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1.
  • Arkkukangas, Marina, et al. (author)
  • Fall Prevention Exercises With or Without Behavior Change Support for Community-Dwelling Older Adults : A 2-Year Follow-Up of a Randomized Controlled Trial
  • 2020
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 28:1, s. 34-41
  • Journal article (peer-reviewed)abstract
    • This study investigates the effectiveness of two fall prevention exercise interventions targeting physical performance, activity level, fall-related self-efficacy, health-related quality of life, and falls: the Otago Exercise Programme (OEP) with and the OEP without behavior change support. In this randomized controlled trial (RCT), 175 participants were randomised into two intervention groups and one control group. A total of 124 community-dwelling older adults over the age of 75 who needed walking aids or home support participated in the two-year follow-up. The OEP with and the OEP without support for behavior change displayed no long-term benefits on physical performance, fall-related self-efficacy, health-related quality of life, and falls compared to a control group. Although no significant differences were detected between the groups, the results implied the control group's physical activity level decreased compared to the intervention groups at two-year follow up.
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2.
  • Arkkukangas, Marina, et al. (author)
  • One-year adherence to the Otago Exercise Program with or without motivational interviewing in community-dwelling older adults
  • 2018
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 26:3, s. 390-395
  • Journal article (peer-reviewed)abstract
    • This study investigated if behavioral factors, treatment with behavioral support, readiness to change, fall self-efficacy, and activity habits could predict long-term adherence to an exercise program. Included in this study were 114 community-dwelling older adults who had participated in one of two home-based exercise interventions. Behavioral factors associated with adherence to the exercise program over 52 weeks were analyzed. The behavioral factors, specifically activity habits at baseline, significantly predicted adherence to the exercise program, with an odds ratio = 3.39, 95% confidence interval [1.38, 8.32], for exercise and an odds ratio = 6.11, 95% confidence interval [2.34, 15.94], for walks. Being allocated to a specific treatment including motivational interviewing was also significantly predictive: odds ratio = 2.47, 95% confidence interval [1.11, 5.49] for exercise adherence. In conclusion, activity habits and exercise in combination with motivational interviewing had a significant association with adherence to the exercise program at a 1-year follow-up.
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3.
  • Ballin, Marcel, et al. (author)
  • Associations of light, moderate to vigorous, and total physical activity with the prevalence of metabolic syndrome in 4,652 community-dwelling 70-year-olds : A population-based cross-sectional study
  • 2021
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 29:5, s. 735-743
  • Journal article (peer-reviewed)abstract
    • In this cross-sectional study, the authors investigated the associations of objectively measured physical activity (PA) with the prevalence of metabolic syndrome (MetS) in older adults. Accelerometer-derived light-intensity PA, moderate to vigorous PA, and steps per day were measured in (N = 4,652) 70-year-olds in Umeå, Sweden, during May 2012-November 2019. The MetS was assessed according to the American Heart Association/National Heart, Lung and Blood Institute criteria. The prevalence of MetS was 49.3%. Compared with the reference, the odds ratios for MetS in increasing quartiles of light-intensity PA were 0.91 (0.77-1.09), 0.75 (0.62-0.89), and 0.66 (0.54-0.80). For moderate to vigorous PA, the corresponding odds ratios were 0.79 (0.66-0.94), 0.67 (0.56-0.80), and 0.56 (0.46-0.67). For steps per day, the odds ratios were 0.65 (0.55-0.78), 0.55 (0.46-0.65), and 0.45 (0.36-0.55). In summary, this study shows that greater amounts of PA, regardless of intensity, are associated with lower odds of MetS. With the limitation of being an observational study, these findings may have implications for the prevention of MetS in older adults.
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4.
