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.
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 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 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.
Purpose The purpose of this study was to investigate the effect of a 10-week aerobic exercise training on cardiovascular function, atherosclerosis, and vascular endothelial function in elderly women. Methods Twenty impaired fasting glucose (IFG) and normoglycemic elderly women volunteered to participate in the study. The participants in aerobic exercise training group (TR: n=9) completed 20-40 minutes of aerobic exercise program at 30-50% HRR for 3 times per week during 10 weeks. The participants in control group (CON: n=11) were asked to maintain their normal life pattern during the same intervention period. Results Main results of the study were as follows: 1) There were no significant main effect or interaction in body weight, fat-free mass, fat mass, percent body fat, and body mass index. 2) There were no significant main effect or interaction in heart rate, stroke volume, cardiac output, total peripheral resistance (TPR), systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, pulse pressure, and rate pressure product. However, interaction between group and test in TPR was close to statistically significant level (P =.054), and it tended to be decreased in TR group. 3) There was a significant main effect of test in high sensitivity C-reactive protein(hs-CRP), it tended to be decreased in TR group. There were no significant changes in total cholesterol(TC)/high density lipoprotein-cholesterol (HDL-C) ratio, triglyceride/HDL-C ratio, and low density lipoprotein-cholesterol/HDL-C ratio. 4) There were significant main effect of group, main effect of test, as well as interaction between group and test in % flow mediated dilation(FMD), and it increased significantly (P<.01) in TR group. Nitric oxide tended to be increased in TR group, even though it did not change significantly in both groups. Conclusions It was concluded that the 10-week aerobic exercise training would be beneficial for improvement of vascular endothelial function, resulting from the decrement of total peripheral resistance.
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 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 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.
