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Journal articles on the topic 'Exercise for older people'

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1

Folan, Maureen. "Exercise Machines for Older People." Physiotherapy 81, no. 12 (December 1995): 771. http://dx.doi.org/10.1016/s0031-9406(05)66612-6.

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Azkia, Zakia, Rahmi Setiyani, and Lita Heni Kusumawardani. "Balance Strategy Exercise versus Lower Limb-ROM Exercise for Reducing the Risk of Falls among Older People." Nurse Media Journal of Nursing 11, no. 1 (March 26, 2021): 114–23. http://dx.doi.org/10.14710/nmjn.v11i1.33229.

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Background: Falls are a significant health problem and the most common cause of injuries in older people. Different types of exercise have been recommended to prevent falls, including balance exercise and range of motion. However, there is a lack of evidence to compare the effect of the two exercises.Purpose: This study aimed to compare the effect of Balance Strategy Exercise (BSE) and Lower Limb-Range of Motion (ROM) exercise on reducing the risk of falls among older people living in long-term care facilities. Methods: This was a quasi-experimental study using a pre-post design without a control group. A total of 30 older adults from two nursing homes who met the inclusion and exclusion criteria participated in the study. A cluster randomization technique was used to assign the older people into either BSE or Lower-Limb ROM groups evenly. Treatment was given for 30 minutes per session, three sessions per week for three weeks. The risk of falls was measured using the Timed Up and Go (TUG) test. The paired t-test, Wilcoxon and Mann-Whitney U-test were used to analyze the data. Results: Results showed significant differences in the TUG scores before and after the intervention within both the BSE (p=0.001) and the Lower Limb-ROM group (p=0.001). However, the Lower Limb-ROM group demonstrated a significantly higher reduction in TUG score than the BSE group after the intervention (p=0.008).Conclusion: Lower Limb-ROM exercise is better to reduce the risk of falls among older people living in institutional care than BSE. This exercise can be applied as part of a fall prevention program in nursing homes.
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Underhill, J. A. "Exercise for Older People with Dementia." Age and Ageing 22, suppl 3 (January 1, 1993): P35—P36. http://dx.doi.org/10.1093/ageing/22.suppl_3.p35-c.

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4

Ishak, Nor Azizah, Zarina Zahari, and Maria Justine. "Effectiveness of Strengthening Exercises for the Elderly with Low Back Pain to Improve Symptoms and Functions: A Systematic Review." Scientifica 2016 (2016): 1–10. http://dx.doi.org/10.1155/2016/3230427.

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Objective. To determine the effect of strengthening exercises for older people with low back pain (LBP).Methods. This study is a systematic review of experimental study which evaluated the evidence regarding exercises for older people with LBP by using EBSCO Academic Search Premier, EBSCO EconLit, Science Direct, PUBMED, and PEDro from 2006 to 2016. Search strategy for each database was conducted by using keywords such as “low back pain”, “older people”, and “strengthening exercise”. Boolean operators were used to combine keywords and manual exclusion was conducted to verify studies which met the inclusion criteria. The articles reviewed were evaluated and critically appraised by using PEDro scale and SPSS version 20 was used to analyze the data.Results. Three articles were found regarding strengthening exercise for older people with LBP whereas one study was conducted on multicomponent exercise. The mean, standard deviation, and variance of the PEDro score of all the studies were 5.67, 2.33, and 1.528, respectively. Overall, the qualities of all studies reviewed were fair. Two articles showed significant results when compared to control group (p<0.05).Conclusions. Strengthening exercise is a beneficial treatment for older people with LBP in reducing pain intensity, disability, and improved functional performances.
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Román, Yolanda Marcen, Ricardo López Bernués, and Ana Isabel Sieso Sevil. "The Effect of Two Exercise Regimens with Older People." European Journal of Investigation in Health, Psychology and Education 4, no. 3 (August 12, 2014): 215–24. http://dx.doi.org/10.1989/ejihpe.v4i3.69.

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Among older people, the health is one of the most important aspects of the quality of life, especially emphasizing the important of the physical condition as the ability to attain and maintain their maximum independence. The general objective is to quantify the effect on the dynamic and static balance, strength and flexibility of the extremities for a period of 3 months and then, the consequences of another three months without exercises. Methodology: Study pre- and post-training with a random sample with 36 institutionalized old men, people over 65 years old with normal-mild cognitive impairment, divided into three groups: vestibular exercises, power exercises, and a non-intervention control group. Results: A significant improvement with balance, flexibility and muscle strength of the lower limbs in each of the group in relation to the control group. The decline of functional capacities measured by a battery of tests after three months without intervention. Conclusions: Balance, muscle strength and flexibility of the lower and upper extremities in institutionalized people over 65 of this study improve following the treatment protocols designed from the lower-limbs power exercises and vestibular exercises in relation to the control group. The functional capacity goes down unless they exercise regularly to improve results.
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Román, Yolanda Marcen, Ricardo López Bernués, and Ana Isabel Sieso Sevil. "The Effect of Two Exercise Regimens with Older People." European Journal of Investigation in Health, Psychology and Education 4, no. 3 (August 12, 2014): 215–24. http://dx.doi.org/10.3390/ejihpe4030020.