  • Broman, G, et al. (author)
  • Older women's cardiovascular responses to deep-water running
  • 2006
  • In: Journal of aging and physical activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 14:1, s. 29-40
  • Journal article (peer-reviewed)abstract
    • The aim of the study was to examine submaximal and maximal physiological responses and perceived exertion during deep-water running with a vest compared with the responses during treadmill running in healthy elderly women. Eleven healthy women 70 ± 2 years old participated. On two different occasions they performed a graded maximal exercise test on a treadmill on land and a graded maximal exercise test in water wearing a vest. At maximal work the oxygen uptake was 29% lower (p < .05), the heart rate was 8% lower (p < .05), and the ventilation was 16% lower (p < .05) during deep-water running than during treadmill running. During submaximal absolute work the heart rate was higher during deep-water running than during treadmill running for the elderly women. The participants had lower maximal oxygen uptake, heart rate, ventilation, respiratory-exchange ratio, and rate of perceived exertion during maximal deep-water running with a vest than during maximal treadmill running. These responses were, however, higher during submaximal deep-water running than during treadmill running.
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5.
  • Cleland, V, et al. (author)
  • Associations between the perceived environment and physical activity among adults aged 55-65 years: does urban-rural area of residence matter?
  • 2015
  • In: Journal of aging and physical activity. - : Human Kinetics. - 1543-267X .- 1063-8652. ; 23:1, s. 55-63
  • Journal article (peer-reviewed)abstract
    • This study aimed to determine whether associations between the perceived environment and physical activity are moderated by urban-rural status among midolder aged adults. Environmental (safety, aesthetics, physical activity environment) and physical activity (total, leisure, transport) data from 3,888 adults (55 to 65 years) from urban and rural areas of Victoria, Australia, were analyzed. Multinomial logistic regression examined interactions between urban-rural status and environments in associations with physical activity. Significant (P < .05) interactions were evident and indicated positive associations only among older rural adults for both safety and aesthetics with total and transport physical activity (e.g., rural adults reporting higher safety were 91% to 118% more likely to have higher activity than rural adults reporting low safety). In contrast, the physical activity environment was positively associated with leisure activity among only urban adults. Findings suggest that some tailoring of physical activity promotion strategies targeting the environment may be required for urban and rural midolder aged adults.
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6.
  • Dohrn, IM, et al. (author)
  • Gait Speed, Quality of Life, and Sedentary Time are Associated with Steps per Day in Community-Dwelling Older Adults with Osteoporosis
  • 2016
  • In: Journal of aging and physical activity. - : Human Kinetics. - 1543-267X .- 1063-8652. ; 24:1, s. 22-31
  • Journal article (peer-reviewed)abstract
    • To describe objectively-measured physical activity levels and patterns among community-dwelling older adults with osteoporosis, impaired balance, and fear of falling, and to explore the associations with gait, balance performance, falls self-efficacy, and health-related quality of life (HRQoL).Methods:Ninety-four individuals (75.6 ± 5.4 years) were included. Physical activity was assessed with pedometers and accelerometers. Mean steps/day, dichotomized into < 5,000 or = 5,000 steps/day, and time spent in different physical activity intensities were analyzed. Gait was assessed with a GAITRite walkway, balance performance was assessed with the modified figure-eight test and oneleg stance, falls self-efficacy was assessed with the Falls Efficacy Scale International, and HRQoL was assessed with Short Form-36.Results:Mean steps/day were 6,201 (991–17,156) and 40% reported < 5,000 steps/day. Participants with < 5,000 steps/day spent more time sedentary, had slower gait speed, poorer balance performance, and lower HRQoL than participants with ≥ 5,000 steps/day. No participants with < 5,000 met the recommended level of physical activity.
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7.
