A Walking Program for Nursing Home Residents: Effects on Walk Endurance, Physical Activity, Mobility, and Quality of Life

MacRae, Priscilla G.; Asplund, Leslie A.; Schnelle, John F.; Ouslander, Joseph G.; Abrahamse, Allan; Morris, Celee

doi:10.1111/j.1532-5415.1996.tb02435.x

Cited by 150 publications

(87 citation statements)

References 9 publications

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“…In residents of a nursing home who were assigned to a 12-week walking program, the experimental walking group improved distance by 22% after the program, whereas no significant changes were reported for the social visit control group. 28 The effects of walking have also been proved to be successful in a study of patients assigned to an experimental (diet and exercise) group, who were instructed to walk at least 10 000 steps/day on a flat field vs a diet alone control group, who maintained a normal routine (45007290 steps/day). The experimental group showed a significantly greater amount of weight reduction (7.870.8 vs 4.270.5 kg, Po0.01) and had significant correlations between metabolic clearance rate and average steps walked per day (r ¼ 0.7257, Po0.005).…”

Section: Discussionmentioning

confidence: 99%

Relationship between ambulation and obesity in older persons with and without low back pain

et al. 2003

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CONTEXT: For obese older persons, ambulation is both functionally important and a means of weight control. The relationship between weight and ambulation is not known in this population. Also, the extent to which pain interferes with ambulation is not studied. OBJECTIVE: To examine the relationship between obesity and ambulation, and to determine the effect of pain and body mass index (BMI) on ambulation in older persons. DESIGN, SETTING, AND PARTICIPANTS: Retrospective study of 82 older persons, ages 55-79 y, some with no back pain recruited from the community, others with back pain or spinal stenosis recruited from a magnetic resonance imaging (MRI) scanner as part of a larger university study of spinal stenosis. OUTCOME MEASURES: Age, Visual Analog Scales for pain, BMI, patient diagnosis (no pain, mechanical back pain, and spinal stenosis), walking velocity and stride length on a 15-min laboratory ambulation test, and 1-week community ambulation measured with a pedometer (steps, distance, and energy expenditure). RESULTS: BMI had a significant inverse relationship with ambulatory measurements in terms of the distance walked, steps taken, and walking velocity. Pain severity and pain category also had a significant inverse relationship with these measures. A negative correlation was observed between pain and obesity, although the relationship was statistically nonsignificant. DISCUSSION: Obese older people walked less than the nonobese older people. Pain was associated with decreased ambulation. Clinicians who intend to encourage increased ambulation in older obese persons should consider possible barriers posed by musculoskeletal pain.

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Section: Discussionmentioning

confidence: 99%

Relationship between ambulation and obesity in older persons with and without low back pain

et al. 2003

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“…One possible explanation for why this improvement was not observed in patients with more severe cognitive impairment might be that the group with mild cognitive problems benefited from the social aspects of the exercise intervention which in turn impacted on their mood. Another Class II study (Schnelle,dementia 5( 3 ) MacRae, Ouslander, Simmons, & Nitta, 1995) found a decrease of agitation in both groups, implying no additional benefit of the exercises on agitation, and MacRae et al (1996) found no significant change in outcome. However, both studies offered an exercise intervention of relatively short duration, in other words, 13 minutes and 14.5 to 23.8 minutes respectively.…”

Section: Effects Of Physical Activity On Affective Behaviourmentioning

confidence: 99%

Physical activity and behaviour in dementia

Eggermont

Scherder

2006

Dementia

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Physical activity can have a positive impact on cognition and well-being in older people. This article reviews and evaluates the effects of planned physical activity programmes on mood, sleep and functional ability in people with dementia. A total of 27 studies between 1974 and 2005 were found. Of these, four included participants living at home, two involved participants who were living either at home or in care homes and 21 included participants living solely in care homes. Since psychosocial intervention can reduce family caregiver burden, the break down of home-care and associated rates of institutionalization, the indirect effects of these physical activity programmes on the family caregiver are also explored. The scope for developing physical activity programmes for people with dementia in primary care using families and volunteers is discussed.

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“…It has a bene®cial impact on functional, physical and psychological health. A higher level of physical activity has been associated with increased survival (Morgan & Clarke, 1997), a delay in the progression of disability (Fries, 1996) and loss of functional ability (Ho et al, 1997), improved balance and strength (Wolfson et al, 1996;Wolf et al, 1996), reduced incidence of falls (and hence risk of fractures; Campbell et al, 1997), as well as higher quality of life (MacRae et al, 1996;Ruuskanen & Ruoppila, 1995).…”

Section: Physical Activitymentioning

confidence: 99%

Relationships among diet, physical activity and other lifestyle factors and debilitating diseases in the elderly

Woo

2000

Eur J Clin Nutr

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Diet and physical activity are two major lifestyle factors that play a role in the prevention or management of debilitating conditions affecting older people. Both under-and overnutrition predispose to diseases. Low sodium and high potassium intakes, as well as the consumption of fruits and vegetables are associated with a reduction of hypertension and diseases arising from hypertension such as stroke and dementia. Dietary patterns (consumption of quantity and types of fats, cholesterol, vegetable oils, ®sh) are important in the prevention of coronary heart disease. Calcium and vitamin D intakes are important factors in the development of osteoporosis, while various dietary factors have been linked to the development of cancer. Physical activity is important in the prevention of functional decline and increased survival, reduced incidence of falls and fractures, and has various cardiovascular health bene®ts. Apart from prevention of diseases, exercise also has an important role in improving function in some chronic diseases such as heart failure or chronic obstructive pulmonary disease. Both diet and exercise interact, so that public health recommendations often take the form of lifestyle modi®cation advice in the prevention of disease and disability.

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A Walking Program for Nursing Home Residents: Effects on Walk Endurance, Physical Activity, Mobility, and Quality of Life

Cited by 150 publications

References 9 publications

Relationship between ambulation and obesity in older persons with and without low back pain

Relationship between ambulation and obesity in older persons with and without low back pain

Physical activity and behaviour in dementia

Relationships among diet, physical activity and other lifestyle factors and debilitating diseases in the elderly

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