.H. , Holtzman , D. , Goins , R.T. , & Croft , J.B. ( 2005 ). Disparities in chronic disease risk factors and health status between American Indian/Alaska Native and White elders: findings from a telephone survey, 2001 and 2002 . American Journal of Public Health, 95 ( 5
Kerstin Gerst Emerson and Jennifer Gay
Murray F. Mitchell
Information about whose knowledge is accepted as important is valuable in understanding how a profession evolves. The term elders describes the individuals who control invisible networks of prestige and who determine what information is accepted for publication in professional journals. These published works stand as the foundation for the knowledge base of a discipline. The purpose of this article was to identify the elders in physical education teacher education (PETE) and to trace their academic genealogy. Elders were defined as major contributors to the Journal of Teaching in Physical Education from 1981 through 1989. The articles published by these subjects were generally, but not exclusively, research-related. Hence, aspects related to faculty research performance were selected as descriptors that may facilitate comparisons of PETE professors to other groups of professors and to future PETE professors. Subjects’ gender, prestige of doctoral program, mentoring, and prestige of current institution of employment were studied as these indicators represent major correlates with research productivity.
Mary A. Murphy, Sharon L. Olson, Elizabeth J. Protas and Averell R. Overby
Fifty community-dwelling elders were screened and followed for 14 months. Sixteen experienced falls and 34 did not. The screening variables consisted of age, the Clinical Test of Sensory Interaction in Balance, the Performance-Oriented Mobility Assessment for Balance, functional reach, the Physical Performance Test, and the following timed tests: floor transfer; 5-step test; 5 chair stands; tandem, semitandem, and side-by-side stance; penny pick-up; 360° turn; 50-ft walk; and 5-min walk. Data analysis and chi-squared or t tests were performed for each variable to determine significant differences between groups. Correlations, sensitivity, and specificity were calculated, and a stepwise discriminant analysis was conducted to determine which significant variables best predicted falls. Discriminant analysis determined that the floor transfer and then the 50-ft walk predicted falls in community-dwelling elders, correctly classifying 95.5% of participants. Prediction for falls was 81.8%, and for no falls, 100%. The timed floor transfer and 50-ft walk were the most discriminating measures to identify potential fallers.
Joseph F. Signorile, David Sandler, Fangchao Ma, Steve Bamel, Damian Stanziano, Wes Smith, Bernard A. Roos and Lauran Sandals
This study examined the validity, reliability, and discriminatory capacity of the gallon-jug shelf-transfer (GJST) test. Six hundred fifty-three independent-living older adults (463 women age 72.9 ± 7.0 years, 190 men age 74.3 ± 6.7 years) participated. Participants moved five 1-gallon jugs (≈3.9 kg) from a knee-high to a shoulder-high shelf as quickly as possible. The GJST showed an exponential performance decline with age, and there were significant correlations between the GJST and common functional tests (p < .001). High within-day and between-days reliability was detected. The test also detected differences resulting from training status (p < .01) and training protocols (p < .05). The GJST is a valid, reliable, inexpensive, safe, and easily administered clinical test for identifying physically vulnerable elders who could benefit from interventions such as exercise to improve their physical capacities and maintain independence.
Heather Anne Hayes, Nikelle Hunsaker, Sydney Y. Schaefer, Barry Shultz, Thomas Schenkenberg, Lara A. Boyd, Andrea T. White, Kenneth B. Foreman, Philip Dyer, Rebecca Maletsky and Leland E. Dibble
Deficits in sequence-specific learning (SSL) may be a product of Parkinson’s disease (PD) but this deficit could also be related to dopamine replacement. The purpose of this study was to determine whether dopamine replacement affected acquisition and retention of a standing Continuous Tracking Task in individuals with PD. SSL (difference between random/repeated Root Mean Square Error across trials) was calculated over 2 days of practice and 1 day of retention for 4 groups; 10 healthy young (HY), 10 healthy elders, 10 individuals with PD on, 9 individuals with PD off their usual dosage of dopamine replacement. Improvements in acquisition were observed for all groups; however, only the HY demonstrated retention. Therefore, age appeared to have the largest effect on SSL with no significant effect of medication. Additional research is needed to understand the influence of factors such as practice amount, task difficulty, and dopamine replacement status on SSL deficits during postural tasks.
