Physical Activity In Elderly People Research Articles

1224-P: Glucagon Secretion Increases with Age in People with Type 2 Diabetes

It has been shown that the decline in the number of pancreatic beta cells and the insulin-secreting capacity of individual pancreatic beta cells progressively decreases with age, and this functional decline is accelerated by the addition of hyperglycemia. While, glucagon (GCG) is elevated in diabetes, and elevated GCG not only increases blood glucose levels (GLUs), but also decreases muscle mass due to protein metabolism leading to decrease in muscle glucose uptake, making blood glucose control more difficult. However, there are no reports yet regarding to age-related changes in GCG secretion. In this study, we analyze the age-related changes in GCG secretion in people with type 2 diabetes (T2D) after insulin treatment to remove glucose toxicity. A retrospective analysis was performed on people with T2D hospitalized for a period of 5 years from December 2017 in whom a test meal load (carbohydrate 75.5-70g, protein 8.5g, fat 28.5g) was performed before and after insulin treatment, and GLUs and GCG were measured. Insulin (IRI) and/or C-peptide (CPR) were also measured. A total of 121 patients (70 males, age 64.2 ± 11.6 years) were included in the analysis. After insulin treatment, GCG secretion was almost all lower than before treatment. GCG secretion increased with age (P=0.014). Insulinogenic Index decreased with age (R=-0.286 P=0.004), and IRI/GLU and CPR/GLU at 120 minutes after the test meal load also decreased with age (R=-0.314 P=0.001, R=-0.324 P=0.001). We confirmed that there is an increase in GCG secretion with aging in people with T2D. This might be one of the reasons for the decrease in muscle mass and physical activity in elderly people with T2D. Further studies are needed to expand the number including people with normal glucose and impaired glucose tolerance. Acknowledgments:The Cookie Testing Study Group provided support. Disclosure S.Kaneko: Advisory Panel; Lilly Diabetes, Speaker's Bureau; AstraZeneca, Novo Nordisk, Sumitomo Dainippon Pharma Co., Ltd., Mitsubishi Tanabe Pharma Corporation, Lilly Diabetes, Bayer Inc., Kowa Company, Ltd., Kyowa Kirin Co., Ltd. K.Motohashi: None. Y.Ueba: None. S.Tokumoto: None. Funding Cookie Testing Study Group

Body composition and level of physical activity of elderly people living in north-eastern Poland associated with socioeconomic factors

Introduction: Studies conducted in various regions of the world have indicated that physical activity level, body composition and socioeconomic variables can be associated. Therefore, the objective of this study was to determine whether socioeconomic factors are associated with level of physical activity and differences in the body composition of elderly people living in north-eastern Poland. Materials and Methods: The study involved 774 older residents (60 years or more). Physical activity levels were measured with the International Physical Activity Questionnaire. The respondents’ body composition was determined with an InBody 270 analyser. Pairs of means were compared with Student’s t-test; more than two means were compared with one-way ANOVA; and proportions were compared with the chi-square test. Statistical significance was defined as p≤0.05. Results: The marital status of men and women was significantly associated with differences in physical activity level and body composition. The place of residence and level of education of women (but not of men), were also significantly associated with differences in body composition. Age and material situation were not significantly associated with differences in body composition and physical activity level. Conclusion: The mean values of parameters of body composition in the surveyed group exceeded the norms. The level of physical activity of the subjects is at a sufficient level, but in the case of women it depends on socio-economic characteristics. Therefore, there is a need to find effective ways to support older adults in maintaining (or increase) their physical activity with a particular focus on women.

Do levels of self-efficacy affect urinary incontinence, falls, quality of life, sleep, and physical activity in elderly people with urinary incontinence?

