Charles-Émile Desgagnés-Cyr, N. Bier, Manon Parisien, K. Nour, Louis-Pierre Auger, Baptiste Fournier, S. Laforest
{"title":"Effect of physical activity among seniors participating in a cognitive health promotion program","authors":"Charles-Émile Desgagnés-Cyr, N. Bier, Manon Parisien, K. Nour, Louis-Pierre Auger, Baptiste Fournier, S. Laforest","doi":"10.12715/har.2015.4.25","DOIUrl":"https://doi.org/10.12715/har.2015.4.25","url":null,"abstract":"Background: Several studies have demonstrated that physical activity (PA) could have an impact on the cognitive vitality of older adults. The Jog Your Mind program encourages participants to become more physically active and is designed to promote cognitive vitality. This study aims to explore: 1) the effect of the program on PA; 2) the moderating and mediating effects of PA on the program's impact on cognition; and 3) the correlation between PA and various cognitive domains in participants prior to the start of the program. Methods: In total, 294 individuals aged 60 and over participated in the cognitive vitality promotion program immediately for the experimental group or one year later for the controls. They were evaluated using cognitive tests, questionnaires (MoCA, MIA, CVLT, RBMT, MMQ, QAA, Stroop) and PA instruments (an adapted version of the CHAMPS physical activity questionnaire and the 2‐minute step test). Correlations were made at the start of the study and multiple regressions were carried out to measure the impact of the program on PA. Results: Participation in the program was associated with an increase in PA (p< 0.05). However, analyses did not show a significant moderating or mediating effect of PA on cognition (p< 0.05). At the start of the study, the most active subjects obtained better results in terms of memory strategies (p< 0.05). Conclusions: These results show that a multifactorial program, including the promotion of PA, can lead participants to become more physically active. Further studies should be implemented to determine whether the practice of PA has a moderating or mediating effect on cognitive vitality.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–19"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66241268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthy aging is reflected in well‐being, participation, playfulness, and cognitive‐emotional functioning","authors":"Amiya Waldman-Levi, A. Erez, N. Katz","doi":"10.12715/har.2015.4.8","DOIUrl":"https://doi.org/10.12715/har.2015.4.8","url":null,"abstract":"Abstract An aging population generates an array of social and health concerns, among which is the psychological and cognitive well‐being of the elderly. Recently, the focus in gerontology has expanded from the avoidance of agerelated decline to the promotion of healthy aging. Factors such as cognitive and emotional status are considered to be potential contributors to well‐being, and to participation in the community. This paper discusses the possible contribution of another factor ‐ a person's playfulness ‐ to healthy aging. Playfulness is a multidimensional concept that describes the mental propensity to engage in playful behavior, and includes properties such as fun‐seeking motivation, uninhibitedness, and spontaneity. Research suggests that playfulness facilitates healing, improves morale, and increases motivation. Thus, it can be speculated that playfulness relates to other indicators of well‐being, including psychological, cognitive, and physical aspects. Studies of the concept of playfulness mostly pertain to its measurement in young adults, with a paucity of research on older adult playfulness. In addition, the majority of research on Americans' health is “negative or disease‐oriented,” particularly in studies of older adults. There is compelling evidence that positive factors in individuals' lives, such as favorable emotions, happiness, life satisfaction, and quality of life relate intimately to healthy aging. Playfulness might be an important characteristic of cognitive functioning and emotional growth, which are both key components of healthy aging. This paper discusses the relationship and possible contribution of the concept of playfulness to the various indicators of healthy aging.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12715/har.2015.4.8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66241872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Sasaki, E. Pinto, Tassiana Mendel, K. Sá, J. Oliveira-Filho, A. D’Oliveira
