on the mental health of the older adults have not been studied in depth; without establishing differences by gender. AIM The aim of this work is to study whether the emotional state and social integration of older people differ according to the type of sport. The CUBRECAVI scale was used to assess mental health and social integration in 358 people over 61 years of age (M = 69.66, SD = 4.64). RESULTS The results showed that older adults people who do general gymnastics are more socially integrated (F = 4.842, p = .003) than those who do dance activities; while those who prefer aquatic activities report better mental health (F = 3.6, p = .002), than those who do general gymnastics (p = .001) or dance activities (p = .029). CONCLUSION The type of sporting activity performed by the older adults is associated with some aspects of their quality of life.
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Affiliation(s)
- Gema Sanchís-Soler
- Department of General Didactics and Specific Didactics, University of Alicante, 03690 Alicante, Spain; Health, Physical Activity and Sports Technology (HEALTH-TECH), University of Alicante, 03690 San Vicente del Raspeig, Spain.
| | - Sergio Sebastiá-Amat
- Department of General Didactics and Specific Didactics, University of Alicante, 03690 Alicante, Spain; Health, Physical Activity and Sports Technology (HEALTH-TECH), University of Alicante, 03690 San Vicente del Raspeig, Spain
| | - María Antonia Parra-Rizo
- Faculty of Social and Health Sciences, Campus of Elche, Miguel Hernandez University (UMH), 03202 Elche, Spain; Faculty of Health Sciences, Valencian International University-VIU, 46002, Valencia, Spain.
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Kerjean N, Banydeen R, Glize B, Bonnet M, Rene-Corail P, Tabue Teguo M, Dramé M, Dehail P, Barnay JL. Acquired Deforming Hypertonia in Afro-Caribbeans: A Cross-Sectional Analysis in Long-Term Care Units. J Clin Med 2025; 14:1192. [PMID: 40004723 PMCID: PMC11856882 DOI: 10.3390/jcm14041192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2024] [Revised: 10/18/2024] [Accepted: 10/23/2024] [Indexed: 02/27/2025] Open
Abstract
Background: Osteoarticular deformities or contractures in institutionalized elderly individuals, described as acquired deforming hypertonia (ADH), have a multifactorial origin. The reported prevalence of ADH in French Caucasian patients in long-term care units (LTCUs) is 25.6%. To date, ADH in the Caribbean population has never been studied. We aimed to assess the prevalence and characteristics of ADH in such a population. Materials and Methods: This was a cross-sectional observational study of a French Caribbean population in Martinique in which patients aged 75 years or older were institutionalized in LTCUs during the study period. Data extraction from the medical files of eligible LTCU patients was conducted to assess the prevalence, clinical characteristics, and impact of ADH on patients' daily care. The assessments were performed collaboratively between the patients' geriatric team and a PM&R physician. Results: In total, 81 patients were included, with an ADH prevalence of 77.8%. Reported ADH was bilateral (86%) or multiple (66% of patients had ≥5 ADH) and was responsible for major alterations in terms of hygiene, dressing, pain, and skin damage. ADH patients had a high level of dependence (GMP = 924), and this level of dependence was significantly associated with the presence of at least one ADH (p < 0.001) regardless of prior disease. Conclusions: The incidence of ADH in our Caribbean population seems twice as high as that in Caucasian patients, underlining the necessity for this nosological framework to be better recognized, particularly in an insular context. Local campaigns for the prevention and recognition of ADH must be considered, and targeted multidisciplinary protocols need to be established for adapted care in all institutions receiving elderly people.
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Affiliation(s)
- Nicolas Kerjean
- Centre Hospitalier Universitaire de Martinique, 97200 Fort-De-France, France; (N.K.); (R.B.); (M.B.); (P.R.-C.); (M.T.T.); (M.D.)
| | - Rishika Banydeen
- Centre Hospitalier Universitaire de Martinique, 97200 Fort-De-France, France; (N.K.); (R.B.); (M.B.); (P.R.-C.); (M.T.T.); (M.D.)
| | - Bertrand Glize
- Service de Médecine Physique et Réadaptation, Pôle de Neurosciences Cliniques, CHU de Bordeaux, 33000 Bordeaux, France; (B.G.); (P.D.)
| | - Michel Bonnet
- Centre Hospitalier Universitaire de Martinique, 97200 Fort-De-France, France; (N.K.); (R.B.); (M.B.); (P.R.-C.); (M.T.T.); (M.D.)
| | - Patrick Rene-Corail
- Centre Hospitalier Universitaire de Martinique, 97200 Fort-De-France, France; (N.K.); (R.B.); (M.B.); (P.R.-C.); (M.T.T.); (M.D.)
| | - Maturín Tabue Teguo
- Centre Hospitalier Universitaire de Martinique, 97200 Fort-De-France, France; (N.K.); (R.B.); (M.B.); (P.R.-C.); (M.T.T.); (M.D.)
| | - Moustapha Dramé
- Centre Hospitalier Universitaire de Martinique, 97200 Fort-De-France, France; (N.K.); (R.B.); (M.B.); (P.R.-C.); (M.T.T.); (M.D.)
| | - Patrick Dehail
- Service de Médecine Physique et Réadaptation, Pôle de Neurosciences Cliniques, CHU de Bordeaux, 33000 Bordeaux, France; (B.G.); (P.D.)
| | - Jose-Luis Barnay
- Centre Hospitalier Universitaire de Martinique, 97200 Fort-De-France, France; (N.K.); (R.B.); (M.B.); (P.R.-C.); (M.T.T.); (M.D.)
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Aljarbou HM, Almoajel AM, Althomali MM, Almutairi KM. Risk and Preventive Measures Among Older Adults in Nursing Homes in Saudi Arabia: An Exploratory Study on Falls. Healthcare (Basel) 2025; 13:342. [PMID: 39942531 PMCID: PMC11817990 DOI: 10.3390/healthcare13030342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2025] [Accepted: 01/21/2025] [Indexed: 02/16/2025] Open
Abstract
BACKGROUND Falls among older adults are a pervasive and significant concern worldwide. A practice guideline has been developed to address the prevention of falls and their resulting consequences in hospital and long-term care settings. AIM The study aimed to assess the fall down rate and preventive tools among older adult patients in nursing homes. METHODS A cross-sectional study was conducted on randomly selected older adult patients by using a questionnaire with the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) tool in nursing homes at the Ministry of Human Resource and Social Development. RESULTS Among 323 older adult patients, most of them (73.1%) were male, 23.8% were from Makkah, and the age ranged from 60 to 90 years and older. Results showed that 64.8% had a psychiatric disorder, 41.8% had hypertension, 38.4% had diabetes, 38.1% had movement disorders, 11.3% had heart diseases, and 1.5% had no chronic conditions. The mean STEADI tool score was 3.5 out of 12, and of the 323 older adult patients, 51.7% had a low risk to fall and 48.3% had a high risk to fall. Of the 13 interventions used to prevent falls, the most used intervention was rehabilitative physical therapy, followed by providing patient facilities and muscle strengthening exercises. CONCLUSIONS The level of falls was markedly low, and a significant correlation was observed between the risk of falling and the participants' region of residence.
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Affiliation(s)
- Hmoud M. Aljarbou
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia; (H.M.A.); (K.M.A.)
| | - Alia M. Almoajel
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia; (H.M.A.); (K.M.A.)
| | - Mohammed M. Althomali
- Optometry Department, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia;
| | - Khaled M. Almutairi
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia; (H.M.A.); (K.M.A.)
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Araújo EM, Coelho-Júnior HJ, Sousa CV, Rosa TDS, Sousa Neto IV, Marzetti E, Franco OL, Aguiar SDS. Improving serum redox balance, inflammatory status, physical function, and cognitive ability through dual-task resistance training and detraining in nursing home residents. Exp Gerontol 2025; 200:112662. [PMID: 39701431 DOI: 10.1016/j.exger.2024.112662] [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: 10/05/2024] [Revised: 11/29/2024] [Accepted: 12/15/2024] [Indexed: 12/21/2024]
Abstract
OBJECTIVE This study investigated the effects of dual-task resistance training (RT) and detraining on physical function, cognitive capacity, lipid profile, renal function, oxidative stress markers, and chronic inflammation of institutionalized older adults. METHODS The study involved 11 older adults (83.09 ± 8.1 years) residing in a long-term care institution, spanning 42 weeks with assessments at weeks 1, 14-15, 28, and 42. The initial 12 weeks following the first assessment (weeks 2-13) served as a baseline, during which participants maintained their routine activities. A dual-task resistance training protocol was implemented from weeks 16 to 27, followed by a detraining period from weeks 29 to 41. Assessments included clinical characteristics, physical function, cognitive ability, blood samples for biochemical parameters, oxidative stress, and chronic inflammation. RESULTS Dual-task RT significantly enhanced balance (p = 0.027) and 4 m walking speed (p = 0.027) post-training compared to the baseline. It also decreased the completion time for the sit-and-stand test both post-training (p = 0.008) and post-detraining (p = 0.015) relative to baseline. Cognitive ability showed significant improvements (p < 0.05). The CAT/TBARS ratio increased significantly post-training (p < 0.001) and remained elevated post-detraining. Nitric Oxide levels increased post-training (p < 0.05) and stayed higher post-detraining. The IL-10/TNF-α ratio significantly increased post-training (p < 0.05). CONCLUSION Dual-task RT performed over 12 weeks improved physical function, cognitive capacity, muscular strength, oxidative stress markers, and chronic inflammation in institutionalized older adults. Furthermore, these benefits were sustained even after a period of detraining.
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Affiliation(s)
- Erivaldo Machado Araújo
- Postgraduate Program in Physical Education, Federal University of Mato Grosso, Cuiabá, MT, Brazil
| | - Hélio José Coelho-Júnior
- Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy; Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Caio Victor Sousa
- Department of Health and Human Sciences, Loyola Marymount University, Los Angeles, United States of America
| | - Thiago Dos Santos Rosa
- Graduate Program in Physical Education and Graduate Program in Genomic Sciences and Biotechnology, Catholic University of Brasilia, Taguatinga, Brazil
| | - Ivo Vieira Sousa Neto
- School of Physical Education and Sport of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil
| | - Emanuele Marzetti
- Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy; Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy.
| | - Octávio Luiz Franco
- Center for Proteomic and Biochemical Analysis, Postgraduate Program in Genomic Sciences and Biotechnology, Catholic University of Brasília, Brasília, Brazil; S-Inova Biotech, Postgraduate Program in Biotechnology, Catholic University Dom Bosco (UCDB), Campo Grande, Brazil
| | - Samuel da Silva Aguiar
- Postgraduate Program in Physical Education, Federal University of Mato Grosso, Cuiabá, MT, Brazil; Center for Proteomic and Biochemical Analysis, Postgraduate Program in Genomic Sciences and Biotechnology, Catholic University of Brasília, Brasília, Brazil.
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Ge H, Yang S, Su W, Guan W, Dong S, Chang W, Jia H, Jiang S, Qin D, Ma G. The relationship between sarcopenia and mental health status in Chinese older adults: the mediating role of activities of daily living. BMC Geriatr 2025; 25:64. [PMID: 39881231 PMCID: PMC11776180 DOI: 10.1186/s12877-025-05723-0] [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: 11/13/2024] [Accepted: 01/21/2025] [Indexed: 01/31/2025] Open
Abstract
BACKGROUND Most existing studies focus on either the relationship between sarcopenia and depressive symptoms or sarcopenia and cognitive functions. Few studies have examined depressive symptoms and cognitive functions simultaneously. This study aimed to analyze the relationship between sarcopenia and both depressive symptoms and cognitive functions in the elderly by introducing activities of daily living to explore the mediating role of activities of daily living between sarcopenia and mental health. METHODS This study used data from the 2015 and 2018 China Health and Retirement Longitudinal Study, including a total of 3,552 older adults aged 60 and above. We conducted descriptive statistical analysis and correlation analysis on the data and used seemingly unrelated regression to examine the relationship between sarcopenia, depressive symptoms, and cognitive functions in older adults. Bootstrap mediation analysis was used to further explore the mediating role of activities of daily living in the relationship between sarcopenia and depressive symptoms and cognitive functions in the elderly. RESULTS After adjusting for confounding factors, sarcopenia was positively correlated with depressive symptoms (β = 0.663, p < 0.001) and negatively correlated with cognitive functions (β=-0.748, p < 0.001), indicating a negative impact of sarcopenia on mental health. Activities of daily living mediated the relationship between sarcopenia and mental health, with a stronger mediating effect between sarcopenia and depressive symptoms (18.77%, β = 0.125, 95%CI (0.035, 0.222)) than between sarcopenia and cognitive functions (12.82%, β=-0.099, 95%CI (-0.162, -0.035)). CONCLUSIONS Activities of daily living partially mediated the relationship between sarcopenia and mental health status in Chinese older adults. Interventions targeting sarcopenia and activities of daily living may be an effective way to prevent and improve the mental health status of older adults.
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Affiliation(s)
- Huaiju Ge
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Shilan Yang
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Wenyu Su
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Weimin Guan
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Shihong Dong
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Wenjing Chang
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Huiyu Jia
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Shan Jiang
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Di Qin
- School of Bioscience and Technology, Shandong Second Medical University, Weifang, Shandong, China.
| | - Guifeng Ma
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China.
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Schaller A, Thiel C, Peters S, Geidl W, Sarah K, Lange M, Kastaun S, Krupp S, Spaderna H, Eckert K, Grafe M, Voelcker-Rehage C, Nellessen-Martens G, Pfeifer K, Sudeck G, Wiskemann J, Wollesen B, Gabrys L. [Physical Activity-Related Health Services in Germany: Relevance and Necessary Framework Conditions - a Position Paper of the DNVF Working Group Physical Activity-Related Health Services Research]. DAS GESUNDHEITSWESEN 2025; 87:69-78. [PMID: 39317219 PMCID: PMC11740219 DOI: 10.1055/a-2420-8793] [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: 08/13/2024] [Accepted: 09/18/2024] [Indexed: 09/26/2024]
Abstract
Based on the relevance of an established and broad foundation of physical activity in healthcare, this position paper of the DNVF working group Physical Activity-Related Health Services research presents current conceptual approaches to physical activity-related health services in Germany and highlights the need for interprofessional and interdisciplinary approaches. Three central positions are outlined and elaborated in order to integrate the evidence on health benefits of physical activity and exercise more strongly into healthcare and to show that, against the background of the challenges in the German healthcare system, physical activity-related health services can make a cost-effective and high-quality contribution to improve healthcare. These three positions include 1) the integration of all professional groups involved in healthcare into physical activity-related health services, 2) the greater integration of physical activity professions and physical activity interventions into all healthcare contexts and 3) the systematic consideration of physical activity- and exercise-related expertise in clinical guidelines.