Our study aims to determine whether different self-efficacy (SE) levels affect urinary incontinence symptoms, falls, quality of life, sleep, and physical activity in elderly individuals with incontinence. Our secondary aim is to examine the relationship between SE levels and urinary incontinence severity, quality of life, sleep status, fear of falling, and physical activity level. One hundred twenty elderly individuals (median age: 71years) with urinary incontinence participated in the cross-sectional study. Participants were divided into 3 groups as levels of low, moderate, and high according to their Geriatric SE Index for Urinary Incontinence (GSE-UI). Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), Incontinence Quality of Life Scale (I-QOL), Pittsburgh Sleep Quality Index (PSQI), Fall Efficacy Scale (FES), Rapid Assessment Physical Activity (RAPA), and International Physical Activity Questionnaire Short Form (IPAQ-SF) assessments associated with incontinence were performed. Data were analyzed using Mann-Whitney U, Kruskal-Wallis tests, and Spearman's correlation. A significant difference was found in UDI-6, IIQ-7, I-QOL, and FES belonging to three groups according to GSE-UI levels (p ˂0.01, p ˂0.01, p ˂0.01). It was determined that the group with low GSE-UI level had the highest incontinence symptoms, fear of falling, and the lowest quality of life statistically significant. A negative moderate significant correlation was found between GSE-UI scores and UDI-6 (r: - .67, p ˂0.01), IIQ-7 (r: - .67, p ˂0.01), and FES (r: - .46, p ˂0.01). In elderly individuals with urinary incontinence, the level of SE may affect incontinence symptoms, severity, fear of falling, and quality of life and may be an important factor for incontinence. An increased level of SE may lead to positive effects on the user interface. Further studies in this field are needed.

Exploring the Mediating Effect of Physical Activities on Built Environment and Obesity for Elderly People: Evidence From Shanghai, China.

There is still a scarcity of literature on the specific mechanisms of the linkage between the built environment and obesity. As a result, this study investigated whether and how physical activities mediate the associations between the objective built environment and the BMI of elderly people. To investigate the effect of the duration and intensity of physical activity on the effect of the built environment, the study made use of the bootstrap method. In general, we discovered that physical activity duration has a huge mediating effect on the elderly people in Shanghai, especially with respect to the density and accessibility of facilities (gyms, parks, fast-food restaurants) that can greatly stimulate physical activity in elderly people to reduce their BMI. There were both direct and indirect effects on their BMI, which means that the health benefits of green spaces for older people may be more complicated than first thought.

Covid-19 and the impact on the physical activity level of elderly people: A systematic review.

IntroductionSocial isolation and lifestyle changes provoked by the COVID-19 pandemic have negatively affected the level of physical activity of the elderly people.ObjectiveTo evaluate the available evidence related to the level of physical activity (PA) of elderly people during the COVID-19 pandemic.MethodsThis is a systematic review, registered on PROSPERO (CRD42021241116), which included cross-sectional and cohort studies. Embase, Pubmed, Cochrane, Web of Science and Scopus databases were used to search for the studies. Finally, the New Castle-Ottawa Quality Assessment scale was used to measure the quality of the studies.Results25 studies were found, being 14 cross-sectional and 11 cohort studies. The studies showed that the elderly population was highly affected in relation to the level of physical activity and lifestyle during restrictions, quarantine and lockdowns caused by the COVID-19. There was a significant reduction in physical activity levels, leading to declines in physical fitness and increased sedentary lifestyle, factors directly related to the increase in frailty in this population.ConclusionThe level of physical activity in the elderly population decreased during the quarantine period of COVID-19 worldwide. Strategies to maintain physical condition must be encouraged with physical exercises that meets the needs of the elderly in the current pandemic scenario, in order to maintain and improve the health of this population.

Moderate Exercise Improves Cognitive Function in Healthy Elderly People: Results of a Randomized Controlled Trial.

Background:Physical activity in the elderly is recommended by international guidelines to protect against cognitive decline and functional impairment.Objective:This Randomized Controlled Trial (RCT) was set up to verify whether medium-intensity physical activity in elderly people living in the community is effective in improving cognitive performance.Design:RCT with parallel and balanced large groups.Setting:Academic university hospital and Olympic gyms.Subjects:People aged 65 years old and older of both genders living at home holding a medical certificate for suitability in non-competitive physical activity.Methods:Participants were randomized to a 12-week, 3 sessions per week moderate physical activity program or to a control condition focused on cultural and recreational activities in groups of the same size and timing as the active intervention group. The active phase integrated a mixture of aerobic and anaerobic exercises, including drills of “life movements”, strength and balance. The primary outcome was: any change in Addenbrooke's Cognitive Examination Revised (ACE-R) and its subscales.Results:At the end of the trial, 52 people completed the active intervention, and 53 people completed the control condition. People in the active intervention improved on the ACE-R (ANOVA: F(1;102)=4.32, p=0.040), and also showed better performances on the memory (F(1;102)=5.40 p=0.022) and visual-space skills subscales of the ACE-R (F(1;102)=4.09 p=0.046).Conclusion:A moderate-intensity exercise administered for a relatively short period of 12 weeks is capable of improving cognitive performance in a sample of elderly people who live independently in their homes.Clinical Trials Registration No: NCT03858114