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Among older people, the health is one of the most important aspects of the quality of life, especially emphasizing the important of the physical condition as the ability to attain and maintain their maximum independence. The general objective is to quantify the effect on the dynamic and static balance, strength and flexibility of the extremities for a period of 3 months and then, the consequences of another three months without exercises. Methodology: Study pre- and post-training with a random sample with 36 institutionalized old men, people over 65 years old with normal-mild cognitive impairment, divided into three groups: vestibular exercises, power exercises, and a non-intervention control group. Results: A significant improvement with balance, flexibility and muscle strength of the lower limbs in each of the group in relation to the control group. The decline of functional capacities measured by a battery of tests after three months without intervention. Conclusions: Balance, muscle strength and flexibility of the lower and upper extremities in institutionalized people over 65 of this study improve following the treatment protocols designed from the lower-limbs power exercises and vestibular exercises in relation to the control group. The functional capacity goes down unless they exercise regularly to improve results.
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Nosaka, Kaoru, Caitlin Fox-Harding, and Kazunori Nosaka. "Impact of COVID-19 lockdown on physical activity behaviours of older adults who participated in a community-based exercise program prior to the lockdown." PLOS Global Public Health 2, no. 11 (November 11, 2022): e0001217. http://dx.doi.org/10.1371/journal.pgph.0001217.

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This study investigated the impact of the 2020 COVID-19 lockdown on community-dwelling older adults attending a community-based exercise program to seek strategies to keep them active during self-isolated situations. A two-phase mixed methods approach included a survey followed by in-person focus groups. Forty-eight participants, with 32 starting a community-based exercise program before the lockdown and 16 joining the program after the lockdown, completed a questionnaire survey about physical activities before and during the lockdown. This was followed by three focus groups (26 participants in total) to identify factors influencing physical activity behaviours found in the survey. The survey found that the COVID-19 lockdown had varied impact on exercise adherence of the older adults: 43% of the participants exercised less during the lockdown than pre-lockdown, but 26% exercised more. Interestingly, among the participants approximately 80% still achieved the recommended physical activity level by the WHO during the lockdown. The focus groups revealed that exercise behaviours before the lockdown directly affected the behaviours during the lockdown. Participants’ recognition of the support from trustworthy people also influenced their motivation to perform exercises in an isolated environment. Remote exercise programs, such as digital and printed exercise materials, were found beneficial for the participants only when they came from the people the older adults trusted through their previous experience (i.e., the program). A sense of belonging to the exercise group was also essential for the participants to achieve self-managed exercise. It was concluded that older adults need connections to an exercise group and a trustworthy exercise instructor who could continuously support them to be physically active in isolated situations such as lockdowns, in addition to exercise knowledge and a better understanding of the benefits of exercise.
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Varela-Vásquez, Luz Adriana, Montserrat Girabent-Farrés, Almudena Medina-Rincón, Sandra Rierola-Fochs, Javier Jerez-Roig, and Eduard Minobes-Molina. "Validation of a dual-task exercise program to improve balance and gait speed in older people (DualPro): a Delphi study." PeerJ 10 (April 5, 2022): e13204. http://dx.doi.org/10.7717/peerj.13204.

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Background Most physical exercise programs for older people work the physical component in isolation, excluding cognitive aspects. Previous studies reported that both components (physical and cognitive) are necessary for correct functioning of older people in the society. Purpose To create and validate a dual-task exercise program (DualPro) to improve balance and gait speed in older people. Methods Expert consensus or the Delphi Method was used for validation. A group of 17 experts in neurorehabilitation and geriatrics was recruited to assess the proposed exercise program. They were selected taking into account their experience in clinical practice as well as their knowledge of the subject through the use of the expert competence coefficient (K). Online questionnaires were sent with a total of 11 exercises, which had to be rated using a “Likert” scale from 1 to 7. Results Two rounds were conducted to achieve 100% consensus in all exercises. The interquartile range of each exercise in both rounds was stable. During the second round, the relative interquartile range was less than 15% in all the questions, thus demonstrating consensus among the experts. Conclusion Experts in neurorehabilitation and geriatrics have concluded the validity of the progressive and systematized program of dual-task exercises focused on improving balance and gait speed for older people. This exercise program can help in the homogenization of the use of dual-task exercises in future studies and in professional practice.
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Santoso, Nindita Kumalawati, Brune Indah Yulitasari, Sofyan Indrayana, and Desi Wahyu Puspitasari. "EFFECTIVENESS OF TANDEM EXERCISE ON RISK OF FALL AMONG OLDER PEOPLE." JURNAL MUTIARA NERS 6, no. 2 (July 26, 2023): 108–13. http://dx.doi.org/10.51544/jmn.v6i2.3489.

