Senior Fitness Test Battery Research Articles

CONFIABILIDADE DO TESTE DE AVALIAÇÃO DA FUNCIONALIDADE DE IDOSOS SENIOR FITNESS TEST: UMA BREVE REVISÃO

Introduction: The Senior Fitness Test battery aims to evaluate the functionality of elderly people. It has its specificities, having its autonomy in what will be measured during the application process. In this sense, the assessment of functional capacities is necessary in view of a diagnosis on aspects of activities of daily living, muscle strength, agility, coordination, and flexibility. Objective: To verify the reliability of the application of the functional fitness test (Senior Fitness Test) directed to elderly people ≥60 years. Methodology: This is a bibliographic review in the Pubmed BVS and Scielo database, including articles in English from 2017 to 2021 that contributed to the proposed theme: Senior Fitness Test. Results: the results included 4 articles, which showed consistent results of the Senior Fitness Test in pre and post-test to assess the physical fitness of the elderly.

Influence of Obesity and Sociodemographic Features on the Physical Fitness of Breast Cancer Survivors.

Obesity is a chronic, relapsing, and progressive disease. The issue of obesity affects 50 to 80% of patients who have been diagnosed with breast cancer. The aim of this study is to assess the scale of the problem of obesity among breast cancer survivors (BCS) older than 60 years, evaluate their physical fitness, and study the relationship between the occurrence of obesity and levels of fitness among breast cancer survivors. The relationship between fitness and sociodemographic factors has also been analyzed. This original epidemiological clinical study included a cohort of 88 female breast cancer survivors treated in 2022 in Holycross Cancer Center, Kielce, Poland. A questionnaire involving demographic information and medical data was utilized. The Senior Fitness Test (SFT) battery has been used to assess the physical fitness of the patients. Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were also analyzed. More than 70% of the studied breast cancer survivors were classified as overweight or obese, according to BMI and WC indices. Depending on the SFT trial, the regression coefficients indicated worse results in participants who were older, lived in urban areas, were professionally active, less educated, and had higher obesity indices. The analysis of the relationship between obesity indices and fitness components revealed that all obesity indices were significantly associated with lower body flexibility (BMI p = 0.0118, WC p = 0.0092, WHR p = 0.0364, WHtR p = 0.0095). Upper body flexibility was significantly correlated with BMI indices (p = 0.0091, p = 0.0193) and WHtR (p = 0.0095). Agility and balance were significantly associated with WC (p = 0.0193), WHR (p = 0.098), and WHtR (p = 0.0095). Lower body strength was significantly correlated with the WHR index (p = 0.0487). Significant differences were found in upper body strength depending on the WHtR category. In the studied group of breast cancer survivors, there is a high prevalence of overweight and obesity. With increasing obesity rates, older age, and lower education levels, physical activity measured by the SFT decreases. Living in urban areas and being professionally active also predispose to lower physical activity levels. As obesity indices increase, physical fitness decreases in trials assessing upper and lower body strength, upper and lower body flexibility, as well as agility and dynamic balance.

Functional fitness and physical independence in later years: cut-off values and validation

BackgroundTo establish and validate the criterion-referenced standards of functional fitness in predicting physical independence in 80 + years.MethodsA group of 2,749 older community dwellers (60–84 years) were recruited, and 2,050 were identified with moderate-to-high independent living ability according to the proposed minimum composite physical function score. The Senior Fitness Test battery was applied to measure functional fitness at five-year intervals. The declining rate for each fitness dimension was calculated based on the differences between any two adjacent age groups and was adjusted according to the reported degradation rate differences between the cross-sectional and longitudinal studies.ResultsThe age-and-sex-specific criterion-referenced standards were identified for muscle strength, cardiovascular endurance, and dynamic balance that older adults should possess at 60–79 to maintain independent living abilities. Moderate to high consistency (k = 0.622–0.650) and associations (φ = 0.641–0.694) were found between the predicted physical independence by criterion-referenced standards of functional fitness and the results from the composite physical function scale. Moreover, the predicted independent living abilities in later years from the criterion-referenced standards of functional fitness showed high test-retest reliability (Pa = 0.90–0.96).ConclusionThe criterion-referenced standards for functional fitness are valid and reliable to predict independent living abilities in later years, and provide the threshold to identify the limitations in physical fitness and detect the risks of functional disabilities among older adults in an early stage.

