Higher levels of physical activity buffered the negative effect of pain severity on physical frailty in older Latinx adults

Yin, Zenong; Li, Shiyu; Land, William M.; Ullevig, Sarah L.; Juárez, Fernando; Hernández, Arthur E.; Ortega, Catherine; Patel, Neela; Simmonds, Maureen J.

doi:10.1016/j.gerinurse.2021.02.004

Cited by 3 publications

(2 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies had con rmed that high pain intensity accelerates physical frailty and cognitive decline [32]. The incidence of cognitive decline and physical frailty increased with increasing pain intensity, and was much higher when combined with chronic pain [33,34]. When high levels of pain are identi ed in older people with chronic pain, medical staff need to take the necessary interventions to relieve the patient's pain, such as medication, physical therapy, or changes in daily living habits such as exercise, which can effectively reduce pain levels and thereby slow the progression of cognitive frailty.…”

Section: Discussionmentioning

confidence: 99%

Development and validation of a risk predictive model for cognitive frailty in elderly patients with chronic pain in the community: a cross-sectional study

Liu¹,

Tan²,

Xu³

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Chronic pain is a common health problem among older people in the community, due to chronic pain elderly are prone to physical frailty and cognitive decline, leading to reduced quality of life and increased mortality. Aim To understand the prevalence of cognitive frailty among elderly chronic pain patients in the community and identify risk factors for cognitive frailty, constructed a risk prediction model to draw nomogram and validated the model's effectiveness. Methods Conveniently selected 540 elderly patients with chronic pain in a community in Jinzhou City from January 2022 to July 2022 were randomly assigned to 70% development set (378 cases) and 30% validation set (162 cases). Using General information questionnaire, Numerical Rating Scale, Short-Form Mini-Nutritional Assessment, Athens Insomnia Scale, Self-rating depression Scale, Frail scale and Minimental State Examination for assessment, binary logistic regression analysis to determine risk factors, R software to establish a risk prediction model for cognitive frailty, and validation by ROC curve and calibration curve etc. Results The prevalence of cognitive frailty in elderly patients with chronic pain in the community was 28.04%, and binary logistic regression analysis showed that age, exercise habit, pain level, insomnia, malnutrition and depression were independent risk factors for cognitive frailty (P < 0.05), and nomogram was drawn based on the above risk factors. Hosmer-Lemeshow test, X2 = 1.951 (P = 0.377). The area under the ROC curve was 0.914 (95%CI: 0.883–0.944) in the development set and 0.940 (95%CI: 0.896–0.985) in the validation set. Conclusions The high prevalence of cognitive frailty in elderly patients with chronic pain in the community is influenced by age, exercise habit, pain level, insomnia, malnutrition and depression, had a predictive role to inform early screening and intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Development and validation of a risk predictive model for cognitive frailty in elderly patients with chronic pain in the community: a cross-sectional study

Liu¹,

Tan²,

Xu³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Interested individuals provided their contact information to senior center staff, then research staff conducted eligibility screening based on established criteria—age ≥60 years, ability to exercise in a standing position, ownership of a cell phone or living with someone with a cell phone, agreement not to participate in other concurrent health programs, and willingness to complete the 3-month study. We did not screen for chronic conditions since over 80% of older adults had ≥3 chronic conditions in a similar congregate meals program in San Antonio [ 35 ]. Eligible individuals completed a consent form and signed up for baseline assessment.…”

Section: Methodsmentioning

confidence: 99%

Adapting Chinese Qigong Mind-Body Exercise for Healthy Aging in Older Community-Dwelling Low-income Latino Adults: Pilot Feasibility Study

Yin¹,

Martínez²,

Li³

et al. 2021

JMIR Aging

Self Cite

View full text Add to dashboard Cite

Background: Research translating the evidence for the benefit of mind-body exercise in older Latinos with limited access to community-based healthy aging programs is sparse. Objective:This study aimed to evaluate the feasibility of Function Improvement Exercises for Older Sedentary Community-Dwelling Latino Residents (FITxOlder), a Community Health Worker (CHW)-led, mobile technology-facilitated Chinese Qigong mind-body exercise program for healthy aging and to explore its impact on physical and cognitive function and quality of life (QoL) in older community-dwelling low-income Latino adults. Methods: This study was designed as a Stage 1 feasibility study to develop and pilot-test FITxOlder. In Phase 1 (Stage 1A), a working group of seniors, CHWs, and senior center staff guided the adaptation of Chinese Qigong into a healthy aging program. In Phase 2 (Stage 1B), 49 older Latino adults participated in a 3-arm controlled study to test the feasibility and preliminary effect of CHW-led FITxOlder on physical and cognitive function and QoL measures over 16 weeks.Results: Although the COVID-19 pandemic disrupted the implementation of the study protocol, we found favorable results regarding participant recruitment, retention, and fidelity of implementation. Notable findings included an 89.3% participant retention, 79.4% of the participants completed at least 70% of the weekly exercise goal, and no report of adverse events. The effects on intervention outcome measures were modest. Conclusions:FITxOlder is feasible for promoting healthy aging in older Latino adults; future research needs to compare its feasibility with other low-impact exercise programs for healthy aging using a randomized controlled trial.

show abstract

Frailty among older Hispanics living in the United States: A scoping review

Iriarte¹,

Cianelli²,

Santis³

et al. 2022

Geriatric Nursing

View full text Add to dashboard Cite

Higher levels of physical activity buffered the negative effect of pain severity on physical frailty in older Latinx adults

Cited by 3 publications

References 37 publications

Development and validation of a risk predictive model for cognitive frailty in elderly patients with chronic pain in the community: a cross-sectional study

Development and validation of a risk predictive model for cognitive frailty in elderly patients with chronic pain in the community: a cross-sectional study

Adapting Chinese Qigong Mind-Body Exercise for Healthy Aging in Older Community-Dwelling Low-income Latino Adults: Pilot Feasibility Study

Frailty among older Hispanics living in the United States: A scoping review

Contact Info

Product

Resources

About