Poster presented at the 2nd International Congress of CiiEM - Translational Research and Innovation in Human and Health Science. 11-13 June, 2017, Campus Egas Moniz, Monte de Caparica, Portugal.N/

Bigotes, Vilma

Dias, Claúdia

Ferreira, Sónia

Gaspar, Joana

Pereira, Ângela Maria

English

Repositório Comum

Physical Exercise and Functional Fitness of Older Adults in Day Care CenterÂngela Maria Pereira 1, 2, 3, Cláudia Dias1, Joana Gaspar1, Sónia Ferreira1, Vilma Bigotes1,1.Physiotherapy, Escola Superior de Saúde Egas Moniz; 2Centro de investigação interdisciplinar Egas Moniz, Almada, 3Hospital Garcia de Orta; Almada, PortugalBACKGROUND:The physical and cognitive decline that occurs during aging translates to aninability to carry out daily living tasks with consequent impacts on socialrelationships and quality of life. Functional fitness (FF) is generally defined asthe ability to perform daily living activities without difficulty (1) and representsa powerful and independent risk factor for premature mortality.(2) However, thedecline in FF with aging does not occur at a uniform rate; a significant decreaseoccurs with advancing age, and the years between 70 and 80 appears to be acritical period of life (3) one of the main consequences of this is the progressivedecline in FF, including muscular strength, flexibility, balance, agility, gaitvelocity, and cardiorespiratory fitness (4). It has been well established that olderadults who spend more time in physical activity (PA) or less time in sedentarybehaviors exhibit improved FF, Assessing the functional fitness performance ofolder adults is an essential element in designing effective exercise programs forolder adults (5).METHODS:To be eligible, older adults must be not institutionalized, but users of a day carecenter, not have cognitive deficits, with value <24 Mini-Mental StateExamination; no relevant cardiac or muscle-skeletal disease. All subjectsprovided written informed consent prior to participation.Forty eight older adults who met the eligible criteria, 79.7±7.1 yrs, body massindex, 27.7±3.5 kg.m2, were assigned to a specific multicomponent trainingcomposed by an aerobic endurance, strength, balance/coordination exercises,45-min session, for 8 weeks, twice a week..The physical parameters assed were strength, aerobic endurance, flexibility andagility/balance.For upper body strength maximal amount of weighted arm curls was measured;for lower body strength the maximal amount of chair-ups were registered.Aerobic endurance was measured as the number of steps performed in 2minutes (2-min step test).Upper body flexibility was assessed by back-scratch and lower body flexibilitywas assessed by sit-and-reach test. For testing agility/balance, an 8-foot up-and-go test was used.These tests were performed before and after intervention.Exercise protocols – aerobic exercises, 10 min per session. Strength exercise, 8exercises, 1-2 sets, 1 min rest, 10-15 reps, for strengthening the major musclesof the body, balance/coordination exercises and flexibility exercise (6).RESULTS:Means and standard deviations values, before and after training for bothgroups, are displayed in Table 1. Paired and independent Student’s t-tests wereperformed to a significance level of 0.95.After training: Significant differences (p<0.05) were observed for allparameters accessed, demonstrating that intervention has greater improvementsthan a small one, as we can see at table 1.Before AfterP *n= 48 n= 4830-second chair stand (rep) 10.2±1.4 16.1±2,6 0.028Arm curl (rep) 10.9±3.2 18.9±3.5 0.001Chair sit-and-reach (cm) 12,9±11.2 8.1±9.9 0.026Back scratch (cm) -14.1±9.8 -10.2±6.1 0.0018-foot up-and-go (sec) 9.8±4.7 7.1±2.4 0.0312-minute step (step) 70.5±16 98.3±12.4 0.001CONCLUSION:The results demonstrate the importance of older people's participation inphysical exercise leading to a lower FF decline .Despite exercise is often portrayed as inaccessible without expensive gymfacilities and a grueling experience for those who do take part, it seem to be aninexpensive, easily-accessible approach to improve health and overall well-being.REFERENCES:1. Rikli RE, Jones CJ. Development and validation of criterion-referenced clinically relevant fitness standards for maintainingphysical independence in later years. Gerontologist. 2013;53(2):255–2672. Church TS, Earnest CP, Skinner JS, Blair SN. Effects of different doses of physical activity on cardiorespiratory fitness amongsedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. JAMA.2007;297(19):2081–20913. Demura S, Minami M, Nagasawa Y, Tada N, Matsuzawa J, Sato S. Physical-fitness declines in older Japanese adults. J AgingPhys Act. 2003;11:112–122.4. Buchman A, Boyle P, Wilson R, Bienias J, Bennett D. Physical activity and motor decline in older persons. Muscle Nerve.2007;35(3):354–362.5. Rikli RE, Busch S. Motor performance of women as a function of age and physical activity level. J Gerontol. 1986;41:645–6496. Souto Barreto P, Morley JE, Chodzko‐Zajko W, K HP, Weening‐Djiksterhuis E, Rodriguez‐Manas L, et al. Recommendations onPhysical Activity and Exercise for Older Adults Living in Long‐Term Care Facilities: A Taskforce Report. J Am Med Dir Assoc.2016;17(5):381‐92Funcional Physical Fitness TestingSequence of tests execution1. Get up and sit on the shair.2. Forearm flexion3. Height and weight4. Sitting and reaching5. Eigth foot up and go6. Reach behind the back8. Two minutes of step on the spotTable 1. Mean and standard deviation values for basal and final values of 30-second chairstand, arm curl, chair sit-and-reach, 8-foot up-and-go, back scratch test and 2-minute setp.* Differences between groups p<0,05Chair Sit and Reach Arm curl Eight Foot Up and Go Chair StandBack scratch Height and HeightPURPOSE:The purpose of this study was to assessing the functional fitness of older adultsdo not institutionalized but in day care CenterMETHODS:

Physical exercise and functional fitness of older adults in day care center

https://comum.rcaap.pt/bitstream/10400.26/28948/1/Poster_APereira_2017_03.pdf

Physical exercise and functional fitness of older adults in day care center

Abstract

Similar works

Full text

Available Versions

Repositório Comum