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The older people population in Indonesia is predicted to continue to increase over the year. Increasing the number of older people will be a challenge for all. Older people might have decreased in the physiological body, especially in balance control such as changes in posture, changes in muscle strength, and visual decline. Balance disorder will increase the risk of falls caused and may result in the elderly being more susceptible to various diseases. Balance exercise such as Tandem Exercise is one way to reduce risk of fall. This research aimed to find out the effect of Tandem exercises on the risk of falling on the older people in Yogyakarta. This research was a Quasy Experimental study With Non-Equivalent Control Group Research Design. Samples of this study were 36 older people trough purposive sampling technique and divided into two groups. Group 1 was given 15 minutes Tandem exercise, every day in two weeks. Group 2 was a control group. The risk of fall was measured by The Time Up and Go Test. This study found that mean score of group 1 was decrease after intervention. This study also found that there was no significant different mean score of fall risk between two groups before intervention (p>0,05), meanwhile there was a significant different mean score after intervention (p<0,05). A significant different on risk of fall score before and after intervention also found in group 1 (p<0,05). In conclusion, health care provider should facilitate older people to participate in balance exercise such as Tandem exercise actively to decrease fall risk among older people.
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Skelton, D. A., and N. Beyer. "Exercise and injury prevention in older people." Scandinavian Journal of Medicine & Science in Sports 13, no. 1 (January 14, 2003): 77–85. http://dx.doi.org/10.1034/j.1600-0838.2003.00300.x.

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11

Swann, Julie. "Helping older people get back into exercise." Nursing and Residential Care 20, no. 7 (July 2, 2018): 350–53. http://dx.doi.org/10.12968/nrec.2018.20.7.350.

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Sakai, Hiromi, Naoto Kamide, and Masahiro Kohzuki. "The Effects of a Program Combining Exercise and Music on Promoting Exercise Continuance and Psychological Factors in Older People." Music and Medicine 9, no. 2 (April 16, 2017): 98. http://dx.doi.org/10.47513/mmd.v9i2.499.

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Physical exercise can have a positive effect on physical and cognitive functions in older people. However, the elderly often face difficulties in maintaining exercise routines. Music is reported to effectively improve the subjective experience of physical exercise’s intensity, execution, and enhanced capacity related to a sense of accomplishment. We aimed to investigate whether adding music to physical exercise promoted exercise continuance compared with physical exercise alone. The participants were 74 community-dwelling older people who independently maintained activities of daily living. They were either assigned to a music group (MG) or non-music group (NMG). Exercise classes were held once a week for 3 months. The number of times participants participated in the exercise classes, and the number of times they performed exercises at home was assessed. In addition, each participant completed a set of questionnaires assessing exercise self-efficacy (SE) and quality of life before and immediately after the 3-month intervention. After the 3-month intervention, the MG had a significantly higher frequency of participation in the exercise classes and a significantly higher exercise SE score compared with the NMG. Our results show that the combination of physical exercise and music was beneficial for exercise continuance and exercise SE compared with physical exercise alone. Keywords: music, exercise, continuance, exercise self-efficacy, independent older people.
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Robinson, Katie R., Tahir Masud, and Helen Hawley-Hague. "Instructors’ Perceptions of Mostly Seated Exercise Classes: Exploring the Concept of Chair Based Exercise." BioMed Research International 2016 (2016): 1–8. http://dx.doi.org/10.1155/2016/3241873.

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Chair based exercise (CBE) can be used to engage older adults unable to take part in standing exercise programmes. Defining and understanding the context of CBE have been acknowledged as a challenge. We explore instructor experiences of delivering mostly seated exercise classes for older people and how this helps us to further understand the concept of CBE. We extracted qualitative data from a cross-sectional survey with 731 exercise instructors. 378 delivered mostly seated classes and 223 of those instructors provided qualitative data. There were 155 instructors who did not provide any qualitative comments. Framework analysis was used and informed by a Delphi consensus study on CBE. Instructors perceived mostly seated classes as predominantly CBE; they defined it as an introductory class that should be offered as part of a continuum of exercise. It was considered suitable for those with limitations and older adults in long-term care and with dementia. Instructors reported CBE used inappropriately for more active older people. Instructors reported observing improvements in mood and cognition and broader social benefits. Instructors’ perspectives largely support expert consensus that CBE has an important role in a continuum of exercise. Providers of CBE need to ensure that more challenging exercises are introduced where appropriate. Further research is needed to explore older adults’ perceptions of CBE.
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Sari, Yulisna Mutia, Elissa Burton, Den-Ching A. Lee, and Keith D. Hill. "A Telehealth Home-Based Exercise Program for Community-Dwelling Older People with Dementia in Indonesia: A Feasibility Study." International Journal of Environmental Research and Public Health 20, no. 4 (February 15, 2023): 3397. http://dx.doi.org/10.3390/ijerph20043397.

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(1) Background: This study aimed to evaluate the feasibility of a telehealth home-based exercise program for older people with dementia living in Indonesia with support from their informal carers. (2) Methods: Pre–post intervention single group study with three assessment time-points (baseline, 12 and 18 weeks). Participants with dementia underwent a 12-week physiotherapist-delivered telehealth exercise program, with informal carer supervision between supervised online sessions, and continued the exercises for a further six weeks without physiotherapist online supervision. (3) Results: Thirty dyads of older people with dementia and their informal carers were recruited; four (13.3%) withdrew across the 12-week intervention and one (3.3%) in the 6-week self-maintenance period. Median adherence was 84.1% (IQR [25, 75] = 17.1) during the 12-week intervention, and 66.7% (IQR [25, 75] = 16.7) in the self-maintenance period. No falls/adverse events were reported. Physical activity level, some aspects of function and disability, health-related benefits of exercise, exercise enjoyment and quality of life of older people with dementia improved significantly at 12 and 18 weeks. (4) Conclusions: The telehealth exercise program is feasible and safe and may have benefits for the health outcomes of community-living older people with dementia in Indonesia. Additional strategies are necessary to enhance longer-term adherence to the program.
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J. Kirkby, Robert, Jeremy Cass, and Helen Carouzos. "Exercise, Health and Well-Being in Older Australians." Australian Journal of Primary Health 1, no. 1 (1995): 49. http://dx.doi.org/10.1071/py95008.