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Affiliation(s)
- Andrea Schaller
- Institut für Sportwissenschaft, Arbeitsbereich Gesundheit, Betriebliche Gesundheitsförderung und Prävention, Universität der Bundeswehr München, Neubiberg, Germany
| | - Christian Thiel
- Studienbereich Physiotherapie, Department für Angewandte Gesundheitswissenschaften, Hochschule für Gesundheit Bochum, Bochum, Germany
- Forschungsbereich Trainingswissenschaft, Fakultät für Sportwissenschaft, Ruhr-Universität Bochum, Bochum, Germany
| | - Stefan Peters
- Institut für Sportwissenschaft, Arbeitsbereich Gesundheit, Betriebliche Gesundheitsförderung und Prävention, Universität der Bundeswehr München, Neubiberg, Germany
- Ressort Wissenschaft, Deutscher Verband für Gesundheitssport und Sporttherapie e.V., Hürth-Efferen, Germany
| | - Wolfgang Geidl
- Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- WHO-Kooperationszentrum für Bewegung und Bewegungsförderung, WHO-Kooperationszentrum für Bewegung und Bewegungsförderung, Erlangen, Germany
| | - Klamroth Sarah
- Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- WHO-Kooperationszentrum für Bewegung und Bewegungsförderung, WHO-Kooperationszentrum für Bewegung und Bewegungsförderung, Erlangen, Germany
| | - Martin Lange
- Fachbereich Fitness & Gesundheit, IST-Hochschule für Management GmbH, Düsseldorf, Germany
| | - Sabrina Kastaun
- Institut für Allgemeinmedizin (ifam), Forschungsschwerpunkt Patient-Arzt-Kommunikation, Centre for Health and Society, Medizinische Fakultät und Universitätsklinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany
| | - Sonja Krupp
- Krankenhaus Rotes Kreuz Lübeck - Geriatriezentrum, Forschungsgruppe Geriatrie Lübeck, Lübeck, Germany
| | - Heike Spaderna
- Fachbereich I, Pflegewissenschaft, Abteilung Gesundheitspsychologie mit den Schwerpunkten Prävention und Rehabilitation, Universität Trier, Trier, Germany
| | - Katharina Eckert
- Gesundheitsmanagement & Public Health, IST-Hochschule für Management GmbH, Düsseldorf, Germany
| | - Marion Grafe
- Fachbereich Gesundheit, Zentrum für interprofessionelle Therapie und Prävention, FH Münster University of Applied Sciences, Münster, Germany
| | - Claudia Voelcker-Rehage
- Fakultät für Psychologie und Sportwissenschaft, Institut für Sportwissenschaft, Universität Münster, Münster, Germany
| | | | - Klaus Pfeifer
- Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- WHO-Kooperationszentrum für Bewegung und Bewegungsförderung, WHO-Kooperationszentrum für Bewegung und Bewegungsförderung, Erlangen, Germany
| | - Gorden Sudeck
- Wirtschafts- und Sozialwissenschaftliche Fakultät, Institut für Sportwissenschaft, Arbeitsbereich Bildungs- und Gesundheitsforschung im Sport, Eberhard Karls Universität Tübingen, Tübingen, Germany
| | - Joachim Wiskemann
- Nationales Centrum fur Tumorerkrankungen (NCT) Heidelberg, Heidelberg, Germany
- Universitätsklinikum Heidelberg, Heidelberg, Germany
| | - Bettina Wollesen
- Human Movement Science, University of Hamburg, Hamburg, Germany
- Deutsche Vereinigung für Sportwissenschaft, Deutsche Vereinigung für Sportwissenschaft, Hamburg, Germany
| | - Lars Gabrys
- Professor für Gesundheitssport und Prävention, ESAB Fachhochschule für Sport und Management Potsdam, Potsdam, Germany
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Gao Y, Lu C, Zhang X, Han B, Hu H. Physical activity and non-suicidal self-injurious behavior in Chinese adolescents: the chain mediating role of psychological capital and relative deprivation. Front Psychiatry 2024; 15:1509967. [PMID: 39676912 PMCID: PMC11638173 DOI: 10.3389/fpsyt.2024.1509967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2024] [Accepted: 11/15/2024] [Indexed: 12/17/2024] Open
Abstract
Introduction Physical activity has been shown to alleviate negative emotions. We examined whether physical activity is associated with lower non-suicidal self-injurious behavior in adolescents and the mediating and chain-mediating roles of psychological capital and relative deprivation in this association. Methods 451 secondary school students (44.57% girls; ages 13-19) completed the Physical Activity Rating Scale, Adolescent Non-Suicidal Self-Injurious Behavior Scale, Psychological Capital Scale, and Adolescent Relative Deprivation Scale in their classrooms. In addition, this study used SPSS 26.0 for statistical data analysis and the SPSS macro program PROCESS 4.1 to explore the mediation role. Results Regression-based analyses showed that higher psychological capital and lower relative deprivation individually and sequentially mediated the association between physical activity and lower NSSI. Conclusion These findings contribute to a deeper understanding of how and why physical activity affects adolescents' non-suicidal self-injurious behaviors. At the same time, the result may provide new insights into prevention and intervention efforts for non-suicidal self-injurious behaviors in adolescents.
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Affiliation(s)
- Yingzhe Gao
- School of Physical Education, Central China Normal University, Wuhan, China
| | - Changfen Lu
- School of Physical Education, Central China Normal University, Wuhan, China
| | - Xiaoqiang Zhang
- School of Physical Education, Wuhan Sports University, Wuhan, China
| | - Beining Han
- School of Physical Education, Central China Normal University, Wuhan, China
| | - Huijuan Hu
- School of Physical Education, Anhui Normal University, Wuhu, China
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10
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Wang H, Liang Y, Wu H, Shi H, Hou R. Effect of multicomponent exercise intervention in community dwelling frail elderly: A systematic review and meta-analysis. Arch Gerontol Geriatr 2024; 126:105543. [PMID: 38908349 DOI: 10.1016/j.archger.2024.105543] [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: 05/08/2024] [Revised: 06/03/2024] [Accepted: 06/17/2024] [Indexed: 06/24/2024]
Abstract
OBJECTIVE To assess the impact of multicomponent exercises on physical functions of frail elderly in communities, evaluating their effect on muscle strength, balance, and endurance, and their influence on quality of life. METHOD PubMed, Embase, Cochrane, and Web of Science were searched to collect relevant randomized controlled trials. The search cutoff date was January 24, 2024. Included studies met pre-specified inclusion and exclusion criteria. Data analysis was performed using Revman 5.4 and Stata 15.0 software. RESULT This analysis included 19 studies. After 12 weeks, the multicomponent exercises significantly enhanced participants' performance in various physical function assessments. Specifically, in the Timed Up and Go Test, the exercise group showed a significant reduction in time [SMD = -0.86 (95 % CI: -1.40 to -0.33)]. In the Short Physical Performance Battery, interventions shorter than 6 weeks significantly increased scores [SMD = 1.01 (95 % CI: 0.64 to 1.37)], and those longer than 6 weeks showed improvements [SMD = 0.53 (95 % CI: 0.26 to 0.80)]. Muscle strength also improved, with handgrip strength and knee extensor strength enhancements [SMD = 0.93 (95 % CI: 0.27 to 1.59); SMD = 0.72 (95 % CI: 0.24 to 1.20)]. However, there was no statistically significant difference in walking speed between the groups [SMD = 0.04 (95 % CI: -0.33 to 0.40)]. CONCLUSION Although multicomponent exercises significantly improve muscle strength, balance, and endurance in frail elderly individuals, there is no conclusive evidence of their effect on enhancing quality of life or long-term health outcomes. Further research is needed to explore the specific impacts of different types and intensities of exercises on this population.
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Affiliation(s)
- Haifang Wang
- Faculty of Nursing, Linfen Vocational and Technical College, Linfen 041000, China
| | - Yan Liang
- Department of Ophthalmology, Affiliated Zhongshan Hospital of Dalian University, Dalian, 116000, China
| | - Huijuan Wu
- Department of Nursing, The First Affiliated Hospital of Linfen Vocational and Technical College, Linfen 041000, China
| | - Hongyu Shi
- Department of Neurology, The First Affiliated Hospital of Linfen Vocational and Technical College, Linfen 041000, China
| | - Ran Hou
- Department of Otolaryngology, The Second Hospital of Shanxi Medical University, Taiyuan, 030000, China.
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11
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Mello ECD, Mendes EL, Barbosa Neto O, Spartalis E, Tolentino MGDAC, Martins CM, Ferreira ACDS, Minelli FMDS, Alves CP, Leite ECS, Regalo SCH, Siessere S. Acceptability of a new therapeutic horseback riding program and its impact on the functional capacity of older adults. J Bodyw Mov Ther 2024; 40:610-619. [PMID: 39593653 DOI: 10.1016/j.jbmt.2023.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 08/24/2023] [Accepted: 09/19/2023] [Indexed: 11/28/2024]
Affiliation(s)
| | | | | | - Eros Spartalis
- National Association of Riding Therapy of Brazil, Brasilia, DF, Brazil
| | | | | | | | | | | | | | | | - Selma Siessere
- University of Sao Paulo Faculty of Dentistry of Ribeirao Preto, São Paulo, Brazil
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12
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Chan BCL, Luciano M, Lee B. A Longitudinal Study of Physical Activity and Personality in the Wellbeing of Older Adults. J Aging Health 2024; 36:484-491. [PMID: 37837410 DOI: 10.1177/08982643231206222] [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] [Indexed: 10/16/2023]
Abstract
Objective: This study examines the interactions of physical activity and personality traits in the subjective wellbeing (SWB) of older adults. Methods: 520 Scottish participants (262 male; 258 female) completed self-reported surveys measuring their level of physical activity, personality, and SWB in 2011-2013 (mean age = 76.23 ± .68) and in 2014-2016 (mean age = 79.31 ± .62). Results: While all of the Big Five personality traits predicted SWB across the 3-year period in the expected direction, neither physical activity nor its joint effect with any of the personality traits was a significant predictor of subsequent SWB. Discussion: Further research on older adults with higher variation in age, exercise level, and cultural background is needed to disentangle how physical activity and personality influence SWB.
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Affiliation(s)
| | - Michelle Luciano
- Department of Psychology, University of Edinburgh, Edinburgh, UK
| | - Billy Lee
- Department of Psychology, University of Edinburgh, Edinburgh, UK
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13
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Pereira B, Monteiro D, Matos R, Jacinto M, Amaro N, Antunes R, Rodrigues F. Effect of a 12-Week Strength Training Program on Muscle Strength Measures of Institutionalized Older Adults-A Pilot Study. Healthcare (Basel) 2024; 12:1428. [PMID: 39057570 PMCID: PMC11275893 DOI: 10.3390/healthcare12141428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2024] [Revised: 07/01/2024] [Accepted: 07/15/2024] [Indexed: 07/28/2024] Open
Abstract
Institutionalized older adults are characterized by high levels of dependence and low levels of physical activity compared to those living in the community. This combination of factors leads to an increased risk of loss of muscle mass. Sarcopenia can be countered through strength training. The aim of the present study was to evaluate the effect of a strength training program on the physical fitness of institutionalized older adults. This study included a sample of 31 institutionalized older adults (20 females, 11 males) aged between 65 and 96 years (M = 81.64, SD = 8.67). Participants reported an average institutionalization duration of 2.43 years (SD = 2.20), ranging from half a year to ten years. A 12-week strength training program was implemented, with sessions held twice a week. Strength fitness was assessed through the following parameters: handgrip strength, upper limb muscular endurance, lower limb muscular endurance, agility and balance, body mass index, and waist circumference. The results demonstrated that a 12-week strength training program improved physical fitness in terms of lower limb muscular endurance, upper limb muscular endurance, agility, and dynamic balance (p < 0.05).
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Affiliation(s)
- Bernardo Pereira
- ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal; (B.P.); (D.M.); (R.M.); (M.J.); (N.A.); (R.A.)
| | - Diogo Monteiro
- ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal; (B.P.); (D.M.); (R.M.); (M.J.); (N.A.); (R.A.)
- Research Center in Sport, Health, and Human Development (CIDESD), 5000-558 Vila Real, Portugal
| | - Rui Matos
- ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal; (B.P.); (D.M.); (R.M.); (M.J.); (N.A.); (R.A.)
- Research Center in Sport, Health, and Human Development (CIDESD), 5000-558 Vila Real, Portugal
| | - Miguel Jacinto
- ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal; (B.P.); (D.M.); (R.M.); (M.J.); (N.A.); (R.A.)
- Research Center in Sport, Health, and Human Development (CIDESD), 5000-558 Vila Real, Portugal
| | - Nuno Amaro
- ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal; (B.P.); (D.M.); (R.M.); (M.J.); (N.A.); (R.A.)
- Research Center in Sport, Health, and Human Development (CIDESD), 5000-558 Vila Real, Portugal
| | - Raúl Antunes
- ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal; (B.P.); (D.M.); (R.M.); (M.J.); (N.A.); (R.A.)
- Research Center in Sport, Health, and Human Development (CIDESD), 5000-558 Vila Real, Portugal
| | - Filipe Rodrigues
- ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal; (B.P.); (D.M.); (R.M.); (M.J.); (N.A.); (R.A.)
- Research Center in Sport, Health, and Human Development (CIDESD), 5000-558 Vila Real, Portugal
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14
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Zhao X, Sha X, Qi L. Effects of comprehensive exercise training on frailty, negative emotions and physical functions of elderly patients with diabetes. Pak J Med Sci 2024; 40:1225-1230. [PMID: 38952514 PMCID: PMC11190414 DOI: 10.12669/pjms.40.6.7955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 08/15/2023] [Accepted: 02/25/2024] [Indexed: 07/03/2024] Open
Abstract
Objective To evaluate the effects of comprehensive exercise training on frailty, negative emotions and physical functions of elderly patients with diabetes. Methods This is a retrospective study. A total of 140 elderly patients with T2DM in The No.2 Hospital of Baoding were selected from December, 2021 to June, 2023 and randomly divided into two groups, with 70 patients in each group. The control group was given routine nursing and routine exercise education, and the study group was additionally given comprehensive exercise training. Tilburg frailty indicator (TFI), emotional status, physical functions, grip strength, fasting blood glucose and patient satisfaction were compared and analyzed between the two groups. Results Before the intervention, TFI showed no significant differences between the two groups (p>0.05). After the intervention, physical, psychological and social frailty in the study group were significantly lower than those in the control group, with statistically significant differences (p= 0.00). SAS and SDS scores reduced significantly in the study group compared with those in the control group after the intervention, with statistically significant differences (p=0.00). After the intervention, the grip strength was significantly larger while the fasting blood glucose was significantly lower in the study group compared with those in the control group, with statistically significant differences (p=0.00). Patient satisfaction in the study group was higher than in the control group, with a statistically significant difference(p=0.03). Conclusion Comprehensive exercise training for elderly patients with diabetes is beneficial to improving their frail state, negative emotions, blood glucose levels and physical functions. It has significant clinical application value.
