Community-based rehabilitative exercise programs might be an effective means to improve functional outcomes for hip-fracture patients. The purpose of this study was to evaluate the effectiveness of a community exercise program (CEP) for older adults recovering from hip fracture. Twenty-five older adults (mean age 80.0 ± 6.0 years; 24 women; 71 ± 23 days post–hip fracture) participated in this pilot study (17 exercise, 8 control). The CEP involved functional stepping and lower extremity–strengthening exercises. Control participants received only standard outpatient therapy. Measures of functional mobility, balance confidence, falls efficacy, lower extremity strength, and daily physical activity were evaluated at baseline and at 16 weeks. Improvements for self-reported physical activity, mobility, balance, and knee-extensor strength were observed for the CEP group. This study demonstrated that a CEP is beneficial for community-dwelling older adults post–hip fracture.
Gareth R. Jones, Jennifer M. Jakobi, Albert W. Taylor, Rob J. Petrella and Anthony A. Vandervoort
Tiesha Martin, Stacy Warner and Bhibha Das
Many higher education institutions incorporate service-learning programs because of the positive outcomes they produce for students. However, limited research has assessed the outcomes of service-learning for students working with older adults in a sport setting. Using a discourse analysis approach, this study examined the outcomes of volunteering with the Greenville-Pitt County Senior Games for 55 students enrolled in a physical activity and aging course. The results revealed that students’ perceptions about older adults’ Physical Abilities and Competitiveness and their view of Sport as a Social Event changed as a result of the service-learning experience. Students also cited Humanizing the Older Adult Experience and Learning by Doing as positive outcomes of the experience. The research findings suggest that service-learning with older adults in a sport setting can help better prepare students to serve the aging population. The implications and opportunities for Sport Management instructors are highlighted.
Laura Desveaux, Roger Goldstein, Sunita Mathur and Dina Brooks
Nonadherence to exercise is a main cause of reduced function for older adults with chronic disease following completion of rehabilitation. This quantitative study used a questionnaire to evaluate the barriers and facilitators to community-based exercise following rehabilitation, from the perspectives of older adults with chronic diseases and their healthcare professionals (HCPs). Questionnaires were administered one-on-one to 83 older adults and 35 HCPs. Those with chronic disease perceived cost (43%), travel time (43%), and physical symptoms (39%) as primary barriers to program participation, with similar perceptions across all chronic conditions. Access to a case manager (82%), a supported transition following rehabilitation (78%), and a condition-specific program (78%) were the primary facilitators. Significant between group differences were found between HCPs and older adults with chronic disease across all barriers (p < .001), with a greater number of HCPs perceiving barriers to exercise participation. There were no between-group differences in the perception of factors that facilitate participation in exercise.
Rachael C. Stone, Zina Rakhamilova, William H. Gage and Joseph Baker
Older adults are the largest and fastest growing segment of the population, causing worldwide shifts in social, political, economic, and medical infrastructures ( Statistics Canada, 2013 ). Given these trends and subsequent concerns related to sustaining such infrastructures, research has begun to
Hayley Guiney, Michael Keall and Liana Machado
older adults’ mental, cognitive, and physical health are well-established (reviewed in Bauman, Merom, Bull, Buchner, & Fiatarone Singh, 2016 ). According to current evidence-based guidelines from the World Health Organization ( 2016 ) and US Department of Health and Human Services ( 2008 ), older
Steve Amireault, John M. Baier and Jonathan R. Spencer
adding quality to older adults’ extended lives. However, age tends to be negatively associated with physical activity participation ( Bauman et al., 2012 ), and the current cohort of adults aged 65 years and older are the least physically active of any age group ( Sparling, Howard, Dunstan, & Owen, 2015
Dietrich Rothenbacher, Dhayana Dallmeier, Michael D. Denkinger, Bernhard O. Boehm, Wolfgang Koenig, Jochen Klenk and ActiFE Study Group
Sex hormone-binding globulin (SHBG) is the blood transport protein for testosterone and other steroids. Low SHBG serum levels are associated with many adverse health effects in older adults, including metabolic syndrome, diabetes, endothelial function, specific cancers, and low bone mineral density
Johan Pelssers, Emalie Hurkmans, Jeroen Scheerder, Norbert Vanbeselaere, Steven Vos, Tim Smits and Filip Boen
For decades, life expectancy has increased steadily in developed countries ( World Health Organization, 2006 ). Consequently, the number of older adults will increase accordingly. Aging is associated with higher risks of chronic disorders. Studies have shown that a sufficient level of physical
Yoav Gimmon, Hisham Rashad, Ilan Kurz, Meir Plotnik, Raziel Riemer, Ronen Debi, Amir Shapiro and Itshak Melzer
Across all ages, walking is a fundamental physical activity. Aging is characterized by functional changes in the sensory, neurological, and musculoskeletal systems, affecting motor tasks including gait and postural balance ( Guralnik et al., 1994 ). Most of the falls among older adults occur while
Cui Zhang, Qipeng Song, Wei Sun and Yu Liu
Stair negotiation, such as ascent or descent, constitutes a major daily activity of living among older adults and is prone to high risk ( De Lima, Neto, & Teixeira, 2010 ; Hof, Bockel, Schoppen, & Postema, 2007 ). It contributes to 26% of self-reported falls on account of the environment