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Exercise can be an effective medicine for many of the health problems of older Australians. Although older adults are the major consumers of health care services they are among the most physically unfit of our community and represent the group least likely to exercise. Exercise has substantial physical and psychological benefits for older people, particularly older women. A review of the literature has indicated that older people are deterred from exercise activities by environmental barriers (poor weather, lack of appropriate facilities), personal beliefs (inaccurate perceptions about their needs or abilities to exercise), and health obstacles (fear of injury, discomfort from conditions such as arthritis). The limited research on why older Australians exercise has suggested that motives such as 'to improve my fitness', 'to get exercise', 'to be fit' and 'I like the company' are likely to be rated highly. Encouraging older people to exercise has clear advantages, not only to the health and wellbeing of the individual, but also, to the community through possible savings to the health care system, and the contributions of older people.
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Courel-Ibáñez, Vetrovsky, Dadova, Pallarés, and Steffl. "Health Benefits of β-Hydroxy-β-Methylbutyrate (HMB) Supplementation in Addition to Physical Exercise in Older Adults: A Systematic Review with Meta-Analysis." Nutrients 11, no. 9 (September 3, 2019): 2082. http://dx.doi.org/10.3390/nu11092082.

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Both regular exercise training and beta-hydroxy-beta-methylbutyrate (HMB) supplementation are shown as effective treatments to delay or reverse frailty and reduce cognitive impairment in older people. However, there is very little evidence on the true benefits of combining both strategies. The aim of this meta-analysis was to quantify the effects of exercise in addition to HMB supplementation, on physical and cognitive health in older adults. Data from 10 randomized controlled trials (RCTs) investigating the effect of HMB supplementation and physical function in adults aged 50 years or older were analyzed, involving 384 participants. Results showed that HMB supplementation in addition to physical exercise has no or fairly low impact in improving body composition, muscle strength, or physical performance in adults aged 50 to 80 years, compared to exercise alone. There is a gap of knowledge on the beneficial effects of HMB combined with exercise to preserve cognitive functions in aging and age-related neurodegenerative diseases. Future RCTs are needed to refine treatment choices combining HMB and exercises for older people in particular populations, ages, and health status. Specifically, interventions in older adults aged 80 years or older, with cognitive impairment, frailty, or limited mobility are required.
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Littbrand, Håkan, Erik Rosendahl, Nina Lindelöf, Lillemor Lundin-Olsson, Yngve Gustafson, and Lars Nyberg. "A High-Intensity Functional Weight-Bearing Exercise Program for Older People Dependent in Activities of Daily Living and Living in Residential Care Facilities: Evaluation of the Applicability With Focus on Cognitive Function." Physical Therapy 86, no. 4 (April 1, 2006): 489–98. http://dx.doi.org/10.1093/ptj/86.4.489.

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Abstract Background and Purpose. Knowledge concerning the applicability and the effect of high-intensity exercise programs is very limited for older people with severe cognitive and physical impairments. The primary aim of this study was to evaluate the applicability of a high-intensity functional weight-bearing exercise program among older people who are dependent in activities of daily living and living in residential care facilities. A second aim was to analyze whether cognitive function was associated with the applicability of the program. Subjects. The subjects were 91 older people (mean age=85.3 years, SD=6.1, range=68–100) who were dependent in personal activities of daily living and randomly assigned to participate in an exercise intervention. Their mean score for the Mini-Mental State Examination (MMSE) was 17.5 (SD=5.0, range=10–29). Methods. A high-intensity functional weight-bearing exercise program was performed in groups of 3 to 7 participants who were supervised by physical therapists. There were 29 exercise sessions over 13 weeks. Attendance, intensity of lower-limb strength and balance exercises, and occurrence and seriousness of adverse events were the outcome variables in evaluating the applicability of the program. Results. The median attendance rate was 76%. Lower-limb strength exercises with high intensity were performed in a median of 53% of the attended exercise sessions, and balance exercises with high intensity were performed in a median of 73% of the attended exercise sessions. The median rate of sessions with adverse events was 5%. All except 2 adverse events were assessed as minor and temporary, and none led to manifest injury or disease. No significant differences were observed in applicability when comparing participants with dementia and participants without dementia. In addition, there was no significant correlation between applicability and the MMSE score. Discussion and Conclusion. The results suggest that a high-intensity functional weight-bearing exercise program is applicable for use, regardless of cognitive function, among older people who are dependent in activities of daily living, living in residential care facilities, and have an MMSE score of 10 or higher. [Littbrand H, Rosendahl E, Lindelöf N, et al. A high-intensity functional weight-bearing exercise program for older people dependent in activities of daily living and living in residential care facilities: evaluation of the applicability with focus on cognitive function. Phys Ther. 2006;86:489–498.]
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Cameron, Ian. "Exercise with Older People who have Activity Limitations." Journal of the American Medical Directors Association 22, no. 4 (April 2021): 731–32. http://dx.doi.org/10.1016/j.jamda.2021.02.015.

