Participation in Physical Activity: Influences Reported by Seniors in the Community and in Long-Term Care Facilities

Weeks, Lori E.; Profit, Sheila; Campbell, Barbara; Graham, Hope; Chircop, Aldo; Sheppard-LeMoine, Debbie

doi:10.3928/00989134-20080701-11

Cited by 36 publications

(18 citation statements)

References 20 publications

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“…Second, our finding that protective and risk factors were significantly associated with weekly physical activity and number of falls is consistent with previous studies (Weeks et al, 2008;Whitehead & Lavelle, 2009;Wilcox et al, 2003). This finding confirms the importance of health status and reducing health indicators associated with falls in this population.…”

Section: Discussionsupporting

confidence: 92%

“…included health and physical impairment (Belza et al, 2004;Forkan et al, 2006;Vaughn, 2009;Weeks et al, 2008;Whitehead & Lavelle, 2009), pain (Conn, Libbus, Thompson, & Kelley, 1994;Vaughn, 2009;Wilcox, Bopp, Oberrecht, Kammermann, & McElmurray, 2003), and being too tired (Conn, TrippReimer, & Maas, 2003;Heesch, Brown, & Blanton, 2000;O'Neill & Reid, 1991;Vaughn, 2009;Wilcox et al, 2003); whereas psychological benefits serving as motivators for physical activity included self-efficacy (Damush, Perkins, Mikesky, Roberts, & O'Dea, 2005;Dye & Wilcox, 2006;Resnick, Orwig, D'Adamo et al, 2007Wilcox et al, 2003) and better health status (Belza et al, 2004;Hardy & Grogan, 2009;Raviv & Netz, 2007;Vaughn, 2009;Whitehead & Lavelle, 2009). In addition to physical inactivity, falls are also associated with demographic factors such as age, sex, and chronic disease.…”

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confidence: 99%

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Protective and Risk Factors for Physical Activity and Falls Among Oldest-Old Adults Enrolled in an Evidence-Based Fall Risk Reduction Program

Cho

Jiang

Smith

et al. 2016

Activities, Adaptation & Aging

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This study is an examination of protective and risk factors associated with weekly physical activity and number of falls among oldest-old participants enrolled in A Matter of Balance/Volunteer Lay Leader (AMOB/VLL) model. Poisson mixed regression models were used to assess potential protective (falls efficacy and self-rated health) and risk (pain, fatigue, and health interference) factors for weekly physical activity and number of falls from baseline to post-intervention after controlling for sex, race/ethnicity, age, education, living alone, and number of chronic conditions. Weekly physical activity and number of falls improved significantly from baseline to postintervention. Falls efficacy scores and self-rated health (as protectors) as well as fatigue, health interference scores, and pain (as risk factors) at baseline were significantly related to weekly physical activity and number of falls among oldest-old participants. Findings indicate that program elements of AMOB/VLL are effective in improving physical activity and reduce falls among the oldest-old population.

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

Protective and Risk Factors for Physical Activity and Falls Among Oldest-Old Adults Enrolled in an Evidence-Based Fall Risk Reduction Program

Cho

Jiang

Smith

et al. 2016

Activities, Adaptation & Aging

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“…Health limitations and impairments including co-morbidities/chronic conditions are amongst the most common reasons influencing attendance to exercise [ 6 , 10 , 12 ]. The original study team devised a pre-determined, a priori list of common medical conditions informed using existing co-morbidity scales (cancer, stroke, dementia, depression, anxiety, osteoporosis, chronic lung disease, urinary incontinence) [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, only two of the studies were based in LTC (USA and Canada). However, from these two studies, the main barriers to physical activity were health or physical impairments [ 10 ]. Motivators often included physical/health benefits, having less pain, previous physical activity experiences and the social component and support of participating in physical activity [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of attendance to group exercise: a cohort study of older adults in long-term care facilities

