The Relationship Between Pulmonary Function and Physical Function and Mobility in Community-Dwelling Elderly Women Aged 75 Years or Older

Abe, Tsutomu; Suzuki, Takao; Yoshida, Hideyo; Shimada, Hiroyuki; Inoue, Nozomu

doi:10.1589/jpts.23.443

Cited by 14 publications

(12 citation statements)

References 26 publications

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“…6,7,18 Thus, an extended life-space mobility plays an important role in maintaining health and function in patients following TKA. In this study, the LSA score of 83.1 in the control group was lower than in communitydwelling older adults 22 ; however, the LSA score of 96.3 after the event in the intervention group exceeded the score of 91.8 of community-dwelling older adults in Japan. 22 Therefore, our results suggest that patients approximately 4 months after TKA who participated in the walking event demonstrated better life-space mobility at 5 months after TKA than did community-dwelling older adults.…”

Section: Discussioncontrasting

confidence: 67%

“…Although patients demonstrated most of the changes in strength and functional gains within 6 months after TKA, 11,21 6 months after TKA, patients scored 84.1 on the LSA, 12 which was lower than the score of community-dwelling older adults in Japan. 22 Restricted life-space mobility is an important risk factor for the development of frailty, 18 cognitive decline, 3,4 and mortality. 6,7,18 Thus, an extended life-space mobility plays an important role in maintaining health and function in patients following TKA.…”

Section: Discussionmentioning

confidence: 99%

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Effects of an Intervention to Improve Life-Space Mobility and Self-Efficacy in Patients following Total Knee Arthroplasty

2018

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Life-space mobility describes the spatial areas through which an individual moves, and the frequency and need for assistance. Although patients with knee osteoarthritis (OA) have shown restricted life-space mobility, total knee arthroplasty (TKA) does not improve it beyond preoperative levels. Life-space mobility after TKA was influenced by self-efficacy for walking tasks; thus, an intervention to improve self-efficacy for walking tasks may contribute to better life-space mobility. We provided a walking event including several walking tasks as the intervention. We assessed the effect of the walking event on life-space mobility and self-efficacy for walking tasks in patients following TKA. In this nonrandomized controlled trial, patients who underwent primary TKA were recruited. After recruitment, patients who could not participate in the walking event due to scheduling conflicts were included in the control group. The walking event consisted of 3.5 km of walking course and included walking tasks as follows: crossing at the crosswalk, walking up- and downstairs without a railing, walking along dirt roads, and walking up and down a slope. The primary outcome was life-space mobility measured using Life-Space Assessment (LSA) and self-efficacy for walking tasks measured using the modified Gait Efficacy Scale (mGES). We enrolled 104 patients, of whom 36 were assigned to the intervention group and participated in the walking event. Participants in the intervention group had significantly better LSA score (adjusted mean difference between groups: 13.9; 95% confidence interval: 12.4–15.5; p < 0.001) and mGES score (adjusted mean difference between groups: 13.8; 95% confidence interval: 12.4–15.1; p < 0.001) than the control group even after adjusting for age, gender, body mass index, elapsed time from surgery, the severity of knee OA of nonoperated limb, and patient-reported functional outcome. The walking event including various walking tasks improved life-space mobility and self-efficacy in patients following TKA. It is important to design a program that can improve self-efficacy for walking tasks through mastery experiences to improve life-space mobility after TKA.

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Section: Discussioncontrasting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Effects of an Intervention to Improve Life-Space Mobility and Self-Efficacy in Patients following Total Knee Arthroplasty

2018

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“…The proportion of victims over 60 years of age, who were exposed to air pollution in the 1960s and are now receiving compensation, reached 43% at the end of March 2012. The pulmonary function of women who had lived in these communities has declined as they have aged, and decline of pulmonary function is associated with a decline in physical function 4 ) . Pulmonary diseases are an increasingly serious problem for officially acknowledged victims of pollution-related illness as they age, a phenomenon that is becoming a major economic and social concern.…”

Section: Introductionmentioning

confidence: 99%

Physical Function Traits of Long-term Officially Acknowledged Victims of Pollution-related Illnesses Compared with Elderly Patients with Chronic Obstructive Pulmonary Disease

et al. 2014

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[Purpose] To examine the long-term effects of air pollution on the physical functioning of a group of officially acknowledged victims of pollution-related illnesses (Victims group) who were exposed to air pollution more than 50 years ago, we compared them with age-matched patients with chronic obstructive pulmonary disease (COPD group). [Subjects and Methods] The Victims group comprised 34 subjects and the COPD group 24, all of whom were aged over 65 years. Respiratory function, muscle strength, exercise capacity and physical activity were measured and compared between the groups. [Results] The Victims group had significantly higher forced expiratory volume in the first second (FEV1), proportion of predicted FEV1, proportion of predicted vital capacity (VC), and ratio of FEV1 to forced VC than the COPD group. Surprisingly, the muscle strength of the Victims group was significantly weaker, their incremental shuttle walking test distance was significantly shorter, and their physical activity was significantly less than those of the COPD group. [Conclusion] Although the pulmonary function of Victims was better than that of the COPD group, their physical functioning was worse. Exposure to air pollution 50 years ago appears to continue to adversely affect their physical function. It is particularly important to offer Victims rehabilitation to improve their exercise performance and physical activity.

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“…Physical and pulmonary function, in general, decline with aging 29 , 30 ) . Interestingly, as classification of medical management and/or respiratory symptoms became more severe, the decline in FEV 1 became less in the present study.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the annual change in forced expiratory volume in 1 second of officially acknowledged victims of pollution-related illness in improved environments: a longitudinal study

et al. 2015

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[Purpose] We examined factors affecting annual change in pulmonary function in residents previously exposed to air pollution in an area where pollution has been reduced and a long time period has elapsed. [Subjects and Methods] Data of 730 officially acknowledged victims of pollution-related illness from an annual survey during 2000 to 2009 were analyzed. The primary outcome was forced expiratory volume in 1 second (FEV1), along with factors such as age, body composition, smoking habits, respiratory symptoms, and classification of medical management (an index of the need for treatment). Multiple regression analyses were used to identify factors associated with the annual change in FEV1. [Results] Three significant factors were identified: smoking habit, classification of medical management, and gender. Smoking habits and classification of medical management had stronger effects on the annual change in FEV1 than gender. [Conclusion] With an improved environment, continuation of smoking accelerates the decline in FEV1.

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The Relationship Between Pulmonary Function and Physical Function and Mobility in Community-Dwelling Elderly Women Aged 75 Years or Older

Cited by 14 publications

References 26 publications

Effects of an Intervention to Improve Life-Space Mobility and Self-Efficacy in Patients following Total Knee Arthroplasty

Effects of an Intervention to Improve Life-Space Mobility and Self-Efficacy in Patients following Total Knee Arthroplasty

Physical Function Traits of Long-term Officially Acknowledged Victims of Pollution-related Illnesses Compared with Elderly Patients with Chronic Obstructive Pulmonary Disease

Factors associated with the annual change in forced expiratory volume in 1 second of officially acknowledged victims of pollution-related illness in improved environments: a longitudinal study

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