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DiPieto, Loretta, Nina Stachenfeld, Gary Mack, and Ethan Nadel. "ADAPTATIONS TO EXERCISE TRAINING IN HEALTHY OLDER PEOPLE." Medicine & Science in Sports & Exercise 27, no. 6 (June 1995): 941. http://dx.doi.org/10.1249/00005768-199506000-00022.

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Carroll, Joan F., Victor A. Convertino, Charles E. Wood, James E. Graves, David T. Lowenthal, and Michael L. Pollock. "ADAPTATIONS TO EXERCISE TRAINING IN HEALTHY OLDER PEOPLE." Medicine & Science in Sports & Exercise 27, no. 6 (June 1995): 941???942. http://dx.doi.org/10.1249/00005768-199506000-00023.

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Morris, Meg, and Adrian Shoo. "Optimizing Exercise and Physical Activity in Older People." Physiotherapy Theory and Practice 20, no. 2 (January 2004): 143. http://dx.doi.org/10.1080/09593980490457729.

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Prada, G. I., I. G. Fita, R. M. Nacu, I. G. Savulescu, A. D. Sociu, C. R. Petrescu, I. Verinceanu, E. Tapelea, I. Amolioaei, and I. D. Alexa. "O1.18: Exercise for orthostatic hypotension in older people." European Geriatric Medicine 5 (September 2014): S51. http://dx.doi.org/10.1016/s1878-7649(14)70101-9.

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Aguilar-Stone, Shan. "Optimizing exercise and physical activity in older people." Physical Therapy in Sport 5, no. 3 (August 2004): 163. http://dx.doi.org/10.1016/j.ptsp.2004.04.001.

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Nitz, Jennifer C. "Optimizing Exercise and Physical Activity in Older People." Australian Journal of Physiotherapy 50, no. 2 (2004): 123. http://dx.doi.org/10.1016/s0004-9514(14)60108-2.

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Lord, Stephen. "Exercise prevents fall-related injuries in older people." Nature Reviews Endocrinology 15, no. 4 (February 18, 2019): 193–94. http://dx.doi.org/10.1038/s41574-019-0175-9.

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Greaves, Amanda Jane. "Optimizing exercise and physical activity in older people." Australian Occupational Therapy Journal 52, no. 4 (December 2005): 376. http://dx.doi.org/10.1111/j.1440-1630.2005.00494.x.

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Wong, Roger Y. "Physical Exercise, Cognition, and Function in Older People." Journal of the American Medical Directors Association 18, no. 4 (April 2017): 282–83. http://dx.doi.org/10.1016/j.jamda.2017.01.002.

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Sherrington, Cathie, Nicola Fairhall, Geraldine Wallbank, Anne Tiedemann, Zoe A. Michaleff, Kirsten Howard, Lindy Clemson, Sally Hopewell, and Sarah Lamb. "Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review." British Journal of Sports Medicine 54, no. 15 (December 2, 2019): 885–91. http://dx.doi.org/10.1136/bjsports-2019-101512.

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ObjectivesTo assess the effects of exercise interventions for preventing falls in older people living in the community.Selection criteriaWe included randomised controlled trials evaluating the effects of any form of exercise as a single intervention on falls in people aged 60+years living in the community.ResultsExercise reduces the rate of falls by 23% (rate ratio (RaR) 0.77, 95% CI 0.71 to 0.83; 12 981 participants, 59 studies; high-certainty evidence). Subgroup analyses showed no evidence of a difference in effect on falls on the basis of risk of falling as a trial inclusion criterion, participant age 75 years+ or group versus individual exercise but revealed a larger effect of exercise in trials where interventions were delivered by a health professional (usually a physiotherapist). Different forms of exercise had different impacts on falls. Compared with control, balance and functional exercises reduce the rate of falls by 24% (RaR 0.76, 95% CI 0.70 to 0.81; 7920 participants, 39 studies; high-certainty evidence). Multiple types of exercise (commonly balance and functional exercises plus resistance exercises) probably reduce the rate of falls by 34% (RaR 0.66, 95% CI 0.50 to 0.88; 1374 participants, 11 studies; moderate-certainty evidence). Tai Chi may reduce the rate of falls by 19% (RaR 0.81, 95% CI 0.67 to 0.99; 2655 participants, 7 studies; low-certainty evidence). We are uncertain of the effects of programmes that primarily involve resistance training, dance or walking.Conclusions and implicationsGiven the certainty of evidence, effective programmes should now be implemented.
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Toms, Nikki D., and Craig W. Ritchie. "Management of self-harm in older people." Psychiatric Bulletin 33, no. 11 (November 2009): 423–25. http://dx.doi.org/10.1192/pb.bp.108.019869.

