Purpose This study examines the regional differences in fall-related physical fitness and fall experience characteristics between Korean and Japanese elderly people. Methods The study includes 176 elderly residents of Gifu(35 male, 73.5yrs; 141 female, 72.4yrs) and 147 residents of Ulsan(46 male, 75.6yrs; 101 female, 75.6yrs). One-legged stance, hand grip strength, knee extension strength, 10 m gait, timed up and go test, 30-s chair stand, sit and reach, and reaction time were measured to examine the fall-related physical fitness. A questionnaire survey was also conducted to investigate the characteristics of the fall experiences. Results The elderly in Ulsan experienced a lot of falls compared to those in Gifu. Many of the fallers in Ulsan have fallen forward due to tripping, and they have often fallen backwards by losing balance. In addition, 14% of them suffered a bone fractured. The one-legged stance, hand grip strength, 10m gait, timed up and go, 30-s chair stand, and reaction time of the elderly in Gifu were superior to those in Ulsan. Conclusion In order to reduce the fall rate through improvements to fall related physical fitness and the awareness of fall prevention, various professional fall prevention programs and policies should be proposed, and they should be implemented systematically for community living elderly people.
Frailty in older adults is related to an increased risk for poor health outcomes including falls, disability, hospitalization and mortality. The purpose of this study was to determine the thresholds of a functional fitness associated with frailty for community-dwelling woman aged 65 or older. In this study, the National Fitness Award(NFA) items for elderly were utilized as the physical function and fitness testing for korean elderly women. The total of 444 community-dwelling woman completed the testings. Frailty status was classified by the Japan LTCI system ‘Kihon Checklist’ in the study. The prevalence of the frailty was 19.1% in the study. The frail elderly were older and showed higher obesity index such as weight, body mass index (BMI), percent body fat and waist circumference than the normal elderly. After adjusting for age and BMI which was related to frailty, fitness testing items were compared depending on frailty. As the result, the frail elderly showed significantly lower fitness levels in grip strength, 30-second chair stand test, timed up and go, figure-of-8 walk around two cones, and 2-minute step test than the normal elderly. When the fitness cut-off values were analyzed using the ROC curve, also, grip strength: 34.13%, 30-second chair stand test: 14 reps, timed up and go: 7.09 seconds, figure-of-8 walk around two cones: 30.88 seconds, and 2-minute step test: 93 reps. In addition, based on the cut-off values of each fitness item, the group with a low fitness level showed a 1.86 to 3.09 higher odds ratio of frailty than the group with a high fitness level, even after age and BMI were adjusted. In conclusion, these findings indicate that the fitness cut-off values in this study are fitness levels for preventing frailty of Korean elderly women and there will be a need for a large-scale study including subdivided fitness cut-off values for each age group and targets elderly men as well.
The frailty, characterized by reduced physiological function is closely related to a fall, disability, institutionalization, hospitalization, and mortality in the elderly. A reduced physical fitness is a major phenotype of the frailty. The purpose of this study was to investigate the relationship among pre-frailty, physical activity (PA) and functional fitness in the community dwelling elderly women. The study participants were elderly women (n=338, 70.6±4.2years) aged over 65 who took part in the Korean Healthy Fitness Criteria study for the National Fitness Award Project in 2015. The pre-frailty was defined using the Cardiovascular Health Study frailty criteria. PA was assessed using the International PA Questionnaire (IPAQ). The participants were classified as regular PA participants if they meet the World Health Organization (WHO) PA recommendation for the elderly. Functional fitness was assessed using the composite of the National Fitness Award fitness testing for the elderly. Quality of life was evaluated using EuroQoL visual analogue scale and WHO quality of life assessment. As the results, the pre-frail elderly women were significantly older and obese (body mass index, percent body fat, waist circumference) than the healthy elderly. The pre-frail elderly presented significant decreases in walking, moderate intensity, and total PA compared to the healthy elderly even after adjusted for age and percent body fat. However, no significant difference was found in vigorous-intensity activity between the pre-frail and healthy elderly. Also, the pre-frail elderly women showed the decrease in functional fitness and quality of life compared to the healthy elderly. Regular PA was associated with high levels of muscular endurance and coordination in healthy and pre-frail elderly. In pre-frail elderly, high levels of cardiorespiratory endurance was associated with PA. In conclusion, regular PA is inversely associated with fitness decline in healthy and pre-frail community-dwelling elderly women. Regular PA might attenuate fitness decline in pre-frail elderly women.