  • Elhadi, Mustafa M. O., et al. (author)
  • Comprehensive gait analysis of healthy older adults who have undergone long-distance walking
  • 2017
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 25:3, s. 367-377
  • Journal article (peer-reviewed)abstract
    • Many older adults do not adhere to the recommended physical activity levels. This study examines the gait changes upon longdistance walking among healthy older adults. Gait tests of 24 adults aged 65 or more were conducted at baseline and at the end of 30 and 60min of treadmill walking. Spatial temporal, kinematic, and kinetic gait data were computed. Perceived level of exertion was evaluated for each subject. Ten subjects (group B) perceived higher exertion levels than the remaining 14 subjects (group A). After walking, group B had significant reductions in dominant-side ankle joint range of motion and power, suggesting lower-leg muscle fatigue, which appeared to be compensated by significantly increased nondominant-side knee and hip motions. These changes were not observed in group A. Differences in gait parameters between groups A and B implied that some biomechanical factors might contribute to the lack of walking of some older adults. 
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9.
  • Grahn Kronhed, Ann-Charlotte, et al. (author)
  • The effect of short-term balance training on community-dwelling older adults
  • 2001
  • In: Journal of Aging and Physical Activity. - 1063-8652 .- 1543-267X. ; 9:1, s. 19-31
  • Journal article (peer-reviewed)abstract
    • This study evaluated a balance-training program's influence in healthy older adults. Fifteen community-dwelling participants aged 70Ð75 years were randomized to an exercise group, and 15 gender- and age-matched participants, to a control group. The 9-week training program comprised ordinary-life balance, vestibular-habituation, and ball exercises and station training. Clinical balance tests were conducted before and after training. Tests that showed significant improvement in the exercise group after the intervention included standing on the right leg with eyes closed, standing on the right leg and the left leg while turning the head and walking 30 m. Significant between-group differences were found at posttest. A significant decrease was seen in the control group in the walking-forward test, and this change was significantly different between groups. The study indicates that balance performance in healthy older adults might be improved by balance training including exercises that stimulate multiple sensory systems and their central integration.
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10.
  • Hill, Robert, et al. (author)
  • Physical Activity and Sense of Coherence in Older Australians
  • 2016
  • In: Journal of Aging and Physical Activity. - Champaign, USA : Human Kinetics. - 1063-8652 .- 1543-267X. ; 24:Suppl., s. S111-S112
  • Journal article (peer-reviewed)abstract
    • Introduction: Aaron Antonovsky’s focus on the sources of health (‘salutogenesis’) and his related concept of ‘sense of coherence’ (SOC) have been studied and used widely in Scandinavia, North America, England, and some other countries, but not in Australia. Few papers on his ideas and their usefulness for studying older adult health have been published. Guided by Antonovsky’s theories, this study investigated the relationships between ‘sense of coherence’ (SOC), physical activity (PA), and health in 36 Australians 65 years of age and older.Methods: Participants were Brisbane residents, aged 65 to 93, who were free of severe memory problems and able to walk without the assistance of another person. They completed the SOC-13, an instrument created by Antonovsky, to measure levels of SOC, and participated in semi-structured interviews that were recorded and transcribed verbatim. Interview questions focused on how they had handled life difficulties during the most recent five-year period and then in their earlier lives. Participants also completed a survey asking for basic demographic information, diagnosis or treatment for chronic diseases, and their assessment of their overall health. Qualitative data were augmented by quantitative data from accelerometers that each participant wore for one week while keeping a diary of PA.Results: Participants with higher scores on the SOC-13 spoke more often and more enthusiastically about PA. They also engaged in more minutes of moderate-to-vigorous PA, averaged more steps per day, and reported fewer chronic disease problems than those with lower SOC scores. Several expectations that had been expressed by Antonovsky seemed to have been borne out by the results of this study.Conclusion: Antonovsky’s ideas and SOC-measurement tools can be useful for the study of health in Australians aged 65 years and over. Our finding that higher SOC levels seem to be related to engagement in positive health maintenance practices by older people supports conclusions of earlier studies. Since one such practice is PA, further research into the role of SOC may offer novel opportunities for interventions aimed at improving the health of this population.
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12.
