PURPOSE This study investigated the associations between physical fitness and fall efficacy with thigh circumference in elderly women with osteopenia/osteoporosis. METHODS A total of 166 female participants aged 76.3±5.0 years with –1.0≥T-score of femur neck bone mineral density were voluntarily recruited from local community centers. The participants were classified as low 25%, middle 50%, and high 25% groups based on their thigh circumference. Physical fitness measurements, including strength, flexibility, aerobic endurance, and balance were measured with a standardized protocol. The Korean version of the fall efficacy scale (K-FES) was used to assess fall efficacy. Logistic regression analysis was used to estimate odd ratio (OR) of poor physical fitness and low fall efficacy according to thigh circumference levels. RESULTS In terms of physical fitness, the middle 50% group (OR=0.430, 95% CI=0.194-0.953) and high 25% group (OR=0.129, 95% CI=0.049-0.343) had significantly higher linear trend for poor physical fitness compared to the low 25% group (reference), (p<0.001). In fall efficacy, the middle 50% group (OR=0.279, 95% CI=0.119-0.656) and high 25% group (OR=0.100, 95% CI=0.036-0.275) had significantly higher linear trend for low fall efficacy compared to the low 25% group (reference) (p<0.001). CONCLUSIONS The current findings suggest that maintaining high thigh circumference via regular physical activity and diet may contribute to attenuation of decreased risk for poor physical fitness and low fall efficacy in elderly women with osteopenia/osteoporosis.
Purpose The study was designed to compare physical fitness, indices of lifestyle disease, and biochemical property of muscle according to sarcopenia and obesity in elderly women. Methods One hundred elderly women were alloted to one of four groups, i.e., sarcopenia+obesity (SO: n=20) group, sarcopenia (S: n=20) group, obesity (O: n=29) group, and normal (N: n=31) group. Criterion for sarcopenia was 'appendicular skeletal muscle mass (ASM)/height2<5.4 kg/㎡', and criterion for obesity was 'percent body fat>35%'. Dependent variables regarding physical fitness, lifestyle disease, and biochemical property of muscle were measured and compared among four groups. Results 1) Regarding daily living fitness, grip strength, upper arm flexion, sit-and-reach, up and go, and VO2max in SO group and S group were significantly lower than N group. Regarding isokinetic function, peak torque and average power in SO group and S group were significantly lower, and relative values to body weight in SO group and O group were significantly lower than N group. 2) Regarding hypertension, resting HR and RPP in SO group and O group were significantly higher than S group and N group. Regarding diabetes mellitus, fasting plasma glucose and HOMA-IR in SO group and O group were significantly higher than S group and N group. Regarding hyperlipidemia, HDL-C in SO group and O group were significantly lower than S group and N group. Regarding atherosclerosis, TC/HDL-C ratio and LDL-C/HDL-C ratio in SO group and O group were significantly higher than S group and N group. 3) Regarding biochemical property of muscle, IL-6 in SO group and O group were significantly higher than S group and N group. Conclusion It was concluded that physical fitness was declined in sarcopenia elderly, and that relative value of isokinetic function, indices of lifestyle disease, and inflammation markers were deteriorated in obesity elderly. Especially, the decline and deterioration of physical fitness and indices of lifestyle disease were even more severe in the elderly who had the both status. Therefore, the efforts should be made to prevent and improve sarcopenia and/or obesity.
Purpose The purpose of the study was to investigate the effect of vibratory stimulus on the static postural control of 8 healty senior adults. Methods To achieve this goal, all subjects participated in two different kinds of static postural control tasks. Task 1 was a static postural control task, where both-legs stand on the ground. Second task was an unstable static postural control task using only single leg stance. As they maintain their balance, 6 different vibratory stimulus were provided on the sole of their feet(personal threshold 0%, 80%, 90%, 100%, 110%, 120%). Results The results of the study were as follows: First, there was no significant differences in postural control ability according to different types of vibrator intensity. Second, there was a significant difference in single-leg postural control ability according to vibrator intensity. Third, there was a significant difference in anterio-posterior stability according to the different types of vibrator intensity. Conclusion Stochastic resonance using vibratory stimulus was more effective in the single leg stance task, rather than the double leg stance task. Moreover, sub-threshold vibratory stimulus(80%, 90%) intensity were more effective than higher vibratory stimulus(100%, 110%, 120%).
