{"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}
Mallory L. Keller, Matthew J. Gallek, R. Taylor-Piliae
{"title":"Predictors of stroke survivors' enrollment in an exercise study","authors":"Mallory L. Keller, Matthew J. Gallek, R. Taylor-Piliae","doi":"10.12715/har.2014.4.18","DOIUrl":"https://doi.org/10.12715/har.2014.4.18","url":null,"abstract":"Background : Screening measures prior to study enrollment are needed to determine safety and minimize participant burden. Our objective was to determine if functional disability, physical function, cognitive impairment, age or gender were predictive of enrollment in an exercise study. Methods : This observational study used cross‐sectional data from 233 stroke survivors with mild‐moderate disability, who consented to be screened for potential study enrollment. Results : Participants were on average 68±12 years old (49% women), reported mild‐moderate disability (mRS=2.1±0.8), had some impairments in physical functioning (SPPB=6.9 ±2.6), but were without cognitive impairments (MMSE=27.6 ± 3.6). Significant predictors of study enrollment using binary logistic regression included leg strength [X2(1)= 29.17, p<0.01], gait speed [X2(1)= 36.60, p<0.03], and cognitive function [X2(1)= 9.99, p=0.03]. Multiple logistic regression indicated that leg strength, gait speed, and cognitive function together, were predictive of enrollment [X2(3)=14.05, p<0.01]. Conclusions : The Short Physical Performance Battery and Mini‐Mental Status Exam are quick and easy to administer; to assess various levels of physical and cognitive function, with minimal risk to participants. Fewer screening tests reduced participant burden and may have encouraged participation in an exercise study, even among stroke survivors with impairments in physical and/or cognitive function.","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":"66241093","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":"Age‐related changes in erythrocyte membrane sulfhydryl groups and &bgr;‐D‐glucuronidase activity","authors":"Prabhanshu Kumar, P. Maurya","doi":"10.12715/har.2015.4.9","DOIUrl":"https://doi.org/10.12715/har.2015.4.9","url":null,"abstract":"Background: Aging is associated with oxidative stress but its underlying mechanisms remain poorly understood. The aim of this study was to investigate alterations in human erythrocyte membrane sulfhydryl groups and levels of &bgr;‐D‐glucuronidase during aging. Methods: The study was carried with a cohort of 52 normal, healthy subjects of both sexes. They were divided into three groups: young, middle‐aged and old. Blood samples were taken, and membrane sulfhydryl groups and &bgr;‐D‐glucuronidase activity were measured within 24 hours. Results: Results showed significantly (p<0.001) decreased sulfhydryl group levels as a function of human age. A significant (p< 0.001) decrease in erythrocyte membrane &bgr;‐D‐glucuronidase activity was also observed in subjects in the ‘old’ group. Conclusions: We conclude that aging is associated with systemic oxidative stress that is able to influence the integrity of cell membranes and their antioxidant capacity. Evaluation of sulfhydryl groups and &bgr;‐D‐glucuronidase activity provides a useful and early indication of structural and functional alterations of the red blood cell membrane during human aging.","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":"66241898","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":"Principal component scoring of the resting EEG spectrum provides further evidence for age‐associated disinhibition of the wake drive","authors":"Arcady A. Putilov","doi":"10.12715/har.2015.4.35","DOIUrl":"https://doi.org/10.12715/har.2015.4.35","url":null,"abstract":"Background: Aging is often accompanied by increasingly occurrence of profound sleep‐wake disturbances. However, normal ‘sleep aging’ can also be advantageous to older people, for example, they have a better ability to tolerate sleep deprivation than to younger people. In previous work, we compared the principal component structure of the electroencephalographic (EEG) spectra of Non‐Rapid‐Eye‐Movement (NREM) sleep in young and elderly people, and found that the decrease in slow‐wave activity, which is the most earliest and most obvious age‐related modification of the sleep EEG spectrum, can be viewed as a consequence of a reduced rise of the first principal component score combined with an insufficient fall of the second principal component score. It was suggested that such changes in principal component scores can be caused by disinhibition (i.e. strengthening) of the wake drive due to weakening of the sleep drive. It is possible that the second principal component score remains higher in older people compared to younger people not only during NREM sleep, but also during normal and extended wakefulness. Methods: To test this suggestion, principal component analysis was applied to the spectra of resting EEG signals obtained with a three‐hour interval during the course of sustained wakefulness of 130 and 33 participants of two independent sleep deprivation experiments. Results: The second principal component score was positively linked to participants' age. Conclusions: Elevation of score can reflect age‐associated strengthening of the sleep drive, which predisposes older people to develop certain disturbances of their sleep‐wake cycle and, on the other hand, to tolerate sleep deprivation better than younger people.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66242072","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}
K. Fong, A. M. Siu, P. Ma, Kenneth Ka‐Yu Au Yeung, P. P. Sze, C. Chan
{"title":"Domiciliary environmental risk factors for accidental falls among community‐living older persons: A prospective 12‐month study","authors":"K. Fong, A. M. Siu, P. Ma, Kenneth Ka‐Yu Au Yeung, P. P. Sze, C. Chan","doi":"10.12715/har.2015.4.5","DOIUrl":"https://doi.org/10.12715/har.2015.4.5","url":null,"abstract":"Background: Falls are common internationally among the elderly. This study examined domiciliary environmental risk factors attributable to accidental falls among community‐living older persons living in highrise buildings in Hong Kong. Methods: Over the preceding 6 months, 592 older persons were recruited from a housing resource center for baseline assessments. Among them, 456 participants completed monthly telephone follow‐ups for 12 months. A home visit for environmental inspection was conducted within 3 days for those who reported falls in an indoor environment. The environments of participants with or without falls were compared for analysis. Results: Seventy‐seven participants reported falls (indoor: outdoor = 1:2) over the preceding 12 months. The fall rate was 24.8%, and the one‐year prevalence of falls (persons with at least one fall) was 16.7%; for two or more falls it was 3.9%. Self‐reported previous falls in the preceding 12 months (OR 2.88, CI 1.67‐7.17), female gender (OR 8.91, CI 0.27‐0.47), and self‐reported diabetes mellitus (OR 3.55, CI 1.10‐3.55) were significant predictors for fallers with at least one fall. Significant differences were found between the homes of fallers and non‐fallers in the sites of hazards with respect to seating (p = .011), toilets (p = .018), and kitchens (p = .026), particularly with steps or stair railings (p = .009). Conclusions: This study supports the existence of a difference in environmental risk factors between fallers and non‐fallers in high‐rise buildings, and the results can be generalized to other domiciliary environments for community‐living older persons in most urban cities.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–10"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66242197","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}