Changes in physical activity levels and relationship to balance performance, gait speed, and self-rated health in older Swedish women: a longitudinal study

Papp, Marian E.; Grahn-Kronhed, Ann Charlotte; Lundin, Hans; Salminen, Helena

doi:10.1007/s40520-021-02016-5

Cited by 13 publications

(6 citation statements)

References 52 publications

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“…In the present study, the proportions of cautious and abnormal groups were 20.3% and 11.5%, respectively, which are lower than a Swedish study of 351 women aged 69–79 years (median, 72.4 years) showed that the median OLS time was 19 s (interquartile range, 1.5–30) and 22.5 s (interquartile range, 2–30) for right-leg and left-leg standing participants with high exercise, respectively [ 19 ]. Impaired balance contributes to a wide range of negative health outcomes [ 20 ].…”

Section: Discussionmentioning

confidence: 75%

Association of balance impairment with risk of incident cardiovascular diseases among older adults

Kim,

Jeong,

Suh

et al. 2023

Eur J Med Res

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Background Rapid decline in balance is a hallmark of aging, elevating the risk of falls and other age-related geriatric illnesses among older adults. Objective Our aim was to assess whether impairment in balance function is associated with the risk of incident CVD in older adults. Design Retrospective cohort analysis. Participants A total of 129,024 participants who had undergone health screening between 2002 and 2009 were derived from the National Health Insurance Service-Senior cohort. Main measures Balance impairment was evaluated using the open-eyes one-leg standing (OLS) test. The association between balance impairment and incident CVD was analyzed using the Cox proportional hazards regression model. All participants were followed up with until either the date of the first incident of CVD, death, or 31 December 2019. Key results Those with abnormal balance function (< 10 s in OLS test) had a higher risk of CVD (adjusted hazard ratio [aHR] 1.23, CI 1.16–1.31). The association was significant in both the obese and the non-obese, but it seemed to be more pronounced in the latter. Results were supported by sensitivity analyses that did not include cases of CVD development in the first 1, 2, or 3 years and that used a different criterion to define balance dysfunction (< 9 s in OLS test). Conclusions Older adults with balance impairment were found to have an increased risk of incident CVD. Patients with impaired balance function may be a high-risk population who require preventive managements against CVD.

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Section: Discussionmentioning

confidence: 75%

Association of balance impairment with risk of incident cardiovascular diseases among older adults

Kim,

Jeong,

Suh

et al. 2023

Eur J Med Res

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“…In addition, it will be important to establish whether enhanced physical status and improved fall strategies contribute to independence and long-term life satisfaction. Previous studies have shown that older adults with a high level of physical activity have more functional skills and fewer difficulties performing the activities of daily living and that they value their autonomy and health better [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial

Arkkukangas

Bååthe

Ekholm

et al. 2022

IJERPH

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There is limited research on optimal exercise programs that effectively decrease falls and fall-related injuries in older populations. This randomized controlled trial (RCT) aimed to explore the effects of a 12-week Judo4Balance program on falling techniques, physical and psychological functions, health status, and physical activity levels among 200 community-dwelling older adults (79% women and 21% men) with a mean age of 72 years. The 200 participants were randomly allocated for the Judo4Balce program (n = 100) or control group (n = 100). The RCT intervention started in mid-January 2020 and was abruptly interrupted because of the COVID-19 pandemic. A restart of the RCT was initiated in September 2021, and the 12-week intervention was offered to two groups. This study reports the results from three points of assessment: baseline, 20-month follow-up, and 12-week postintervention. At 20 months follow-up, the control group had significantly decreased physical activity levels (summer p = 0.002 and winter p = 0.003); similar changes were not seen in the exercise group. In the exercise group, learning falling techniques in 6–9 weeks led to sustained fall competence at 20 months follow-up. Further, significant improvements in physical function (exercise group p = 0.009 and control group p < 0.001) and learning falling techniques (p < 0.001 for both groups) were noted in both groups after the 12-week intervention. This effective, supervised, group-based, high-challenge multicomponent exercise program needs to be further evaluated for possible impact on falls and fall-related injuries.

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“…It was demonstrated that gait variability could be treated by physical activity, in different frailty-related scenarios [34][35][36]. The knowledge of reference values may be helpful to develop specific exercise programs for this type of patients.…”

Section: Discussionmentioning

confidence: 99%

Gait characteristics in community-dwelling older persons with low skeletal muscle mass and low physical performance

Longobucco

Krumpoch²,

Lauretani

et al. 2022

Aging Clin Exp Res

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Background Demographic changes in the western world entail new clinical approaches and challenges in older persons. Low skeletal muscle mass and low physical performance in older persons are both predisposing conditions for disability and obtaining knowledge in this cohort is essential. Aim The primary aim of the study was to analyze a broader spectrum of gait characteristics within this specific population and differentiate them across different test conditions. Methods Two centers participating at the SPRINTT project with hi-tech gait analysis available conducted a cross-sectional descriptive study on N = 115 community-dwelling older persons with low muscle mass and physical performance. Reference values of 13 gait parameters were collected across different conditions: usual gait speed, fast gait speed, and usual gait speed while simultaneously naming animals. Results and discussion This study shows the first spatio-temporal reference values in a community-dwelling older population composed of individuals with low skeletal muscle mass and low physical performance. In comparison to the normative spatio-temporal gait parameters in older persons reported in the literature, this population showed some differences. The mean gait speed was lower than 1 m/s, considered as a cutoff for vulnerable community-dwelling individuals, which corresponds to a greater risk of falls, hospitalization, and mortality. The stride length variability was higher, exposing to a greater risk of falling, and was also associated with a higher risk of developing cognitive decline. Conclusion This study represents the first step in the development of quantitative reference values in community-dwelling older persons with low physical performance and low skeletal muscle mass.

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Changes in physical activity levels and relationship to balance performance, gait speed, and self-rated health in older Swedish women: a longitudinal study

Cited by 13 publications

References 52 publications

Association of balance impairment with risk of incident cardiovascular diseases among older adults

Association of balance impairment with risk of incident cardiovascular diseases among older adults

High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial

Gait characteristics in community-dwelling older persons with low skeletal muscle mass and low physical performance

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