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Functional improvements associated with upper extremity motor stimulation in individuals with Parkinson's disease 帕金森病患者上肢运动刺激相关的功能改善
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.12
Patrick J. Bartoshyk, N. de Bruin, L. Brown, J. Doan
{"title":"Functional improvements associated with upper extremity motor stimulation in individuals with Parkinson's disease","authors":"Patrick J. Bartoshyk, N. de Bruin, L. Brown, J. Doan","doi":"10.12715/har.2015.4.12","DOIUrl":"https://doi.org/10.12715/har.2015.4.12","url":null,"abstract":"Background: While traditional neurotherapy promotes motor function in people living with Parkinson's disease (PD), the benefits may be limited by compounding physical, cognitive, and attentional barriers. Since the non‐traditional exercise of ice‐skating is proving to positively influence motor function and postural control, the purpose of this study was to explore whether the addition of an upper body sensory‐driven motor coordination task (stickhandling) would provide upper extremity neuromotor benefit among people with moderate PD. Methods: Seven non‐PD control (CTRL) and 22 PD (14 ON‐ICE, 8 OFF‐ICE) participants completed three trials of a reaching‐to‐eat (fine motor) task and a button‐push (gross motor) task, PRE‐and POST‐completion of two dynamic ‐ either on‐ or off‐ice ‐ stickhandling tasks. Reaching‐to‐eat and button‐push scores were compared between time periods (PRE, POST) and groups (CTRL, PD ON‐ICE, PD OFF‐ICE). Results: CTRL participants demonstrated higher scores when compared to the PD groups. Both PD groups demonstrated an improvement in reaching‐to‐eat and button‐push scores immediately following the intervention. Conclusions: These findings suggest that sport‐derived exercise programs may provide neuromotor benefit to people living with PD.","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":"https://sci-hub-pdf.com/10.12715/har.2015.4.12","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66241254","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}
引用次数: 2
Is aging an evolved developmental program? 衰老是一个进化的发展过程吗?
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.6
M. Singer
{"title":"Is aging an evolved developmental program?","authors":"M. Singer","doi":"10.12715/har.2015.4.6","DOIUrl":"https://doi.org/10.12715/har.2015.4.6","url":null,"abstract":"Abstract What is aging? Evolutionary theory posits that it is the consequence of the accumulation of damage after the attainment of reproductive maturity, due to a weakening of the strength of natural selection in late life. This construct implies that aging represents disordered biology that is superimposed upon the living state. In this review, data collected across multiple species, including plants, strongly suggest that aging represents an evolved species‐specific developmental program. Such a construct would account for the varied aging trajectories that can be observed across different species, each of which has its own characteristic pattern of aging. However, aging is a plastic developmental program and this plasticity accounts for the marked variation in aging trajectories observed across individuals within a single species; the result of environmentally induced epigenetic changes. Interventions directed at the plasticity of the aging process are the ones most likely to be successful in modifying this process.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–13"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66242206","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}
引用次数: 1
Positive affect, depressive symptoms, and arthritis pain of elderly people over time. 随着时间的推移,老年人的积极情绪、抑郁症状和关节炎疼痛。
Healthy aging research Pub Date : 2015-01-01 Epub Date: 2015-02-23 DOI: 10.12715/har.2015.4.16
Jeong E Lee, Eva Kahana, Boaz Kahana, Kaitlyn Barnes
{"title":"Positive affect, depressive symptoms, and arthritis pain of elderly people over time.","authors":"Jeong E Lee,&nbsp;Eva Kahana,&nbsp;Boaz Kahana,&nbsp;Kaitlyn Barnes","doi":"10.12715/har.2015.4.16","DOIUrl":"10.12715/har.2015.4.16","url":null,"abstract":"<p><strong>Background: </strong>Older adults frequently experience physical symptoms of arthritis pain. We examined the dynamic change of arthritis pain and depressive symptoms over time. We also addressed the influence of time varying arthritis pain on depressive symptoms and positive affect among community dwelling older individuals.</p><p><strong>Methods: </strong>Analyses were based on data from 4 annual follow-ups in a sample of 299 elderly residents (<i>M</i>=83.78) of Florida retirement communities. We estimated a hierarchical growth curve model that related the effects of time varying pain and characteristics of participants such as age, gender, cognitive functioning, emotional support and health. Growth curve modeling was used to assess changes in emotional well-being as a function of arthritis pain over time.</p><p><strong>Results: </strong>We found that depressive symptoms increased over 4 years whereas positive affect declined over 4 years with significant between-person differences in levels and slopes. As predicted, changes in arthritis pain co-varied with both depressive symptoms and positive affect over time. Gender, cognitive functioning, health conditions and emotional support from others were associated with between person differences in level of emotional well-being.</p><p><strong>Conclusions: </strong>Our findings suggest that conceptualization of emotional well-being of older adults as a dynamic, changing construct applies both depressive symptoms and positive affect. Findings also suggest that arthritis pain as well as emotional support contribute to depressive symptoms and to positive affect among older adults with arthritis.</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://sci-hub-pdf.com/10.12715/har.2015.4.16","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35794060","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}
引用次数: 2