Investigating the Role of Social Functions of Parks on Adherence to Physical Activity of Elderly People During an Epidemic Disease (COVID-19)

Introduction: The importance of desirable physical activity as a deterrent and risk factor for the elderly is well known. The present study was conducted to investigate the role of parks' social functions on adherence to physical activity in elderly people in Mashhad During epidemic disease (COVID-19). Method. This cross-sectional study was performed using a structured interview technique and a multi-part questionnaire on 100 elderly people. Sampling was done in two stages using a systematic random method. Results: Based on the results, it was found that there is a positive and significant relationship between the social function of parks and its components with adherence to physical activity in the elderly (P <0.05) and well as 18% of adherence to physical activity changes is related to the social function of parks. Conclusion: The findings of this study showed that many factors are affecting physical activity in elderly people, which understanding these factors help educators and other health professionals in designing appropriate intervention programs. Maintaining regular PA during self-isolation is important for the prevention of future chronic health conditions due to a sedentary lifestyle. During crises, functional medical care and vital societal services are of the highest priority.

The Effect Of Exercise Consultation Program On Physical Activity Level In Elderly People At Darussalam Community Health Center,North Sumatra

Background : It is importan to promote physical activity for elderly people, but to improve level of physical activity of elderly people is a challange for health workers. Purpose : The purpose of this quasi- experimental study was to determine the effect of exercise consultation program by using Transtheoretical Model (TTM) approach on physical activity level in elderly people at Darussalam’s Community Health Center. Research method :The two comparison groups for this study were purposively designed for pre-test/post-test procedures; sixty elderly people at Darussalam’s Community Health Center with randomly allocated into the experimental (30 people) and the control (30 people) groups. While the experimental group received the exercise consultation for 8 weeks, the control group received routine care. Physical Activity Scale for Elderly (PASE) was use to assess the the physical activity of elderly. Comparative assessments on differences in level of physical activity both within group using Wilcoxson macthed-pairs and between group using Mann Withney U Test. Results : The results of this study found that after receiving exercise consultation program, level of physical activity in elderly people significantly increased in the experimental group (P &lt; 0.05), but there was no significant difference in the control group. Between groups, level of physical activity significantly increased after receiving the exercise consultation while no change was found among those who did not (P &lt; 0.05).Conclusion: The exercise consultation program by using TTM approach could increase level of physical activity of elderly people.

Elements of the built environment that can promote physical activity in elderly: an umbrella review

Abstract Background All healthy adults aged 65 years and above, unless specific medical conditions, benefit from physical activity. The built environment can support and encourage physical activity. The aim of this study is to establish which specific elements of the built environment can contribute to improve the physical activity of self-sufficient, non-institutionalized and living in the city adults &amp;gt; 65 years. Methods An extensive literature search was conducted in several database. Umbrella review methodology was used to include the systematic reviews that presented a sufficient methodological quality. Data from reviews were undergone to critical appraisal, data extraction and synthesis. Results Eleven reviews were included. The elements positively associated with physical activity in the elderly resulted: walkability; residential density/urbanisation; street connectivity; access/availability of services and destinations (land-use mix destination diversity and access, public transit, recreational facilities, parks and open spaces); pedestrian/cycling infrastructures and streetscapes (footpaths presence and quality, infrastructures for walking or cycling, easy access to building entrance, benches and sitting facilities, street lights); greenery and aesthetically pleasing scenery; safety and traffic (crime, personal and general safety, traffic and pedestrian safety, human or motorised traffic volume). The elements that resulted as negatively associated with physical activity were: the presence of slopes or hilliness; presence of barriers to walking/cycling; littering/vandalism/decay/vacant buildings; pollution (air, noise, sewer). Conclusions Evidences show that specific elements of the built environment can contribute to promoting elderly people's physical activity. The city restructuring plans should take into consideration these evidences in order to implement the design of interventions aimed at promoting physical activity of elderly people. Key messages Evidences show that specific elements of the built environment can contribute to promoting elderly people’s physical activity. The city restructuring plans should take into consideration these evidences in order to implement the design of interventions aimed at promoting physical activity of elderly people.