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Affiliation(s)
- Xiaoxiao Zhao
- Xiaoxiao Zhao Department of Geriatrics, The No.2 Hospital of Baoding, Baoding 071000, Hebei, China
| | - Xu Sha
- Xu Sha Department of Geriatrics, The No.2 Hospital of Baoding, Baoding 071000, Hebei, China
| | - Lanfeng Qi
- Lanfeng Qi Department of Endocrinology, The No.2 Hospital of Baoding, Baoding 071000, Hebei, China
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15
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Baek JE, Hyeon SJ, Kim M, Cho HY, Hahm SC. Effects of dual-task resistance exercise on cognition, mood, depression, functional fitness, and activities of daily living in older adults with cognitive impairment: a single-blinded, randomized controlled trial. BMC Geriatr 2024; 24:369. [PMID: 38658827 PMCID: PMC11044356 DOI: 10.1186/s12877-024-04942-1] [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: 08/17/2023] [Accepted: 04/03/2024] [Indexed: 04/26/2024] Open
Abstract
BACKGROUND Regular exercise is emphasized for the improvement of functional capacity and independence of older adults. This study aimed to compare the effects of a dual-task resistance exercise program and resistance exercise on cognition, mood, depression, physical function, and activities of daily living (ADL) in older adults with cognitive impairment. METHODS A total of 44 older adults participated in the study. Participants were randomly allocated to an experimental group (n = 22) performing a dual-task resistance exercise program for cognitive function improvement and a control group (n = 22) performing a resistance exercise program. Both groups performed the exercise for 40 min per session, three times a week, for 6 weeks (18 sessions). Cognition, mood, depression, functional fitness, and ADL were quantified before and after the intervention using the Mini-Mental State Examination (MMSE), profile of mood states (POMS), geriatric depression scale (GDS), senior fitness test (SFT), and Korean version of ADL, respectively. RESULTS There was a significant time and group interaction on the MMSE (p = 0.044). There were no significant time and group interactions in the POMS, GDS, SFT, or ADL. Cognitive function (p < 0.001), mood (p < 0.001), depression (p < 0.001), functional fitness (p < 0.001), and ADL (p < 0.001) significantly improved after dual-task resistance exercise, and cognitive function (p < 0.001), mood (p < 0.001), depression (p < 0.001), functional fitness (p < 0.001), and ADL (p < 0.001) significantly improved after resistance exercise. CONCLUSIONS Dual-task resistance exercise is more effective than resistance exercise in improving cognitive function in older adults with cognitive impairment. Both dual-task resistance exercise and resistance exercise improves mood, depression, functional fitness, and ADL after the intervention. We propose using dual-task resistance exercises for cognitive and physical health management in the older adults with cognitive impairment. TRIAL REGISTRATION This study was registered with the Clinical Research Information Service (WHO International Clinical Trials Registry Platform) (Registration ID, KCT0005389; Registration date, 09/09/2020).
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Affiliation(s)
- Ji-Eun Baek
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea, 191 Hambangmoe-ro, Yeonsu-gu, Incheon
| | - Sang-Jun Hyeon
- Graduate School of Integrative Medicine, CHA University, 120 Haeryong-ro, Pocheon-si, 11160, Kyonggi-do, Republic of Korea
| | - May Kim
- Department of Physical Education, College of Education, Korea University, Seoul, Republic of Korea
| | - Hwi-Young Cho
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea, 191 Hambangmoe-ro, Yeonsu-gu, Incheon.
| | - Suk-Chan Hahm
- Graduate School of Integrative Medicine, CHA University, 120 Haeryong-ro, Pocheon-si, 11160, Kyonggi-do, Republic of Korea.
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16
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Yang L, Yuan B, Ju Y, Liu W, Wang Y. Effect of quality nursing care on wound pain and anxiety in burn patients: A meta-analysis. Int Wound J 2024; 21:e14798. [PMID: 38572761 PMCID: PMC10993347 DOI: 10.1111/iwj.14798] [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: 01/26/2024] [Accepted: 02/04/2024] [Indexed: 04/05/2024] Open
Abstract
To systematically evaluate the effects of quality nursing care on wound pain and anxiety in burn patients. Computerised searches of PubMed, Google Scholar, Cochrane Library, Embase, Wanfang, China Biomedical Literature Database and China National Knowledge Infrastructure databases randomised controlled trials (RCTs) on the application of quality nursing care to burn patients were carried out from database inception to October 2023. Literature was screened and evaluated by two researchers based on inclusion and exclusion criteria, and data were extracted from the final included literature. Stata 17.0 software was employed for data analysis. Overall, 15 RCTs and 1115 burn patients were included, including 563 and 552 in the quality care and routine care groups. It was found that, compared with routine care, burn patients who implemented quality care had significantly less wound pain (SMD: -1.79, 95% CI: -2.22 to -1.36, p < 0.001), anxiety (SMD: -2.71. 95% CI: -3.49 to -1.92, p < 0.001) and depression (SMD: -1.74, 95% CI: -2.35 to -1.14, p < 0.001) levels were significantly reduced post-trauma.
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Affiliation(s)
- Ling Yang
- Department of BurnThe Southwest Hospital of Army Medical UniversityChongqingChina
| | - Bo‐Qin Yuan
- Department of BurnThe Southwest Hospital of Army Medical UniversityChongqingChina
| | - Yang‐Yang Ju
- Department of BurnThe Southwest Hospital of Army Medical UniversityChongqingChina
| | - Wei Liu
- Department of BurnThe Southwest Hospital of Army Medical UniversityChongqingChina
| | - Yang‐Ping Wang
- Department of BurnThe Southwest Hospital of Army Medical UniversityChongqingChina
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17
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Chen MZ, Chen XL, Xu Q, Cao XD, Wang MY, Cao R. Mediating the Role of Perceived Social Support Between Frailty and Self-Perceived Burden in Elderly Patients with Diabetes. Patient Prefer Adherence 2024; 18:745-752. [PMID: 38558833 PMCID: PMC10979673 DOI: 10.2147/ppa.s452648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 02/16/2024] [Indexed: 04/04/2024] Open
Abstract
Objective To explore the mediating effects of perceived social support between frailty and self-perceived burden (SPB) in elderly patients with diabetes and to provide a theoretical basis for reducing that burden. Methods A total of 169 elderly patients with diabetes who were hospitalised in the endocrinology department of a third-class hospital in Wuxi between May 2020 and July 2022 were included in this study using the convenience sampling method. Patients were assessed by the general information questionnaire, the Chinese version of the Tilburg frailty inventory (TFI), the Self-Perceived Burden Scale (SPBS) and the Perceived Social Support Scale (PSSS). The SPSS 22.0 software was used for Pearson's correlation analysis and multiple linear regression analysis. Model four of the SPSS PROCESS was used for mediating the effect analysis. Results The SPBS of elderly patients with diabetes was positively correlated with the TFI (P < 0.01) and negatively correlated with the PSSS (P < 0.01). The results of the Bootstrap test showed that the mediating effect of the PSSS on the relationship between the TFI and the SPBS in elderly patients with diabetes was 0.296 (95% CI: 0.007, 0.066), and the mesomeric effect accounted for 17.3% of the total effect. Conclusion The debilitation of elderly patients with diabetes can be reduced by decreasing their SPB through perceived social support. This can be achieved through comprehensive interventions by nurses.
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Affiliation(s)
- Ming-Zhu Chen
- Department of Endocrinology, The Affiliated Wuxi People’s Hospital to Nanjing Medical University, Wuxi, 214001, People’s Republic of China
| | - Xiao-Lei Chen
- Nursing Department, The Affiliated Wuxi People’s Hospital to Nanjing Medical University, Wuxi, 214001, People’s Republic of China
| | - Qin Xu
- School of Nursing, Nanjing Medical University, Nanjing, 211166, People’s Republic of China
| | - Xiao-Dong Cao
- Nursing Department, The Affiliated Wuxi People’s Hospital to Nanjing Medical University, Wuxi, 214001, People’s Republic of China
| | - Meng-Yu Wang
- Department of Endocrinology, The Affiliated Wuxi People’s Hospital to Nanjing Medical University, Wuxi, 214001, People’s Republic of China
| | - Rong Cao
- Department of Endocrinology, The Affiliated Wuxi People’s Hospital to Nanjing Medical University, Wuxi, 214001, People’s Republic of China
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18
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Haag S, Kepros J. Head Protection Device for Individuals at Risk for Head Injury due to Ground-Level Falls: Single Trauma Center User Experience Investigation. JMIR Hum Factors 2024; 11:e54854. [PMID: 38502170 PMCID: PMC10988374 DOI: 10.2196/54854] [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: 11/26/2023] [Revised: 02/08/2024] [Accepted: 02/18/2024] [Indexed: 03/20/2024] Open
Abstract
BACKGROUND Falls represent a large percentage of hospitalized patients with trauma as they may result in head injuries. Brain injury from ground-level falls (GLFs) in patients is common and has substantial mortality. As fall prevention initiatives have been inconclusive, we changed our strategy to injury prevention. We identified a head protection device (HPD) with impact-resistant technology, which meets head impact criteria sustained in a GLF. HPDs such as helmets are ubiquitous in preventing head injuries in sports and industrial activities; yet, they have not been studied for daily activities. OBJECTIVE We investigated the usability of a novel HPD on patients with head injury in acute care and home contexts to predict future compliance. METHODS A total of 26 individuals who sustained head injuries, wore an HPD in the hospital, while ambulatory and were evaluated at baseline and 2 months post discharge. Clinical and demographic data were collected; a usability survey captured HPD domains. This user experience design revealed patient perceptions, satisfaction, and compliance. Nonparametric tests were used for intragroup comparisons (Wilcoxon signed rank test). Differences between categorical variables including sex, race, and age (age group 1: 55-77 years; age group 2: 78+ years) and compliance were tested using the chi-square test. RESULTS Of the 26 patients enrolled, 12 (46%) were female, 18 (69%) were on anticoagulants, and 25 (96%) were admitted with a head injury due to a GLF. The median age was 77 (IQR 55-92) years. After 2 months, 22 (85%) wore the device with 0 falls and no GLF hospital readmissions. Usability assessment with 26 patients revealed positive scores for the HPD post discharge regarding satisfaction (mean 4.8, SD 0.89), usability (mean 4.23, SD 0.86), effectiveness (mean 4.69, SD 0.54), and relevance (mean 4.12, SD 1.10). Nonparametric tests showed positive results with no significant differences between 2 observations. One issue emerged in the domain of aesthetics; post discharge, 8 (30%) patients had a concern about device weight. Analysis showed differences in patient compliance regarding age (χ12=4.27; P=.04) but not sex (χ12=1.58; P=.23) or race (χ12=0.75; P=.60). Age group 1 was more likely to wear the device for normal daily activities. Patients most often wore the device ambulating, and protection was identified as the primary benefit. CONCLUSIONS The HPD intervention is likely to have reasonably high compliance in a population at risk for GLFs as it was considered usable, protective, and relevant. The feasibility and wearability of the device in patients who are at risk for GLFs will inform future directions, which includes a multicenter study to evaluate device compliance and effectiveness. Our work will guide other institutions in pursuing technologies and interventions that are effective in mitigating injury in the event of a fall in this high-risk population.
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Affiliation(s)
- Susan Haag
- Scottsdale Osborn Medical Center, Scottsdale, AZ, United States
| | - John Kepros
- Scottsdale Osborn Medical Center, Scottsdale, AZ, United States
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19
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Shi W, Wu L, Li X, Qi F, Ji W. Community-embedded follow-up management intervention for geriatric primary care: a mixed-methods study of an integrated health services model. BMC Health Serv Res 2024; 24:298. [PMID: 38448882 PMCID: PMC10918903 DOI: 10.1186/s12913-024-10804-8] [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: 01/27/2023] [Accepted: 02/29/2024] [Indexed: 03/08/2024] Open
Abstract
BACKGROUND To propose a community-embedded follow-up management model to provide health services for elderly patients with osteoporosis who live alone. METHODS Researchers randomly selected 396 people with osteoporosis living alone from five communities in Nantong, China, for the study. These participants were randomly assigned to control and intervention groups. Twenty-four community physicians in five communities provided professional support based on a community-embedded follow-up management model. Participants completed quantitative questionnaires at baseline and after the 6-month follow-up intervention, and some participants underwent semi-structured face-to-face interviews. The primary outcome is the effectiveness of the community-embedded follow-up management model in improving the quality of life of elderly patients with osteoporosis living alone. Based on an objective quantitative assessment, the qualitative study explains and adds essential components of this community-based follow-up management model. RESULTS The quantitative study showed that scores in physical functioning, ability to perform daily activities, self-efficacy, and mental status were significantly improved in the intervention group compared to the control group (p < 0.05). The most significant improvements were found in "mental status" (p = 0.012) and "self-care skills" (p = 0.003). The qualitative study reported the essential elements of a community healthcare model for older people living alone with osteoporosis, including professional support, personalized services, social support, and empowerment. CONCLUSIONS Community-embedded follow-up management meets the need for elderly patients with osteoporosis living alone. It helps to improve health perception, promote physical and mental health, and optimize the quality of life in this population. Personalized services and professional support are two major contributing factors to effective embedded follow-up management in the community.
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Affiliation(s)
- Wenjing Shi
- Xinglin College, Nantong University, 226019, Nantong, China
| | - Lingling Wu
- Department of Orthopedics, The Yancheng Clinical College of Xuzhou Medical University (The First People's Hospital of Yancheng), 224001, Yancheng, China
| | - Xiaodong Li
- School of Public Health, Nantong University, 226019, Nantong, China
| | - Feng Qi
- Department of Pharmacy, The Yancheng Clinical College of Xuzhou Medical University (The First People's Hospital of Yancheng), 224001, Yancheng, China.
| | - Wanyu Ji
- Xinglin College, Nantong University, 226019, Nantong, China.
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20
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Attoh-Mensah E, Huret A, Leger M, Loggia G, Nee G, Largilliere S, Zuba D, Chavoix C, Schumann-Bard P, Freret T. A Dual-Task Paradigm Combining Physical and Cognitive Training in Mice: Application to Aging. Aging Dis 2024; 16:AD.2024.0207-1. [PMID: 38377030 PMCID: PMC11745459 DOI: 10.14336/ad.2024.0207-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 02/07/2024] [Indexed: 02/22/2024] Open
Abstract
Physical Activity (PA) is often associated with better overall health status, especially in older adults. Numerous pieces of evidence indicate that PA would be more beneficial when applied in conjunction with Cognitive Training (CT) either simultaneously (i.e., in Dual-Task [DT]) or sequentially. Nonetheless, the underlying mechanisms of such benefits remain elusive. To help delve deeper into their understanding, we developed a cognitive-motor DT paradigm in young adult mice and subsequently tested its effect in old age. Three groups of young adults C57BL/6J mice (3.5 months of age; n=10/group) were required. They were given cognitive tasks, either alone (Control) or in combination with PA which was administered either sequentially (SeqT group) or simultaneously (DT group). Mice were trained in a touchscreen chamber: first on a Visual Discrimination (VD) learning task, then on its Reversal (RVD) which assesses cognitive flexibility alongside procedural learning. PA was given through a homemade treadmill, designed to fit in the touchscreen chambers and set at 9 m/min. Fourteen months later, we further evaluated the effects of PA administered in both DT and SeqT groups, on the performance of the now 19-month-old mice. When compared to SeqT and control groups, DT mice significantly displayed better procedural learning in both VD and RVD tasks as young adults. In the RVD task, this enhanced performance was associated with both poorer inhibition and motor performance. Finally, in 19-month-old mice, both DT and SeqT mice displayed better motor and cognitive performances than control mice. This new cognitive-motor DT paradigm in mice yields an interesting framework that should be useful for adapting DT training in aging, including providing knowledge on the neurobiological correlates, to get the most out of its benefits.