  • Leavy, Breiffni, 1977-, et al. (author)
  • "Not ready to throw in the towel" : perceptions of physical activity held by older adults in Stockholm and Dublin
  • 2010
  • In: Journal of Aging and Physical Activity. - 1063-8652 .- 1543-267X. ; 18:2, s. 219-236
  • Journal article (peer-reviewed)abstract
    • The aim of this qualitative study was to explore and describe the perceptions of physical activity held by older urban Swedish and Irish adults. Qualitative interviews were carried out with 30 people age 65 years and older (mean age 74.5), of whom 15 were living in Dublin and 15 were living in Stockholm. The "thematic framework" approach was used to analyze the data. Three central themes were identified regarding people's perceptions of physical activity: physical activity as self-expression, physical activity as interaction, and physical activity as health promotion. Participants' perceptions of physical activity tended to relate to their perceived level of physical activity, regardless of their cultural background. Certain culture-specific motivators and barriers to exercise were also identified. Less active Irish men were more likely to underestimate the health-promoting benefits of exercise.
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14.
  • Lindwall, Magnus, et al. (author)
  • Depression and exercise in elderly men and women : findings from the Swedish national study on aging and care
  • 2007
  • In: Journal of Aging and Physical Activity. - Champaign, Illinois : Human Kinetics Publishers. - 1063-8652 .- 1543-267X. ; 15:1, s. 41-55
  • Journal article (peer-reviewed)abstract
    • This study investigated the relationship between light and strenuous exercise and depression, as well as gender differences in this relationship, in a representative sample of 860 elderly Swedish suburb-dwelling men and women in age cohorts from 60 to 96 years, drawn from among participants in the Swedish National Aging and Care study. The relationship between depression and self-reported changes in exercise status over time was also examined. Exercise activities were measured with four survey questions, and depression, with the Montgomery Asberg Depression Rating Scale. The inactive elderly had higher depression scores than more active individuals, both in terms of light and strenuous exercise. The continuously active group had lower depression scores than both continuously inactive individuals and individuals reporting a shift from activity to inactivity during the preceding year. Light exercise had a somewhat stronger effect on depression for women.
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15.
  • Ma, Christina Zong-Hao, Ph.D, et al. (author)
  • Can insoles be used to improve static and dynamic balance of community-dwelling older adults? : A systematic review on recent advances and future perspectives
  • 2020
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 28:6, s. 971-986
  • Journal article (peer-reviewed)abstract
    • This systematic review investigated the effects of orthopedic, vibrating, and textured insoles on the postural balance of community-dwelling older adults. Articles published in English from 1999 to 2019 investigating the effects of (a) orthopedic, (b) vibrating, and (c) textured insoles on static and dynamic balance in community-dwelling older adults were considered. Twenty-four trials with a total of 634 older adults were identified. The information gathered generally supported the balance-improving effects of orthopedic, vibrating, and textured insoles in both static and dynamic conditions among community-dwelling older adults. Further examination found that rigidity, texture patterns, vibration thresholds, and components like arch supports and heel cups are important factors in determining whether insoles can improve balance. This review highlights the potential of insoles for improving the static and dynamic balance of community-dwelling older adults. Good knowledge in insole designs and an understanding of medical conditions of older adults are required when attempts are made to improve postural balance using insoles.
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16.
  • Olson, Jenny L., et al. (author)
  • Challenges to Engaging Older Adults in a Group-Based Walking Intervention : Lessons From the Residents in Action Trial
  • 2022
  • In: Journal of Aging and Physical Activity. - Champaign, IL : Human Kinetics. - 1063-8652 .- 1543-267X. ; 30:5, s. 788-798
  • Journal article (peer-reviewed)abstract
    • This qualitative research explored older adults' perceptions of participating in group-based walking programs set in independent-living retirement village contexts. Semistructured interviews were conducted with a subset of participants from the Residents in Action Trial. Data were analyzed through a combination of deductive and inductive thematic analysis. Findings were interpreted from a social identity perspective. Five themes were identified: (a) varying levels of social cohesion in retirement villages; (b) degree of shared identity between residents; (c) health, mobility, and preferred pace; (d) devotion to spouse; and (e) busy lives. When designing group-based walking interventions in retirement villages, it is important to consider community-level social cohesion and degree of relatedness between village residents. When attempting to build a sense of shared identity and relatedness between group members, researchers and policy makers should consider differing backgrounds, capabilities, schedules, and interests of participants.