Physical activity promotion of elderly people as a complex intervention: supportive toolbox

Abstract Issue In EU countries, almost 20% of the population is aged 65 or older. This longer life expectancy offers many opportunities but health risks as well. Health promotion measures like physical activity are of central importance but only a small proportion of the elderly meets the minimum level of physical activity recommended by the WHO. The project “Ageing in balance” investigates how a complex intervention to promote physical activity in older people can be implemented and facilitated by making practical tools centrally available. Description of the problem A complex intervention following the steps of an ideal-typical process and combining behavioural and structural preventive approaches is implemented in several model regions in Germany over three years (2019-2021). As a service at the federal level, a toolbox comprising tools for needs assessment, interventions and information on physical activity, project management, legal issues and financing is built up to support the work of local decision-makers. It's evaluated how setting approaches to promote physical activity for elderly people can be successful, which supporting and impeding factors exist and how the process can be supported by a flexible toolbox provided at federal level. Results Socioeconomically deprived model regions (rural, town, city) were recruited and started to raise awareness and to perform needs assessment. Building of local steering committees and implementing interventions are the next steps. Currently the toolbox contains systematically identified instruments for needs assessment, an intervention database with a newly developed evidence ranking system and several information modules. Lessons Facilitating promotion of physical activity in the elderly is important as prioritization and resources at local level are often limited. Making the implementation of setting approaches successful and providing the potentially most promising support from federal level is still pioneering work. Key messages The effort is to build up a flexible support system for local stakeholders to promote physical activity in elderly people. It is evaluated how a complex behavioural and structural prevention effort for elderly people can be implemented.

Influence of epoch length on measurement of light physical activity in the elderly: A technical analysis

Aims: To clarify how epoch lengths of accelerometers affect measurement of physical activity in elderly people. Methods: The data was based on 70 elderly people (72.6 ± 5.4 years) living in Japan between 2017 and 2018. Furthermore, we used data obtained from triaxial accelerometers that the subjects wore for more than 10 hours every day for 7 days. We evaluated light physical activity (2.9 Mets or less) and further grouped it into sedentary behaviour (SB, 1.5 Mets or less) and Light Intensity Physical Activity (LIPA, between 1.6 and 2.9 Mets). We also compared 10-second epoch lengths (ELs) to 60-second ELs (%) by Bayesian estimation. Results: In 2017 and 2018, SB at 10-second ELs was longer than at 60-second ELs (55.5 vs. 50.4% in 2017; 55.7 vs. 48.9% in 2018); however, LIPA at 10-second ELs was shorter than at 60-second ELs (35.0 vs. 42.3% in 2017; 35.0 vs. 44.5% in 2018). The Bayesian factor varied between 3.0x10 12 and 3.2x10 24 . The robustness of the Bayesian factor was confirmed by the robustness check. Furthermore, effect sizes were between |1.68| and |3.00|. Conclusion: ELs of the accelerometer may affect measurement of physical activity in elderly people. Thus, SB at 10-second ELs may be longer than at 60-second ELs and may be the reverse for LIPA.