Physical Fitness of the Older Adult Community Living in Leiria, Portugal.

This study aimed to achieve two primary objectives. Firstly, to compare physical fitness levels based on sex, age groups, and body composition. Secondly, to examine physical fitness of the older adults against criterion-referenced fitness standard values using a representative sample from the district of Leiria in Portugal, a region undergoing exponential population growth, including a rise in the elderly population. Data from cross-sectional assessments of the Portuguese older adult community living in the Municipality of Leiria from 2014 to 2022 were collected. This study comprised a sample of 664 community-dwelling older adults (female = 480; male = 184) aged between 60 and 90 years (M = 70.34; SD = 12.67). Participants had a body mass ranging from 45 kg to 122 kg (M = 71.48; SD = 12.34) and a height ranging from 1.30 m to 1.89 m (M = 1.59; SD = 0.08). The Senior Fitness Test battery was used to evaluate parameters of physical fitness, body mass index was calculated, and abdominal circumference was measured. Females displayed a tendency to greater physical fitness compared to males, specifically in terms of lower and upper body flexibility compared to older male adults (p < 0.05). In addition, sexagenarian and older adults with normal weight tended to display greater physical fitness compared to septuagenarian and octogenarian, and overweight adults and those with obesity (p < 0.05), respectively. Information concerning physical fitness is crucial for guiding policymakers and other stakeholders in Leiria for the promotion of healthy aging among the older adult community. Furthermore, this study has established the preliminary reference standards for physical fitness, serving as a tool to promote healthy aging among Portuguese older adults residing in Leiria.

Moving together - benefits of an online dance program on physical and mental health for older women: an exploratory mixed-method study

BackgroundPrevious studies show that in-person dance training is a beneficial form of physical activity that involves mental, social, and physical dimensions. This exploratory study investigated the benefits of a 12-week online dance training intervention on mental and physical health outcomes for older women.MethodsA convergent parallel mixed-method design was used. Forty-five older adults (74.0 ± 5.3 yrs old, 44 women) were recruited through advertisements at activity and rehabilitation centers in the North Denmark region. The intervention consisted of two weekly 60-min classes of improvisation and salsa delivered online through video call applications. Changes in physical health outcomes (body mass and composition, resting blood pressure, Senior Fitness Test battery) and self-rated health and wellbeing (health-related quality of life (HRQOL), feelings of loneliness) were assessed prior to and after 12 weeks of dancing. Focus group interviews were conducted post-intervention to further explore the benefits as well as the participant’s experience of the intervention. Thematic analysis of the qualitative data was conducted.ResultsThirty-two participants (all women) completed the study. Significant improvements in fitness were found for the number of arm curls performed (baseline: 12.3 ± 3.0; post-intervention: 13.7 ± 3.0, P = 0.005), 2-min step test performance (baseline: 66.5 ± 20.0 reps.; post-intervention: 73.8 ± 22.6 reps., P = 0.016), and chair sit-and-reach (baseline: 0.4 ± 11.3 cm; post-intervention: 5.5 ± 10.1 cm, P < 0.001). There was a significant increase in body mass from baseline to post-intervention (P < 0.015). The themes from the focus groups included (1) Participation, (2) Challenges, (3) Progression, (4) Motivation, (5) Perceived health and wellbeing, and (6) Online dance instruction. No significant changes were reported in HRQOL and loneliness from the quantitative data, although the qualitative data did reveal improved feelings of physical health and wellbeing.ConclusionsThe intervention improved several aspects of fitness in older women and improved the participants’ perceptions of their own physical abilities and wellbeing. While most participants found the online intervention enjoyable, several participants missed the feedback from the instructors that naturally occurs with in-person instruction.