PURPOSE This study assessed Taekwondo’s impact on functional fitness and health-related quality of life (HRQoL) in older women from South Korean multicultural families. METHODS Through purposive sampling, 16 participants were divided into an experimental group that underwent a 12-week Taekwondo training program and a control group without this intervention. RESULTS Pre- and post-intervention assessments showed that the Taekwondo group experienced significant improvements in both functional fitness and HRQoL. These findings suggest that Taekwondo could be an effective physical activity for enhancing the well-being of older women in multicultural families, advocating for inclusion of culturally sensitive physical activities in health promotion programs targeting this demographic. CONCLUSIONS This study contributes to the growing body of evidence supporting physical activity’s benefits for elderly populations, particularly in multicultural family dynamics.
PURPOSE This study aimed to analyze the moderating effect of physical fitness on the relationship between abdominal obesity and metabolic syndrome (MetS) in older women. METHODS A total of 190 participants were categorized based on waisthip ratio (WHR) into high (50%) and low (50%) groups, as well as based on Z-score of fitness into high (25%; high fit), moderate (50%; moderate fit), and low (25%; low fit) groups. Logistic regression was used to assess the relative risk of MetS based on abdominal obesity and fitness levels, and moderation analysis using the Process macro was conducted to explore the moderating effect of fitness on the relationship between abdominal obesity and MetS risk factors. RESULTS After adjusting forcovariates, logistic regression showed that high WHR (odds ratio (OR)=2.721, p=0.004) led to a significantly higher risk of MetS compared with low WHR; the high fit group (OR=0.360, p=0.044) had a significantly lower risk of MetS compared wih the low fit group. Moderation analysis revealed that the impact of abdominal obesity on MetS risk factors varied depending on the level of fitness (β=-0.495, p=0.037), and the results remained significant after covariate adjustment (β=-0.458, p=0.049). CONCLUSIONS This study suggests that the risk of MetS from abdominal obesity can be mitigated by higher levels of physical fitness. These findings highlight the need for participation in regular physical activity to maintain a high level of fitness, along with proper nutritional intake, to prevent MetS in older women.
PURPOSE This study aimed to analyze factors associated with physical activity (PA) in older adults based on social ecological theory. METHODS Secondary analysis was conducted using raw data from the 2021 Community Health Survey. after excluding 129 non-responses in the PA domain, a total of 74,363 individuals were included in the final analysis. A total of eight factors, including personal (level of depression, history of falls), relational (relationships with neighbors, living alone), community (satisfaction with the local community system, safety), and environmental factors (living environment, natural environment), were selected in accordance with the key points of social ecological theory. To analyze social ecological factors related to the PA of older adults, we conducted a decision tree analysis using Chi-square automatic interaction detection (CHAID). RESULTS The average PA level among older adults was approximately 136 minutes, but the mode and median were both 0 minutes. A total of 20.2% of older adults met the physical activity recommendations, while 79.8% did not. According to the first split of the decision tree, living alone was the most relevant factor associated with the PA of older adults, followed by depression and falls. Older adults living alone, with a depression score of 10 or higher, and who had experienced a fall within the past year, were least likely to meet the PA recommendations. CONCLUSIONS This study urgently suggests that PA programs should target older adults living alone, experiencing depression, and falls.
PURPOSE This study aimed to investigate the effects of accelerated rehabilitation exercise on physical fitness, lower extremity isometric strength, and blood variables in older adult women diagnosed with degenerative osteoarthritis. METHODS A total of 29 older adult women diagnosed with degenerative osteoarthritis residing in G city participated in the study, and 19 participants, excluding dropouts, took part in the experiment. They underwent exercise twice a week for 60 minutes per session over a period of 12 weeks. Pre- and post-experiment, the older adult fitness assessment (SFT), lower extremity isometric strength, and blood variables were measured. Data analysis was performed using SPSS 25.0, and paired sample t-tests were conducted to examine the effects before and after exercise. RESULTS The study results showed significant differences in body mass index (BMI) before and after exercise (p<0.05), and the older adult fitness assessment (SFT) showed significant differences in all items (p<0.01). Lower extremity isometric strength showed significant differences in absolute (Nm) and relative (%BW) values of 20° right flexion muscle (p<0.01). In terms of blood variables, significant differences were observed in creatine and ESR before and after exercise (p<0.01). CONCLUSIONS This study’s results suggest that regular physical activity and rehabilitation exercise programs can positively impact the muscular strength, cardiovascular endurance, exercise function, and blood composition of older adult women diagnosed with degenerative osteoarthritis. It is indicated that conducting future research, including periodic exercise programs, could be beneficial in promoting sustained exercise participation.
