Abstract
Background: The aging is a multi-faceted process comprising both—the physical and mental alterations. Thus, the aim of the study was to evaluate the variables affecting the psychophysical state of the elderly people using wheelchairs and living in nursing homes (NH). Methods: 165 older wheelchair users were included in the study after meeting the inclusion criteria and expressing written consent. The assessment involved cognitive functioning, depression, body balance and flexibility, lung capacity and upper limbs dexterity, strenght and endurance. The results showed negative correlation between depression and balance, upper limb dexterity and endurance and shoulder flexion. A positive correlation between cognitive functioning and balance, upper limb dexterity, strenght and endurance, lung capacity and joint mobility was determined. Also, the study proved positive correlation between daily functioning and functional fitness, muscle strength and endurance, body flexibility, joint mobility. The regression analysis showed that better scores in balance test and joint mobility implied with higher scores in cognitive functioning. The most important determinants of functional fitness were balance, hand grip strenght and joint mobility. Conclusion: The future study should be focused on developing interventions aimed at senior wheelchair users living in NHs to prevent the deterioration of their mental and physical fitness.
Highlights
It is expected that the number of elderly people in the world will amount to 1.4 bill in 2030, and 2.1 bill in 2050
All seniors were living in nursing homes (NH) for at least 4 months and were wheelchair users for at least 4 months
High rates of depression in elderly people who live in NHs have been confirmed, the results show insufficient diagnosis of symptoms of depression, which leads to significant intensification of disability [75,76]
Summary
It is expected that the number of elderly people in the world will amount to 1.4 bill in 2030, and 2.1 bill in 2050. Seniors remain independent the longest in the scope in which it involves fitness of upper body (eating meals, maintaining basic hygiene) [7,8,9]. In their meta-analysis Vermeulen et al presented a number of factors decreasing the. The assessment involved cognitive functioning, depression, body balance and flexibility, lung capacity and upper limbs dexterity, strenght and endurance. A positive correlation between cognitive functioning and balance, upper limb dexterity, strenght and endurance, lung capacity and joint mobility was determined. The study proved positive correlation between daily functioning and functional fitness, muscle strength and endurance, body flexibility, joint mobility. Conclusion: The future study should be focused on developing interventions aimed at senior wheelchair users living in NHs to prevent the deterioration of their mental and physical fitness
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