The Effect of Physical Exercise on Functional Capacity and Perception of Well-Being in Older Adults

Study purpose. The study aimed to evaluate the effect of strength training exercises on functional capacity, quality of life and perception of well-being in elderly people. Materials and Methods. It was used a mixed study with sequential explanatory design, in which 25 elderly females between 62 and 85 years participated in a physical exercise program for eight weeks, with a frequency of 3 days and sessions of 58 minutes on average. The Senior Fitness Test battery of test item was conducted with a grip strength test, heart rate monitoring in a 6-minute test, SF-36 health questionnaire and post-intervention focus group oriented to well-being analysis. Results. Cardiorespiratory capacities, strength and flexibility improved significantly (p&lt; .05), but agility and heart rate did not change (p&gt; .05). Scores increased in the 8 quality of life dimensions analyzed, and in subjective well-being, health improvement was identified in both the self-perception and autonomy of daily activities related to vitality, motivation, social interaction and adherence to physical activity. The findings indicate that physical exercise based on strength training improves functional capacity, health-related quality of life and the well-being of seniors. Conclusions. The findings of this study show that eight weeks of physical exercise based on strength training with affordable means (own body weight, elastic bands and dumbbells) with a frequency of 3 days a week, contribute to improving the functional capacity of strength and flexibility in upper and lower limbs, and cardiorespiratory endurance in older females. This intervention was also found to have a positive impact on quality of life, as well as on the perception of well-being.

Functional Capacity of Noninstitutionalized Older Adults from Northwest Mexico: Reference Values.

Physical capacity (PC) is a strong determinant of health, quality of life, and functional independence in older adults. Having reference values for PC specific to a particular region allows for a contextual interpretation of an individual's level. The objectives of this study were to describe the evolution of key aspects of PC during the aging process and provide reference values for the major components of health-related PC for the older adult population in Northwest Mexico. A total of 550 independent older adults (60-84 years, 70% women) from the city of Hermosillo (Sonora, Mexico) were included between January and June 2019. PC was assessed using the Senior Fitness Test Battery (SFTB) and grip-strength test. Reference values were established for 5-year age groups, providing percentile values at 10, 25, 50, 75, and 90. The percentage decrease in functional capacity with aging was determined via a linear regression analysis of age against the percentage value of each subject relative to the average value of 60-year-old individuals of the same sex. Statistically significant differences in the results between men and women within the same age group were few and inconsistent, except for handgrip strength, which was lower in women across all age groups. The functional level, with respect to reference values for each age and sex group, was similar between men and women. The most pronounced functional decline during the aging period occurs between 70 and 80 years of age. The various tests generally show an annual percentage loss of approximately 1% from 60 years of age. This is the first study in Mexico that provides reference values for physical capacity using the Senior Fitness Test Battery. In general, older adults-both men and women-show similar functional levels with respect to their respective reference values. In general, an annual decline of 1% from the age of 60 years occurs.

Association of Bioelectrical Impedance Phase Angle with Physical Performance and Nutrient Intake of Older Adults.

In recent years, the phase angle (PhA) as a raw bioelectrical impedance analysis variable has gained attention to assess cell integrity and its association to physical performance in either sports-related or clinical settings. However, data on healthy older adults are scarce. Therefore, data on body composition, physical performance and macronutrient intake from older adults (n = 326, 59.2% women, 75.2 ± 7.2 years) were retrospectively analyzed. Physical performance was evaluated by the Senior Fitness Test battery, gait speed, timed up and go and handgrip strength. Body composition was determined by the BIA and dual-energy X-ray absorptiometry (from a subgroup of n = 51). The PhA was negatively associated with the timed up and go test and age (r = -0.312 and -0.537, p < 0.001), and positively associated with the 6 min walk test, 30 s chair stand, handgrip strength, gait speed and physical performance score (r = 0.170-0.554, p < 0.05), but not protein intake (r = 0.050, p = 0.386). Hierarchical multiple regression analysis showed that especially age, sex, BMI, but also the PhA predicted the performance test outcomes. In conclusion, the PhA seems to be an interesting contributor to physical performance, but sex- and age-specific norm values still need to be determined.