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Affiliation(s)
- Elpidio Attoh-Mensah
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
- University of Limoges, HAVAE, UR 20217, F-87000 Limoges, France.
| | - Antoine Huret
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
| | - Marianne Leger
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
| | - Gilles Loggia
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
- Normandie University, UNICAEN, CHU de Caen, Department of Geriatrics, Caen, 14000, France.
| | - Gerald Nee
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
| | - Stacy Largilliere
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
| | - Daniel Zuba
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
| | - Chantal Chavoix
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
| | - Pascale Schumann-Bard
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
| | - Thomas Freret
- Normandie University, UNICAEN, INSERM, COMETE, CYCERON, CHU de Caen, 14000 Caen, France.
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Bahmaei J, Bahrami MA, Asadollahi A, Bastani P, Ravangard R. Older people's health promotion policies challenges: Making an avenue for policy responses in a developing country. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 12:428. [PMID: 38464659 PMCID: PMC10920687 DOI: 10.4103/jehp.jehp_1785_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 01/22/2023] [Indexed: 03/12/2024]
Abstract
BACKGROUND Older people's health policies suffer from many challenges in Iran. The issue is more highlighted considering the increasing rate of the older population in the country. This study aimed to explore the challenges of older people's health policies in Iran as well as make an avenue for policy responses. MATERIALS AND METHODS This study was a qualitative study that was conducted using conventional content analysis in 2020-2021 in Iran. The purposive and snowball sampling methods were used for semi-structured interviews with 30 selected participants. Data were analyzed through the content analysis approach using Granheim and Landman's five-step thematic method. RESULTS The results of analyzing the data were categorized into four main themes, 16 sub-themes, and 70 final codes. The main themes were executive, policymaking, intra- and inter-sectoral, and environmental challenges. CONCLUSIONS Older people are facing challenges in receiving appropriate and timely care. In order to achieve a wide national policy dialogue for covering all older people's health needs in policy agendas and better formulation and implementation of the policies, it is necessary for Iranian health policymakers to address executive challenges and apply effective strategies.
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Affiliation(s)
- Jamshid Bahmaei
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
- Behbahan Faculty of Medical Sciences, Behbahan, Iran
| | - Mohammad Amin Bahrami
- Health Human Recourses Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Science, Shiraz, Iran
| | - Abdolrahim Asadollahi
- Department of Gerontology, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Peivand Bastani
- College of Health and Human Sciences, Faculty of Health, Charles Darwin University, Alice Springs campus, NT, Australia
| | - Ramin Ravangard
- Health Human Recourses Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Science, Shiraz, Iran
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Calatayud E, Oliván-Blázquez B, Sánchez Peña M, Aguilar-Latorre A, Tena-Bernal O. Cognitive and functional evolution in older adults with and without intellectual disability using a multicomponent intervention: A prospective longitudinal study. Exp Gerontol 2024; 185:112352. [PMID: 38128849 DOI: 10.1016/j.exger.2023.112352] [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: 03/30/2023] [Revised: 10/19/2023] [Accepted: 12/18/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND The global population is experiencing accelerated biopsychosocial aging. Cognitive impairment is frequently associated with functional impairment in basic and instrumental daily living activities. To maintain optimal cognitive and functional functioning, health professionals recommend that older adults participate in cognitive training. AIMS This study examines the cognitive and functional evolution of older adults with and without Intellectual Disability and the factors associated with favourable evolution following the intervention of a multicomponent programme based on the human occupational model and the person-centred care model. METHODS AND PROCEDURES 247 people participated. Descriptive and univariate analyses were performed to examine baseline data. The Wilcoxon paired samples test was used to compare cognitive and functional evolution one year after the intervention. Linear regression was used to detect factors predicting favourable evolution. OUTCOMES AND RESULTS Both populations improved cognitively. There was no change in basic activities of daily living. There was an improvement in instrumental activities of daily living in the group with Intellectual Disability. None of the variables collected was a predictor of greater improvement. CONCLUSIONS AND IMPLICATIONS This study demonstrated that older people with Intellectual Disability who have supports to cope with this life stage can improve their cognitive and functional abilities.
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Affiliation(s)
- Estela Calatayud
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; Institute for Health Research Aragón (IIS Aragón), building CIBA, Avda, San Juan Bosco, 13, 50009 Zaragoza, Spain
| | - Bárbara Oliván-Blázquez
- Institute for Health Research Aragón (IIS Aragón), building CIBA, Avda, San Juan Bosco, 13, 50009 Zaragoza, Spain; Department of Psychology and Sociology, Faculty of Social and Labour Sciences, University of Zaragoza, 50009 Zaragoza, Spain
| | - Marta Sánchez Peña
- Aragonese Tutelary Association for Intellectual Disability (ATADES), Sonsoles Residential Centre Termine Miraflores, s / n, 50630 Zaragoza, Spain
| | - Alejandra Aguilar-Latorre
- Institute for Health Research Aragón (IIS Aragón), building CIBA, Avda, San Juan Bosco, 13, 50009 Zaragoza, Spain; Department of Psychology and Sociology, Faculty of Human Sciences and Education of Huesca, University of Zaragoza, 22003 Huesca, Spain.
| | - Olga Tena-Bernal
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; Aragonese Tutelary Association for Intellectual Disability (ATADES), Santo Ángel Occupational and Residential Centre, C / Ariza n°8, 50012 Zaragoza, Spain
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Herold F, Theobald P, Gronwald T, Kaushal N, Zou L, de Bruin ED, Bherer L, Müller NG. Alexa, let's train now! - A systematic review and classification approach to digital and home-based physical training interventions aiming to support healthy cognitive aging. JOURNAL OF SPORT AND HEALTH SCIENCE 2024; 13:30-46. [PMID: 36736727 PMCID: PMC10818117 DOI: 10.1016/j.jshs.2023.01.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 11/07/2022] [Accepted: 12/08/2022] [Indexed: 06/18/2023]
Abstract
BACKGROUND There is mounting evidence that regular physical activity is an important prerequisite for healthy cognitive aging. Consequently, the finding that almost one-third of the adult population does not reach the recommended level of regular physical activity calls for further public health actions. In this context, digital and home-based physical training interventions might be a promising alternative to center-based intervention programs. Thus, this systematic review aimed to summarize the current state of the literature on the effects of digital and home-based physical training interventions on adult cognitive performance. METHODS In this pre-registered systematic review (PROSPERO; ID: CRD42022320031), 5 electronic databases (PubMed, Web of Science, PsycInfo, SPORTDiscus, and Cochrane Library) were searched by 2 independent researchers (FH and PT) to identify eligible studies investigating the effects of digital and home-based physical training interventions on cognitive performance in adults. The systematic literature search yielded 8258 records (extra 17 records from other sources), of which 27 controlled trials were considered relevant. Two reviewers (FH and PT) independently extracted data and assessed the risk of bias using a modified version of the Tool for the assEssment of Study qualiTy and reporting in EXercise (TESTEX scale). RESULTS Of the 27 reviewed studies, 15 reported positive effects on cognitive and motor-cognitive outcomes (i.e., performance improvements in measures of executive functions, working memory, and choice stepping reaction test), and a considerable heterogeneity concerning study-related, population-related, and intervention-related characteristics was noticed. A more detailed analysis suggests that, in particular, interventions using online classes and technology-based exercise devices (i.e., step-based exergames) can improve cognitive performance in healthy older adults. Approximately one-half of the reviewed studies were rated as having a high risk of bias with respect to completion adherence (≤85%) and monitoring of the level of regular physical activity in the control group. CONCLUSION The current state of evidence concerning the effectiveness of digital and home-based physical training interventions is mixed overall, though there is limited evidence that specific types of digital and home-based physical training interventions (e.g., online classes and step-based exergames) can be an effective strategy for improving cognitive performance in older adults. However, due to the limited number of available studies, future high-quality studies are needed to buttress this assumption empirically and to allow for more solid and nuanced conclusions.
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Affiliation(s)
- Fabian Herold
- Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam 14476, Germany; Body-Brain-Mind Laboratory, Shenzhen University, Shenzhen 518060, China.
| | - Paula Theobald
- Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam 14476, Germany
| | - Thomas Gronwald
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg 20457, Germany
| | - Navin Kaushal
- Department of Health Sciences, School of Health & Human Sciences, Indiana University, Indianapolis, IN 46202, USA
| | - Liye Zou
- Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam 14476, Germany; Body-Brain-Mind Laboratory, Shenzhen University, Shenzhen 518060, China
| | - Eling D de Bruin
- Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, ETH Zurich, Zurich 8093, Switzerland; Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Stockholm 17177, Sweden; Department of Health, OST - Eastern Swiss University of Applied Sciences, St. Gallen 9001, Switzerland
| | - Louis Bherer
- Montreal Heart Institute, Montreal, QC H1T 1C8, Canada; Department of Medicine, Universite de Montreal, Montreal, QC H3T 1J4, Canada; Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal, Montreal, QC H3W 1W5, Canada
| | - Notger G Müller
- Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam 14476, Germany; Body-Brain-Mind Laboratory, Shenzhen University, Shenzhen 518060, China
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Cheng HI, Hsu WT, Wang WH, Li RH, Tang FC, Huang SL. Health Behavior Models and Regular Exercise Levels Among Workers in Taiwan. J Multidiscip Healthc 2023; 16:4149-4159. [PMID: 38143798 PMCID: PMC10749106 DOI: 10.2147/jmdh.s435774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 12/08/2023] [Indexed: 12/26/2023] Open
Abstract
Purpose The present study aims to examine the disparate effects of health behavior models, namely exercise self-efficacy (ESE), health belief model (HBM), and planned behavior theory (PBT), applied to clarify the degree of regular exercise among workers in Taiwan. Methods A cross-sectional research design was adopted. A questionnaire was distributed to obtain information pertaining to regular exercise level, demographic characteristics, and the scores of ESE, HBM, and PBT. In total, 400 full-time workers voluntarily participated in this study. Results The results showed that only 20.5% of the participants exercised regularly, 37.3% exercised irregularly, and 42.3% did not exercise currently. "Perceived benefits" and "perceived barriers" pertaining to HBM; "attitude" and "perceived behavioral control" pertaining to PBT; and ESE were associated with regular exercise level in the multiple linear regression analyses of each health behavior model. When all three models were considered simultaneously, ESE provided the greatest explanation of the variances for regular exercise levels. PBT total made a smaller contribution in the prediction of regular exercise level, while the effect of HBM did not show statistical significance. In order to explore the practicality of moving beyond theoretical models and focusing on the components across health behavior models to enhance workers' exercise behavior, the components showing statistical significance in separate analysis were put into the multiple linear regression simultaneously. The results showed that ESE, perceived barriers of health behavior, attitude, and perceived behavioral control were significantly associated with regular exercise level. Conclusion A low percentage of workers exercising regularly should be a notable issue for workplace health promotion. Neither utilizing cues to exercise nor advertising health threats of physical inactivity is sufficient to enable workers to exercise regularly. Enhancing workers' ESE and behavior control and removing the exercise barriers would constitute efficient strategies for maintaining the exercise habit of workers.
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Affiliation(s)
- Hsin-I Cheng
- Department of Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, 330, Taiwan
| | - Wei-Ting Hsu
- Department of Construction Engineering, Chaoyang University of Technology, Taichung, 413, Taiwan
- Department of Leisure Services Management, Chaoyang University of Technology, Taichung, 413, Taiwan
| | - Wei-Hsun Wang
- Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, 402, Taiwan
- Department of Orthopaedics, Changhua Christian Hospital, Changhua, 500, Taiwan
| | - Ren-Hau Li
- Department of Psychology, Chung Shan Medical University, Taichung, 402, Taiwan
- Room of Clinical Psychology, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
| | - Feng-Cheng Tang
- Department of Leisure Services Management, Chaoyang University of Technology, Taichung, 413, Taiwan
- Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, 402, Taiwan
- Department of Occupational Medicine, Changhua Christian Hospital, Changhua, 500, Taiwan
| | - Shu-Ling Huang
- Department of Psychology, Chung Shan Medical University, Taichung, 402, Taiwan
- Room of Clinical Psychology, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
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Poveda-López S, Lillo-Navarro C, Sánchez-Pérez A, Gacto-Sánchez M, Montilla-Herrador J. Older persons' expressed perceptions on exercise programs in long-term care institutions: Influence of professionals and institutions. PATIENT EDUCATION AND COUNSELING 2023; 117:107985. [PMID: 37734250 DOI: 10.1016/j.pec.2023.107985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Revised: 08/30/2023] [Accepted: 09/16/2023] [Indexed: 09/23/2023]
Abstract
OBJECTIVE To explore the perceptions of institutionalised older people about the professionals and institutions regarding exercise programs in long-term care institutions DESIGN, SETTING, AND PARTICIPANTS: A qualitative study was carried out using focus group discussions. Forty-seven institutionalised participants (≥ 65 years old) with a score of > 23 in the Mini-Mental State Examination (MMSE) were recruited. RESULTS Most participants believed that the frequency of the exercise sessions could be increased by enhancing the number of staff assisting them and by adapting the facilities to their needs. They also suggested using outdoor spaces and avoiding childish activities and treatment. Participants' beliefs were grouped into three major themes (i) Perceptions about the health professionals delivering the exercise programs (ii) Perceptions about the institution or centre regarding exercise programs; (iii) Perceptions about the exercise programs. CONCLUSION Participants proposed certain changes that could take place in the institutions to promote engagement with exercise programs: tailored exercise programs, avoiding puerile treatment, increasing the number of staff members, and the creation of well-equipped spaces to perform the exercise. PRACTICAL IMPLICATIONS Professionals should spend time designing tailored exercise programs and avoid puerile treatment. Institutions must review the need for spaces and the personnel assigned.