Purpose Evaluating the aging of senior and providing optimal sevices are important things for successful aging. This study identified functional fitness related with heath of aged 65 years or older and developed an age scale (longevity fitness age) for assessing their aging. Methods Participants were 458 older people (166 male, 292 female). They were divided into healthy group and disease group. Healthy group was used for the development of the longevity age equation and disease group was for investigating the validity of the equation. Participants completed 13 function fitness variables. The first principal component obtained from a principal component analysis was used to compute the equation. All variables except for grip strength and carrying beans were correlated with chronological aged. Grip strength and variables related lower functional fitness had differences between healthy group and disease group. Finally, 4 variables were selected for the equation. Results It was the following: longevity fitness age=0.942*X1+2, 185*X2+0.673*X3+0.051*X4+0.588*chronological age+58.401, where X1=standing up from a supine position, sec (s), X2=maximum walking (s), X3=standing up and sitting down a chair (s), X4=one leg balance with eyes open (s). The longevity fitness age of healthy group do not have a difference compared to their chronological age but disease group had a difference significantly. Age difference (chronological age-longevity fitness age) of sedentary group in disease group was significantly bigger than its active group. Longevity fitness age could assess an aging of senior. Conclusion We suggest that it can use as the tool for early detecting senior who need the health care service.
The purpose of this study was to investigate the effects of National Fitness Award program group exercise classes on daily fitness and balance-confidence among the elderly participants(n=496, 80.2% women). This study investigated body composition, daily fitness, and balance-confidence, and quality of life among the subjects who participated in the combined exercise program of improving physical fitness class for 8-week in the 10 national physical fitness certification centers by the demonstration project for the elderly of 2013 Korean National Fitness 100 project. Body composition and physical fitness for daily living were defined by Korean National Fitness 100 project for elderly, also the balance-confidence and health-related questionnaires were added. The following results were obtained by comparing the pre-test and post-test. In body composition body weight (p<.05), body mass index (p<.05), fat mass (p<.01), and percent body fat (p<.05) were significantly decreased, but muscle mass was not. Except for walking-around-two-cones-in-a-figure 8, all other daily fitness items such as relative grip strength (p<.001), chair sit to stand, two minutes place to walk, and sit-and-reach significantly increased (p<.01), and timed up and go were significantly decreased (p<.01). In balance confidence rating ABC tests (p<.001) were shown significantly increased. Although, quality of life measured by EQ-5D was not significantly improved, self-health status measured by EQ-VAS (p<.001) showed significant increase. Therefore, the group exercises of National Fitness Award program improved body composition, daily fitness and balance confidence in Korean elderly participants.
PURPOSE The purpose of this study was to examine the effects of an eye movement exercise intervention on cognitive function and prefrontal cortex connectivity in the elderly with mild cognitive impairment. METHODS Ten older adults with mild cognitive impairment participated in eye movement exercise consisting of saccadic eye movement, pursuit eye movement, vestibular-ocular eye movement, and vergence eye movement for 4 weeks. Cognitive function (MoCA-K), reaction time during stroop task, and prefrontal cortex connectivity were measured using the functional near-infrared spectrometric analyzer (fNIRS) before and after the intervention. RESULTS First, cognitive function of the elderly with mild cognitive impairment showed significant improvement after the eye movement exercise (p < .05). Second, reaction time decreased significantly from 1.16 to 0.91 ms after eye movement exercise. Third, the strength of prefrontal cortex connectivity (left OFC - right FPC, right OFC - right FPC) increased after the intervention in the older adults with mild cognitive impairment. CONCLUSIONS The results of this study suggest that eye movement exercise is an effective intervention for improving cognitive function through improvement of brain functional connection in the elderly patients with mild cognitive impairment.