Impact of Whole-Body Electromyostimulation and Resistance Training on the Level of Functional Fitness in Elderly Women

ABSTRACT &#x0D; Objective: This study aimed to investigate the effect of whole-body electromyostimulation (WB-EMS) and resistance training (RT) on the level of functional fitness in a group of elderly women.&#x0D; Participants: 63 women (60-65 years) were randomly divided into 2 experimental groups (19 in WB-EMS, 22 in RT) and one control group (22 women). Both experimental groups underwent a ten-week lasting interventional program, the control group was asked to maintain their usual daily regimen and lifestyle.&#x0D; Methods: Senior fitness test battery (SFT) determined the level of functional fitness in participants, and the dual-energy X-ray absorptiometry (DXA) assessed the body composition. &#x0D; Results: The RT group reported a statistically significant difference between pre-and post-test in values of the Chair Stand test (p = 0.04), 8 Foot up and Go (p = 0.03), in the Back Scratch test left side (p = 0.02) and the Chair Sit and Reach test right side (p = 0.05). The WB-EMS interventional program had a positive statistically significant effect only the on level of flexibility of the lower limbs measured by the Chair Sit and Reach test left side (p = 0.05).&#x0D; Conclusions: The results of all individual components of functional fitness measured by SFT in both experimental groups (WB-EMS, RT) show an improving tendency. Comparing WB-EMS and RT groups, better results were confirmed in the RT group.&#x0D; Study limitations: Extending the length of intervention programs could have a more significant effect on the level of functional fitness in elderly women.&#x0D; Keywords: ageing, functional fitness, Senior fitness test, DXA, resistance training, WB-EMS

Walking Speed: A Factor in the Physical Fitness of the Elderly

The main purpose of the study was to explore whether gait velocity predicts the level of separate and overall physical fitness. In this study, we asked one hundred and twenty older adults over the age of 60 (mean ± SD age 71 ± 7 38 years, height 159 ± 21 cm, weight 70 ± 13 kg) to complete a Senior Fitness Test battery to assess the level of physical fitness and walked across the Zebris pressure platform (Munich, Germany) to measure gait velocity. To calculate overall physical fitness, we summed z-score values of each physical fitness test. Pearson’s coefficient (r) was used to determine the level of correlation and coefficient of determination (r2) for variance explained between gait velocity and physical fitness. Respondents conducted a battery of six tests: “chair stand in 30 s”, “arm curl in 30 s”, “2–minute step test”, “chair sit-and-reach test”, “back scratch test” and “8-feet up-and-go test”. Gait velocity was significantly correlated with chair stand in 30 sec (r=0.45, r2=20%, p&lt;0.001), arm curl in 30 sec (r=0.56, r2=31%, p&lt;0.001), 2-minute step test (r=0.44, r2=19%, p&lt;0.001), chair sit-and-reach test (r=0.46, r2=21%, p&lt;0.001), back scratch test (r=0.30, r2=9%, p&lt;0.001) and 8-feet up-and-go test (r=-0.23, r2=5%, p=0.011). Gait velocity was not significantly correlated with waist circumference (r=0.12, r2=1%, p=0.189). Overall physical fitness was strongly correlated with gait velocity (r=0.75, r2=56%, p&lt;0.001). In conclusion this study shows that gait velocity may be an easy and quick screening tool to predict the level of separate and overall physical fitness in a sample of older adults.&#x0D; &#x0D; Keywords: elderly, speed, performance, correlation, tool

Symptoms of Sarcopenia and Physical Fitness through the Senior Fitness Test.