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Affiliation(s)
- Salud Poveda-López
- Faculty of Health Sciences, UCAM Catholic University of Murcia, Murcia, Spain
| | - Carmen Lillo-Navarro
- Center for Translational Research in Physiotherapy (CEIT). Department of Pathology and Surgery. Miguel Hernández University, Alicante, Spain.
| | - Alicia Sánchez-Pérez
- Department of Pathology and Surgery, Miguel Hernández University, Alicante, Spain. Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
| | - Mariano Gacto-Sánchez
- CEIR Campus Mare Nostrum (CMN), University of Murcia, Instituto Murciano de Investigación Biosanitaria-Virgen de la Arrixaca (IMIB-Arrixaca), El Palmar, Murcia, Spain
| | - Joaquina Montilla-Herrador
- CEIR Campus Mare Nostrum (CMN), University of Murcia, Instituto Murciano de Investigación Biosanitaria-Virgen de la Arrixaca (IMIB-Arrixaca), El Palmar, Murcia, Spain
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You Y, Huang L, Peng X, Liao L, Zhang F, Feng M, Chen Y, Chang H, Mo B, Liu Y. An analysis of the influencing factors of depression in older adults under the home care model. Front Public Health 2023; 11:1191266. [PMID: 38026277 PMCID: PMC10653336 DOI: 10.3389/fpubh.2023.1191266] [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: 03/21/2023] [Accepted: 10/16/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives To explore and analyze the influencing factors of depression in older adults living at home, so as to propose suggestions for improving the quality of older adults living at home. Methods We conducted a cross-sectional study on 498 older adults living at home based on questionnaire survey on the general information, daily living ability, health status, and care perception (including self-care, care for cohabitants, and care for non-cohabitants) of older adults living at home, as well as their willingness to help each other, and analyzed the influencing factors of depression among older adults living at home. Results The results showed a willingness to help older adults, self-care, and total activities of daily living (ADL), health status was an influential factor for depression in older adults (p < 0.05). Conclusion It aims to take targeted measures, such as encouraging older adults at home to actively participate in mutual assistance activities for older adults and care for themselves, so as to prevent and reduce the occurrence of depression in older adults.
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Affiliation(s)
- Yanjie You
- Department of Nursing, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Lei Huang
- Department of Nursing, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xiao Peng
- Department of Nursing, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Lulu Liao
- Department of Nursing, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Fengjian Zhang
- Department of Nursing, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Mingjiao Feng
- Department of Nursing, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Yuqin Chen
- Department of Nursing, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hongwei Chang
- Department of Nursing, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Beirong Mo
- Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China
| | - Yilan Liu
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Zhu X, Jia F, Kong L, Zhang H, Zhang S, Zhang Y, Wang L. Daily walking kinematic characteristics of the elderly in different residential settings: experimental study on Chinese community-living elderly and long-term nursing home residents. Aging Clin Exp Res 2023; 35:2531-2542. [PMID: 37656410 DOI: 10.1007/s40520-023-02532-6] [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: 01/16/2023] [Accepted: 08/08/2023] [Indexed: 09/02/2023]
Abstract
BACKGROUND Long-term nursing home (NH) care helps NH residents with their daily activities and improves their quality of life, but negatively affects their independent physical activities and increases the risk of dangerous events. Dangerous events in the elderly usually occur in the conversion of walking periods when forward striding has already happened, but the body has not yet entered a completely steady walking. OBJECTIVES Compare the gait characteristics in Chinese long-term NH residents and community-living elderly during the walking Transitional Period (TP) and Stabilization Period (SP). METHODS 32 long-term NH residents and 33 age- and sex-matched community-living elderly were recruited. The 30-Second Chair Stand Test (30-s CST), Timed Up and Go Test (TUGT), and Modified Falls Efficacy Scale (MFES) were used to assess their body function. The Xsens MVN BIOMECH system was used to collect and analyze the gait parameters of participants. RESULTS Compared to community-living elderly, NH residents had fewer numbers of 30-s CST, took more time to complete TUGT, and lower MEFS scores. NH residents showed slower gait speed (P < 0.001), less peak hip flexion (P = 0.022) and extension (P = 0.003), knee internal rotation (P = 0.023), and ankle plantarflexion (P = 0.001) and internal rotation (P = 0.007) angles during walking. When walking progressed from TP to SP, NH residents showed increased ankle dorsiflexion (P < 0.001), decreased hip internal rotation (P < 0.001), and community-living elderly had increased hip extension (P = 0.005) angles. CONCLUSIONS Chinese long-term NH residents had reduced lower extremities strength and postural balance, and higher fear of falling compared to community-living elderly. Their walking performance also showed high fall risk. Besides, long-term NH residents adopted a distal strategy to propel the body forward, which may be a compensatory measure to compensate for inadequate proximal joint control from forward walking to stable walking, and long-term NH residents have reduced postural stability during this process.
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Affiliation(s)
- Xinrui Zhu
- School of Rehabilitation Medicine, Weifang Medical University, Weifang, 261053, China
| | - Fan Jia
- School of Rehabilitation Medicine, Weifang Medical University, Weifang, 261053, China
| | - Lingyu Kong
- Physical Education and Sports School, Soochow University, Soochow, 215021, China
| | - Hongqian Zhang
- Rehabilitation Medicine Department, Xingyi People's Hospital Affiliated to Guizhou Medical University, Xingyi, 562400, China
| | - Shuyun Zhang
- Rehabilitation Medicine Department, Weifang People's Hospital, Weifang, 261000, China
| | - Yueqi Zhang
- Rehabilitation Medicine Department, Weifang People's Hospital, Weifang, 261000, China
| | - Liduan Wang
- School of Rehabilitation Medicine, Weifang Medical University, Weifang, 261053, China.
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Brown LM, Gauss CH, Billings P, Minor L, Moore JT, Sawyer LM, Sparks D, Sullivan SC. Nurse Staffing and Veteran Outcomes in the Veterans Health Administration's Community Living Centers. J Nurs Care Qual 2023; 38:297-303. [PMID: 36827702 DOI: 10.1097/ncq.0000000000000700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Abstract
BACKGROUND The demand for nursing care is rising in the long-term care setting. Nurse staffing is a crucial measure linked to health care quality measure outcomes. PURPOSE To assess for associations between nursing hours per patient day (NHPPD) and outcome measures in the Veterans Health Administration Community Living Centers. METHODS A retrospective data review of NHPPD and quality measures for 134 community living centers was conducted. Linear regression was used to assess for linear associations between average total NHPPD and 6 quality measures. RESULTS A significant linear association was found between average total NHPPD and falls with major injury ( P = .02) and help with activities of daily living ( P = .01). No associations were found between nurse staffing and 4 other quality measures. CONCLUSIONS This study adds to the body of literature regarding the impact of nurse staffing on quality measures.
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Affiliation(s)
- Lana M Brown
- Central Arkansas Veterans Healthcare System, VISN 16/Geriatric Research Education, and Clinical Center (GRECC), North Little Rock (Drs Brown and Sawyer and Mr Gauss); College of Nursing (Drs Brown and Sawyer) and Department of Biostatistics, College of Public Health (Mr Gauss), University of Arkansas for Medical Sciences, Little Rock; MidSouth Veterans Healthcare Network, VISN 9, Nashville, Tennessee (Dr Billings); Geriatrics and Extended Care (Ms Minor) and Office of Nursing Services (Dr Sullivan and Ms Moore), Veterans Health Administration, Washington, District of Columbia; and Palo Alto Veterans Affairs Health Care System, Palo Alto, California (Ms Sparks)
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Wollesen B, Schott N, Klotzbier T, Bischoff LL, Cordes T, Rudisch J, Otto AK, Zwingmann K, Hildebrand C, Joellenbeck T, Vogt L, Schoene D, Weigelt M, Voelcker-Rehage C. Cognitive, physical and emotional determinants of activities of daily living in nursing home residents-a cross-sectional study within the PROCARE-project. Eur Rev Aging Phys Act 2023; 20:17. [PMID: 37697252 PMCID: PMC10494417 DOI: 10.1186/s11556-023-00327-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 08/31/2023] [Indexed: 09/13/2023] Open
Abstract
BACKGROUND Interdependencies of health, fitness, cognition, and emotion can promote or inhibit mobility. This study aimed to analyse pathways and interactions between individual subjective and objective physical performance, cognition, and emotions with activities of daily living (ADLs) as mobility indicators in multimorbid nursing home residents. METHODS The study included n = 448 (77.1% females, age = 84.1 ± 7.8 years) nursing home residents. To describe the participant's demographics, frailty, number of falls, and participating institutions' socioeconomic status (SES) were assessed. ADLs were measured with the Barthel Index (BI; dependent variable). Independent variables included objective physical performance, subjective physical performance, cognition, and emotions. A structural equation model (SEM) with maximum likelihood estimation was conducted with AMOS. Direct and indirect effects were estimated using standardized coefficients (significance level of 0.05). RESULTS Indices showed (Chi2(148) = 217, PCMIN/DF = 1.47; p < .001; Comparative Fit Index = .940; Tucker Lewes Index = .902, RMSEA = .033) that the model fitted the data adequately. While there was no direct association between emotions, subjective physical performance, and ADLs, objective physical performance and cognition predicted higher ADLs (p < .01). Emotions had a strong relationship with subjective physical performance, and cognition had a moderate relationship with objective physical performance. DISCUSSION AND CONCLUSION Objective performance and cognition predicted higher functional status, as expressed by higher BI scores. ADLs, such as mobility, dressing, or handling tasks, require motor and cognitive performance. Subjective performance is an important predictor of ADLs and is only partly explained by objective performance, but to a large extent also by emotions. Therefore, future interventions for nursing home residents should take a holistic approach that focuses not only on promoting objective physical and cognitive performance but also on emotions and perceived physical performance. TRIAL REGISTRATION Trial registration number: DRKS00014957.
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Affiliation(s)
- Bettina Wollesen
- Department of Human Movement Science, University of Hamburg, Turmweg 2, 20148, Hamburg, Germany.
| | - Nadja Schott
- Department of Sports and Movement Science, University of Stuttgart, Stuttgart, Germany
| | - Thomas Klotzbier
- Department of Sports and Movement Science, University of Stuttgart, Stuttgart, Germany
| | - Laura Luise Bischoff
- Department of Human Movement Science, University of Hamburg, Turmweg 2, 20148, Hamburg, Germany
| | - Thomas Cordes
- Department of Human Movement Science, University of Vechta, Vechta, Germany
| | - Julian Rudisch
- Department of Neuromotor Behavior and Exercise, Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Ann-Kathrin Otto
- Department of Human Movement Science, University of Hamburg, Turmweg 2, 20148, Hamburg, Germany
| | - Katharina Zwingmann
- Institute of Human Movement Science and Health, Chemnitz University of Technology, Chemnitz, Germany
| | - Claudia Hildebrand
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Thomas Joellenbeck
- Department of Sport & Health Sciences, University of Paderborn, Paderborn, Germany
| | - Lutz Vogt
- Institute of Sports Sciences, Goethe-University Frankfurt, Frankfurt, Germany
| | - Daniel Schoene
- Institute of Medical Physics, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany
| | - Matthias Weigelt
- Department of Sport & Health Sciences, University of Paderborn, Paderborn, Germany
| | - Claudia Voelcker-Rehage
- Department of Neuromotor Behavior and Exercise, Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
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Notomi S, Kitamura M, Otsuka E, Ejima Y, Sawase K, Nishino T, Funakoshi S. Mortality risk factors among patients undergoing hemodialysis in a nursing home. Geriatr Gerontol Int 2023; 23:660-664. [PMID: 37448264 DOI: 10.1111/ggi.14639] [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: 04/11/2023] [Revised: 06/07/2023] [Accepted: 06/27/2023] [Indexed: 07/15/2023]
Abstract
AIM This study aimed to verify the impact of low body mass index (BMI) on mortality in nursing home residents undergoing hemodialysis and to clarify other associated mortality risk factors. METHODS This retrospective study included patients admitted to a nursing home affiliated with Nagasaki Renal Center between April 2014 and March 2022. Medical data were collected on admission, and participants were divided into low and high BMI groups according to their median BMI values. The patients were followed up until March 2023. The association between survival and patient history was also analyzed. RESULTS Of the 106 patients (average age, 81.3 ± 7.9 years; male, 36.8%; median dialysis vintage, 32.5 [interquartile range (IQR), 13.8-79.3] months), 52 and 54 were classified into the low (median < 18.4 kg/m2 ) and high (≥18.4 kg/m2 ) BMI groups, respectively. Multivariable Cox proportional hazards analysis indicated that BMI (hazard ratio, 0.87; 95% confidence interval [CI]: 0.82-0.94; P < 0.001) was closely associated with survival. Multivariable logistic regression revealed that dementia was associated with low BMI (odds ratio: 2.89, 95% CI: 1.07-7.83, P = 0.03). CONCLUSIONS Low BMI was an important factor contributing to poor patient survival. Dementia was associated with low BMI. Therefore, the management of both nutrition and dementia is essential for nursing home residents undergoing hemodialysis. Geriatr Gerontol Int 2023; 23: 660-664.
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Affiliation(s)
| | - Mineaki Kitamura
- Nagasaki Renal Center, Nagasaki, Japan
- Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Emiko Otsuka
- Nagasaki Renal Center, Nagasaki, Japan
- Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Yusuke Ejima
- Special Nursing Care Home Kokuraan, Nagasaki, Japan
| | | | - Tomoya Nishino
- Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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Timon R, Martinez-Guardado I, Brocherie F. Effects of Intermittent Normobaric Hypoxia on Health-Related Outcomes in Healthy Older Adults: A Systematic Review. SPORTS MEDICINE - OPEN 2023; 9:19. [PMID: 36843041 PMCID: PMC9968673 DOI: 10.1186/s40798-023-00560-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 02/05/2023] [Indexed: 02/27/2023]
Abstract
BACKGROUND Aging is a degenerative process that is associated with an increased risk of diseases. Intermittent hypoxia has been investigated in reference to performance and health-related functions enhancement. This systematic review aimed to summarize the effect of either passive or active intermittent normobaric hypoxic interventions compared with normoxia on health-related outcomes in healthy older adults. METHODS Relevant studies were searched from PubMed and Web of Science databases in accordance with PRISMA guidelines (since their inceptions up until August 9, 2022) using the following inclusion criteria: (1) randomized controlled trials, clinical trials and pilot studies; (2) Studies involving humans aged > 50 years old and without any chronic diseases diagnosed; (3) interventions based on in vivo intermittent systemic normobaric hypoxia exposure; (4) articles focusing on the analysis of health-related outcomes (body composition, metabolic, bone, cardiovascular, functional fitness or quality of life). Cochrane Collaboration recommendations were used to assess the risk of bias. RESULTS From 509 articles initially found, 17 studies were included. All interventions were performed in moderate normobaric hypoxia, with three studies using passive exposure, and the others combining intermittent hypoxia with training protocols (i.e., using resistance-, whole body vibration- or aerobic-based exercise). CONCLUSIONS Computed results indicate a limited effect of passive/active intermittent hypoxia (ranging 4-24 weeks, 2-4 days/week, 16-120 min/session, 13-16% of fraction of inspired oxygen or 75-85% of peripheral oxygen saturation) compared to similar intervention in normoxia on body composition, functional fitness, cardiovascular and bone health in healthy older (50-75 years old) adults. Only in specific settings (i.e., intermediate- or long-term interventions with high intensity/volume training sessions repeated at least 3 days per week), may intermittent hypoxia elicit beneficial effects. Further research is needed to determine the dose-response of passive/active intermittent hypoxia in the elderly. TRIAL REGISTRATION SYSTEMATIC REVIEW REGISTRATION PROSPERO 2022 CRD42022338648.