Purpose The purpose of this study was to investigate the effects of aerobic exercise intensity on body composition, health related fitness, and quality of life in elderly women. Methods 48 elderly women over 65 years of age without physical and mental problems were assigned to four groups: control group, low intensity, moderate intensity, and high intensity aerobic training group. The aerobic exercise group applied a heart rate reserve (HRR) to low-intensity group (HRR 40-55%), moderate intensity group (HRR 55-70%), high intensity group (HRR> 70%) for 12 weeks, 3 times a week for 20 minutes a day. Subjects of the control group were to maintain their usual lifestyles during the same intervention period. Body composition, health related fitness, and quality of life were measured and analyzed using repeated two-way ANOVA. Results The main results obtained in this study are as follows. 1) There was a significant decrease in sitting forward bending in the low intensity group and a significant increase in EQ-VAS. 2) There was a significant decrease in body weight, BMI, and 6 minutes walking in the moderate intensity group, and a significant increase in grip strength and EQ-VAS. 3) The high intensity group showed a significant decrease in weight, BMI, waist circumference, sitting forward bending, and 6 minutes walking, and a significant increase in grip strength, sit and stand, functional reach, and VO2max. On the other hand, there was no significant change in all variables in the control group. Conclusions In conclusion, aerobic training was found to be effective for body composition, health related fitness and quality of life in elderly women. In particular, it can be concluded that high intensity aerobic training is effective for health related fitness, and low and moderate intensity aerobic exercise is effective for improving quality of life.
Purpose The purpose of this study was to investigate the effects of low-intensity resistance training with blood flow restriction on serum VEGF, bone markers and bone mineral density in elderly women. Methods The subjects were divided into three groups: low-intensity resistance training with blood flow restriction(BFR-LRT, n=8); high intensity resistance training(HRT, n=8); low- intensity resistance training (LRT, n=5). Both the BFR-LRT and LRT groups worked out knee extension and leg curl exercises at 20% of each estimated one-repetition maximum(1RM) and HRT group worked out knee extension and leg curl exercises at 70% of each estimated 1RM 3 days per week for 12 weeks. Results As a result after 12 weeks, serum VEGF level have increased significantly among BFR-LRT group compared to HRT and LRT groups. Serum Bone ALP level have increased significantly among BFR-LRT and HRT groups compared to LRT group. Calcaneus BMD have increased significantly among BFR-LRT and HRT groups compared to LRT group. Conclusions In conclusion, despite using low-intensity load, BFR-LRT is a efficient training alternative to HRT for improving bone metabolism in older women.
[Purpose] The study was designed to examine the effects of a 10-week sports climbing training on body composition and surrogate indices of major lifestyle disease in obese elderly women. [Methods] Twenty elderly women, whose percent body fat was over 35%, were randomly assigned into one of two groups, i.e., sports climbing training group (TR: n=10) and control group (CON: n=10). The subjects in TR completed sports climbing training program with 5.8 and 5.9 of difficulty, at 11-13 of ratings of perceived exertion (RPE), 60 min/session, three sessions/wk for 10 weeks. Independent variables regarding body composition and major lifestyle disease, i.e., hypertension, dyslipidemia, and atherosclerosis, were measured and compared between two groups as well as between two tests simultaneously using a repeated two-way ANOVA. [Results] Regarding physique and body composition, there were significant interactions between group and test in body weight, body mass index, fat mass, and percent body fat. These variables decreased significantly in TR. 2) Regarding indices of hypertension, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and pulse pressure decreased significantly in TR. Regarding indices of dyslipidemia, triglyceride decreased significantly in TR. Regarding indices of atherosclerosis, TG/HDL-C ratio decreased significantly in TR. [Conclusions] It was concluded that the 10-week sports climbing training would be beneficial for reduction of body fat despite its’ influence on fat-free mass was limited, and would also contribute on improving surrogate indices of hypertension, dyslipidemia, and atherosclerosis in obese elderly women. Future research investigating the effects of various period, intensity, duration, and frequency of sports climbing training would be warranted.
Purpose The purpose of this study was to investigate the effects of coupled high frequency rTMS and prism illusion in elderly stroke patients, based on the result of previous studies which discovered the effect of bilateral training, mirror rehabilitation treatment, and rTMS. Methods This is a case study of 4 stroke patients who were homogeneous on the basis of selection criteria such as brain injury area, duration of onset, degree of upper limb movement function. A total of 24 rehabilitation sessions were conducted three times a week during the training period, and TMS(transcranial magnetic stimulator), EMG, motion analysis system, and prism optical glasses were used for apparatus. Results The results of the study were as follows: Combined rehabilitation exercises were found to be beneficial to restore upper limb function in stroke patients. Particularly, the maximum speed of stretching and JTT(Jebsen-taylor Test) performance showed improvement after training. The amount of total map volume and MEP(megnetic evoked potential) increased in evaluation of neurophysiology. Conclusion The upper limb dysfunction of stroke patients could be restored by combine rehabilitation exercises.