Physical fitness concerns a set of attributes related to the ability to perform physical activity that may justify the symptoms reported by the elderly in the context of sarcopenia. This study aimed to investigate the relationship between the perception (symptomatology) of physical functioning (what the person thinks they are capable of) and the capacity itself for physical functioning in elderly people in northern Brazil. Cross-sectional study that analyzed 312 elderly people (72.6 ± 7.8 years) from the city of Novo Aripuanã, Amazonas, Brazil. Sarcopenia symptomatology was assessed using the SARC-F, a 5-item questionnaire designed for screening sarcopenia in older individuals in five domains: strength, walking aids, difficulty getting up from a chair, difficulty climbing stairs, and falls. Physical fitness was assessed by the Senior Fitness Test (SFT) battery including balance evaluated with the short version of the Fullerton Advanced Balance scale (FAB). ROC curve analysis revealed that the tests with the greatest ability to discriminate participants with significant symptoms for sarcopenia (≥4 points on SARC-F) were arm curl and 6 min walk: the probability of suspected sarcopenia increased exponentially with an arm curl < 11.5 reps for men (se = 71%; sp = 69%; AUC = 0.706, 95% CI: 0.612-0.788; p = 0.013) and women (se = 81%; sp = 51%; AUC = 0.671, 95% CI: 0.601-0.735; p ≤ 0.001) or with a 6-min walk <408.5 m for men (se = 71%; sp = 63%; AUC = 0.720, 95% CI: 0.628-0.690; p = 0.001) and <366.0 m for women (se = 69%; sp = 58%; AUC = 0.692, 95% CI: 0.623-0.755; p = 0.0001). Physical fitness assessed through the senior fitness test, particularly the 30-s-arm curl test and the 6-min walk test, can discriminate for suspected symptoms of sarcopenia.

Effect of the Active Aging-in-Place-Rehabilitation Nursing Program: A Randomized Controlled Trial.

(1) Background: It is of great importance to promote functional capacity and positive lifestyles, since they contribute to preventing the progression of frailty among the older adults. The aim of this study was to evaluate the effect of active aging-in-place−rehabilitation nursing program (AAP-RNP) on the functional capacity and lifestyles of frail older adults. (2) Methods: This was a single-blinded, two-group, randomized, controlled trial of 30 frail older people enrolled at a Health-care unit in Portugal between 2021 and 2022. The duration of the program was 12 weeks, and the sessions took place at the participants’ homes. We used as instruments the Tilburg Frailty Indicator; Fried frailty phenotype; Senior Fitness Test battery; Barthel Index; Lawton Index; handgrip strength measurement; Tinetti Index; Individual lifestyle profile; and Borg’s perception of effort. (3) Results: Post-program, there was an improvement in multidimensional and physical frailty, functional capacity, balance, and perceived exertion (p < 0.05) in the experimental group. Among the older adults’ lifestyles, we observed significant improvements in physical activity habits, relational behavior, and stress management. (4) Conclusions: Rehabilitation nurses have a relevant role, and the AAP-RNP seems to be effective in improving functional capacity and lifestyles in frail older adults.

Phase Angle as a Predictor for Physical Function in Institutionalized Independent Older Adults.

The aim of this study was to investigate the relationship between phase angle (PhA) and physical function in institutionalized, independent older adults. Physical function was evaluated using the Senior Fitness Test Battery. PhA was measured by electrical bioimpedance at 50 khz, and body composition parameters were also registered. Results showed that PhA significantly correlated with all physical fitness tests, except for arm curls. Regarding the results of the multivariate analysis, three models were created: Model 1, formed by a dependent variable "PhA" and two predictor variables "8 ft up-and-go" and "6 min walk"; Model 2, formed by a dependent variable "PhA" and three predictor variables "8 ft up-and-go", "6 min walk" and "30-s chair stand"; and Model 3, formed by a dependent variable "PhA" and four predictor variables "8 ft up-and-go", "6 min walk", "30-s chair stand" and "arm curl". Results showed that predictor variables had a significant influence on the PhA for all three models (Model 1: p = 0.001, 12.5%; Model 2: p = 0.002, 12.9%; and Model 3: p = 0.005, 13.1%). For women, Model 1 showed a significant influence of predictor variables on the PhA (p = 0.030, 9.3%). The results for men in Models 1, 2 and 3 showed significant influences on the PhA (p = 0.002, 31.2%; p = 0.006, 31.6%; and p = 0.016, 31.6%; respectively). This study confirmed previous studies regarding to the relationship between PhA and physical function. It also indicates that PhA could be an excellent predictor of physical function.