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Affiliation(s)
- Rafael Timon
- Sport Sciences Faculty, Universidad de Extremadura, Av/ Universidad s/n, 10004, Cáceres, Spain.
| | - Ismael Martinez-Guardado
- grid.464701.00000 0001 0674 2310BRABE Group. Faculty of Life and Nature Sciences, Universidad de Nebrija, Madrid, Spain
| | - Franck Brocherie
- grid.418501.90000 0001 2163 2398Laboratory Sport, Expertise and Performance (EA 7370), French Institute of Sport (INSEP), Paris, France
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Wołoszyn N, Brożonowicz J, Grzegorczyk J, Leszczak J, Kwolek A, Wiśniowska-Szurlej A. The Impact of Physical Exercises with Elements of Dance Movement Therapy on Anthropometric Parameters and Physical Fitness among Functionally Limited Older Nursing Home Residents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3827. [PMID: 36900835 PMCID: PMC10001087 DOI: 10.3390/ijerph20053827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Revised: 02/18/2023] [Accepted: 02/19/2023] [Indexed: 06/18/2023]
Abstract
Changes in the composition of the body mass of functionally limited older patients may contribute to a decrease in functional fitness and the development of chronic diseases. This research aimed to assess the differences in anthropometric parameters and physical fitness of older patients, over the age of 65, in a 12-week clinical intervention study. Method: The study participants were nursing home inhabitants aged 65-85 who were functionally limited. Persons meeting the inclusion criteria were assigned to one of the three groups: Group 1-basic exercises/BE group (n = 56); Group 2-physical exercises with elements of dancing/PED group (n = 57); Group 3-control group/CO group (n = 56) routine care. The data were collected at the beginning of the study and at the 12-week mark. The outcome was observed for hand grip strength (HGS), arm curl test (ACT), Barthel Index (BI), Berg Balance Scale (BBS), triceps skin fold (TSF), waist-to-hip-ratio (WHR), and arm muscle area (AMA). Results: The study included 98 women and 71 men. The average age of the participants was 74.40 years. The analysis of the effects of the 12-week exercise program showed the greatest changes in HGS, ACT, and BI in the exercise groups, especially in the PED group compared to the BE group. Statistically significant differences in the examined parameters of the PED vs. BE vs. CO groups were demonstrated in favour of the exercising groups. In conclusion, a 12-week program of group physical exercises, both PED and BE, improves physical fitness indicators and anthropometric indicators.
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Affiliation(s)
- Natalia Wołoszyn
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-310 Rzeszów, Poland
- DONUM CORDE Rehabilitation and Medical Care Center, 36-060 Budy Głogowskie, Poland
| | - Justyna Brożonowicz
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-310 Rzeszów, Poland
- DONUM CORDE Rehabilitation and Medical Care Center, 36-060 Budy Głogowskie, Poland
| | - Joanna Grzegorczyk
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-310 Rzeszów, Poland
| | - Justyna Leszczak
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-310 Rzeszów, Poland
- DONUM CORDE Rehabilitation and Medical Care Center, 36-060 Budy Głogowskie, Poland
| | - Andrzej Kwolek
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-310 Rzeszów, Poland
| | - Agnieszka Wiśniowska-Szurlej
- Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-310 Rzeszów, Poland
- DONUM CORDE Rehabilitation and Medical Care Center, 36-060 Budy Głogowskie, Poland
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Wu S, Xiao LD, Nan J, Zhao S, Yin P, Zhang D, Liao L, Li M, Yang X, Feng H. Nursing Home Residents' Perceptions of Challenges and Coping Strategies during COVID-19 Pandemic in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1485. [PMID: 36674245 PMCID: PMC9862260 DOI: 10.3390/ijerph20021485] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 01/02/2023] [Accepted: 01/10/2023] [Indexed: 06/17/2023]
Abstract
Older people in nursing homes are at a high risk of being infected by coronavirus disease 2019 (COVID-19). They also experienced nursing home lockdowns that harm their psychological wellbeing. Better support for this vulnerable population requires understanding their perceptions of challenges and coping strategies during the COVID-19 pandemic. A qualitative descriptive study was conducted using semi-structured interviews. Thematic analysis approach was used to analyze the data. Participants were recruited from six nursing homes in three cities in Hunan Province, China. Fourteen nursing home residents participated in the study. Four themes were identified from interviews and described as: mental stress and coping strategies, self-regulation to respond to lockdown, the lack of social connection and coping strategies, and the need for medical care services and coping strategies. This study revealed that nursing home residents perceived stress during the nursing home lockdown, but they reported initiating activities to maintain health and connections with their families and peers. Resilience improvement interventions are necessary to enable residents' autonomy and develop their resilience in coping with difficulties and hardship during crises. The findings also indicate that a supportive environment with interactions from families, peers, and staffs played a key role in enabling residents' positive health and wellbeing during the lockdown.
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Affiliation(s)
- Shuang Wu
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Lily Dongxia Xiao
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA 5042, Australia
| | - Jiahui Nan
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Si Zhao
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Ping Yin
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Dou Zhang
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Lulu Liao
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Mengqi Li
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Xiufen Yang
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Hui Feng
- Xiangya School of Nursing, Central South University, Changsha 410013, China
- Xiangya-Oceanwide Health Management Research Institute, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha 410013, China
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Mazzarin CM, Silveira BR, Lamezon AC, Cavon Luna B, Valderramas S. Effectiveness and Safety of Multicomponent Physical Training in Patients With Chronic Obstructive Pulmonary Disease: Protocol for a Randomized Clinical Trial. Health Serv Insights 2023; 16:11786329231169255. [PMID: 37153879 PMCID: PMC10161291 DOI: 10.1177/11786329231169255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 03/25/2023] [Indexed: 05/10/2023] Open
Abstract
Background Currently, most Pulmonary Rehabilitation (PR) programs work with conventional physical training, using resources that are not available in public health in Brazil. Multicomponent physical training is a strategy that uses few resources and can reach a larger portion of the population. Objective To investigate the effectiveness and safety of multicomponent physical training on physical-functional performance in patients with COPD. Design Protocol for a randomized clinical trial with 2 groups in parallel (1:1). Setting University-based, outpatient, physiotherapy clinic. Participants 64 patients aged ⩾50 years, clinical-functional diagnosis of COPD, GOLD II and III criteria will participate in the study. Intervention Participants will be randomly allocated into 2 groups: Multicomponent Physical Training-MPT (n = 32): aerobic, strength, balance and flexibility exercises performed in a circuit training format, or Conventional Physical Training-CPT (n = 32): aerobic and strength training. The interventions will be carried out twice a week, for 8 weeks and supervised by the same physiotherapist. Measurements The 3 primary outcomes are the 6-Minute Walk Test (6MWT), the 6-Minute Step Test (6MST) and VO2 consumption as measured during the 6MWT. Secondary outcomes will be exercise capacity, level of physical activity in daily life, peripheral muscle strength, functional status, dyspnea, fatigue and quality of life. Safety will be assessed by recording adverse effects. These outcomes will be evaluated before and after the intervention and the evaluator will be blind. Limitations It will not be possible to perform the blinding of the physiotherapist who will supervise the interventions. Conclusions This study is expected to demonstrate that MPT using simple resources is an effective and safe intervention for the improvement of the aforementioned outcomes and, in addition, to broaden the horizon of research in relation to new methods of physical rehabilitation for patients with COPD.
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Affiliation(s)
- Camila Monteiro Mazzarin
- Graduate Program in Internal Medicine and Health Sciences Universidade Federal do Paraná, Curitiba (PR), Brazil
| | - Bruna Roberta Silveira
- Graduate Program in Internal Medicine and Health Sciences Universidade Federal do Paraná, Curitiba (PR), Brazil
| | - Ana Cristina Lamezon
- Graduate Program in Internal Medicine and Health Sciences Universidade Federal do Paraná, Curitiba (PR), Brazil
| | - Bruna Cavon Luna
- Graduate Program in Internal Medicine and Health Sciences Universidade Federal do Paraná, Curitiba (PR), Brazil
| | - Silvia Valderramas
- Graduate Program in Internal Medicine and Health Sciences Universidade Federal do Paraná, Curitiba (PR), Brazil
- Departament of Prevention and Rehabilitation in Physical Therapy, Universidade Federal do Paraná, Curitiba (PR), Brazil
- Silvia Valderramas, Departamento de Prevenção e Reabilitação em Fisioterapia, Centro Politécnico - Jardim das Américas, Avenida Coronel Francisco H. dos Santos, 100, Caixa Postal 19031, Curitiba (PR) 81531-980, Brazil.
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Sánchez-Sánchez JL, de Souto Barreto P, Antón-Rodrigo I, Ramón-Espinoza F, Marín-Epelde I, Sánchez-Latorre M, Moral-Cuesta D, Casas-Herrero Á. Effects of a 12-week Vivifrail exercise program on intrinsic capacity among frail cognitively impaired community-dwelling older adults: secondary analysis of a multicentre randomised clinical trial. Age Ageing 2022; 51:6964933. [PMID: 36580558 PMCID: PMC9799251 DOI: 10.1093/ageing/afac303] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Indexed: 12/30/2022] Open
Abstract
INTRODUCTION The World Health Organisation recently defined the construct of intrinsic capacity (IC), a function-based marker of older adult's health encompassing all mental and physical capacities of the individual. Multicomponent physical exercise (MCE) is a potential intervention capable to maintain/increase IC at older age; however, evidence is scarce on the effects of MCE on IC in cognitively impaired pre-frail/frail older adults. METHODS Secondary analyses of a randomised clinical trial. One hundred and eighty-eight older outpatients (age = 84.06 ± 4.77, 70.2% women) presenting with pre-frailty/frailty (according to Fried Criteria) and mild cognitive impairment (MCI)/mild dementia were recruited in the Geriatric clinics of three tertiary hospitals in Spain. Subjects were randomised to participate in the 12-week home-based individualised Vivifrail MCE or usual care. An IC index was created based on the z-score of the locomotion (Short Physical Performance Battery), cognitive (Montreal Cognitive Assessment), psychology (15-item Geriatric Depression Scale Yesavage) and vitality (handgrip strength) domains. RESULTS After the 3-month intervention, linear mixed models showed significant between-group differences in the evolution of the IC composite score (β=0.48; 95% confidence interval [CI] = 0.24, 0.74; P < 0.001), IC Locomotion (β = 0.42; 95% CI = 0.10, 0.74; P < 0.001), IC Cognition (β = 0.45; 95% CI = 0.03, 0.87; P < 0.05) and IC Vitality domains (β = 0.50; 95% CI = 0.25, 0.74 at 3-month) favouring the MCE group. CONCLUSIONS The 12-week Vivifrail multicomponent exercise program is an effective strategy to enhance IC, especially in terms of locomotion, cognition and vitality IC domains in community-dwelling older adults with pre-frailty/frailty and MCI/mild dementia, compared to usual care.
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Affiliation(s)
- Juan Luis Sánchez-Sánchez
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalier Universitaire de Toulouse, 31000 Toulouse, France,MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 11519 Cadiz, Spain,Universidad Pública de Navarra (UPNA), Pamplona, Spain
| | - Philipe de Souto Barreto
- Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalier Universitaire de Toulouse, 31000 Toulouse, France,CERPOP, Inserm 1295, Université de Toulouse, UPS, Toulouse, France
| | - Iván Antón-Rodrigo
- Hospital of Eibar, OSI Debabarrena, Osakidetza, Eibar, Gipuzkoa, Spain,Grupo de Investigación en Atención Primaria, Biodonostia Institute of Health Research, San Sebastián, Gipuzkoa, Spain
| | | | - Itxaso Marín-Epelde
- Geriatric Department, Hospital Universitario de Navarra (HUN), Pamplona, Spain
| | | | - Débora Moral-Cuesta
- Geriatric Department, Hospital Universitario de Navarra (HUN), Pamplona, Spain
| | - Álvaro Casas-Herrero
- Address correspondence to: Álvaro Casas-Herrero, Geriatrics Department, Hospital Universitario de Navarra (HUN), C/Irunlarrea s/n 31008, Pamplona, Spain.
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Vogel O, Otto AK, Zimmel H, Hinrichs T, Giannouli E, Wollesen B. Definition and Contextual Factors of Nursing Home Residents' Mobility in a Holistic View: A Delphi Study. Innov Aging 2022; 7:igac067. [PMID: 36789366 PMCID: PMC9912704 DOI: 10.1093/geroni/igac067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Indexed: 11/05/2022] Open
Abstract
Background and Objectives Current definitions of older adults' mobility do not cover the full range of influencing factors and do not consider nursing home residents. The present study reports expert ratings from a Delphi study regarding factors influencing the mobility of long-term nursing home residents. Research Design and Methods We invited 129 professionals with expertise in a field relevant to research on mobility in older adults such as health care, medicine, or human movement science to participate in a Delphi study comprising 3 rounds of online questionnaires. Up to 40 experts participated in each round. In the first round, we used open-ended questions to solicit possible definitions, contextual factors, and assessment tools. In the second round, the participants used Likert scales (1-10) to rate their suitability. In the final round, we presented a definition based on consensus as well as the top-rated contextual factors and assessment tools from the first 2 rounds for a final rating of agreement. Results The experts showed broad agreement on the final version of the mobility definition, with 8.9 ± 1.4 (mean ± standard deviation) out of 10 points. The experts also showed broad consensus on the selected contextual factors, with 8.4 ± 1.8 points to 8.9 ± 1.2 points (out of 10 points). This was also the case for the top 3 assessment tools selected from results of previous rounds, which showed an agreement of 7 or more points (out of 10 points) by 81.6% to 100% of all experts in the different categories. Discussion and Implications Given that an interdisciplinary group of experts considered various hitherto neglected contextual factors as relevant, the Delphi survey and its results imply the need for an updated interdisciplinary and holistic understanding of mobility in nursing home residents and can provide a basis for putting it into practice.