et al. 2015

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BackgroundThe benefits of regular exercise and physical activity are well known. Those living in long-term care are often frail, but have the potential to benefit from physical activity; yet are less likely to be offered exercise. Promoting exercise within residential and nursing homes may reduce health risks associated with inactivity in this population. The aim of this cohort study is to identify predictors of attendance at physiotherapy led exercise groups offered to older adults residing in long-term care in the United Kingdom.MethodsOne thousand and twenty three older adults residing in residential and nursing homes, were recruited to the Older People's Exercise in Residential and nursing Accommodation (OPERA) cluster randomised controlled trial. Secondary analysis of 428 adults (aged 75 to 107) randomised to twice-weekly physiotherapy-led group exercise sessions for 12 months was undertaken. Using attendance data, linear regression analysis was utilised to separately identify individual and home-level factors predictive of attendance at exercise in the residential and nursing homes.ResultsOf 428 older adults, 326 lived in residential homes and 102 in nursing homes. Mean age of the sample was 88.0 years and the majority of residents were female (324/428, 76%). Pre-intervention assessment suggested that most residents had moderate cognitive impairment; median (range) Mini Mental State Examination scores in residential homes were 19 (0–30) and 14 (0–29) in nursing homes. Median Geriatric Depression Scale (GDS-15) scores were 3 (0–13) and 5 (0–13) respectively, indicating low levels of depressive symptoms.Over a 12-month period, 3191 exercise groups were delivered. Mean number of groups in the residential homes was 82 and 78 in the nursing homes. Number of attendances at group exercise was 11,534/21,292 (54.2%) and 3295/6436 (51.2%) respectively.Linear regression analysis revealed that depression, social engagement, and socio-economic characteristics were significantly associated with participant attendance at exercise groups in the residential homes, but none of these factors predicted attendance at group exercise in nursing homes.ConclusionsOlder people living in long-term care are receptive to participating in exercise programmes, but there are individual and home-level reasons for attendance and non-attendance.

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“…According to Prat and Scheicher [55], the loss of functional independence is one of the main problems of older people, while independence increases their satisfaction and improves their quality of life. Weeks et al [56] stated that preventing the expansion of functional limitations is a key factor motivating older people to participate in physical exercise. An additional element affecting the functioning of older people in nursing homes is the ensemble nature of the institution.…”

Section: Discussionmentioning

confidence: 99%

Effects of Physical Exercises and Verbal Stimulation on the Functional Efficiency and Use of Free Time in an Older Population under Institutional Care: A Randomized Controlled Trial

Wiśniowska-Szurlej

Ćwirlej-Sozańska

Wołoszyn

et al. 2020

JCM

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Older people in institutional care are, for the most part, physically inactive and do not interact with each other or medical staff. Therefore, reducing sedentary behaviour is a new, important, and modifiable lifestyle variable that can improve the health of elderly people. The aim of the project was to assess the degree of improvement in functional performance and the possibility of changing habitual, free time behaviour among elderly people under institutional care by applying physical training with verbal stimulation. The study covered older people, aged 65–85 years, who are living a sedentary lifestyle in care homes in Southeastern Poland. Those who met the eligibility criteria were enrolled in the study and were assigned, at random, to one of four parallel groups: basic exercises (n = 51), basic exercises combined with verbal stimulation (n = 51), functional exercise training (n = 51), and functional exercise training with verbal stimulation (n = 51). No statistically significant differences in baseline characteristics were observed across the groups. Data were collected at baseline and at 12 and 24-weeks following the completion of the intervention. In the group with functional exercise training with verbal stimulation, in comparison to the group with basic exercises, the greatest positive short-term impact of intervention was demonstrated in terms of functional fitness (increased by 1.31 points; 95% confidence interval (CI) = 0.93–1.70), gait speed (improved by 0.17 m/s, 95% CI = 0.13–0.22), hand grip strength (by over 4 kg; 95% CI = 2.51–4.95), and upper-limb flexibility (by 10 cm; 95% CI = 5.82–12.65). There was also a significant increase in the level of free-time physical activity and an improvement in the quality of life, especially as expressed in the domain of overall physical functioning. Our study showed that a functional exercise program, combined with verbal stimulation, is effective at improving physical fitness and raising the level of free-time physical activity.

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Participation in Physical Activity: Influences Reported by Seniors in the Community and in Long-Term Care Facilities

Cited by 36 publications

References 20 publications

Protective and Risk Factors for Physical Activity and Falls Among Oldest-Old Adults Enrolled in an Evidence-Based Fall Risk Reduction Program

Protective and Risk Factors for Physical Activity and Falls Among Oldest-Old Adults Enrolled in an Evidence-Based Fall Risk Reduction Program

Predictors of attendance to group exercise: a cohort study of older adults in long-term care facilities

Effects of Physical Exercises and Verbal Stimulation on the Functional Efficiency and Use of Free Time in an Older Population under Institutional Care: A Randomized Controlled Trial

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