David E. Vance, Virginia G. Wadley, Karlene K. Ball, Daniel L. Roenker and Matthew Rizzo
Physical activity has been shown to be positively associated with cognitive health, but the mechanisms underlying the benefits of physical activity on cognitive health are unclear. The present study simultaneously examined two hypotheses using structural equation modeling (SEM). The depression-reduction hypothesis states that depression suppresses cognitive ability and that physical activity alleviates dysphoric mood and thereby improves cognitive ability. The social-stimulation hypothesis posits that social contact, which is often facilitated by socially laden physical activities, improves cognitive functioning by stimulating the nervous system. Sedentary behavior in the absence of physical activity is expected to exert an inverse relationship on cognitive health through each of these hypotheses. Community-dwelling elders (N = 158) were administered a variety of measures of cognition, depression, social support, and physical activity. SEM techniques provided partial support for the social-stimulation hypothesis and depression-reduction hypothesis. Implications for treating depression and improving cognitive functioning are discussed.
Mon S. Bryant, Diana H. Rintala, Jyh-Gong Hou and Elizabeth J. Protas
To investigate the relationships between falls, fear of falling, and activity limitations in individuals with Parkinson’s disease (PD).
Cross-sectional study of individuals with mild to moderate PD (N = 83). Associations among demographic data, fall frequency, disease severity, motor impairment, ability to perform activities of daily living (ADL), Activities Balance Confidence Scale, Iowa Fatigue Scale, Comorbidity Index, and Physical Activity Scale for Elders were studied.
Frequent fallers had more ADL limitations than nonfallers (p < .001) and rare fallers (p = .004). Frequent fallers reported a lower percentage of ability to perform ADL than nonfallers (p = .003). Frequent fallers and rare fallers were less physically active than nonfallers (p = .015 and p = .040, respectively). Frequent fallers and rare fallers reported a higher level of fear of falling than nonfallers (p = .031 and p = .009, respectively).
Falls and fear of falling were associated with more ADL limitations and less physical activity after adjusting for physical impairments.
Marlene A. Dixon, Stacy M. Warner and Jennifer E. Bruening
This qualitative study uses expectancy-value and life course theories (Giele & Elder, 1998) to examine both the proximal and distal impact of early family socialization on enduring female participation in sport. Seventeen National Collegiate Athletic Association (NCAA) Division I female head coaches from the U.S. participated in interviews regarding parental influence on their sport involvement. Participants revealed three general mechanisms of sport socialization: a) role modeling, b) providing experience, and c) interpreting experience. Parental influence impacted their enduring involvement in sport by normalizing the sport experience, particularly in terms of gender, and by allowing them a voice in their own participation decisions. Insights regarding the roles of both parents and the interactive and contextual nature of socialization for increasing female participation are discussed.
Jill N. Schulte and Kevin E. Yarasheski
Advancing age is associated with a reduction in skeletal muscle protein, muscle strength, muscle quality, and chemical modifications that may impair protein function. Sarcopenia has been coupled with physical disability, frailty, and a loss of independent function (5, 19). Using stable isotope tracer methodologies and mass spectrometric detection, we observed: (a) 76–92-year-old physically frail and 62–74-year-old middle-age adults have lower mixed muscle protein synthetic rates than 20–32-year-old men and women; (b) 2 weeks and 3 months of weightlifting exercise increased the synthetic rate of myosin heavy chain (MHC) and mixed muscle proteins to a similar magnitude in frail, middle-age, and young women and men; (c) Serum myostatin-immunoreactive protein levels were elevated in physically frail women and were inversely correlated with lean mass. This suggests that the protein synthetic machinery adapts rapidly to increased contractile activity and that the adaptive response(s) are maintained even in frail elders.
David E. Krebs, Peter H. Velyvis and Mark W. Rogers
This study examined the prevalence of protective stepping and accompanying preparatory postural responses associated with lateral weight transfer (WT) while subjects attempted to sustain stationary standing. The subjects were 92 healthy young and older adults and persons with vestibular hypo-function. Force platform and whole-body-motion recordings were used to evaluate the prevalence of stepping and WT responses during stationary standing (eyes open or closed) using a semi-tandem foot position. WT components were also evaluated for volitionally requested step initiation, and as a function of support base configuration and direction of stepping among younger subjects. Only 10% of trials by subjects with bilateral vestibular hypofunction (BVH) during semi-tandem standing with eyes closed were completed without a step, while 31% of subjects with UVH, 69% of healthy elders, and all young healthy subjects were able to stand for the entire 7-sec trials. WT responses always preceded volitional steps from a standard feet-parallel orientation but occurred in only 13% of the spontaneous steps. The prevalence of WT was influenced by the direction of volitional stepping from semi-tandem standing, but not by the initial standing width. Spontaneous stepping to maintain standing balance is a naturally occurring and prevalent behavior among older adults and persons with vestibular hypo-function during tests of quasi-static standing. Differences between volitional and spontaneous step initiation involving the prevalence of preparatory lateral WT are a complex function of motor planning, mechanical constraints, and functional context.