Multicomponent training in progressive phases improves functionality and quality of life in a group of older Chilean women

El objetivo fue evaluar los efectos de un entrenamiento multicomponente en fases progresivas de 18 semanas sobre la autonomía funcional, el rendimiento físico y la calidad de vida en mujeres mayores de la comunidad. La muestra fue de 73 mujeres conuna media de edad de 69.81±9.44 años. Para evaluar la autonomía funcional se utilizó el protocolo GDLAM. El rendimiento físico fue evaluado mediante las pruebas develocidad de marcha en 10 metros, flexo-extensiones de codo con mancuerna, dinamometría manual, levantarse de la silla durante 30 segundos, sit and reach y back scracth. La calidad de vida se evaluó mediante el cuestionario SF-36. Al finalizar la intervención, se observaron mejoras en la autonomía funcional (p<0,001),el rendimiento físico (p<0,001) y la calidad de vida(p<0,001). En conclusión, un entrenamiento multicomponente en fases progresivasmejora la autonomía funcional, elrendimiento físicoy lacalidad de vida, siendoun método seguro y eficaz para lasmujeres mayores dela comunidad.The objective was to evaluate the effects of multicomponent training in progressive phases of 18 weeks on functional autonomy, physical performance, and quality of life in older women from the community. The sample consisted of 73 women with a mean age of 69,81 ± 9,44 years. To assess functional autonomy, the GDLAM protocol was used. Physical performance was evaluated through 10-meter gait speed tests,dumbbell elbow flexion-extensions, manual dynamometry, getting up from the chair for 30 seconds, sit and reach, and back scracth. Quality of life was assessed using the SF-36 questionnaire. At the end of the intervention, improvements were observed in functional autonomy (p<0,001), physical performance (p<0,001) and quality of life (p<0,001). In conclusion, a multicomponent training in progressive phases improves functional autonomy, physical performance, and quality of life, being a safe and effective method for older women in the community

El entrenamiento multicomponente en fases progresivas mejora la funcionalidad y calidad de vida en un grupo de mujeres mayores chilenas

The objective was to evaluate the effects of multicomponent training in progressive phases of 18 weeks on functional autonomy, physical performance, and quality of life in older women from the community. The sample consisted of 73 women with a mean age of 69,81 ± 9,44 years. To assess functional autonomy, the GDLAM protocol was used. Physical performance was evaluated through 10-meter gait speed tests, dumbbell elbow flexion-extensions, manual dynamometry, getting up from the chair for 30 seconds, sit and reach, and back scracth. Quality of life was assessed using the SF-36 questionnaire. At the end of the intervention, improvements were observed in functional autonomy (p&lt;0,001), physical performance (p&lt;0,001) and quality of life (p&lt;0,001). In conclusion, a multicomponent training in progressive phases improves functional autonomy, physical performance, and quality of life, being a safe and effective method for older women in the community.El objetivo fue evaluar los efectos de un entrenamiento multicomponente en fases progresivas de 18 semanas sobre la autonomía funcional, el rendimiento físico y la calidad de vida en mujeres mayores de la comunidad. La muestra fue de 73 mujeres con una media de edad de 69.81±9.44 años. Para evaluar la autonomía funcional se utilizó el protocolo GDLAM. El rendimiento físico fue evaluado mediante las pruebas de velocidad de marcha en 10 metros, flexo-extensiones de codo con mancuerna, dinamometría manual, levantarse de la silla durante 30 segundos, sit and reach y back scracth. La calidad de vida se evaluó mediante el cuestionario SF-36. Al finalizar la intervención, se observaron mejoras en la autonomía funcional (p&lt;0,001), el rendimiento físico (p&lt;0,001) y la calidad de vida (p&lt;0,001). En conclusión, un entrenamiento multicomponente en fases progresivas mejora la autonomía funcional, el rendimiento físico y la calidad de vida, siendo un método seguro y eficaz para las mujeres mayores de la comunidad

Association between perceived neighborhood built environment and walking and cycling for transport among inhabitants from Latin America : the ELANS study

© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).Purpose: This study aimed to examine the associations of the perceived neighborhood built environment with walking and cycling for transport in inhabitants from Latin American countries. Methods: This cross-sectional study involved 9218 participants (15–65 years) from the Latin American Study of Nutrition and Health, which included a nationally representative sample of eight countries. All participants completed the International Physical Activity Questionnaire-Long Form for measure walking and cycling for transport and the Neighborhood Environment Walkability Scale-Abbreviated. Furthermore, perceived proximity from home to public open spaces and shopping centers was assessed. Results: Perceived land use mix-access (OR: 1.32; 95%CI: 1.16,1.50) and the existence of many alternative routes in the neighbourhood (1.09 1.01,1.17) were associated with higher odds of reporting any walking for transport (≥10 min/week). Perceived slow speed of traffic (1.88 1.82,1.93) and few drivers exceeding the speed limits (1.92; 1.86,1.98) were also related to higher odds of reporting any walking for transport. The odds of reporting any cycling for transport (≥10 min/week) were higher in participants perceiving more walking/cycling facilities (1.87 1.76,1.99), and better aesthetics (1.22 1.09,1.38). Conclusions: Dissimilar perceived neighborhood built environment characteristics were associated with walking and cycling for transport among inhabitants from Latin America.Fieldwork and data analysis compromised in ELANS protocol was supported by a scientific grant from the Coca Cola Company, and by grant and/or support from Instituto Pensi/Hospital Infantil Sabara, International Life Science Institute of Argentina, Universidad de Costa Rica, Pontificia Universidad Católica de Chile, Pontificia Universidad Javeriana, Universidad Central de Venezuela (CENDES-UCV)/Fundación Bengoa, Universidad San Francisco de Quito, and Instituto de Investigación Nutricional de Peru. André Werneck is supported by the São Paulo Research Foundation (FAPESP) with a PhD scholarship (FAPESP process: 2019/24124-7). This paper presents independent research. The views expressed in this publication are those of the authors and not necessarily those of the acknowledged institutions. The funding sponsors had no role in study design; the collection, analyses, or interpretation of data; writing of the manuscript; or in the decision to publish the results.info:eu-repo/semantics/publishedVersio

Multicomponent Training in Progressive Phases Improves Functional Capacity, Physical Capacity, Quality of Life, and Exercise Motivation in Community-Dwelling Older Adults: A Randomized Clinical Trial

Objective: To evaluate the effect of a multicomponent progressive training program (MPTP) on functionality, quality of life (QoL) and motivation to exercise (EM) in a group of older adults (OA) of a community. Methods: A total of 55 participants of 69.42 &plusmn; 6.01 years of age were randomized into two groups; experimental (EG:35) and control (CG:20), and subjected to 27 weeks of MPTP. Functionality (pre/post-intervention) was assessed using the Short Physical Performance Battery (SPPB), Time Up and Go (TUG), Walking While Talking Test (WWT), Manual Dynamometry (MD), Forced Expiratory Volume in the first second (FEV1), Sit and Reach (SR), Back Scratch (BS), and walk for 2 min (2 mST). QoL was assessed using the SF-36 questionnaire and EM using the BREQ-3. The Kolmogorov&ndash;Smirnov and Levene tests were applied. A two-way repeated measures ANOVA was applied. A significance level of p &lt; 0.05 was accepted for all comparisons. Results: The EG compared to the CG improved in SPPB (&Delta;EG/CG: 29.67%/p &lt; 0.001), TUG (&Delta;EG/CG: 35.70%/p &lt; 0.05), WWT (&Delta;EG/CG: 42.93%/p &lt; 0.001), MD (&Delta;EG/CG: 20.40%/p &lt; 0.05), FEV1 (&Delta;EG/CG: 21.37%/p &lt; 0.05), BS (&Delta;EG/CG: 80.34%/p &lt; 0.05), 2 mST (&Delta;EG/CG: 33.02%/p &lt; 0.05), SF-36 (&Delta;EG/CG: 13.85%/p &lt; 0.001), and Intrinsic Regulation (&Delta;EG/CG: 27.97%/p &lt; 0.001); Identified by regulation (&Delta;EG/CG: 9.29%/p &lt; 0.05). Conclusion: An MPTP improves functionality, QoL and EM, and is a safe and effective method for community OAs

Warm-Up and Handgrip Strength in Physically Inactive Chilean Older Females According to Baseline Nutritional Status

This study aims to analyze the effect of different types of warm-ups on handgrip strength (HGS) in physically inactive older females. Secondarily, it aims to compare HGS according to their baseline nutritional status. A randomized crossover trial study was conducted with 44 physically inactive older females distributed into normal weight (n = 12, BMI = 23.9 ± 3.2 kg/m2), overweight (n =16, BMI = 27 ± 4.7 kg/m2) and obese (n = 16, BMI = 31.6 ± 5.3 kg/m2), who participated in three warm-up conditions (static stretching condition, SSC; elastic band condition, EBC; and therapeutic compression ball condition, TCBC) and one control condition (CC, no warm-up). All participants performed the four randomized conditions with recovery within 72 h. A significant decrease (p &lt; 0.05) in HGS for the dominant and non-dominant hands was observed when comparing SSC vs. CC. In contrast, comparing the warm-up conditions according to the baseline nutritional status, statistically significant differences (p &lt; 0.05) were only reported in the obese group in the dominant and non-dominant hand in favor of CC concerning SSC. In conclusion, warm-up with static flexibility led to a decrease in HGS in physically inactive older females. Only the obese group exhibited this result when analyzed by nutritional status