PURPOSE This study investigated the impact of underweight and hand grip strength (HGS) levels on the risk of all-cause mortality in older adults. METHODS Data from the 2006 baseline and 2020 follow-up assessments of the Korean Longitudinal Study of Aging (KLoSA), involving 3,009 older Koreans (≥65 years) were used in the study. Participants were categorized based on body mass index (BMI) as underweight, normal, overweight, or obese and grouped according to the Asian Working Group Sarcopenia criteria into high or low HGS. Cox proportional hazard models were used to estimate the hazard ratio (HR) and 95% confidence interval (CI) of all-cause mortality according to BMI and HGS categories. RESULTS During the 11.3±4.0 years follow-up period, 1,334 deaths from all causes occurred. The risk of death by BMI and HGS level was analyzed. The results showed that the risk of death in the overweight and high HGS group (HR=0.773, p=.016) was significantly lower than that in the normal weight & high HGS group (HR=1). In comparison, the risk of death in the underweight & low HGS group (HR=1.930, p<.001) and the normal weight & high HGS group (HR=1.225, p=.014) were significantly higher than normal weight & high HGS. However, the risk of death in the underweight and high HGS group showed no significant difference compared to the normal weight and high HGS group. CONCLUSIONS The current findings suggest that improving muscle strength through regular exercise may be important in preventing the risk of all-cause mortality due to being underweight.
PURPOSE This study aimed to verify the criterion validity of the two-minute step test in older Korean adults, develop an equation for predicting VO2max, and verify cross-validation. METHODS A submaximal exercise test and the two-minute walk test were performed on 150 older adults (74 males and 74 females) aged 65 years or older. Correlation analysis was performed to confirm criterion validity. An equation for estimating VO2max was developed through multiple regression analysis, and cross-validation was confirmed by performing a correlation analysis between measured and predicted values of VO2max. RESULTS The correlation coefficient between VO2max and the two-minute step test was 0.457 (p<.001). The adjusted R2 of the developed VO2max prediction equation was 0.430 (p<.001), and the explanatory variables finally selected were sex, age, number of steps in the two-minute step test, and percentage of body fat. The correlation coefficient between the measured VO2max (19.08±4.36) and the predicted VO2max (19.73±3.36) was 0.654 (p<.001). CONCLUSIONS This study confirmed the criterion validity of the two-minute step test in older Korean adults, and the cross-validation of the developed VO2max prediction formula was verified. The explanatory variables of the prediction equation will be easy to apply in the field, and more meaningful results will be derived if the validity of the prediction equation developed for a larger number of participants is verified.
PURPOSE High blood pressure and obesity pose significant health problems for older individuals. Previous studies showed that regular exercise improves physical fitness factors and decreases blood pressure and obesity. Therefore, this study investigated differences in blood pressure and obesity according to the physical fitness level of Korean older individuals using the National Fitness 100 data and used them to recognize the importance of maintaining physical fitness through regular physical activity or exercise for older individuals. METHODS From 2013 to 2019, a total of 218,848 subjects (men=74,271, women=144,577) aged ≥65 years who participated in the National Fitness 100 had their muscular strength, muscular endurance, cardiorespiratory endurance, balance, coordination, and flexibility measured, and they were ascribed a fitness level. Blood pressure, body mass index (BMI), percentage of bodyfat, and waist circumference were measured to compare the difference in fitness level. RESULTS There was a significant difference in the systolic and diastolic blood pressure in older men, and the diastolic blood pressure of older women by the fitness level (p<.001). In both older men and women, there was a significant difference in BMI, percentage of bodyfat, and waist circumference according to the fitness level (p<.001). CONCLUSIONS In conclusion, men and women showed different aspects in blood pressure, but Korean older individuals with having a high level of fitness managed their weight and body fat well. The decrease in obesity and improvement of physical fitness through regular physical activity and exercise could be a positive effect on maintaining health and extending healthy life years.
