Exercise to prevent and treat functional disability

Singh, Maria A. Fiatarone

doi:10.1016/s0749-0690(02)00016-2

Cited by 72 publications

(10 citation statements)

References 143 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, the beneficial effect of the occupational PA and the harmful effects of the occupation on disability might be cancelled out. Further, disability is a complex construct influenced by a variety of factors such as diseases, environment, demographic factors, psychosocial factors and physical fitness [34].…”

Section: Discussionmentioning

confidence: 99%

Is Midlife Occupational Physical Activity Related to Disability in Old Age? The SNAC-Kungsholmen Study

et al. 2013

View full text Add to dashboard Cite

ObjectivesLeisure-time physical activity (PA) has been established to be related to more years lived without disability. However, less is known about the relationship between occupational PA and disability in old age. The aim of the study was 1) to investigate whether midlife occupational PA is related to late-life disability, and 2) to test the hypothesis that the association differs according to the occupational categories of blue and white collar work.MethodsThe study population was derived from the Swedish National Study on Aging and Care, and consisted of a random sample of 1804 subjects aged 72 and above. The association of occupational PA during the longest held occupation with disability in old age was determined using logistic regression.ResultsThere was no significant relationship between occupational PA and disability in personal or instrumental activities of daily living (ADL) after controlling for demographic and health-related factors. However, in stratified analyses moderate levels of occupational PA was associated with a lower odds ratio of dependency in personal ADL amongst white collar workers, compared to low level of occupational PA (OR = 0.34 95% C1 0.12–0.98).ConclusionsModerate levels of midlife occupational PA were associated with a decreased risk of personal ADL disability in old age among white collar workers, but not among blue collar workers. Our results highlight the importance of encouraging white collar workers to engage in physical activity during or outside work hours.

show abstract

Section: Discussionmentioning

confidence: 99%

Is Midlife Occupational Physical Activity Related to Disability in Old Age? The SNAC-Kungsholmen Study

et al. 2013

View full text Add to dashboard Cite

show abstract

“…In older people without dementia, physical exercise has been shown to improve aspects of physical function such as muscle strength, gait, and balance, as well as cognition and ADL dependence. 11 – 13 For optimal improvement in physical function, exercise should be performed at high intensity, close to the individual's maximal capacity, 11 , 12 , 14 and be task specific (involving the target skill or components thereof). 15 – 19 Task specificity may be particularly important in people with Alzheimer's disease because of concomitant difficulty in motor skill transfer (ability to use acquired skills in new contexts).…”

mentioning

confidence: 99%

Effects of a High‐Intensity Functional Exercise Program on Dependence in Activities of Daily Living and Balance in Older Adults with Dementia

Toots

Littbrand

Lindelöf

et al. 2016

J American Geriatrics Society

117

View full text Add to dashboard Cite

ObjectivesTo investigate the effects of a high-intensity functional exercise program on independence in activities of daily living (ADLs) and balance in older people with dementia and whether exercise effects differed between dementia types.DesignCluster-randomized controlled trial: Umeå Dementia and Exercise (UMDEX) study.SettingResidential care facilities, Umeå, Sweden.ParticipantsIndividuals aged 65 and older with a dementia diagnosis, a Mini-Mental State Examination score of 10 or greater, and dependence in ADLs (N = 186).InterventionNinety-three participants each were allocated to the high-intensity functional exercise program, comprising lower limb strength and balance exercises, and 93 to a seated control activity.MeasurementsBlinded assessors measured ADL independence using the Functional Independence Measure (FIM) and Barthel Index (BI) and balance using the Berg Balance Scale (BBS) at baseline and 4 (directly after intervention completion) and 7 months.ResultsLinear mixed models showed no between-group effect on ADL independence at 4 (FIM=1.3, 95% confidence interval (CI)=−1.6–4.3; BI=0.6, 95% CI=−0.2–1.4) or 7 (FIM=0.8, 95% CI=−2.2–3.8; BI=0.6, 95% CI=−0.3–1.4) months. A significant between-group effect on balance favoring exercise was observed at 4 months (BBS=4.2, 95% CI=1.8–6.6). In interaction analyses, exercise effects differed significantly between dementia types. Positive between-group exercise effects were found in participants with non-Alzheimer's dementia according to the FIM at 7 months and BI and BBS at 4 and 7 months.ConclusionIn older people with mild to moderate dementia living in residential care facilities, a 4-month high-intensity functional exercise program appears to slow decline in ADL independence and improve balance, albeit only in participants with non-Alzheimer's dementia.

show abstract

“…Maintaining independence in indoor mobility could be important for life satisfaction in this group of older people 6 . Also, from a longer perspective, it could prevent further development of disability and diseases related to physical inactivity, 13 because greater dependence in indoor mobility may reduce spontaneous physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…In older people, high‐intensity exercise programs (training near an individual's maximum capacity) are effective in improving physical functional capacity 5,7–11 . Despite this, there is lack of evidence to support the view that exercise programs are an effective method for reducing disability 11–13 . To the authors' knowledge, only one randomized controlled trial has examined whether a high‐intensity exercise program influences performance in ADLs in older people with severe physical or cognitive impairments 14 .…”

mentioning

confidence: 99%

The Effect of a High‐Intensity Functional Exercise Program on Activities of Daily Living: A Randomized Controlled Trial in Residential Care Facilities

Littbrand

Lundin-Olsson

Gustafson

et al. 2009

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

Exercise to prevent and treat functional disability

Cited by 72 publications

References 143 publications

Is Midlife Occupational Physical Activity Related to Disability in Old Age? The SNAC-Kungsholmen Study

Is Midlife Occupational Physical Activity Related to Disability in Old Age? The SNAC-Kungsholmen Study

Effects of a High‐Intensity Functional Exercise Program on Dependence in Activities of Daily Living and Balance in Older Adults with Dementia

The Effect of a High‐Intensity Functional Exercise Program on Activities of Daily Living: A Randomized Controlled Trial in Residential Care Facilities

Contact Info

Product

Resources

About