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Aims and MethodThe epidemiology of self-harm in older people is poorly understood and a low incidence rate hampers research efforts. Regional surveillance for this may assist with research and improve clinical services accordingly. This study involved undertaking a scoping exercise to explore current management of self-harm in elderly people in selected North London hospitals, by interviewing healthcare professionals directly involved in their treatment.ResultsThe study showed varied methods of coding clinical information across trusts, with no consistent method of surveillance.Clinical ImplicationsImplications of this exercise involve generation of a summary document that will educate stage two of the project, which is the convention of a working party to implement a surveillance system across the region.
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de Paula, Fabiana Angélica, Vanessa Amaral Mendonça, Vanessa Kelly da Silva Lage, Guilherme Pinto da Silva, Hellen Cristina de Almeida, Liliana Pereira Lima, Joyce Noelly Vítor Santos, et al. "Immediate Effects of Whole-Body Vibration Associated with Squatting Exercises on Hemodynamic Parameters in Sarcopenic Older People: A Randomized Controlled Trial." International Journal of Environmental Research and Public Health 18, no. 22 (November 12, 2021): 11852. http://dx.doi.org/10.3390/ijerph182211852.

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Whole-body vibration (WBV) exercises have recently been introduced as a nonpharmacological therapeutic strategy for sarcopenic older people. The present study aimed to evaluate the effect of WBV exercise on hemodynamic parameters in sarcopenic older people. Forty older people, divided into groups of nonsarcopenic (NSG = 20) and sarcopenic (SG = 20), participated in the study and were cross randomized into two interventions of eight sets of 40 s each, these being squatting with WBV and squatting without WBV. Heart rate (HR), peak heart rate (peak HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), double product (DP), mean arterial pressure (MAP), and subjective perception of effort (SPE), were assessed at baseline, during, and after a single WBV session. The HR, peak HR, and DP variables were similar at baseline between groups. WBV exercise increased all the hemodynamic parameters both during and immediately after the intervention, in both groups (SG and NSG). The MAP values were similar at baseline between groups; however, in the NSG there was a significant increase during and immediately after the squatting with WBV intervention (p < 0.05). The HR behavior, in both groups, showed that there was an increase in HR after the first set of exercises with vibration and this increase was maintained until the final set. The absence of adverse effects of WBV exercise on the cardiovascular system and fatigue suggests this exercise modality is adequate and safe for sarcopenic older people.
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Bovolini, Antonio, Ana Raquel Costa-Brito, Faber Martins, Guilherme Eustáquio Furtado, Gonçalo V. Mendonça, and Carolina Vila-Chã. "Impact of Exercise on Vascular Function in Middle-Aged and Older Adults: A Scoping Review." Sports 10, no. 12 (December 14, 2022): 208. http://dx.doi.org/10.3390/sports10120208.

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There is a substantial literature gap related to the vascular response to different types of exercise training in middle-aged and older populations. Thus, this scoping review aimed to examine the outcomes of controlled trials testing the long-term effects of exercise interventions on vascular function-related outcomes in middle-aged and older populations. The literature search was conducted following PRISMA guidelines. Data sources: five databases were used (EBSCO, MEDLINE, Web of Science, Science Direct, and Google Scholar). Eligibility criteria: controlled trials, published in the last 10 years, in English, containing well-described exercise interventions, reporting vascular quantitative effects of exercise in middle-aged and older people. A total of 62 publications were included. The studies included distinct types and intensities of exercise and were heterogeneous in volume and frequency. The assessed vascular outcomes also presented considerable variability. Overall, most studies reported positive effects of exercise on vascular function outcomes, regardless of exercise characteristics. Different exercise interventions can be applied to improve vascular function in middle-aged and older adults. Studies on combined and stretching exercises reported encouraging results in improving vascular function. Stretching exercises rise as an effective alternative in promoting vascular function among older adults, while combined exercise delivered promising vascular benefits in both populations.
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Müller, Christian, Sindy Lautenschläger, and Christine Dörge. "Views, experiences and attitudes of community-living older people towards the FIT-at-Home fall prevention programme: A qualitative interview study." International Journal of Health Professions 8, no. 1 (January 1, 2021): 37–47. http://dx.doi.org/10.2478/ijhp-2021-0004.

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Abstract Background For older people, poor balance and strength as well as environmental hazards are a major risk factor for falls. A lifestyle-integrated home-based physical exercise training and home modification intervention were developed for older people at risk of falling. Aim This study aimed to examine older people's perceptions of the FIT-at-Home fall prevention intervention in order to further develop the intervention's content, procedures and mode of delivery. Methods We conducted semi-structured interviews with individuals who participated in the falls prevention programme using the problem-centred interview method. The interviews were analysed in a deductive-inductive approach following Mayring's qualitative content analysis. Results Seven themes emerging from the data described different facets of older people's perceptions towards the intervention. Findings suggested that the participants accepted the FIT-at-Home intervention. Overall, the individuals regard the intervention as feasible and practicable. From the older people's view, it was an advantage that the exercises could be implemented at any time without additional aids or equipment in-house and it was not necessary to visit the occupational therapy practice. Older people's experiences showed that feelings of success have a positive effect on the willingness to exercise. A perceived barrier influencing the implementation of exercises among older people was their own laziness, their general state of health and illnesses, their daily mood or meteor sensitivity. Conclusion The FIT-at-Home intervention comprising balance and strength exercises and home modification is feasible and acceptable for community-living older people. Older people's feedback will help us to further refine the intervention.
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33

Clegg, Andrew P., Sally E. Barber, John B. Young, Anne Forster, and Steve J. Iliffe. "Do home-based exercise interventions improve outcomes for frail older people? Findings from a systematic review." Reviews in Clinical Gerontology 22, no. 1 (August 24, 2011): 68–78. http://dx.doi.org/10.1017/s0959259811000165.