Relationship between Asymmetries and Functional Autonomy in Older Chilean Adults

The objectives of this study were: (a) to determine asymmetries, both lower limb (LL) and upper limb (UL), in Chilean older adults, and (b) to relate asymmetries to FA in both LL and UL. Forty-one older adults voluntarily participated in this study (mean &plusmn; standard deviation [SD]: age 72.0 &plusmn; 8.0 years, LL asymmetries 13.78 &plusmn; 14.87%, UL asymmetries 10.70 &plusmn; 8.85%, FA 40.35 &plusmn; 16.26 points). The variables were: (1) asymmetries of LL and UL, assessed through a force platform and handgrip, respectively; (2) FA, assessed through the Latin American Group for Maturity (GDLAM) and the GDLAM index of autonomy (GI) protocol. The relationship between the variables was performed through Spearman&rsquo;s correlation. The analysis showed that 39% of the participants presented asymmetries above 15% in the LL. Likewise, this 39% of older adults presented a lower FA than their peers with asymmetries below 15% in the LL (&le;15%: 35.64 &plusmn; 12.26 points vs. &gt;15%: 47.69 &plusmn; 19.23 points, p = 0.003). The analysis showed a small correlation between LL and GI asymmetries (r = 0.27, p = 0.07) and a small but negative correlation between UL and GI (r = &minus;0.21). The mean values of asymmetries of both LL and UL are within &lsquo;normal&rsquo; parameters. However, several older adults were identified as being at risk. In parallel, older adults who presented a higher level of asymmetries in LL showed a lower level of FA

Test-retest reliability of Latin American Group for Maturity (GDLAM) protocol in older women.

Functional autonomy (FA) is a critical factor in determining the quality of life of older adults (OA), especially in the case of older women (OW), as they face a decline in FA in their later years of life. FA should be assessed early, using valid, reliable, and low-cost tests. This study evaluated the test-retest reliability of GDLAM and GDLAM autonomy index (GI) in OW. Thirty-nine OW (71.2 ± 6.50 years) participated in the study. A repeated measures design was used to compare the interday test-retest reliability of the five GDLAM tests (seconds) and the GI (points). The five tests represent activities of daily living, such as dressing or wandering around the house, while the GI provides a weighting of the results of the five tests. The analysis consisted of the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and coefficient of variation (CV). A CV ≤ 10% and an ICC ≥ 0.80 were considered acceptable reliability, whereas a CV ≤ 5% and an ICC ≥ 0.90 were considered high reliability. The outcome of the five tests, represented by the GI, showed high interday test-retest reliability (CV = 6.00% and ICC = 0.91). The results of this study demonstrate that the five tests of the GDLAM protocol and the GI have high interday test-retest reliability and good interday reproducibility. From a practical point of view, the GDLAM protocol allows the assessment of FA of community-dwelling OW, providing background for early diagnosis and, with it, the possibility of developing an individualized physical exercise prescription

Characterization of the participants.

Functional autonomy (FA) is a critical factor in determining the quality of life of older adults (OA), especially in the case of older women (OW), as they face a decline in FA in their later years of life. FA should be assessed early, using valid, reliable, and low-cost tests. This study evaluated the test-retest reliability of GDLAM and GDLAM autonomy index (GI) in OW. Thirty-nine OW (71.2 ± 6.50 years) participated in the study. A repeated measures design was used to compare the interday test-retest reliability of the five GDLAM tests (seconds) and the GI (points). The five tests represent activities of daily living, such as dressing or wandering around the house, while the GI provides a weighting of the results of the five tests. The analysis consisted of the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and coefficient of variation (CV). A CV ≤ 10% and an ICC ≥ 0.80 were considered acceptable reliability, whereas a CV ≤ 5% and an ICC ≥ 0.90 were considered high reliability. The outcome of the five tests, represented by the GI, showed high interday test-retest reliability (CV = 6.00% and ICC = 0.91). The results of this study demonstrate that the five tests of the GDLAM protocol and the GI have high interday test-retest reliability and good interday reproducibility. From a practical point of view, the GDLAM protocol allows the assessment of FA of community-dwelling OW, providing background for early diagnosis and, with it, the possibility of developing an individualized physical exercise prescription.</div

S1 Dataset -

Functional autonomy (FA) is a critical factor in determining the quality of life of older adults (OA), especially in the case of older women (OW), as they face a decline in FA in their later years of life. FA should be assessed early, using valid, reliable, and low-cost tests. This study evaluated the test-retest reliability of GDLAM and GDLAM autonomy index (GI) in OW. Thirty-nine OW (71.2 ± 6.50 years) participated in the study. A repeated measures design was used to compare the interday test-retest reliability of the five GDLAM tests (seconds) and the GI (points). The five tests represent activities of daily living, such as dressing or wandering around the house, while the GI provides a weighting of the results of the five tests. The analysis consisted of the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and coefficient of variation (CV). A CV ≤ 10% and an ICC ≥ 0.80 were considered acceptable reliability, whereas a CV ≤ 5% and an ICC ≥ 0.90 were considered high reliability. The outcome of the five tests, represented by the GI, showed high interday test-retest reliability (CV = 6.00% and ICC = 0.91). The results of this study demonstrate that the five tests of the GDLAM protocol and the GI have high interday test-retest reliability and good interday reproducibility. From a practical point of view, the GDLAM protocol allows the assessment of FA of community-dwelling OW, providing background for early diagnosis and, with it, the possibility of developing an individualized physical exercise prescription.</div