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18.
  • Tirkkonen, Anna, et al. (author)
  • Associations Between Physical and Executive Functions Among Community-Dwelling Older Men and Women
  • 2022
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 30:2, s. 332-339
  • Journal article (peer-reviewed)abstract
    • Walking is a complex task requiring the interplay of neuromuscular, sensory, and cognitive functions. Owing to the age-related decline in cognitive and physical functions, walking may be compromised in older adults, for cognitive functions, especially poor performance in executive functions, is associated with slow walking speed. Hence, the aim of this study was to investigate the associations between different subdomains of executive functions and physical functions and whether the associations found differ between men and women. Multiple linear regression analysis was performed on data collected from 314 community-dwelling older adults who did not meet physical activity guidelines but had intact cognition. Our results showed that, while executive functions were associated with gait and lower extremity functioning, the associations depended partly on the executive process measured and the nature of the physical task. Moreover, the associations did not differ between the sexes. 
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19.
  • Vancampfort, D, et al. (author)
  • Correlates of Physical Activity Among Middle-Aged and Older Adults With Hazardous Drinking Habits in Six Low- and Middle-Income Countries
  • 2018
  • In: Journal of aging and physical activity. - : Human Kinetics. - 1543-267X .- 1063-8652. ; 26:4, s. 589-598
  • Journal article (peer-reviewed)abstract
    • We investigated physical activity (PA) correlates among middle-aged and older adults (aged ≥50 years) with hazardous drinking patterns in six low- and middle-income countries. Cross-sectional data were analyzed from the World Health Organization’s Study on Global Ageing and Adult Health. Hazardous drinking was defined as consuming >7 (females) or >14 (males) standard drinks per week. Participants were dichotomized into low (i.e., not meeting 150 min of moderate PA/week) and moderate–high physically active groups. Associations between PA and a range of correlates were examined using multivariable logistic regressions. The prevalence of low PA in 1,835 hazardous drinkers (60.5 ± 13.1 years; 87.9% males) was 16.2% (95% confidence interval [13.9%, 18.9%]). Older age, living in an urban setting, being unemployed, depression, underweight, obesity, asthma, visual impairment, poor self-rated health, and higher levels of disability were identified as significant PA correlates. The current data provide important guidance for future interventions to assist older hazardous drinkers to engage in regular PA.
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20.
  • Wallen, MB, et al. (author)
  • Comparison of pedometer and accelerometer derived steps in older individuals with Parkinson's disease or osteoporosis under free-living conditions
  • 2014
  • In: Journal of aging and physical activity. - : Human Kinetics. - 1543-267X .- 1063-8652. ; 22:4, s. 550-556
  • Journal article (peer-reviewed)abstract
    • To compare self-reported pedometer steps with accelerometer steps under free-living conditions in individuals with Parkinson’s disease (PD) or osteoporosis (OP).Methods:Seventy-three individuals with PD and 71 individuals with OP wore a pedometer (Yamax LS2000) and an accelerometer (ActiGraph GT1M/GT3X+) simultaneously for one week.Results:Fifty-one individuals with PD (72.6 ± 5.3 years) and 61 with OP (75.6 ± 5.3 years) provided simultaneously recorded data for 3–7 consecutive days. Pedometer steps were significantly lower than accelerometer steps in the PD group (p = .002) but not in the OP group (p = .956). Bland-Altman plots demonstrated wide limits of agreement between the instruments in both PD (range = 6,911 steps) and OP (range = 6,794 steps).Conclusion:These results suggest that the ActiGraph GT1M/GT3X+ should be preferred over the Yamax LS2000 for the assessment of steps in both research and clinical evaluations, particularly in individuals with PD or altered gait.
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21.