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Affiliation(s)
- Oliver Vogel
- Department of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Ann-Kathrin Otto
- Department of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Hanna Zimmel
- Department of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Timo Hinrichs
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Eleftheria Giannouli
- Address correspondence to: Eleftheria Giannouli, PhD, ETH Zurich, Department of Health Sciences and Technology, Institute of HumanMovement Sciences and Sport, Leopold-Ruzicka-Weg 4, 8093 Zurich, Switzerland. E-mail:
| | - Bettina Wollesen
- Department of Human Movement Science, University of Hamburg, Hamburg, Germany
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Wu C, Yang L, Feng S, Zhu L, Yang L, Liu TCY, Duan R. Therapeutic non-invasive brain treatments in Alzheimer's disease: recent advances and challenges. Inflamm Regen 2022; 42:31. [PMID: 36184623 PMCID: PMC9527145 DOI: 10.1186/s41232-022-00216-8] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 06/13/2022] [Indexed: 11/10/2022] Open
Abstract
Alzheimer's disease (AD) is one of the major neurodegenerative diseases and the most common form of dementia. Characterized by the loss of learning, memory, problem-solving, language, and other thinking abilities, AD exerts a detrimental effect on both patients' and families' quality of life. Although there have been significant advances in understanding the mechanism underlying the pathogenesis and progression of AD, there is no cure for AD. The failure of numerous molecular targeted pharmacologic clinical trials leads to an emerging research shift toward non-invasive therapies, especially multiple targeted non-invasive treatments. In this paper, we reviewed the advances of the most widely studied non-invasive therapies, including photobiomodulation (PBM), transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS), and exercise therapy. Firstly, we reviewed the pathological changes of AD and the challenges for AD studies. We then introduced these non-invasive therapies and discussed the factors that may affect the effects of these therapies. Additionally, we review the effects of these therapies and the possible mechanisms underlying these effects. Finally, we summarized the challenges of the non-invasive treatments in future AD studies and clinical applications. We concluded that it would be critical to understand the exact underlying mechanisms and find the optimal treatment parameters to improve the translational value of these non-invasive therapies. Moreover, the combined use of non-invasive treatments is also a promising research direction for future studies and sheds light on the future treatment or prevention of AD.
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Affiliation(s)
- Chongyun Wu
- Laboratory of Regenerative Medicine in Sports Science, School of Physical Education and Sports Science, South China Normal University, Guangzhou, 510006, China
| | - Luoman Yang
- Department of Anesthesiology, Peking University Third Hospital (PUTH), Beijing, 100083, China
| | - Shu Feng
- Laboratory of Regenerative Medicine in Sports Science, School of Physical Education and Sports Science, South China Normal University, Guangzhou, 510006, China
| | - Ling Zhu
- Laboratory of Regenerative Medicine in Sports Science, School of Physical Education and Sports Science, South China Normal University, Guangzhou, 510006, China
| | - Luodan Yang
- Department of Neurology, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA, 71103, USA. .,Department of Neuroscience and Regenerative Medicine, Medical College of Georgia, Augusta University, Augusta, GA, 30912, USA.
| | - Timon Cheng-Yi Liu
- Laboratory of Regenerative Medicine in Sports Science, School of Physical Education and Sports Science, South China Normal University, Guangzhou, 510006, China.
| | - Rui Duan
- Laboratory of Regenerative Medicine in Sports Science, School of Physical Education and Sports Science, South China Normal University, Guangzhou, 510006, China.
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Qi JY, Yang LK, Wang XS, Wang M, Li XB, Feng B, Wu YM, Zhang K, Liu SB. Irisin: A promising treatment for neurodegenerative diseases. Neuroscience 2022; 498:289-299. [PMID: 35872251 DOI: 10.1016/j.neuroscience.2022.07.018] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 07/10/2022] [Accepted: 07/15/2022] [Indexed: 11/19/2022]
Abstract
The beneficial effects of exercise on human brain function have been demonstrated in previous studies. Myokines secreted by muscle have attracted increasing attention because of their bridging role between exercise and brain health. Regulated by PPARγ coactivator 1α, fibronectin type III domain-containing protein 5 releases irisin after proteolytic cleavage. Irisin, a type of myokine, is secreted during exercise, which induces white adipose tissue browning and relates to energy metabolism. Recently, irisin has been shown to exert a protective effect on the central nervous system. Irisin secretion triggers an increase in brain-derived neurotrophic factor levels in the hippocampus, contributing to the amelioration of cognition impairments. Irisin also plays an important role in the survival, differentiation, growth, and development of neurons. This review summarizes the role of irisin in neurodegenerative diseases and other neurological disorders. As a novel positive mediator of exercise in the brain, irisin may effectively prevent or decelerate the progress of neurodegenerative diseases in models and also improve cognitive functions. We place emphasis herein on the potential of irisin for prevention rather than treatment in neurodegenerative diseases. In ischemic diseases, irisin can alleviate the pathophysiological processes associated with stroke. Meanwhile, irisin has anxiolytic and antidepressant effects. The potential therapeutic effects of irisin in epilepsy and pain have been initially revealed. Due to the pleiotropic and beneficial properties of irisin, the possibility of irisin treating other neurological diseases could be gradually explored in the future.
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Affiliation(s)
- Jing-Yu Qi
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China
| | - Liu-Kun Yang
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China
| | - Xin-Shang Wang
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China
| | - Min Wang
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China
| | - Xu-Bo Li
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China
| | - Ban Feng
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China
| | - Yu-Mei Wu
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China
| | - Kun Zhang
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China.
| | - Shui-Bing Liu
- Department of Pharmacology, School of Pharmacy, Fourth Military Medical University, Xi'an 710032, China.
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Da Silva JL, Agbangla NF, Le Page C, Ghernout W, Andrieu B. Effects of Chronic Physical Exercise or Multicomponent Exercise Programs on the Mental Health and Cognition of Older Adults Living in a Nursing Home: A Systematic Review of Studies From the Past 10 Years. Front Psychol 2022; 13:888851. [PMID: 35645927 PMCID: PMC9136454 DOI: 10.3389/fpsyg.2022.888851] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 04/25/2022] [Indexed: 12/12/2022] Open
Abstract
Some nursing homes for the elderly provide holistic care that integrates several interventions, including physical exercise. The aim of this systematic review is to summarize the effects of physical exercise or multicomponent exercise programs on the mental health (wellbeing, anxiety and depression) and cognitive functions of older adults with/without dementia who live in a nursing home and do/do not require wheelchair assistance. To this end, PubMed, PsycInfo and Web of Science are using to identify clinical trials and randomized controlled studies conducted during the period January 2011 to December 2021 to examine the progression of research in this field over the past ten years. In total, 2597 articles are identifying and 21 are including in the systematic review. After selecting articles according to the PRISMA standards, the data extraction and methodological quality assessment of the eligible studies are performing individually by two reviewers and then pooled together. The synthesis of the studies shows that physical exercise or multicomponent exercise programs have a beneficial effect on mental health and cognitive functions. However, this effect is more common among older adults without dementia, compared to their counterparts who have dementia or use wheelchairs. The explanatory mechanisms, lack of benefits from physical exercise and the need to standardize methods are discussing in this regard. Finally, future studies must examine the effects of an innovative and adaptive physical activity program on the mental health and cognitive functions of older adults living in nursing homes.
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Affiliation(s)
- Jason Leonardo Da Silva
- Institut des Sciences du Sport-Santé de Paris (URP 3625), Université Paris Cité, Paris, France
- Maison de Retraite Villa Jules Janin, Paris, France
- *Correspondence: Jason Leonardo Da Silva
| | - Nounagnon Frutueux Agbangla
- Institut des Sciences du Sport-Santé de Paris (URP 3625), Université Paris Cité, Paris, France
- Laboratory URePSSS – SHERPAS (ULR 7369), Univ. Artois, Univ. Littoral Côte d'Opale, Univ. Lille, UFR STAPS, Liévin, France
- Nounagnon Frutueux Agbangla
| | - Christine Le Page
- Institut des Sciences du Sport-Santé de Paris (URP 3625), Université Paris Cité, Paris, France
| | | | - Bernard Andrieu
- Institut des Sciences du Sport-Santé de Paris (URP 3625), Université Paris Cité, Paris, France
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Liu T, Wang C, Sun J, Chen W, Meng L, Li J, Cao M, Liu Q, Chen C. The Effects of an Integrated Exercise Intervention on the Attenuation of Frailty in Elderly Nursing Homes: A Cluster Randomized Controlled Trial. J Nutr Health Aging 2022; 26:222-229. [PMID: 35297463 DOI: 10.1007/s12603-022-1745-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The frail elderly have an increased risk of frailty because of reduced physical activity, cognitive ability and quality of life. This study aims to evaluate the effects of integrated exercise intervention on the attenuation of frailty in elderly nursing home residents. DESIGN This study was a cluster randomized controlled trial. SETTING AND PARTICIPANTS 146 elderly frailty people from 8 elderly nursing homes in Harbin, China, were randomly assigned into the intervention group and control group after obtaining their informed consent. INTERVENTION The intervention group performed integrated exercise interventions for 12 months, while the control group only continued with their daily activities. MEASUREMENTS Sociodemographic, health-related data, frailty levels, gait parameters, cognition, and quality of life were evaluated. RESULTS The mean age of participants was 80.74± 2.89 years, and 70.37% (n=95) were female. The Difference-in-difference regression showed that, compared with the control group, phenotypic frailty score (β3 =-1.40, p < 0.001) and stride time (β3 = -0.38, p <0.001) decreased significantly in the intervention group, stride velocity (β3 = 0.24, p < 0.001), step length (β3 = 0.08, p <0.001), cadence (β3 = 17.79, p < 0.001), MMSE total score (β3 = 1.90, p < 0.001) and QOL total score (β3 = 11.84, p < 0.001) increased significantly in the intervention group. CONCLUSION The integrated exercise intervention can effectively improve the attenuation of frailty, gait parameters, cognitive function, and quality of life in elderly nursing homes. We can use the findings of this study as a reference for the design of activities for the elderly nursing home residents, to provide them with appropriate exercises, improve their physical functions, and improve or delay their frailty level, which is principally important for developing countries in east Asia where rehabilitation resources are generally scarce.
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Affiliation(s)
- T Liu
- Chen Chen, PhD. Department of the Ward 5 of Acupuncture and Moxibustion, the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, No. 144, Gogol Road, Harbin City 150040, Heilongjiang Province, China. Telephone: +0451-87093470;
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Jin Q, Huang L. Research progress on multicomponent physical exercise for patients with neurocognitive impairment. Zhejiang Da Xue Xue Bao Yi Xue Ban 2022; 51:38-46. [PMID: 35576108 PMCID: PMC9109772 DOI: 10.3724/zdxbyxb-2021-0312] [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: 10/16/2021] [Accepted: 01/20/2022] [Indexed: 06/15/2023]
Abstract
Neurocognitive impairment is a group of clinical syndromes characterized by impaired cognitive function and decreased motor ability. Non-pharmacological interventions such as physical exercise have advantages in the treatment of patients with neurocognitive impairment. Multicomponent exercise is a combination of various physical exercises, including strength training, endurance training, balance training and flexibility training, that can improve gait, balance and cardiopulmonary function by increasing muscle mass, strength and endurance in people with neurocognitive impairment, while also reducing the risk of falls in elders. This article reviews the benefits of multicomponent exercise for patients with neurocognitive impairment and its evaluation methods; also describes 4 intervention programs and their clinical application, to provide evidence for clinical practice and promote the application of multicomponent exercise in patients with neurocognitive impairment.
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Affiliation(s)
- Qun Jin
- 1. Nursing Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
- Department, the Third Hospital of Quzhou, Quzhou 324000, Zhejiang Province, China
| | - Lihua Huang
- 1. Nursing Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
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Influence of Dance Programmes on Gait Parameters and Physical Parameters of the Lower Body in Older People: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031547. [PMID: 35162569 PMCID: PMC8835694 DOI: 10.3390/ijerph19031547] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 01/20/2022] [Accepted: 01/21/2022] [Indexed: 01/27/2023]
Abstract
(1) Background: The regular practice of dancing benefits the physical condition, improving quality of life and minimising the adverse effects of ageing. Therefore, this review aims to evaluate the impact of dance programmes by quantifying different physical parameters of the lower body in older adults. (2) Methods: A systematic qualitative review in the English language (PubMed, Scopus, OvidSP, Cochrane and PEDro database) until mid-2020 considering the PRISMA guidelines and the PEDro quality criteria considering the following parameters of gait: stride length and width, speed. Physical parameters: flexion and dorsiflexion joint, muscle strength and range of motion were carried out. (3) Results: 9 studies with a population of 544 subjects from 5 continents and 6 types of dances were taken into account. The improvement of some parameters over others depended on the type of dance and the movements generated, having moderate positive effects on strength, agility, mobility and balance. (4) Conclusions: there is a general improvement in the functional capacity of the elderly through the practice of ballroom dancing, with specific improvement of each parameter depending on the type of dance.
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Zou Z, Chen Z, Ni Z, Hou Y, Zhang Q. The effect of group-based Otago exercise program on fear of falling and physical function among older adults living in nursing homes: A pilot trial. Geriatr Nurs 2021; 43:288-292. [PMID: 34974397 DOI: 10.1016/j.gerinurse.2021.12.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 12/13/2021] [Accepted: 12/15/2021] [Indexed: 11/04/2022]
Abstract
This pilot trial explored the feasibility of group-based Otago exercise program (OEP) and its impact on fear of falling (FOF) and physical function among Chinese older adults living in nursing homes. The intervention group received group-based OEP for 12 weeks, while the control group received routine care. The modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE), timed Up and Go test (TUG), four-stage Balance test (FSBT), and 30 seconds sit-to-stand test (30s-SST) were used. After twelve weeks, we found that the intervention group had better outcomes than the control group in mSAFFE, TUG, FSBT and 30s-SST (p<0.05). Also, we compared the pretest-posttest results within the two groups, respectively. We found that, within the intervention group, the outcomes of mSAFFE, TUG, FSBT, and 30s-SST become significantly better after twelve weeks, but within the control group, the outcomes of TUG, FSBT, and 30s-SST become significantly worse. Our findings demonstrated that a group-based OEP was feasible and acceptability among Chinese older adults living in nursing homes and the group-based OEP could improve FOF and physical function among those older adults.
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Affiliation(s)
- Zhijie Zou
- Department of Nursing, School of Nursing, Wuhan University, Wuhan, Hubei, China
| | - Zhongwan Chen
- Department of Health Management, School of Sciences, Wuhan University, Wuhan, Hubei, China
| | - Zhao Ni
- Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA
| | - Yibo Hou
- Department of Health Management, School of Sciences, Wuhan University, Wuhan, Hubei, China
| | - Qing Zhang
- Department of Nursing, School of Nursing, Wuhan University, Wuhan, Hubei, China.
