The Comparisons of Physical Functional Performances between Older Adults with and without Regular Physical Activity in Two Different Living Settings

Cheng, I-Fang; Kuo, Li-Chieh; Tsai, Yi-Jung; Su, Fong-Chin

doi:10.3390/ijerph18073561

Cited by 6 publications

(5 citation statements)

References 56 publications

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“…Physical activity has been known to have a positive impact on muscle strength and balance ability, both of which are related to gait speed. 15 , 16 ) Therefore, we expected the patients with active hobbies to have better physical function before their hospital admission, and consequently they might have maintained a fast gait speed even after admission. However, there are reports of patients who exhibited hospitalization-associated disability in which their ADLs were decreased after their hospitalization, and it was estimated that this occurs in about 7.5% of patients with a history of heart failure of 20 years or more and in 30%–40% of elderly patients.…”

Section: Discussionmentioning

confidence: 99%

Association between Active Hobby before Hospitalization and Frailty at Discharge in Patients with Acute Cardiovascular Disease

Nakane,

Yokote,

Nishimura

et al. 2024

PRM

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Objectives: It is essential to identify the factors that reduce the risk of frailty at discharge in patients with cardiovascular disease. We sought to verify the association between pre-admission hobbies and frailty at discharge in patients hospitalized for acute cardiovascular diseases. Methods: We retrospectively analyzed the cases of the 269 patients admitted to our hospital with cardiovascular diseases, excluding those who required assistance with activities of daily living before admission or had missing data on hobbies or frailty. The patients’ pre-admission hobbies (if any) were recorded, and the patients were then classified into the no-hobby group, inactive-hobby group, or active-hobby group. Frailty was assessed using the Cardiovascular Health Study criteria (Japanese version) on the day before discharge. We conducted a multinomial logistic regression analysis to investigate the relationship between hobbies and frailty. Results: Compared with the no-hobby group, the inactive-hobby group did not show a significantly lower odds ratio (OR) for pre-frailty and frailty. In contrast, the active-hobby group showed a significantly lower OR for pre-frailty and frailty even after adjustment (OR: 0.41, 95% confidence interval: 0.17–0.90). Regarding the components of frailty, the active-hobby group had lower ORs for slow gait speed, exhaustion, and low physical activity relative to the no-hobby group. Conclusions: Even if patients had hobbies before admission, if those hobbies were non-active, they did not reduce the risk of frailty, suggesting the need for reconsidering rehabilitation approaches during hospitalization.

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Section: Discussionmentioning

confidence: 99%

Association between Active Hobby before Hospitalization and Frailty at Discharge in Patients with Acute Cardiovascular Disease

Nakane,

Yokote,

Nishimura

et al. 2024

PRM

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“…In older adults who engage in a composite implementation of the three activities defined in this study, the risks of physical pre-frailty and frailty were found to be low. Cheng et al reported that in 163 community residents, upper-extremity muscle strength, flexibility, and chair-rise speed were cross-sectionally significantly higher in the residents who engaged in regular physical activity compared to those who were inactive [ 31 ]. Other studies of community-dwelling older adults demonstrated that a walking intervention improved depressive symptoms and that exercise increased the subjects’ insulin-like growth factor (IGF)-1 level and reduced inflammation [ 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Associations between various types of activity and physical frailty in older Japanese: a cross-sectional study

Yokote,

Yatsugi,

Chu

et al. 2023

BMC Geriatr

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Background Physical activity is known to help prevent physical frailty, but it is not clear which physical activities practiced alone or in combination are most closely associated with a lower risk of physical frailty. We investigated differences in the associations of exercise habit, social participation, and moderate-to-vigorous physical activity (MVPA) with physical frailty and its components among community-dwelling older Japanese adults. Subjects and methods A total of 831 older adults participated in this cross-sectional study. Physical frailty was defined based on the Fried et al. criteria. Exercise habit was defined as exercising ≥ 30 min per day for ≥ 2 days per week for ≥ 1 year. Social participation was defined as participating in community activities ≥ 1/week. MVPA was defined as ≥ 300 min/week of moderate physical activity (MPA) or 150 min/week of vigorous physical activity (VPA). We classified the participants into eight groups according to the presence/absence of these activities, and we performed a logistic regression analysis to investigate the association between different activities, both alone and in combination, and physical frailty. Results The prevalence of physical pre-frailty + frailty was 74.8% in the None group, 65.0% in the Exercise habit group, 76.3% in the Social participation group, 56.5% in the MVPA group, 58.7% in the Exercise habit + Social participation group, 44.0% in the Exercise habit + MVPA group, 41.3% in the Social participation + MVPA group, and 38.0% in the All group. Compared to the None group, the groups in which participants were engaged in any combination of two or more types of activity, as well as the MVPA-alone group had significantly lower risks of physical pre-frailty + frailty. Conclusion Community-dwelling older Japanese adults who engaged in MVPA or any combination of two or more types of physical activity as defined herein had lower risks of physical pre-frailty and frailty.

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“…The health benefits of physical activity have been widely recognized ( Cheng et al, 2021 ). Proper physical activity can improve muscle, heart, and lung function and reduce the risk of high blood pressure, coronary heart disease, stroke, diabetes, cancer, depression, sleep disorders, falls, and fracture ( de Labra et al, 2015 ; Dipietro et al, 2019 ; Mugueta-Aguinaga and Garcia-Zapirain, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

“…Recent research has found that physical activity may be the most effective intervention for frailty ( Cheng et al, 2021 ). It is much more accomplished and effective when performed under supervision ( Bonnefoy et al, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of Remotely Supervised Physical Activity on Health Profile in Frail Older Adults: A Randomized Controlled Trial Protocol

Zhang

Sui

et al. 2022

Front. Aging Neurosci.

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BackgroundFrailty is considered a major public health challenge of the 21st century, characterized by the decline of multiform body functions. Physical activity may be the most effective intervention to delay frailty. This study aims to verify the effect of remotely supervised physical activity on health profile in community-dwelling frail older adults.DesignThis is a multicenter, three-blind, two-arm, and cohort randomized controlled study.MethodsThe intelligent exercise rehabilitation management system (IERMS) is an integrated digital platform that involves evaluation, guidance, monitoring, and feedback. A total of 120 participants aged ≥ 65 years and diagnosed as frailty on the FRAIL scale will be recruited and randomly divided into two groups. Group 1 will receive a 12-week IERMS-based intervention, and Group 2 will receive the usual care. Data will be collected at baseline, 12 and 24 weeks. The primary outcome is the physical function, and secondary outcomes include gait parameters, psychology, and cognition measurements. Analyses will be performed using DSS statistics, version 25. P < 0.05 will be considered statistically significant.ConclusionWe believe that intervention plays a positive role in delaying the frailty. If our program is effective, we will provide a viable means to promote healthy aging in primary healthcare.Trial registration numberChiCTR2100052286; Pre-results.

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The Comparisons of Physical Functional Performances between Older Adults with and without Regular Physical Activity in Two Different Living Settings

Cited by 6 publications

References 56 publications

Association between Active Hobby before Hospitalization and Frailty at Discharge in Patients with Acute Cardiovascular Disease

Association between Active Hobby before Hospitalization and Frailty at Discharge in Patients with Acute Cardiovascular Disease

Associations between various types of activity and physical frailty in older Japanese: a cross-sectional study

Effects of Remotely Supervised Physical Activity on Health Profile in Frail Older Adults: A Randomized Controlled Trial Protocol

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