  • Weimer, A. K., et al. (author)
  • Physical Activity in People Age 80 Years and Older as a Means of Counteracting Disability, Balanced in Relation to Frailty
  • 2012
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 20:3, s. 317-331
  • Journal article (peer-reviewed)abstract
    • The aim of this study was to describe experiences of physical activity, perceived meaning, and the importance of and motives and barriers for participation in physical activity in people 80 years of age and older. A qualitative design with focus-group methodology was used. The sample consisted of 20 communityliving people age 80–91 yr. Data analyses revealed 4 themes: physical activity as a part of everything else in life, joie de vivre, fear of disease and dependence, and perceptions of frailty. Our results suggest that physical activity was not seen as a separate activity but rather as a part of activities often rated as more important than the physical activity itself. Thus, when designing physical activity interventions for elderly people, health care providers should consider including time for social interaction and possibilities to be outdoors. Moreover, assessment of physical activity levels among elderly people should include the physical activity in everyday activities.
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22.
  • Winberg, Cecilia, et al. (author)
  • Physical Activity and the Association With Self-Reported Impairments, Walking Limitations, Fear of Falling and Incidence of Falls in Persons With Late Effects of Polio.
  • 2015
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1543-267X .- 1063-8652. ; 23:3, s. 425-432
  • Journal article (peer-reviewed)abstract
    • The purpose of this study was to determine the association between physical activity and self-reported disability in ambulatory persons with mild to moderate late effects of polio (N=81, mean age 67 years). The outcome measures were: Physical Activity and Disability Survey (PADS), a pedometer, Self-reported Impairments in Persons with Late Effects of Polio Scale (SIPP), Walking Impact Scale (Walk-12), Falls Efficacy Scale - International (FES-I) and self-reported incidence of falls. The participants were physically active on average 158 minutes per day and walked 6212 steps daily. Significant associations were found between PADS and Walk-12 (r = -0.31, p < 0.001), and between the number of steps and SIPP, Walk-12 and FES-I (r = -0.22 to -0.32, p < 0.05). Walk-12 and age explained 14% of the variance in PADS and FES-I explained 9% of the variance in number of steps per day. Thus, physical activity was only weakly to moderately associated with self-reported disability.
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23.
  • Winberg, Cecilia, et al. (author)
  • The Perception of Physical Activity in Ambulatory Persons With Late Effects of Polio: A Qualitative Study.
  • 2017
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1543-267X .- 1063-8652. ; 25:1, s. 65-72
  • Journal article (peer-reviewed)abstract
    • Maintaining regular physical activity (PA) can be challenging for persons with late effects of polio. This qualitative study of ambulatory persons with late effects of polio explored their perceptions of PA, and facilitators of and barriers to PA. Semistructured interviews were conducted with 15 persons and analyzed with content analysis using the International Classification of Functioning, Disability and Health (ICF) as framework. The participants described positive perceptions of PA and its health benefits. PA was used to prevent further decline in functioning, and the type and frequency of activities had changed over time. Past experiences and personal characteristics impacted on PA. Support from close relatives, knowledgeable health care professionals, mobility devices and accessible environments facilitated PA, whereas impairments, inaccessible environments and cold weather were the main barriers. To perform PA regularly, persons with late effects of polio may benefit from individualized advice based on their disability, personal and environmental factors.
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24.
  • Åberg, Anna Cristina, et al. (author)
  • Dual-Task Interference of Gait Parameters During Different Conditions of the Timed Up-and-Go Test Performed by Community-Dwelling Older Adults
  • 2023
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 31:5, s. 823-832
  • Journal article (peer-reviewed)abstract
    • The Timed Up-and-Go (TUG) test has been combined with different verbal/cognitive tasks (i.e., TUG dual task [TUGdt]) as a form of motor-cognitive testing. However, it is still unclear how different TUGdt conditions affect gait among older adults. Thirty community-dwelling older adults, with mean age of 73 years, participated in the study. Data were collected using marker-free video recordings. Gait parameters were extracted using a semiautomatic deep learning system. Comparisons of execution time and gait parameter outcomes were made under TUG and three types of TUGdt test conditions: TUGdt-naming animals, TUGdtmonths backwards, and TUGdt-serial 7s. Statistical analyses were based on mean values of the gait parameters for each participant and TUG condition, including TUGdt gait cost, that is, the relative difference between TUGdt and TUG. All the investigated TUGdt conditions resulted in varying degrees of gait parameter changes. Under TUGdt conditions, participants took shorter and slower steps, with TUGdt-serial 7s causing the largest interference.
