Environmental and behavioural interventions for reducing physical activity limitation in community-dwelling visually impaired older people

Skelton, Dawn A.; Howe, Tracey; Ballinger, Claire; Neil, Fiona; Palmer, Shelagh; Gray, Lyle S.

doi:10.1002/14651858.cd009233.pub2

Cited by 13 publications

(4 citation statements)

References 55 publications

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“…We also observed an average of 1.5 fewer minutes of MVPA/day (roughly 10 fewer weekly minutes) each year for injurious fallers, which is substantial given that World Health Organization (WHO) recommends older adults should conduct at least 150 minutes of moderate-intensity physical activity a week to maintain functional capability and overall well-being [51]. Our data add compelling evidence about the impact of substantial mobility declines associated with injurious falls on longevity and well-being, which supports the need for interventions to prevent injurious falls and rehabilitation programs to enhance the recovery from any detrimental effects of falls, particularly with regards to safely resuming/increasing physical activity [52,53].…”

Section: Discussionsupporting

confidence: 56%

“…As such, it remains unclear whether any fall occurrences with respect to other illnesses (other than visual damage) also in uence the longitudinal change of physical activity and FoF in the same manner. Additionally, other factors (e.g., home hazard modi cation) [52] might confound the association between falls status and activity in observational studies, though such factors would only affect results if they were differential across fall status. Moreover, such changes, if protective, would tend to bias our results towards the null.…”

Section: Discussionmentioning

confidence: 99%

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Characterizing Longitudinal Change in Physical Activity and Fear of Falling in Glaucoma

Jian‐Yu¹,

Mihailović²,

Schrack³

et al. 2020

Preprint

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Background: Older adults with visual impairments experience a higher risk of falling, and are more vulnerable to adverse health consequences associated with falls than those with normal vision. This study aims to characterize the longitudinal changes of objectively measured physical activity and self-reported fear of falling (FoF) related to types of falls in visually impaired older adults. Methods: We obtained data from the Falls in Glaucoma Study (FIGS), a prospective cohort study that recruited 234 participants at the Johns Hopkins Wilmer Eye Institute from 2013 to 2015. Falls were defined as unintentionally coming to rest on the ground or a lower level, and injurious falls were determined though follow-up calls. Study participants were categorized into three groups – fallers with injurious consequences, fallers without injurious consequences, and non-fallers based on fall status in the first year. Physical activity was assessed using a waist-bound accelerometer (Actical). FoF was evaluated by questionnaire, with Rasch modeling generating FoF scores where higher scores reflected worse FoF. The three-year longitudinal changes of physical activity and FoF were modeled using mixed-effects models. Results: In linear models fully adjusted for visual field damage and other covariates, physical activity among injurious fallers declined 425 steps/year (95% confidence interval [CI]: -793, -57), 13 active minutes/year (95% CI: -21, -6), and 3 minutes/year of moderate/vigorous activity (95% CI: -5, 0) more over the three-year study period compared to non-fallers; however, physical activity did not decline among non-injurious fallers. No longitudinal increases in FoF scores were observed in injurious or non-injurious fallers.Conclusions: Among visually impaired older adults, injurious falls identified prospectively over 12 months contributed to a significant decline in physical activity over a three-year period, while no significant increases were observed for FoF. Further longitudinal research is warranted to better understand how different groups respond to falls, either via behavioral changes and/or changes in FoF, and to characterize the impact of reduced physical activity in fallers.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Characterizing Longitudinal Change in Physical Activity and Fear of Falling in Glaucoma

Jian‐Yu¹,

Mihailović²,

Schrack³

et al. 2020

Preprint

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“…41 Our results show improvements in PA after exercise interventions. While the obtained results are promising, 29,33 reviews performed in other pathologies 42,43 propose that exercise interventions alone need to be accompanied by behavioral and/or social components to change lifestyles. In our review, none of the studies includes a specific behavioral intervention with PA levels as outcomes.…”

Section: Systematic Reviewmentioning

confidence: 99%

Effects of Exercise-Based Interventions on Physical Activity Levels in Persons With Parkinson's Disease: A Systematic Review With Meta-analysis

Martín‐Núñez

Calvache‐Mateo

López‐López

et al. 2023

Journal of Geriatric Physical Therapy

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Background and Purpose: Parkinson's disease (PD) is the most common neurodegenerative movement disorder. Symptom severity leads to devastating consequences such as falls, immobility, impaired quality of life, and reduced general activity. Adopting a sedentary lifestyle creates a vicious circle, as physical inactivity can negatively affect the clinical domains of PD. Despite the recognition of the disease-modifying potential of physical activity (PA), achieving adequate exercise levels can be challenging for individuals with PD. This study aimed to investigate the repercussions of exercise-based interventions to improve PA levels in persons with PD through a systematic review with meta-analysis. Methods: A search was conducted from database inception to February 2021 across 3 databases: PubMed, Web of Science, and Scopus. Randomized controlled trials were included if they involved persons with PD, outcome measures associated with PA levels, and an exercise-based intervention. Two reviewers performed independent data extraction and methodologic quality assessment of the studies using the Downs and Black quality checklist. Results: A total of 6 studies were included in the study (1251 persons with PD). Four intervention types were identified: balance, strength, aerobic, and multimodal exercise (combination of several types of exercise programs). The meta-analysis showed that exercise interventions have a positive effect on PA (standard mean difference = 0.50, 95% CI =−0.02, 1.00; P = .06). The risk of bias was generally low. Conclusions: The findings support the use of exercise-based interventions (aerobic exercise, balance exercise, strength exercise, and/or multimodal exercise) to improve PA levels. However, the limited number of studies and the heterogeneity of the interventions do not allow us to draw a definitive conclusion.

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“…A Cochrane review was done on environmental and behavioural interventions to reduce limitations in physical activity in older persons with a visual impairment living in the community. This review was inconclusive about the effectiveness of both types of programmes for elderly persons with visual impairment and did not investigate the effect on falls (Skelton et al, 2013). Another review on physical training in persons with a visual impairment showed that training programmes can improve physical function, but the effect on falls is still unclear (Gleeson, Sherrington, & Keay, 2014).…”

Section: Introductionmentioning

confidence: 99%

Insight into falls prevention programmes for people with visual impairments and intellectual disabilities: A scoping review

Enkelaar

Overbeek

Wingerden

et al. 2019

British Journal of Visual Impairment

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The aim of this study was to review the current literature on falls prevention in people with visual impairment and to estimate the applicability of methods of fall prevention for people with visual impairment and intellectual disability. A scoping review was performed according to the Arksey and O'Malley framework. Relevant studies were collected from PubMed, Web of Science, and the Cochrane Register of Controlled Trials (CENTRAL). All records covering the time span from January 1980 until November 2017 were collected. Studies were included if the participants had a visual impairment according to objective ophthalmic assessments, the article described interventions to reduce falls or risk factors for falls, and the study was written in English and published in a peer-reviewed journal. The methodological quality of the studies were determined by consensus of the authors on the PEDro scale. Fifteen articles were included in this scoping

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Environmental and behavioural interventions for reducing physical activity limitation in community-dwelling visually impaired older people

Cited by 13 publications

References 55 publications

Characterizing Longitudinal Change in Physical Activity and Fear of Falling in Glaucoma

Characterizing Longitudinal Change in Physical Activity and Fear of Falling in Glaucoma

Effects of Exercise-Based Interventions on Physical Activity Levels in Persons With Parkinson's Disease: A Systematic Review With Meta-analysis

Insight into falls prevention programmes for people with visual impairments and intellectual disabilities: A scoping review

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