A Non-Randomized Combined Program of Walking and Low-Load Resistance Exercise Improves Cognitive Function and Cardiometabolic Risk Factors in Community-Dwelling Elderly Women.

Background: This study examines whether changes in cardiometabolic risk factors, functional fitness, and depressive symptoms following a six-month exercise intervention were associated with cognitive function in Korean women aged 65 years and older. Methods: A non-randomized study design was used to compare post-intervention changes in measured variables between control (n = 30) and exercise (n = 30) groups. The exercise intervention consisted of three days of low-load resistance exercise and two days of walking. Cognitive function and depressive symptoms were assessed with the Korean version of the Mini–Mental State Examination and the Korean version of the Geriatric Depression Scale, respectively. Functional fitness was measured using a senior fitness test battery. Results: The exercise group showed a significant improvement in cognitive function (p < 0.001) in conjunction with significant decreases in blood glucose (p = 0.052), triglycerides (p = 0.011), insulin (p = 0.002), tumor necrosis factor-α (p = 0.043), and depressive symptoms (p = 0.006) and an increase in interleukin-10 (p = 0.037), compared with the control group. Multivariate stepwise regression showed that changes in depressive symptoms (p < 0.001), insulin resistance (p < 0.001), and upper body muscle strength (p = 0.003) were positively associated with cognitive function. Conclusion: A six-month exercise intervention consisting of walking and low-load/high-repetition elastic band resistance exercise has the potential to improve cognitive function, as well as physical function and cardiometabolic risk factors, and to decrease depressive symptoms in older women.

Sedentary time is associated with depressive symptoms and state anxiety in women with fibromyalgia. Could physical activity and fitness modify this association? The al-Ándalus project

Purpose To analyze the associations of total and prolonged sedentary time (ST) with depressive symptoms and state anxiety in women with fibromyalgia and whether these associations are modified by moderate-to-vigorous physical activity (MVPA) and physical fitness. Methods This cross-sectional exploratory study included 386 women with fibromyalgia aged 51.2 ± 7.6 years. Total ST, time in prolonged bouts of ST (≥30- and ≥60-min) and MVPA were measured with triaxial accelerometry. Depressive symptoms were assessed with the “Beck Depression Inventory-second edition,” state anxiety with the “State-Trait Anxiety Inventory,” and physical fitness with the “Senior Fitness Test Battery.” Results Total and prolonged ST were directly associated with depressive symptoms (total: β = 0.19, ≥30-min bout: β = 0.15, and ≥60-min bout: β = 0.12) and odds of severe depressive symptoms (all, p < 0.001). These associations generally remained significant after adjustments for MVPA and physical fitness (all, p < 0.05). Total and prolonged ST were directly associated with state anxiety (total: β = 0.11, ≥30-min bout: β = 0.12, and ≥60-min bout: β = 0.07; all, p < 0.001). These associations were generally independent of MVPA (p < 0.05) but vanished when considering physical fitness (p > 0.05). Conclusions Higher levels of total and prolonged ST are associated with greater depressive symptoms and state anxiety in women with fibromyalgia. MVPA did not modify these associations, although physical fitness could play a protective role specially for state anxiety. IMPLICATIONS FOR REHABILITATION Reducing sedentary time and avoiding its accumulation in prolonged periods could potentially reduce depressive symptoms and state anxiety in fibromyalgia. Higher sedentary time is associated with more severe depressive symptoms even in patients who engage in moderate-to-vigorous physical activity. Higher levels of physical fitness could attenuate the negative associations of sedentary time with depressive symptoms and, specially, state anxiety. “Sit less, move more and exercise to increase your fitness” could be a positive message for people with fibromyalgia in clinical settings.