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25.
  • Öhlin, Jerry, et al. (author)
  • Low or declining gait speed is associated with risk of developing dementia over 5 years among people aged 85 years and over
  • 2021
  • In: Journal of Aging and Physical Activity. - : Human Kinetics. - 1063-8652 .- 1543-267X. ; 29:4, s. 678-685
  • Journal article (peer-reviewed)abstract
    • Improving dementia screening procedures beyond simple assessment of current cognitive performance is timely given the ongoing phenomenon of population aging. A slow or declining gait speed (GS) is a potential early indicator of cognitive decline scarcely investigated in very old people. Here, we investigated the 5-year associations of baseline GS, change in GS, and cognitive function with subsequent dementia development in people aged 85 years and older (n = 296) without dementia at baseline. Declining and a slow baseline GS were associated with higher odds of dementia development after adjusting for confounders (e.g., age, sex, and dependency in activities of daily living) and missing GS values at follow-up. The GS decline was associated with cognitive decline in participants who developed dementia. The results support the potential of GS tests to predict future cognitive decline among community- and nursing home-dwelling very old people.
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26.
  • Bergland, Astrid, et al. (author)
  • Health, balance, and walking as correlates of climbing steps
  • 2008
  • In: Journal of Aging and Physical Activity. - 1543-267X. ; 16:1, s. 42-52
  • Journal article (peer-reviewed)abstract
    • The aim of this study was to investigate walking and health among woman age 75 yr or older, in the associations between the highest step up performed without support by an individual and balance, walking, and health among women age 75+. Records of the highest step, balance, walking, and health were made for 307 women age 75-93 yr living in the community. Eighty percent managed to climb steps higher than 20 cm. There was a statistically significant negative relationship between age and stair-climbing capacity. The highest steps registered were significantly and independently associated with a short time on the timed up-and-go test, long functional reach, low body weight, lack of perceived difficulty walking outdoors, low number of "missteps" when walking in a figure of 8, longer time in one-leg stance, ability to carry out tandem stance, no walking aids outdoors, and not being afraid of falling. These variables together explained 67% of the variance in the step-height score.
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  • Henriksson, J (author)
  • Mitochondrial function and aging
  • 2000
  • In: JOURNAL OF AGING AND PHYSICAL ACTIVITY. - 1063-8652. ; 8:3, s. 256-257
  • Conference paper (other academic/artistic)
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  • Welmer, Anna-Karin, et al. (author)
  • Experiences of Physical Activity Among People 80 Years of Age and Older; Physical Activity as a Means of Counteracting Disability, Balanced in Relation to Frailty.
  • 2011
  • In: Journal of Aging and Physical Activity. - 1543-267X.
  • Journal article (peer-reviewed)abstract
    • The aim of this study was to describe experiences of physical activity, perceived meaning and importance of, and motives and barriers for participation in physical activity, among people 80 years of age and older. A qualitative design with focus-group methodology was used. The sample consisted of 20 community-living people aged 80-91 years. Data analyses revealed four themes: physical activity as a part of everything else in life, joie de vivre, fear of disease and dependence and perceptions of frailty. Our results suggest that physical activity was not seen as a separate activity but rather as a part of activities often rated as more important than the physical activity itself. Thus, when designing physical activity interventions for elderly people, health care providers should consider including time for social interaction and possibilities of being outdoors. Moreover, assessment of physical activity levels among elderly people should include the physical activity in everyday activities.
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