The Effect of Educational Intervention on the Physical Activity of the Elderly

Background and Purpose: Changing the physical activity pattern is an important factor in reducing mortality and increasing longevity. The aim of the current study was to determine the effect of educational intervention on physical activity of elderly people.&#x0D; Materials and Methods: In this quasi-experimental study, 80 elderly people from two rural health centers in Ghaemshahr city were selected and assigned to intervention (n=40) and control (n=40) groups. The elderly in the intervention group received 4 training sessions of 30 to 45 minutes in a month, while the control group did not receive such training. Before and one month after the intervention, Rapid Assessment of Physical Activity (RAPA) questionnaire was completed by both groups. The collected data were analyzed using chi square, paired sample t-test, independent sample t-test and ANCOVA.&#x0D; Results: The mean total score of RAPA, before intervention, in the control group was significantly higher than the intervention group (P = 0.017). However, after the intervention, the mean total score in the intervention group was significantly higher than the control group (P &lt;0.001). One month after the intervention, the mean of the RAPA score in the intervention group significantly changed from 2.1 to 4.95 (P &lt;0.001), however, the mean change in the RAPA score in the control group (from 2.4 to 2.5) was not significant (P = 0.352).&#x0D; Conclusion: Given the effect of educational intervention on the physical activity of the elderly, the design of such educational interventions is recommended.

Physical Activity Levels in a Structured Physical Exercise Community Program in Elderly

PURPOSE: A decline in physical activity levels in older people is related with worsening of quality of life and a lower cardiorespiratory fitness level, which are associated with cardiovascular disease events and mortality from all causes. The aim of this study was to survey the level of self-reported physical activity in elderly people practicing different levels of physical activity program. An urban community of Sao Paulo was investigated. METHODS: This was a community-based cross-sectional study of a cohort of 50 individuals aged 60 or over, participating in a 6-month structured physical exercise community program and a control group of 50 sedentary elderly individuals age-matched. The structured physical exercise community program adheres to the Position Stand of the American College of Sports Medicine, as it included combined aerobic exercise, muscle strengthening exercises, and flexibility exercises. Physical activity levels were evaluated using the International Physical Activity Questionnaire (IPAQ). RESULTS: The group participating in a physical exercise program had significantly higher levels of physical activity in the moderate activity (318.8 ± 561.8 vs. 238.5 ± 831.6 MET-min/wk, p < 0.001), vigorous (125.8 ± 245.7 vs. 66.2 ± 228.9 MET-min/wk, p < 0.002) and total activity (846.0 ± 951.1 vs 691.0 ± 1239.1 MET-min/wk, p < 0.05). No differences between these groups were observed in walking activity (275.6 ± 289.8 vs. 320.1 ± 498.4 MET-min/wk, p = 0.6). CONCLUSIONS: Our structured physical exercise community program proved effective in order to overcome the decline in physical activity levels in elderly population.

Peripheral Blood Mononuclear Cells Antioxidant Adaptations to Regular Physical Activity in Elderly People.

Regular physical activity prescription is a key point for healthy aging and chronic disease management and prevention. Our aim was to evaluate the antioxidant defense system and the mitochondrial status in peripheral blood mononuclear cells (PBMCs) and the level of oxidative damage in plasma in active, intermediate and inactive elderly. In total, 127 healthy men and women >55 years old participated in the study and were classified according on their level of declared physical activity. A more active lifestyle was accompanied by lower weight, fat mass and body mass index when compared to a more sedentary life-style. Active participants exhibited lower circulating PBMCs than inactive peers. Participants who reported higher levels of exercise had increased antioxidant protein levels when compared to more sedentary partakers. Carbonylated protein levels exhibited similar behavior, accompanied by a significant raise in expression of cytochrome c oxidase subunit IV in PBMCs. No significant changes were found in the activities of antioxidant enzymes and in the expression of structural (MitND5) and mitochondrial dynamic-related (PGC1α and Mitofusins1/2.) proteins. Active lifestyle and daily activities exert beneficial effects on body composition and it enhances the antioxidant defenses and oxidative metabolism capabilities in PBMCs from healthy elderly.