Study protocol for a pragmatic cluster randomized controlled trial to improve dietary diversity and physical fitness among older people who live at home (the “ALAPAGE study”)

BackgroundDiet and physical activity are key components of healthy aging. Current interventions that promote healthy eating and physical activity among the elderly have limitations and evidence of French interventions’ effectiveness is lacking. We aim to assess (i) the effectiveness of a combined diet/physical activity intervention (the “ALAPAGE” program) on older peoples’ eating behaviors, physical activity and fitness levels, quality of life, and feelings of loneliness; (ii) the intervention’s process and (iii) its cost effectiveness.MethodsWe performed a pragmatic cluster randomized controlled trial with two parallel arms (2:1 ratio) among people ≥60 years old who live at home in southeastern France. A cluster consists of 10 people participating in a “workshop” (i.e., a collective intervention conducted at a local organization). We aim to include 45 workshops randomized into two groups: the intervention group (including 30 workshops) in the ALAPAGE program; and the waiting-list control group (including 15 workshops). Participants (expected total sample size: 450) will be recruited through both local organizations’ usual practices and an innovative active recruitment strategy that targets hard-to-reach people. We developed the ALAPAGE program based on existing workshops, combining a participatory and a theory-based approach. It includes a 7-week period with weekly collective sessions supported by a dietician and/or an adapted physical activity professional, followed by a 12-week period of post-session activities without professional supervision. Primary outcomes are dietary diversity (calculated using two 24-hour diet recalls and one Food Frequency Questionnaire) and lower-limb muscle strength (assessed by the 30-second chair stand test from the Senior Fitness Test battery). Secondary outcomes include consumption frequencies of main food groups and water/hot drinks, other physical fitness measures, overall level of physical activity, quality of life, and feelings of loneliness. Outcomes are assessed before the intervention, at 6 weeks and 3 months later. The process evaluation assesses the fidelity, dose, and reach of the intervention as its causal mechanisms (quantitative and qualitative data).DiscussionThis study aims to improve healthy aging while limiting social inequalities. We developed and evaluated the ALAPAGE program in partnership with major healthy aging organizations, providing a unique opportunity to expand its reach.Trial registrationClinicalTrials.gov Identifier: NCT05140330, December 1, 2021.Protocol version: Version 3.0 (November 5, 2021).

The Role of Cognitive Performance and Physical Functions in the Association between Age and Gait Speed: A Mediation Study.

Simple SummaryAge and mobility are interrelated. In this context, cognitive performance (CP) and physical functions (PF) play a mediating role. However, these concepts are multifaceted, and their interrelationships need further investigations. Thus, our study aims (1) to investigate the association between CP and PF with GS and (2) to examine whether CP and PF mediate the association between age and GS in a large sample of older Brazilian adults. The findings show that low levels of CP and PF were associated with a greater chance of the older individual presenting a slow GS. Moreover, the mediation model indicated that CP and PF mediated, by approximately 12% and 98%, respectively, the association between age and GS.Introduction: With vulnerable aging, gait speed (GS) undergoes progressive changes, becoming slower. In this process, cognitive performance (CP) and physical function (PF) both play an important role. This study aims (1) to investigate the association between CP and PF with GS and (2) to examine whether CP and PF mediate the association between age and GS in a large sample of Brazilian older adults. Methods: A cross-sectional study analyzed 697 individuals (mean age 70.35 ± 6.86 years) from the state of Amazonas. The CP was evaluated by the COGTEL test battery, PF by the Senior Fitness Test battery, and GS with the 50-foot Walk Test. Results: Older adults with a lower CP and PF had a 70% and 86% chance of slow GS, respectively. When CP and PF were placed simultaneously as mediators, the direct effect estimated by the model revealed a non-significant relationship between age and GS. Specifically, CP and PF mediated the association between age and GS, at approximately 12% and 98%, respectively. Conclusions: CP and PF show the potential to estimate GS performance among older adults. Moreover, CP and PF indicated a negative and direct association between age and slow GS, especially PF.

Mediating effect of muscle power on the relationship of physical activity with physical fitness and physical function in older women.