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Poveda-López S, Montilla-Herrador J, Gacto-Sánchez M, Romero-Galisteo RP, Lillo-Navarro C. Wishes and perceptions about exercise programs in exercising institutionalized older adults living in long-term care institutions: A qualitative study. Geriatr Nurs 2021; 43:167-174. [PMID: 34902751 DOI: 10.1016/j.gerinurse.2021.11.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 11/17/2021] [Accepted: 11/19/2021] [Indexed: 01/24/2023]
Abstract
The level of exercise among older adults is low, particularly among those living in health-care institutions. To gain insight into the perceptions of institutionalized older adults towards the exercise programs developed in long-term care institutions and to identify their wishes and needs regarding these programs, we conducted a qualitative study using focus group discussions. Thirty-six institutionalized participants (≥ 65 years) were recruited. Six common themes emerged: participants' attitudes and motivations towards the exercise programs, self-perceived health, knowledge of the concept of physical exercise, perceived effects of the exercise programs, and wishes or expectations for the exercise programs. The main wishes were to increase frequency of exercise sessions, to exercise outdoor and to increase walking times. The results suggest the need for changes in the development of exercise programs, including changes in the frequency, performance environment and types of exercises performed.
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Affiliation(s)
- Salud Poveda-López
- Faculty of Health Sciences, UCAM Catholic University of Murcia, Murcia. Spain
| | - Joaquina Montilla-Herrador
- Faculty of Medicine, CEIR Campus Mare Nostrum (CMN), University of Murcia, Instituto Murciano de Investigación Biosanitaria-Virgen de la Arrixaca (IMIB-Arrixaca), El Palmar, Murcia, Spain.
| | - Mariano Gacto-Sánchez
- Faculty of Medicine, CEIR Campus Mare Nostrum (CMN), University of Murcia, Instituto Murciano de Investigación Biosanitaria-Virgen de la Arrixaca (IMIB-Arrixaca), El Palmar, Murcia, Spain
| | - Rita P Romero-Galisteo
- Departament of Physical therapy. Biomedical Research Institute of Málaga (IBIMA), University of Málaga. Málaga, Spain
| | - Carmen Lillo-Navarro
- Department of Pathology and Surgery and Center for Translational Research in Physical Therapy (CEIT). University Miguel Hernández, Sant Joan, Alicante, Spain
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Exercise and physical activity for health promotion and rehabilitation in community dwelling very old adults or nursing home residents. GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH 2021. [DOI: 10.1007/s12662-021-00781-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Vogel O, Niederer D, Vogt L. Multimodal Exercise Effects in Older Adults Depend on Sleep, Movement Biography, and Habitual Physical Activity: A Randomized Controlled Trial. Front Aging Neurosci 2021; 13:722799. [PMID: 34744686 PMCID: PMC8570408 DOI: 10.3389/fnagi.2021.722799] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 09/21/2021] [Indexed: 11/13/2022] Open
Abstract
Background: The promotion of healthy aging is one of the major challenges for healthcare systems in current times. The present study investigates the effects of a standardized physical activity intervention for older adults on cognitive capacity, self-reported health, fear of falls, balance, leg strength and gait under consideration of movement biography, sleep duration, and current activity behavior. Methods: This single-blinded, randomized controlled trial included 49 community-dwelling older adults (36 women; 82.9 ± 4.5 years of age (Mean [M] ± SD); intervention group = 25; control group = 24). Movement biography, sleep duration, cognitive capacity, self-reported health status, and fear of falls were assessed by means of questionnaires. Leg strength, gait, and current activity levels were captured using a pressure plate, accelerometers, and conducting the functional-reach and chair-rising-test. The multicomponent intervention took place twice a week for 45 min and lasted 16 weeks. Sub-cohorts of different sleep duration were formed to distinguish between intervention effects and benefits of healthy sleep durations. Change scores were evaluated in univariate analyses of covariances (ANCOVAs) between groups and sub-cohorts of different sleep duration in both groups. Changes in cognitive capacity, self-reported health, fear of falls, balance, leg strength, and gait were investigated using the respective baseline values, movement biography, and current activity levels as covariates. Analysis was by intention-to-treat (ITT). Results: We found sub-cohort differences in cognitive capacity change scores [F (3,48) = 5.498, p = 0.003, ηp 2 = 0.287]. Effects on fear of falls [F (1,48) = 12.961, p = 0.001, ηp 2 = 0.240] and balance change scores F (1,48) = 4.521, p = 0.040, ηp 2 = (0.099) were modified by the level of current activity. Effects on gait cadence were modified by the movement biography [F (1,48) = 4.545; p = 0.039, ηp 2 = 0.100]. Conclusions: Unlike for functional outcomes, our multicomponent intervention in combination with adequate sleep duration appears to provide combinable beneficial effects for cognitive capacity in older adults. Trainability of gait, fear of falls, and flexibility seems to be affected by movement biography and current physical activity levels. Trial registration: This study was registered at the DRKS (German Clinical Trials Register) on November 11, 2020 with the corresponding trial number: DRKS00020472.
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Affiliation(s)
- Oliver Vogel
- Department of Sports Medicine and Exercise Physiology, Institute of Sports Sciences, Johann Wolfgang Goethe-University, Frankfurt, Germany
| | - Daniel Niederer
- Department of Sports Medicine and Exercise Physiology, Institute of Sports Sciences, Johann Wolfgang Goethe-University, Frankfurt, Germany
| | - Lutz Vogt
- Department of Sports Medicine and Exercise Physiology, Institute of Sports Sciences, Johann Wolfgang Goethe-University, Frankfurt, Germany
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Fukui S, Ishikawa T, Iwahara Y, Fujikawa A, Fujita J, Takahashi K. Measuring well-being in older adults: Identifying an appropriate single-item questionnaire. Geriatr Gerontol Int 2021; 21:1131-1137. [PMID: 34697875 DOI: 10.1111/ggi.14298] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 09/09/2021] [Accepted: 10/06/2021] [Indexed: 12/27/2022]
Abstract
AIM As the older adult population increases globally, it is important for local governments to measure their health and well-being consistently to effectively support this group. Because definitions of subjective well-being - such as happiness, life satisfaction and subjective health - overlap, it is worth considering which single-item indicator local governments can rely on to measure individual well-being. This study, therefore, explored the correlation between three single-item questionnaires on happiness, life satisfaction and subjective health used in government surveys, and established psychometric scales of happiness, life satisfaction and quality of life, and analyzed which of the three single-item indicators most effectively captured the target well-being. METHODS Randomly selected people aged ≥65 years in urban and rural areas (n = 1440) answered the questions on the Happiness Scale, the Satisfaction with Life Scale and the Quality of Life scale, and the three single-item questionnaires (happiness, life satisfaction and subjective health). We analyzed the data using correlation and multiple regression analyses. RESULTS The results showed a high positive correlation between the scales and the single-item questionnaires. The single-item life satisfaction and subjective health questionnaires were significantly correlated with all the three scales. Although there was not much difference in the adjusted R2 values between putting three items jointly and separately, the value of single-item life satisfaction was the best and the subjective health was the second best. CONCLUSION The results showed that the single-item life satisfaction and subjective health effectively captured the target well-being; these could be the appropriate indicators for a potential optimal index. Geriatr Gerontol Int 2021; 21: 1131-1137.
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Affiliation(s)
- Sakiko Fukui
- Department of Home Care Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Takako Ishikawa
- Department of Nursing, Faculty of Human Sciences, National Defense Medical College, Tokorozawa, Japan
| | - Yuka Iwahara
- Faculty of Global Nursing, Iryo Sosei University, Iwaki, Japan
| | - Aya Fujikawa
- Saitama Faculty of Nursing, Japanese Red Cross College of Nursing, Tokyo, Japan
| | - Junko Fujita
- Faculty of Nursing, National College of Nursing, Tokyo, Japan
| | - Kunihiko Takahashi
- Department of Biostatistics, M&D Data Science Center, Tokyo Medical and Dental University, Tokyo, Japan
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Evaluation of the instrumented Timed Up and Go test as a tool to measure exercise intervention effects in nursing home residents: results from a PROCARE substudy. GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH 2021. [DOI: 10.1007/s12662-021-00764-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Abstract
Background and objectives
To achieve independence in activities of daily living, a certain level of functional ability is necessary. The instrumented Timed Up and Go (iTUG) test provides guidance for appropriate interventions, for example, when considering the subphases within the TUG. Therefore, we evaluated the iTUG as a tool to measure the effects of a multicomponent exercise intervention on the iTUG subphases in nursing home residents.
Methods
Fifty long-term nursing home residents (34 women, 82.7 ± 6.46 [65–91] years; 16 men, 78.6 ± 7.0 [62–90] years) performed the iTUG test before and after a 16-week intervention period (2 × 45–60 min/week). According to the attendance rates, participants were divided into three groups.
Results
The total iTUG duration decreased from baseline to posttest, F(2,46) = 3.50, p = 0.038, η2p = 0.132. We observed significant correlations between the attendance rates and the total iTUG duration (r(50) = 0.328, p = 0.010). However, we did not observe significant group × time interaction effects in the subphases. The Barthel Index moderated the effect between attendance rate and the total duration of the iTUG test, ΔR2 = 8.34%, F(1,44) = 4.69, p = 0.036, 95% CI [0.001, 0.027].
Conclusions
We confirmed the effectiveness of the iTUG as a tool to measure exercise intervention effects in nursing home residents, especially when participants exhibit high attendance rates. That said, mobility needs to be considered in a more differentiated way, taking into account parameters in the subphases to detect changes more sensitively and to derive recommendations in a more individualized way.
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Fricke M, Kruse A, Schwenk M, Jansen CP, Muehlbauer T, Gramann K, Wollesen B. Requirements of a cognitive-motor spatial orientation training for nursing home residents: an iterative feasibility study. GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH 2021. [PMCID: PMC8515784 DOI: 10.1007/s12662-021-00762-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
A sedentary lifestyle in nursing home residents is often accompanied with reduced life space mobility and in turn affects satisfaction with life. One of the reasons for this may be limited ability to find one’s way around the care facility and its environment. However, spatial orientation exercises might reduce these problems if they are integrated into an adequate cognitive-motor training. Therefore, we integrated six novel and target group-specific spatial orientation exercises into an established multicomponent cognitive-motor group training for nursing home residents and evaluated its feasibility. Forty nursing home residents (mean age: 87.3 ± 7 years) participated in the spatial orientation cognitive motor training (45–60 min, twice a week over a period of 12 weeks). The main outcomes included the feasibility criteria (adherence, completion time, acceptance, instructions, motor performance, materials/set up, complexity) and first measurements of mobility and satisfaction with life (SPPB [Short Physical Performance Battery], SWLS [Satisfaction with Life Scale]). Adherence increased over time. The increase was associated with the adaptions and modifications of the spatial orientation exercises that were made to meet the participants’ requirements. A positive trend was discerned for mobility and life satisfaction, comparing pre- and posttraining data. In summary, the feasibility analysis revealed that future interventions should consider that (a) instructions of demanding spatial tasks should be accompanied by an example task, (b) trainers should be encouraged to adjust task complexity and materials on an individual basis, (c) acceptance of the training should be promoted among nursing staff, and (d) surroundings with as little disturbance as possible should be selected for training.
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Affiliation(s)
- Madeleine Fricke
- Department of Biological Psychology and Neuroergonomics, TU Berlin, Fasanenstr. 1, 10623 Berlin, Germany
| | - Adele Kruse
- Department of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Michael Schwenk
- Institute of Sports and Sports Sciences, Heidelberg University, Heidelberg, Germany
- Network Aging Research, Heidelberg University, Heidelberg, Germany
| | - Carl-Philipp Jansen
- Institute of Sports and Sports Sciences, Heidelberg University, Heidelberg, Germany
- Clinic for Geriatric Rehabilitation, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Germany
| | - Thomas Muehlbauer
- Division of Movement and Training Sciences/Biomechanics of Sport, University of Duisburg-Essen, Essen, Germany
| | - Klaus Gramann
- Department of Biological Psychology and Neuroergonomics, TU Berlin, Fasanenstr. 1, 10623 Berlin, Germany
| | - Bettina Wollesen
- Department of Biological Psychology and Neuroergonomics, TU Berlin, Fasanenstr. 1, 10623 Berlin, Germany
- Department of Human Movement Science, University of Hamburg, Hamburg, Germany
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Niederer D, Engeroff T, Fleckenstein J, Vogel O, Vogt L. The age-related decline in spatiotemporal gait characteristics is moderated by concerns of falling, history of falls & diseases, and sociodemographic-anthropometric characteristics in 60-94 years old adults. Eur Rev Aging Phys Act 2021; 18:19. [PMID: 34610791 PMCID: PMC8493753 DOI: 10.1186/s11556-021-00275-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 09/23/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Associations between age, concerns or history of falling, and various gait parameters are evident. Limited research, however, exists on how such variables moderate the age-related decline in gait characteristics. The purpose of the present study was to investigate the moderating effects of concerns of falling (formerly referred to as fear of falling), history of falls & diseases, and sociodemographic characteristics on changes in gait characteristics with increasing age in the elderly. METHODS In this individual participant level data re-analysis, data from 198 participants (n = 125 females) from 60 to 94 years of age were analysed (mean 73.9, standard deviation 7.7 years). Dependent variables were major spatiotemporal gait characteristics, assessed using a capacitive force measurement platform (zebris FDM-T). Age (independent variable) and the moderating variables concerns of falling (FES-I), gender/sex, history of falls and fall-related medical records, number of drugs daily taken, and body mass index were used in the statistical analysis. Hierarchical linear mixed moderation models (multilevel analysis) with stepwise (forward) modelling were performed. RESULTS Decreases of gait speed (estimate = -.03, equals a decrease of 0.03 m/s per year of ageing), absolute (- 1.4) and gait speed-normalized (-.52) stride length, step width (-.08), as well as increases in speed normalized cadence (.65) and gait speed variability (.15) are all age-related (each p < .05). Overall and specific situation-related concerns of falling (estimates: -.0012 to -.07) were significant moderators. History of potentially gait- and/or falls-affecting diseases accelerated the age-related decline in gait speed (-.002) and its variability (.03). History of falls was, although non-significant, a relevant moderator (in view of increasing the model fit) for cadence (.058) and gait speed (-.0027). Sociodemographics and anthropometrics showed further moderating effects (sex moderated the ageing effect on stride length, .08; height moderated the effect on the normalised stride length, .26; BMI moderated the effects on step width, .003). . CONCLUSION Age-related decline in spatiotemporal gait characteristics is moderated by concerns of falling, (non-significantly) by history of falls, significantly by history of diseases, and sociodemographic characteristics in 60-94 years old adults. Knowing the interactive contributions to gait impairments could be helpful for tailoring interventions for the prevention of falls. TRIAL REGISTRATION Re-analysis of [21-24].
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Affiliation(s)
- Daniel Niederer
- Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt am Main, Frankfurt am Main, Germany.
| | - Tobias Engeroff
- Division Health and Performance, Goethe University Frankfurt, Institute of Occupational, Social and Environmental Medicine, Frankfurt, Germany
| | - Johannes Fleckenstein
- Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt am Main, Frankfurt am Main, Germany
| | - Oliver Vogel
- Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt am Main, Frankfurt am Main, Germany.,Institute of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Lutz Vogt
- Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt am Main, Frankfurt am Main, Germany
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