{"title":"Association between dual‐task performance and balance during gait in community‐dwelling elderly people after stroke","authors":"A. Sasaki, E. Pinto, Tassiana Mendel, K. Sá, J. Oliveira-Filho, A. D’Oliveira","doi":"10.12715/har.2015.4.29","DOIUrl":"https://doi.org/10.12715/har.2015.4.29","url":null,"abstract":"Introduction: Age‐related physiological changes coupled with impairments that are secondary to stroke can compromise balance performance, thus affecting mobility and independence. The aim of this study was to identify factors related to balance performance during gait in elderly persons after stroke. Methods: This study evaluated 60 old adults (mean age 68.7±7.06 years) living in the community after having suffered a stroke. Sociodemographic, clinical and functional data were collected and the following scales/tests were applied: National Institutes of Health Stroke Scale (NIHSS), Mini Mental State Exam (MMSE), Timed Up and Go with cognitive task (TUGcog), and the Dynamic Gait Index (DGI). After univariate analysis, variables were included in a multivariate logistic regression model. Patients were divided into two groups based on the DGI cut‐off point. Results: Individuals in the group performing worst on the DGI scale (≤19) were those who had suffered more serious stroke events according to NIHSS (p<0.001); they also had poorer cognitive function, as evaluated by MMSE (p<0.006), and the worst dual‐task performance, according to TUGcog (p<0.001). In multivariate analysis, stroke severity (p<0.042) and dual‐task performance (p<0.007) remained significantly associated with balance during gait. Elderly persons with a DGI score ≤19 had lower average scores in tasks assessing gait with horizontal movements of the head, turning on own body axis, and ability to use stairs, whereas those with a DGI >19 had lower average scores in tasks assessing gait with horizontal and vertical movements of the head. Conclusions: Elderly persons' ability to perform dual‐tasks, and stroke severity, were factors associated with balance performance during gait. This highlights the importance of these aspects in the evaluation of balance in community‐dwelling elderly persons after stroke.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66241680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk factors for falls and their impact on the severity of fall‐related injuries","authors":"Ewald Lindner, C. Duftner, C. Dejaco, M. Schirmer","doi":"10.12715/har.2015.4.33","DOIUrl":"https://doi.org/10.12715/har.2015.4.33","url":null,"abstract":"Background: The aim of this work was to investigate risk factors for falls in a cohort of Austrian inpatients and assess the influence of fall risk factors on fall‐related injuries. Methods: All fall protocols of an Austrian internal medicine department were evaluated over a 20‐month period. Results: A total of 195 patients with a documented fall, and 195 age and sex‐matched controls from the same unit were included in this study. Chronic heart failure, dementia and intake of more than one diuretic drug were associated with falls. Most falls occurred in the patient room and at night. Out of 195 falls, 79 (41%) were injurious with a moderate or severe post‐fall injury in 6.7% of patients. None of the fall risk factors was associated with the severity of fall‐related injury. Conclusions: This study confirms chronic heart failure, dementia, and intake of more than one diuretic drug as risk factors for falls in an Austrian internal medicine department. The grade of fall‐related injuries was not related to the investigated fall‐risk‐factors.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66241778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Musical exercise: A novel strategy for advancing healthy aging","authors":"R. Marks, Mirtha Landaira","doi":"10.12715/har.2015.4.31","DOIUrl":"https://doi.org/10.12715/har.2015.4.31","url":null,"abstract":"Abstract Regular physical activity is associated with lower death rates for adults at any age, even when the physical activity is moderate. It also decreases the risk of heart disease, diabetes, cancer, high blood pressure, and falls, which can lead to debilitating fractures, regardless of health status. Physical activity is also a universally accepted and highly important component of rehabilitation. The objective of this review was to examine the latest research on the impact of music, specifically musical exercise, in the context of optimizing the health status of the elderly. Thus, literature on the topic of exercise and music, located in the Academic Search Complete and PubMed databases and published over the last 25 years, were located and analyzed, and categorized into key themes using a narrative approach. Healthy adults, as well as adults with chronic diseases, can benefit from listening to music while exercising. Music is also helpful for rehabilitation purposes among those with chronic diseases. The data indicated that musical exercising may be useful for advancing healthy aging and for decreasing medical costs in a society that has become increasingly sedentary and where obesity, osteoarthritis, diabetes, osteoporosis, cancer, injuries caused by falls, and cardiac diseases are a significant problem.