Substance use disorders in late life: A review of current evidence 晚年物质使用障碍:当前证据综述
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.27
R. Tampi, Deena Tampi, M. Durning
{"title":"Substance use disorders in late life: A review of current evidence","authors":"R. Tampi, Deena Tampi, M. Durning","doi":"10.12715/har.2015.4.27","DOIUrl":"https://doi.org/10.12715/har.2015.4.27","url":null,"abstract":"Abstract Although not as commonly reported as in younger individuals, substance use disorders are not uncommon in late life. Given the growth in the population of older adults in the United States, it is estimated that the number of older adults with a substance use disorders will increase significantly in the future. Available evidence indicates that current diagnostic criteria are less sensitive in identifying substance use disorders in late life compared to younger individuals. It is expected that the development of specialized screening tools and specific diagnostic criteria for older adults will improve the diagnostic accuracy for substance use disorders in late life. Routine screening for substance use disorders and prompt interventions will also improve outcomes in these individuals. Available data indicate that older adults with substance use disorders respond as well as younger adults to treatments, if these treatments are specifically designed for this age group.","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":"66241392","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}
引用次数: 6
Physical activity in older adults: Planning, delivering, and evaluation plan for the Eat Better Move More Intervention 老年人的身体活动:“吃得好,动得多”干预计划的计划、实施和评估
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.13
M. Nies, Meredith L. Troutman-Jordan, W. Y. Lim
{"title":"Physical activity in older adults: Planning, delivering, and evaluation plan for the Eat Better Move More Intervention","authors":"M. Nies, Meredith L. Troutman-Jordan, W. Y. Lim","doi":"10.12715/har.2015.4.13","DOIUrl":"https://doi.org/10.12715/har.2015.4.13","url":null,"abstract":"Abstract Among North Carolina adults, greater than 50% do not engage in the recommended amount of physical activity. More than 75% eat fewer than the recommended five or more servings of fruits and vegetables daily, and 60% are overweight or obese. An intervention was developed for older adults in North Carolina. The purpose of this article is to describe the process for establishing the Eat Better Move More intervention for older adults in North Carolina.","PeriodicalId":90841,"journal":{"name":"Healthy aging research","volume":"4 1","pages":"1–3"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66240805","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}
引用次数: 0
Supporting evidence for using Perispinal Etanercept to inhibit TNF&agr; when treating neuropathologies including dementia, chronic stroke, neuropathic pain or traumatic brain injury: Role of TNF in neuropathologies and in particular in Alzheimer's disease (Part II) 应用依那西普抑制TNF&agr的支持证据当治疗包括痴呆、慢性中风、神经性疼痛或创伤性脑损伤在内的神经病理时:TNF在神经病理特别是阿尔茨海默病中的作用(第二部分)
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.14
S. Ralph, I. Clark
{"title":"Supporting evidence for using Perispinal Etanercept to inhibit TNF&agr; when treating neuropathologies including dementia, chronic stroke, neuropathic pain or traumatic brain injury: Role of TNF in neuropathologies and in particular in Alzheimer's disease (Part II)","authors":"S. Ralph, I. Clark","doi":"10.12715/har.2015.4.14","DOIUrl":"https://doi.org/10.12715/har.2015.4.14","url":null,"abstract":"Abstract Part II of this three‐part review examines the evidence for the involvement of the pro‐inflammatory cytokine, Tumour Necrosis Factor‐alpha (TNF&agr;) in neuropathologies with a particular focus on Alzheimer's Dementia (AD). It helps to underpin the support for Part III ‐ establishing the basis for using anti‐TNF therapy and why it is justified to target and treat these health problems, including chronic stroke, dementias, neuropathic pain or traumatic brain injury. All of these can become chronic illnesses and are of major incidence with a grossly unmet need to improve their treatment. Part I established the role of TNF&agr; as a direct regulator of neuronal synaptic activity. It is in this context that Part II analyses abnormalities in TNF levels associated with disease, using AD as an example of the consequence that can arise from TNF‐induced changes in the brain. Parts I and II then provide support for clinical application of anti‐TNF therapy, which is discussed in Part III not only for treating the dementias, but also its great benefits in reducing long‐term pain during rehabilitation from traumatic brain injury or chronic stroke, areas where Perispinal Etanercept therapy holds special significance.","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":"66240824","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}
引用次数: 0
Effect of physical activity among seniors participating in a cognitive health promotion program 参加认知健康促进计划的老年人体育活动的效果
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.25
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}
引用次数: 2
Healthy aging is reflected in well‐being, participation, playfulness, and cognitive‐emotional functioning 健康老龄化反映在幸福感、参与性、游戏性和认知情感功能上
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.8
Amiya Waldman-Levi, A. Erez, N. Katz
{"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}
引用次数: 23
Association between dual‐task performance and balance during gait in community‐dwelling elderly people after stroke 社区居住老年人中风后双任务表现与步态平衡的关系
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.29
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}
引用次数: 4
Risk factors for falls and their impact on the severity of fall‐related injuries 跌倒的危险因素及其对跌倒相关损伤严重程度的影响
Healthy aging research Pub Date : 2015-01-01 DOI: 10.12715/har.2015.4.33
Ewald Lindner, C. Duftner, C. Dejaco, M. Schirmer
{"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}
引用次数: 3
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