Physical activity of elderly people

Physical activity of elderly people

Biomechanical approach in facilitating long-distance walking of elderly people using footwear modifications

BackgroundLong-distance walking is a convenient way for prompting physical activity of elderly people. However, walking ability declines with aging.Research question: This study assessed if silicone insoles with heel lifts (named here the prescribed insoles) could facilitate long-distance walking of older adults. MethodsFifteen adults aged over 65, who did not have obvious lower-limb problems, walked on a treadmill for totally 60 min in two separate walking sessions: 1) with the prescribed insoles, and 2) with original insoles of the standardized shoes. Gait tests using force plates and a motion analysis system, and subjective evaluation using visual analog and Borg’s CR10 scales were conducted at different time points of the treadmill walking. ResultsObjective gait anaylsis showed that without using the prescribed insoles, there were significant reductions (p < 0.05) in stance time, vertical ground reaction force, ankle dorsiflexion angle and ankle power generation of the dominant leg after the 60-minute treadmill walk. Such significant reductions were not observed in the same group of subjects upon using the prescribed insoles. Meanwhile, significant improvements in subjective perception of physical exertion, pain and fatigue were observed. SignificanceHeel lifts and silicone insoles are generally used to relieve plantar pain and reduce strain of plantar flexors in patients. This study showed they might also be solutions to facilitate long-distance walking of older adults, an approach which could prompt their physical activity.

Influence of Chronic Pain on Perceived Health Status and Physical Activity in Elderly People After Lumbar Surgery

This present study investigated perceived health status and physical activity in elderly people after lumbar surgery to assess the effect of postoperative chronic pain on perceived health status and daily living. A total of 171 people were divided into the moderate to severe pain group and the nonpain/slight pain group. Effect sizes (r) of the assessed item scores were calculated from intergroup comparisons. The r values for the perceived health status and physical activity scores were as follows: physical, 0.49; mental, 0.43; social health, 0.24; and physical activity, 0.31. Chronic pain after lumbar surgery negatively influences perceived physical/mental health and physical activity.

Proposal for a Method of Constructing Inclusive Urban Green Infrastructure

Population ageing and growing awareness of the need for physical activity is one of the most important topics in Europe nowadays. But it should be noted that there is still no interdisciplinary and integrated approach to urban environment planning concerning physical activity of elderly people which would take into account special needs and possibilities of this particular group. Elderly people represent one of the groups which are threatened with social exclusion for different reasons. This article presents a proposal for a method of constructing a spatial system consisting of natural and anthropogenic elements of urban environment which can be interpreted as Inclusive Urban Green Infrastructure, enabling active and healthy ways of recreation, including the needs of elderly persons. It is based on the existing elements of the environment, but to create a well-functioning system in urban space it is necessary to introduce additional elements, both natural and man-created. The method refers to the spatial definition of areas for active recreation which meet the adopted, specific for elderly people, pro-health and functional requirements. Creation of such a system in cities would contribute to inclusion of this group into social life, thus boosting social coherence and integration across generations, and would also bring beneficial health results. Such infrastructure would also be of considerable importance for sustainable urban growth and improvement of the quality of urban space. The paper is based on source materials from the fields of science investigating health in connection with physiology of the process of ageing, influence of physical activity on this process, impact of negative features of the environment on the health of elderly people as well as urban space planning and development. The proposed methodology of constructing Inclusive Urban Green Infrastructure is presented on the example of Łódź, using data from the Geographic Information System (Topographic Objects Database) and population database for cities.

Physical activity of elderly people, mental health and quality of life

Physical activity of elderly people, mental health and quality of life

Alexitimia y depresión en mayores que practican actividad física dirigida

La relación entre la alexitimia y la depresión y los factores sociodemográficos ha sido estudiada en personas mayores. Sin embargo, el papel atenuador del ejercicio en estas afecciones aún debe ser determinado. En el presente estudio se mide el grado de alexitimia y depresión en adultos mayores, comparando una muestra sedentaria con una de practicantes de actividad física. Se utilizó un diseño descriptivo transversal con una muestra compuesta por 27 participantes, 9 hombres y 18 mujeres de más de 60 años (64±5.1 años), con objeto de medir el grado de alexitimia y depresión que presentaban en el momento de la recogida de datos. Los instrumentos utilizados fueron la escala de depresión de Yesavage, la Escala de Alexitimia de Toronto (TAS-20) y el Cuestionario de Salud SF-12. Los resultados mostraron que los practicantes de actividad física presentaban puntuaciones más bajas en alexitimia y depresión que los sujetos sedentarios, sin que éstas variables estuvieran relacionadas en función del género y la edad. A tenor de los resultados, el ejercicio pudiera jugar algún papel en la modulación de las alteraciones psicológicas.