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SummaryFrailty is common in older age, and is associated with important adverse health outcomes, including increased risk of disability and long-term care admission.This study aims to evaluate whether home-based exercise interventions improve outcomes for frail older people.We searched systematically for randomized controlled trials (RCTs) and cluster RCTs, with literature searching to February 2010.All trials that evaluated home-based exercise interventions for frail older people were eligible. Primary outcomes were mobility, quality of life and daily living activities. Secondary outcomes included long-term care admission and hospitalization.Six RCTs involving 987 participants met the inclusion criteria. Four trials were considered of high quality. One high-quality trial reported improved disability in those with moderate but not severe frailty. Meta-analysis of long-term care admission rates identified a trend towards reduced risk. Inconsistent effects on other primary and secondary outcomes were reported in the other studies.There is preliminary evidence that home-based exercise interventions may improve disability in older people with moderate, but not severe, frailty. There is considerable uncertainty regarding effects on important outcomes including quality of life and long-term care admission. Home-based exercises are a potentially simple, safe and widely applicable intervention to prevent dependency decline for frail older people.
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Bonato, Matteo, Federica Marmondi, Claudio Mastropaolo, Cecilia Inzaghi, Camilla Cerizza, Laura Galli, Giuseppe Banfi, and Paola Cinque. "A Digital Platform for Home-Based Exercise Prescription for Older People with Sarcopenia." Sensors 24, no. 15 (July 24, 2024): 4788. http://dx.doi.org/10.3390/s24154788.

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Digital therapeutics refers to smartphone applications, software, and wearable devices that provide digital solutions to improve healthcare delivery. We developed a digital platform to support the GYM (Grow Your Muscle) study, an ongoing 48-week randomized, controlled trial on reduction of sarcopenia through a home-based, app-monitored physical exercise intervention. The GYM platform consists of a smartphone application including the exercise program and video tutorials of body-weight exercises, a wearable device to monitor heart rate during training, and a website for downloading training data to remotely monitor the exercise. The aim of this paper is to describe the platform in detail and to discuss the technical issues emerging during the study and those related to usability of the smartphone application through a retrospective survey. The main technical issue concerned the API level 33 upgrade, which did not enable participants using the Android operating systems to use the wearable device. The survey revealed some problems with viewing the video tutorials and with internet or smartphone connection. On the other hand, the smartphone application was reported to be easy to use and helpful to guide home exercising. Despite the issues encountered during the study, this digital-supported physical exercise intervention could provide useful to improve muscle measures of sarcopenia.
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Sadeghi, Hassan, Saidon Bin Amri, Mohsen Razeghi, Tengku Aizan Hamid, and Mohammad Nazrul Hakim Abdollah. "Effects of Combined exergame and conventional exercise to reduce and prevent fall risk among elderly people: A Hypothesis." International Journal of Applied Exercise Physiology 6, no. 3 (October 20, 2017): 80–84. http://dx.doi.org/10.22631/ijaep.v6i3.200.

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Background: Falling among old individuals has provoked ceaseless discussion among gerontologists and physical therapists and it is still one of the greatest issues among this population. Loss of the balance and functional mobility is the main reason of falling. There have been numerous studies conducting the effect of the conventional balance exercise and exergame independently on balance and functional mobility of elderly. Previous studies lacked dealing with the effect of combined exergame and conventional exercise on the balance and functional mobility. Combined exercises are enjoyable and may have more effective to improve balance and performance to reduce risk of fall among elderly people. This package would be preferable for older people. Objective: We hypothesize that while conventional balance exercise and exergame improve balance and functional mobility, combined both types of exercise would superior improvements in elderly performance. Conclusion: Ultimately we expect that this hypothesis will provide a useful framework for facilitating combined exergame and conventional balance intervention in older people.
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Lambert, Matt A., Jan M. Potter, and Marion ET McMurdo. "Nutritional supplementation for older people." Reviews in Clinical Gerontology 20, no. 4 (August 31, 2010): 317–26. http://dx.doi.org/10.1017/s0959259810000262.

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SummaryMalnutrition is common in older people and is associated with a number of adverse outcomes. We review the evidence for the effectiveness of nutritional supplementation for older people in the community, in institutional care and following discharge from hospital. Studies in these settings are scarce, often include only small numbers of participants and are of variable quality. The interventions used are heterogeneous and difficult to directly compare. Oral nutritional supplements (sip feeds), dietary fortification, educational programmes, exercise, flavour enhancement and meal setting have all been studied. Evidence for use of oral nutritional supplements as sip feeds in undernourished community-dwelling and institutionalized older people and in those discharged from hospital is currently insufficient to recommend routine use. Flavour enhancement and more sociable meal environments may be beneficial. Further, more methodologically robust research is needed to clarify the effect of these interventions.
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Zhou, Zi, Jian Fu, Y. Alicia Hong, Ping Wang, and Ya Fang. "Association between exercise and the risk of dementia: results from a nationwide longitudinal study in China." BMJ Open 7, no. 12 (December 2017): e017497. http://dx.doi.org/10.1136/bmjopen-2017-017497.

