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Eeva Aartolahti, Sirpa Hartikainen, Eija Lönnroos and Arja Häkkinen

This study was conducted to determine the characteristics of health and physical function that are associated with not starting strength and balance training (SBT). The study population consisted of 339 community-dwelling individuals (75–98 years, 72% female). As part of a population-based intervention study they received comprehensive geriatric assessment, physical activity counseling, and had the opportunity to take part in SBT at the gym once a week. Compared with the SBT-adopters, the nonadopters (n = 157, 46%) were older and less physically active, had more comorbidities and lower cognitive abilities, more often had sedative load of drugs or were at the risk of malnutrition, had lower grip strength and more instrumental activities of daily living (IADL) difficulties, and displayed weaker performance in Berg Balance Scale and Timed Up and Go assessments. In multivariate models, higher age, impaired cognition, and lower grip strength were independently associated with nonadoption. In the future, more individually-tailored interventions are needed to overcome the factors that prevent exercise initiation.

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Miriam C. Morey, Carola Ekelund, Megan Pearson, Gail Crowley, Matthew Peterson, Richard Sloane, Carl Pieper, Eleanor McConnell and Hayden Bosworth

The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years and older. The primary end point was change in physical activity at 3 and 6 months comparing patients receiving high-intensity physical activity counseling, attention control counseling, and usual care after receiving standardized clinic-based counseling. We noted a significant Group × Time interaction (p = .041) for physical activity frequency and a similar effect for caloric expenditure (p = .054). Participants receiving high-intensity counseling and usual care increased physical activity over the short term, but those with usual care returned to baseline by the end of the study. The intervention was well received by practitioners and patients. We conclude that partnering primary-care providers with specialized exercise counselors for age- and health-appropriate physical activity counseling is effective.

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Francini Vilela Novais, Eduardo J. Simoes, Chester Schmaltz and Luiz R. Ramos

2009, based on a household survey (n = 1500) to evaluate independence in activities of daily living. 12 All older participants in this survey were invited to a comprehensive geriatric assessment conducted at the Center for the Study of Aging (CEE—in Portuguese), which included an assessment of the

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Shirley M. Bluethmann, Wayne Foo, Renate M. Winkels, Scherezade K. Mama and Kathryn H. Schmitz

level of multimorbidity and obesity supports recent research stressing that functional age, rather than chronological age, is a superior method of determining physical performance in older adults ( Frochen & Mehdizadeh, 2018 ) and older cancer survivors. Clinical tools like the geriatric assessment can

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Sandra C. Webber, Francine Hahn, Lisa M. Lix, Brenda J. Tittlemier, Nancy M. Salbach and Ruth Barclay

associated with community mobility . Journal of Aging and Physical Activity, 7 ( 1 ), 7 – 19 . doi: 10.1123/japa.7.1.7 Peel , N.M. , Kuys , S.S. , & Klein , K. ( 2013 ). Gait speed as a measure in geriatric assessment in clinical settings: A systematic review . Journals of Gerontology, Series A

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Andrea L. Hergenroeder, Bethany Barone Gibbs, Mary P. Kotlarczyk, Subashan Perera, Robert J. Kowalsky and Jennifer S. Brach

speed as a measure in geriatric assessment in clinical settings: A systematic review . The Journals of Gerontology, Series A: Biological Sciences and Medical Science, 68 ( 1 ), 39 – 46 . doi:10.1093/gerona/gls174 10.1093/gerona/gls174 Pelssers , J. , Delecluse , C. , Opdenacker , J. , Kennis

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Carol M. Vos, Denise M. Saint Arnault, Laura M. Struble, Nancy A. Gallagher and Janet L. Larson

-dwellers . Archives of Gerontology and Geriatrics, 53 ( 1 ), 10 – 16 . PubMed ID: 21035201 doi:10.1016/j.archger.2010.07.013 10.1016/j.archger.2010.07.013 Lihavainen , K. , Sipila , S. , Rantanen , T. , Kauppinen , M. , Sulkava , R. , & Hartikainen , S. ( 2012 ). Effects of comprehensive geriatric

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Katie Crockett, Saija A. Kontulainen, Jonathan P. Farthing, Philip D. Chilibeck, Brenna Bath, Adam D.G. Baxter-Jones and Catherine M. Arnold

.G.00150 10.2106/JBJS.G.00150 VanSwearingen , H.M. , & Brach , J.S. ( 2001 ). Making geriatric assessment work: Selecting useful measures . Physical Therapy, 81 , 1233 – 1252 . PubMed Washburn , R.A. , McAuley , E. , Katula , J. , Mihalko , S.L. , & Boileau , R.A. ( 1999 ) The physical

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Seoha Min, Sumin Koo and Jennifer Wilson

therapy on preventing the decline of mental abilities of patients with Alzheimer’s type dementia . Journal of Therapeutic Horticulture, 18, 8 – 17 . Danter , J.H. ( 2003 ). Put a realistic spin on geriatric assessment . Nursing, 33 ( 12 ), 52 – 55 . PubMed ID: 14657730 doi:10

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Mohsen Shafizadeh, Jane Manson, Sally Fowler-Davis, Khalid Ali, Anna C. Lowe, Judy Stevenson, Shahab Parvinpour and Keith Davids

multifactorial program included comprehensive geriatric assessments (balance, gait, vision, blood pressure, understanding of environment hazards, cognition, and psychological health); a treatment intervention (supervised/unsupervised exercise, cognitive behavioral therapy, nutrition therapy, medication