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66242043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"District nurses' experience of working in home care in Sweden","authors":"K. Josefsson, Stina Peltonen","doi":"10.12715/har.2015.4.37","DOIUrl":"https://doi.org/10.12715/har.2015.4.37","url":null,"abstract":"Background: Home care was previously included in healthcare centers in county councils in Sweden. Today, home care is the responsibility of municipalities. Consequently, the work of district nurses from healthcare centers has changed, and they face a new mission and new challenges. The aim of this study was to explore district nurses' experiences of working in home care after the municipalization. Methods: The design was descriptive with an inductive approach. Five district nurses working in different municipalities were interviewed. Qualitative content analysis was used. Results: The district nurses experienced their work through the following themes: organization, local environment and leading the team, and defined the themes in terms of inadequacy, collaboration, control, comfort, continuity and own competence. Their work was free and pleasant with more time for the patients. At the same time they at time had difficulties to carry out their work. Recipients' condition in municipality home care experienced as better as a consequence of cross‐border cooperation, compared to earlier organisation of home care. District nurses work involved a great nursing responsibility and required leadership. They experienced losses of competence as well as new competence. Conclusions: District nurses' work was at times difficult because of organisational barriers. There is need of improvements and tools for district nurses to carry out their work and to promote their competence development. The organisation is not functioning optimally in municipal home care. Cooperation between municipality, primary care and inpatient care needs improvement.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66242131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Tampi, Deena Tampi, S. Chandran, Ambreen K. Ghori, M. Durning
{"title":"Mild cognitive impairment: A comprehensive review","authors":"R. Tampi, Deena Tampi, S. Chandran, Ambreen K. Ghori, M. Durning","doi":"10.12715/har.2015.4.39","DOIUrl":"https://doi.org/10.12715/har.2015.4.39","url":null,"abstract":"Abstract Mild cognitive impairment (MCI) represents an intermediate stage between normal cognitive changes associated with aging and dementia. Individuals with MCI have been identified as having a faster rate of progression to dementias. Risk factors for progression include greater cognitive deficits at baseline, ApoE4 carrier status, brain volume changes, cerebrospinal fluid (CSF) changes, and the presence of behavioral and psychological symptoms. Refinements in the diagnostic criteria for MCI and the identification of biomarkers to predict the progression to dementias have resulted in the appropriate diagnosis of this condition being made and the development of possible prevention and treatment strategies. Available data indicate that cognitive and physical training appears to slow the progression of the disease process. Studies of pharmacotherapeutic agents do not indicate benefit for cholinesterase inhibitors, the anti‐inflammatory drug rofecoxib, or antioxidants in slowing the progression of MCI to dementias.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–11"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66242180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Vergara, M. Machón, K. Vrotsou, N. Egüés, Andoni Bueno, J. Núñez, I. Martín-Lesende, A. Martin, E. Carrasco, A. I. Diez
{"title":"Concordance between tools for the detection of community‐dwelling frail adults: Study protocol","authors":"I. Vergara, M. Machón, K. Vrotsou, N. Egüés, Andoni Bueno, J. Núñez, I. Martín-Lesende, A. Martin, E. Carrasco, A. I. Diez","doi":"10.12715/har.2015.4.7","DOIUrl":"https://doi.org/10.12715/har.2015.4.7","url":null,"abstract":"Background: Frailty is one of the most relevant clinical expressions of ageing and a powerful indicator of the health status of older populations. Tools to identify frailty can be classified into three groups based on rules (the Tilburg Frailty Indicator (TFI)), functional performance (Gait Speed (GS) and Timed Up and Go (TUG) tests), and biomarkers (e.g., SOX2 expression). This study explores the concordance between two functional tests (GS and TUG), blood SOX2 levels and TFI scores in assessing frailty. Method and analysis: The proposed research is a nested case‐control study of community‐dwelling adults, aged 75 years or older, from a prospective cohort study with two years of follow‐up (the KoS‐frail study). All surviving individuals from the original cohort will be invited to participate and will receive a comprehensive assessment including questionnaires, functional performance and blood tests. Then, a nested case control will be set up considering frail or robust status as measured by TFI. TFI scores ≤5 will be considered cases. Assessment will consist of a personal interview and blood (SOX2 levels) and physical performance tests (GS and TUG). Additionally, TIF will be translated into Spanish, cross‐culturally adapted and validated. Conclusions: There is a need for an effective tool that can easily identify frail individuals in primary care at an early stage of decline. This study seeks to assess the concordance between existing tools for identifying frail individuals. This work will also provide a validated Spanish version of the TIF.