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ObjectiveThis study was conducted to examine the causal association between exercise and the risk of dementia among older Chinese adults.DesignLongitudinal population-based study with a follow-up duration of 9 years.SettingData for the Chinese Longitudinal Healthy Longevity Survey waves occurring from 2002 to 2011–2012 were extracted from the survey database.ParticipantsIn total, 7501 dementia-free subjects who were older than 65 years were included at baseline. Dementia was defined as a self-reported or proxy-reported physician’s diagnosis of the disease.Outcome measures and methodsRegular exercise and potential confounding variables were obtained via a self-report questionnaire. We generated longitudinal logistic regression models based on time-lagged generalised estimating equation to examine the causal association between exercise and dementia risk.ResultsOf the 7501 older Chinese people included in this study, 338 developed dementia during the 9-year follow-up period after excluding those who were lost to follow-up or deceased. People who regularly exercised had lower odds of developing dementia (OR=0.53, 95% CI 0.33 to 0.85) than those who did not exercise regularly.ConclusionRegular exercise was associated with decreased risk of dementia. Policy-makers should develop effective public health programmes and build exercise-friendly environments for the general public.
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Sossa Rojas, Alexis. "Physical Exercise and Older People: Always a Happy Relationship? Four Qualitative Reflections to Deepen Understanding." Social Sciences 13, no. 2 (February 17, 2024): 120. http://dx.doi.org/10.3390/socsci13020120.

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In this paper, I recall reflections from and discussions with both older people who exercise actively and with personal trainers who specialise in working with older people to address two essential elements that should be clarified: First, what are we talking about when we discuss sport, physical exercise and physical activity, especially when we relate them to older people? Second, the benefits of exercise are known, but what are the margins and precautions that this group of people should consider, and even the damage that physical exercise can cause to them? Based on qualitative data that are taken from different ethnographic works, four areas are considered: What does it mean to train as a senior?; are injuries inevitable?; the dangers of having an athlete’s identity; and the hazards of body-image ideals. This work gives voice to older athletes and their coaches, and contributes to studies on physical activity, older people and wellbeing.
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39

Sander, Ruth. "Eyeball exercise can improve balance ability in older people." Nursing Older People 29, no. 4 (April 28, 2017): 11. http://dx.doi.org/10.7748/nop.29.4.11.s13.

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40

Yamada, Minoru, and Hidenori Arai. "Implication of Exercise for Healthy Longevity in Older People." Topics in Geriatric Rehabilitation 38, no. 2 (April 2022): 95–100. http://dx.doi.org/10.1097/tgr.0000000000000350.

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41

Herbert, Peter. "Promoting exercise in older people to support healthy ageing." Nursing Standard 37, no. 4 (February 14, 2022): 46–50. http://dx.doi.org/10.7748/ns.2022.e11787.

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42

Zhang, Jianna, Zhixi Liu, Yi Liu, and Lei Ye. "Exercise interventions for older people at risk for frailty." Medicine 100, no. 20 (May 21, 2021): e25940. http://dx.doi.org/10.1097/md.0000000000025940.

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43

Carter, Nick D., Pekka Kannus, and Karim M. Khan. "Exercise in the Prevention of Falls in Older People." Sports Medicine 31, no. 6 (2001): 427–38. http://dx.doi.org/10.2165/00007256-200131060-00003.

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44

Sander, Ruth. "Exercise helps older people in hospital avoid functional decline." Nursing Older People 31, no. 4 (July 25, 2019): 10. http://dx.doi.org/10.7748/nop.31.4.10.s10.

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45

Larkin, James M., David R. Black, Carol Blue, and Thomas Templin. "Perceived Barriers To Exercise In People 65 And Older." Medicine & Science in Sports & Exercise 37, Supplement (May 2005): S12. http://dx.doi.org/10.1249/00005768-200505001-00097.

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46

Langhammer, Birgitta, Astrid Bergland, and Elisabeth Rydwik. "The Importance of Physical Activity Exercise among Older People." BioMed Research International 2018 (December 5, 2018): 1–3. http://dx.doi.org/10.1155/2018/7856823.

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47

Washburn, R. A., C. A. Janney, and C. Caswell. "276 PHYSICIANS.RECOMENDATION INFLUENCES WALKING FOR EXERCISE IN OLDER PEOPLE." Medicine & Science in Sports & Exercise 22, no. 2 (April 1990): S46. http://dx.doi.org/10.1249/00005768-199004000-00276.

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48

Larkin, James M., David R. Black, Carol Blue, and Thomas Templin. "Perceived Barriers To Exercise In People 65 And Older." Medicine & Science in Sports & Exercise 37, Supplement (May 2005): S12. http://dx.doi.org/10.1097/00005768-200505001-00097.

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49

SCHUIT, ALBERTINE J., LUDOVIC G. P. M. VAN AMELSVOORT, TON C. VERHEIJ, ROB D. RIJNEKE, ARIE C. MAAN, CEES A. SWENNE, and EVERT G. SCHOUTEN. "Exercise training and heart rate variability in older people." Medicine & Science in Sports & Exercise 31, no. 6 (June 1999): 816–21. http://dx.doi.org/10.1097/00005768-199906000-00009.

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50

Cochrane, T., J. Munro, R. Davey, and J. Nicholl. "Exercise, Physical Function and Health Perceptions of Older People." Physiotherapy 84, no. 12 (December 1998): 598–602. http://dx.doi.org/10.1016/s0031-9406(05)66153-6.

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