Association between Walking Habit and Physical Frailty among Community-Dwelling Older Adults

Yokote, Tsubasa; Yatsugi, Harukaze; Chu, Tianshu; Liu, Xin; Kishimoto, Hiro

doi:10.3390/healthcare10081396

Cited by 4 publications

(3 citation statements)

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“…Evidence also revealed that older people with walking habits had greater levels of physical function. [43] Evidence also showed that older individuals who were physically active had a greater level of physical function and subsequent quality of life, and aging-related declines in physical function might affect the overall quality of life [44]. One of the possible reasons for the decline in physical function observed among the participants in the present study may be related to the natural consequences of the aging process.…”

Section: Discussionsupporting

confidence: 54%

Enhancing Physical and Psychosocial Health of Older Adults in Saudi Arabia through Walking: Comparison between Supervised Group-Based and Non-Supervised Individual-Based Walking

Karmakar,

Wong,

AlMarzooqi

et al. 2023

EJIHPE

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Walking is widely recognized as one of the most common and effective forms of physical activity, particularly for older adults. This study examined the comparative effects of two types of walking interventions, including supervised group-based intervention (SGBI) and non-supervised individual-based intervention (NSIBI), on frailty syndrome, cognitive functions or skills, and health-related quality of life among sedentary older Saudi individuals. A 15-week double-blinded, randomized controlled trial (RCT) including three groups (two were intervention groups while the other was the control group) was conducted among older adults who were inactive to examine the effect of different forms of walking interventions on frailty syndrome, cognitive functions, and health-related quality of life. A total of 107 participants, including 65 males and 42 females, were divided into three groups, which include SGBI, NSIBI, and the control group. Frailty syndrome was measured using the physical performance test (PPT), while cognitive function and health-related quality of life were assessed using the Mini-mental State Examination (MMSE) and the Short Form 36 (SF 36) health survey questionnaire. One-way repeated measures analysis of variance (ANOVA) and one-way analysis of covariance (ANCOVA) with the pre- and post-tests were performed for within- and between-group differences. while post-test data for the control group participants were absent due to the change in elderly center regulation, and they were excluded from the analysis. Hence, the comparison was stated only between the intervention groups. Both of the intervention groups (SGBI and NSIBI) showed significant within-subject differences in the Physical Function subscale of the health-related quality of life scale only, with F(1,20) = 23.03, p < 0.001, and F(1,18) = 27.22, p < 0.001, respectively. On the other hand, the Physical Performance Test revealed significant [F(2,51) = 9.21, p < 0.001] between-group differences in the post-test based on the baseline values. In addition, the average step count of older adults was increased from 4000 steps per session to around 7000 steps per session in the intervention group. The average heart rate of the NSIBI group did not show a visible change, and the resting heart rate of both groups showed a slightly declining trend throughout the intervention period. The walking intervention significantly increased participants’ physical function, which is a component of health-related quality of life and physical performance (frailty level), along with average daily step counts for older adults in Saudi Arabia. Regular engagement in the recommended level of walking is strongly advisable for Saudi Arabian older adults to maintain their overall quality of life at this stage.

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Section: Discussionsupporting

confidence: 54%

Enhancing Physical and Psychosocial Health of Older Adults in Saudi Arabia through Walking: Comparison between Supervised Group-Based and Non-Supervised Individual-Based Walking

Karmakar,

Wong,

AlMarzooqi

et al. 2023

EJIHPE

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“…However, the question of what exercises or activities are the most effective in terms of the content of physical activity has remained. Our early research showed that compared to a group of subjects who had no exercise habit, subjects with a high-frequency or long-duration exercise habit had a lower risk of physical frailty [ 7 ]. It has also been reported that the risk of physical frailty is cross-sectionally lower with more social participation (other than social exercise participation) and with moderate-to-vigorous physical activity (MVPA) [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Associations between various types of activity and physical frailty in older Japanese: a cross-sectional study

Yokote,

Yatsugi,

Chu

et al. 2023

BMC Geriatr

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Background Physical activity is known to help prevent physical frailty, but it is not clear which physical activities practiced alone or in combination are most closely associated with a lower risk of physical frailty. We investigated differences in the associations of exercise habit, social participation, and moderate-to-vigorous physical activity (MVPA) with physical frailty and its components among community-dwelling older Japanese adults. Subjects and methods A total of 831 older adults participated in this cross-sectional study. Physical frailty was defined based on the Fried et al. criteria. Exercise habit was defined as exercising ≥ 30 min per day for ≥ 2 days per week for ≥ 1 year. Social participation was defined as participating in community activities ≥ 1/week. MVPA was defined as ≥ 300 min/week of moderate physical activity (MPA) or 150 min/week of vigorous physical activity (VPA). We classified the participants into eight groups according to the presence/absence of these activities, and we performed a logistic regression analysis to investigate the association between different activities, both alone and in combination, and physical frailty. Results The prevalence of physical pre-frailty + frailty was 74.8% in the None group, 65.0% in the Exercise habit group, 76.3% in the Social participation group, 56.5% in the MVPA group, 58.7% in the Exercise habit + Social participation group, 44.0% in the Exercise habit + MVPA group, 41.3% in the Social participation + MVPA group, and 38.0% in the All group. Compared to the None group, the groups in which participants were engaged in any combination of two or more types of activity, as well as the MVPA-alone group had significantly lower risks of physical pre-frailty + frailty. Conclusion Community-dwelling older Japanese adults who engaged in MVPA or any combination of two or more types of physical activity as defined herein had lower risks of physical pre-frailty and frailty.

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“…Fujii et al [ 9 ] performed a cross-sectional study with the aim to clarify the association between frailty/occupational dysfunction and well-being in a sample of 2308 community-dwelling older individuals. The third Japanese study was carried out by Yokote et al [ 10 ] to determine whether older people who walk for exercise have a lower risk of physical frailty than those who do not. To assess physical frailty, Yokote et al utilized the frequently used Cardiovascular Health Study criteria by Fried et al [ 11 ].…”

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confidence: 99%

Frailty in Community-Dwelling Older People

Gobbens

2023

Healthcare

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Association between Walking Habit and Physical Frailty among Community-Dwelling Older Adults

Cited by 4 publications

References 25 publications

Enhancing Physical and Psychosocial Health of Older Adults in Saudi Arabia through Walking: Comparison between Supervised Group-Based and Non-Supervised Individual-Based Walking

Enhancing Physical and Psychosocial Health of Older Adults in Saudi Arabia through Walking: Comparison between Supervised Group-Based and Non-Supervised Individual-Based Walking

Associations between various types of activity and physical frailty in older Japanese: a cross-sectional study

Frailty in Community-Dwelling Older People

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