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12715/har.2015.4.7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66242248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Healthy aging researchPub Date : 2015-01-01Epub Date: 2015-09-07DOI: 10.12715/har.2015.4.36
Matthew J Peterson, Carl F Pieper, Richard Sloane, Gail M Crowley, Patricia A Cowper, Eleanor S McConnell, Hayden B Bosworth, Carola C Ekelund, Megan P Pearson, Katherine S Hall, Miriam C Morey
{"title":"Differences between completely physically inactive and low active older men and their response to an exercise intervention: the Veterans LIFE study.","authors":"Matthew J Peterson, Carl F Pieper, Richard Sloane, Gail M Crowley, Patricia A Cowper, Eleanor S McConnell, Hayden B Bosworth, Carola C Ekelund, Megan P Pearson, Katherine S Hall, Miriam C Morey","doi":"10.12715/har.2015.4.36","DOIUrl":"10.12715/har.2015.4.36","url":null,"abstract":"<p><strong>Background: </strong>Physical activity interventions typically do not report behavioral changes in activity sub-groups. The aim of this study was to compare baseline differences and changes in physical activity between truly physically inactive men and low active men enrolled in a twelve-month, home-based physical activity intervention.</p><p><strong>Methods: </strong>Veterans with a mean age of 77.6 years were randomized to either a physical activity intervention or usual care. Measures included self-reported physical activity, physical function, and physical performance.</p><p><strong>Results: </strong>At baseline, the physically inactive group reported more symptoms and poorer functioning than the low active group. At 12 months, physically inactive men randomized to the intervention group increased their physical activity to an average of 73.3 minutes per week. Physically inactive individuals randomized to the control group were eight times more likely to remain inactive compared to the low active group.</p><p><strong>Conclusions: </strong>Completely physically inactive older men can markedly increase physical activity levels with a long-term intervention. Without such intervention, the likelihood of this group remaining inactive is eightfold.</p>","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5650070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35535759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The mediator role of positive emotion interventions and cognitive health in community‐dwelling older adults: A longitudinal cohort study","authors":"Kelley Strout, Liam M O'Brien, E. Howard","doi":"10.12715/har.2015.4.22","DOIUrl":"https://doi.org/10.12715/har.2015.4.22","url":null,"abstract":"Background: As adults age, there is a greater risk of cognitive health decline, and thus protecting cognitive health is a public health priority. Negative mood is a risk factor for losing cognitive abilities among aging adults. The Broaden and Build Theory of Positive Emotion suggests that activities that build positive emotion may mediate the negative effects of negative mood. This theory guided an examination of the relationship between mood and activities that promote positive emotions and their effects on cognitive decline among aging adults. Methods: The sample included 492 community‐dwelling adults 60 years and older who completed a Community Health Assessment (CHA) and a COLLAGE Wellness Assessment (WEL) twice between the years 2007 and 2013. Cognition was measured using items from the CHA that formed the Cognitive Performance Scale (CPS) and activities that promote positive emotions was measured using items from the WEL. Negative mood was measured using items from the CHA. Logistic regression was used to associate CPS, mood, and positive emotion activities at baseline and after at least one year. Results: All three of the negative mood variables were statistically significant predictors of a poor CPS score. The presence of negative statements (p=0.036), anger (p=0.017), and withdrawal (p=0.009) were statistically significant. Conclusions: None of the activities that cultivate positive emotions were significantly associated with changes in CPS score. Future research should examine interventions to reduce negative mood and determine if they mediate the risk of cognitive decline among aging adults.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66241475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}