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Physical Activity in Hospitalized Persons With Dementia: Feasibility and Validity of the MotionWatch 8

Ashley Kuzmik, Barbara Resnick, Pamela Cacchione, Rachel Arendacs, and Marie Boltz

Hospital-acquired disability (HAD), defined as functional loss that is acquired during hospitalization, occurs in over 30% of hospitalized adults age 65 and, with most older adults (70–80%) not returning to baseline function in mobility and other activities of daily living ( Buurman et al., 2011

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Effects of Home-Based Exercise Programs on Mobility, Muscle Strength, Balance, and Gait in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

Sabrine Nayara Costa, Luis Henrique Boiko Ferreira, and Paulo C. B. Bento

older adults ( Yoshiko et al., 2018 ), and it may stimulate independent exercise, which can be sustained for extended periods ( Byrne et al., 2016 ). Thus, individual home-based exercise programs have been proposed as a suitable strategy to enhance muscle strength, physical function, gait, and balance

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Protein Supplementation for Strength and Functionality in Older Adults: Is There Still Any Doubt? A Brief Update Review

Júlio Benvenutti Bueno de Camargo and Alexandre Ferraz de Oliveira

regarding the increased protein demand by the older adults, there seems to be a certain resistance by these individuals in adhering to this nutritional approach, usually justified by eventual impairments on bone health and/or kidney function induced by higher amounts of protein ingestion. However, large

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The Effect of Therapeutic Exercise Interventions on Physical and Psychosocial Outcomes in Adults Aged 80 Years and Older: A Systematic Review and Meta-Analysis

Philippa J.A. Nicolson, Vicky Duong, Esther Williamson, Sally Hopewell, and Sarah E. Lamb

Statistics, 2012 ). Optimizing physical function, quality of life, and psychosocial outcomes among this group is essential to facilitate ongoing independence. Therapeutic exercise is participation in physical activity that is planned, structured, repetitive, and purposeful for the improvement or maintenance

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Feasibility, Reliability, and Validity of the MotionWatch 8 to Evaluate Physical Activity Among Older Adults With and Without Cognitive Impairment in Assisted Living Settings

Barbara Resnick, Marie Boltz, Elizabeth Galik, Steven Fix, and Shijun Zhu

moderate-level physical activity (i.e., ≥3 metabolic equivalents or including activities such as walking up a flight of stairs or walking at 100 steps per minute). Given the combined cognitive and functional impairments of these residents, innovative approaches are needed to help them optimize function and

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Promoting Physical Activity in Older Adults With Knee Osteoarthritis and Hypertension: A Randomized Controlled Trial

Elizabeth A. Schlenk, G. Kelley Fitzgerald, Joan C. Rogers, C. Kent Kwoh, and Susan M. Sereika

Osthoff et al., 2018 ). Three meta-analyses reported the benefits of physical activity interventions focused on lower-extremity exercise (LEE) and/or aerobic exercise in adults with lower-extremity OA with significant small to moderate effects on reducing pain (SMD = 0.20–0.50) and improving function (SMD

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A Descriptive Study Using Rasch Analysis and Hypothesis Testing to Evaluate the Psychometric Properties of the UMOVE Mobility Screen Tested With Hospitalized Older Adults

Barbara Resnick, Marie Boltz, Chris L. Wells, Elizabeth Galik, Ashley Kuzmik, and Rachel McPherson

decline in function and subsequent higher rates of discharge to subacute or long-term settings ( Tasheva et al., 2020 ; Zisberg et al., 2011 , 2015 ), a decline in strength, muscle mass and aerobic capacity ( Kehler et al., 2019 ; Van Ancum et al., 2017 ), and fatigue, and poor quality of life ( Rezaei

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Personal Factors, Perceived Environment, and Objectively Measured Walking in Old Age

Lucelia Luna de Melo, Verena Menec, Michelle M. Porter, and A. Elizabeth Ready

This study examined the associations between walking behavior and the perceived environment and personal factors among older adults. Sixty participants age 65 yr or older (mean 77 ± 7.27, range 65–92) wore pedometers for 3 consecutive days. Perceived environment was assessed using the Neighborhood Environment Walk-ability Scale (abbreviated version). Physical function was measured using the timed chair-stands test. The mean number of steps per day was 5,289 steps (SD = 4,029). Regression analyses showed a significant association between personal factors, including physical function (relative rate = 1.05, p < .01) and income (RR = 1.43, p < .05) and the average daily number of steps taken. In terms of perceived environment, only access to services was significantly related to walking at the univariate level, an association that remained marginally significant when controlling for personal characteristics. These results suggest that among this sample of older adults, walking behavior was more related to personal and intrinsic physical capabilities than to the perceived environment.

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Getting Grounded Gracefully©: Effectiveness and Acceptability of Feldenkrais in Improving Balance

Freda Vrantsidis, Keith D. Hill, Kirsten Moore, Robert Webb, Susan Hunt, and Leslie Dowson

The Getting Grounded Gracefully© program, based on the Awareness Through Movement lessons of the Feldenkrais method, was designed to improve balance and function in older people. Fifty-five participants (mean age 75, 85% women) were randomized to an intervention (twice-weekly group classes over 8 wk) or a control group (continued with their usual activity) after being assessed at baseline and then reassessed 8 wk later. Significant improvement was identified for the intervention group relative to the control group using ANOVA between-groups repeated-measures analysis for the Modified Falls Efficacy Scale score (p = .003) and gait speed (p = .028), and a strong trend was evident in the timed up-and-go (p = .056). High class attendance (88%) and survey feedback indicate that the program was viewed positively by participants and might therefore be acceptable to other older people. Further investigation of the Getting Grounded Gracefully program is warranted.

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The Effect of 6 Months Training on Leg Power, Balance, and Functional Mobility of Independently Living Adults Over 70 Years Old

Roger Ramsbottom, Anne Ambler, Janie Potter, Barbara Jordan, Alan Nevill, and Carol Williams

Where strength training has been used in conjunction with functional-task training in older people, not only have there been improvements in leg strength but also improved function has been measured (e.g., Skelton & McLaughlin, 1996). Many studies use participants from care homes rather than community dwellers. We investigated changes in leg power, balance, and functional mobility in community-dwelling sedentary men and women over 70 years of age (n = 6 for training group [TR]; n = 10 for control group [CN]). Progressive training took place over 24 weeks using seated and nonseated exercise. For TR, leg power increased 40%, from 108 ± 40 to 141 ± 53 W (p < .01); dynamic balance increased 48%, from 22.3 ± 7.9 to 33.1 ± 6.1 cm (p < .01; functional reach); and functional mobility increased 12%, from 7.46 ± 1.32 to 6.54 ± 1.41 s (p < .05; timed walk). CN showed no significant change. In conclusion, a community-based exercise program led to large improvements in leg-extensor power, dynamic balance, and functional mobility.