This study analyzed if the associations of physical activity with physical fitness and physical function in older women are mediated by muscle power. Participants were 54 older women (age 73.5±6.8yrs). Moderate-to-vigorous intensity physical activity (minday-1) was measured by accelerometry. Lower limb muscle power (W/kg) was estimated from a single two-leg countermovement jump performed on a force platform. Physical fitness (lower body strength, agility/dynamic balance, and aerobic endurance) was objectively assessed through the Senior Fitness Test Battery, respectively: 30s chair stand (repetitions), 8-ft up-and-go (s), and 6-min walk test (m). Physical function was subjectively evaluated via the 12-item Composite Physical Function Scale Questionnaire (score). Mediation effects were estimated using bootstrapped 95% confidence intervals and were deemed significant if 0 was not included in the intervals. Mediation analysis controlling to age revealed an indirect effect of moderate-to-vigorous intensity physical activity through muscle power on all physical fitness components, specifically lower body strength (B=0.048, 95% BootCI [0.013, 0.114]), agility/dynamic balance (B=-0.009, 95% BootCI [-0.024, -0.002]) and aerobic endurance (B=0.656, 95% BootCI [0.142, 1.597]) and on physical function global score (B=0.040 95% BootCI [0.009, 0.094]). These results suggest that physical activity of at least moderate intensity is relevant to daily functional competence, by promoting the maintenance or improvement of muscle power.

Physical activity level and mediterranean diet adherence evaluation in older people - observational, uncontrolled, pilot study

WHO recommend to associate a proper dose of movement with healthy and balanced diet, also in elderly. Promoting healthy lifestyles and adopting healthy habits can lead to a successful aging. The Mediterranean diet model is considered the gold standard nutritional treatment in some Non Communicable Diseases and the evaluation of adherence to this diet becomes essential to study the lifestyle of the population in order to prevent the risk of onset of age-related chronic diseases. In order to implement appropriate interventions for successful aging and to prevent functional alterations affecting the people autonomy in Activities of Daily Living, the LIFestyle of the Elderly in Umbria Population Project (LIFEUP) was promoted in 2018, in Italy. 36 subjects were invited to fill out self-report questionnaires used to assess health status and quality of life (EuroQol), physical activity levels (IPAQ) and Mediterranean diet adherence (MED Diet Score). Anthropometric variables (height, BMI), body composition and functional capacities (through Senior Fitness Test battery) were studied. We observed a situation of overweight (average BMI=27.4) with fat mass=30.45% and low total body water 47.64%), with a medium adherence to the Mediterranean diet (Score=7.19). Furthermore, we noted a good health status perceived (71,14/100), and acceptable physical activity levels (36.55 MET/h/week), and good functional capacities (2 minutes steps average=86.73; chair stands average=14.09; 8-foot up and go test average=6.47 sec.), according to international guidelines and standard ranges for this age. This pilot study gave an overview of a small group of the elderly Umbrian population to implement prevention and health promotion plans among the elderly.

Functional fitness norms and trends of community-dwelling older adults in urban China

This study aimed to (1) establish age- and sex-specific functional fitness (FF) norms in Chinese older adults living in urban communities and (2) explore ageing-related degradations and sex differences in each FF dimension. A pool of 2398 individuals (1128 men; 1270 women) aged 60–98 years were recruited from urban communities of Nanjing, China. FF was measured using the Senior Fitness Test battery. FF norms were established for men and women in 5-year age intervals using five percentiles (10th, 25th, 50th, 75th, 90th). Significant degradations in FF were correlated with increases in age. Around half of test items in 75–79 years group (3 for men; 4 for women) and over half in 80–84 years group (5 for men; 4 for women) exhibited significant decreases in FF compared with the adjacent younger group, indicating that ages of 75 and 80 years are two potential turning points in FF declines. Significant differences existed between the overall FF of men and women; women outperformed men in flexibility and men outperformed women in upper body strength, agility/dynamic balance, and aerobic endurance. Significant age and sex effects occurred in each fitness dimension, which helps individualised program design and promotes an active lifestyle in older adults.