Functional performance in community-dwelling and institutionalized elderly women. 2009

Robert Csapo, and Christian Gormasz, and Ramon Baron
Department of Preventative and Rehabilitative Sports Medicine and Training Science, University of Vienna, Vienna, Austria. robert.csapo@univie.ac.at

OBJECTIVE Previous reports have underlined the importance of physical activity for physical functioning in older age. As recent results suggest that living in nursing homes is negatively correlated to physical activity level, this survey examined whether muscular power, balance abilities and response times differ between community-dwelling and institutionalized old women. METHODS A sample of 31 community-dwelling and institutionalized women aged 77-86 years was recruited. Groups did not differ in age, weight, height, or BMI (p > 0.05). Measurements of upper limb power, balance control, and response time were conducted. Upper limb power was tested by dumbbell biceps curl exercise with increasing loads (0.5, 1, 1.5, and 2 kg). Overall daily time expenditure for walking and further physical activities as well as kinds of further activities were examined via questionnaire. RESULTS The community-dwelling subjects achieved significantly better results in tests of upper limb power and response time (p <or= 0.002 and = 0.014) than the institutionalized participants. No significant differences were found in balance control (p = 0.086). Both daily walking time and time for further physical activities were higher in community-dwelling subjects (p = 0.002 and 0.017). CONCLUSIONS Based on our findings we conclude that independent lifestyle may contribute to higher muscular power and faster response times in older age. To analyze balance abilities in this age group safe and easy to use laboratory testing devices should be developed. We found physical activity levels to be higher in the community-dwelling cohort. However, we do not know whether reduced physical activity is the cause or rather the consequence of institutionalized living.

UI MeSH Term Description Entries
D008297 Male Males
D009043 Motor Activity Body movements of a human or an animal as a behavioral phenomenon. Activities, Motor,Activity, Motor,Motor Activities
D009735 Nursing Homes Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization. Homes, Nursing,Nursing Home
D011930 Reaction Time The time from the onset of a stimulus until a response is observed. Response Latency,Response Speed,Response Time,Latency, Response,Reaction Times,Response Latencies,Response Times,Speed, Response,Speeds, Response
D012111 Residence Characteristics Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services. Community,Domicile,Living Arrangements,Neighborhood,Place of Birth,Residential Selection,Arrangement, Living,Birth Place,Communities,Domiciles,Living Arrangement,Neighborhoods,Residence Characteristic
D004185 Disability Evaluation Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits. Disability Evaluations,Evaluation, Disability,Evaluations, Disability
D004856 Postural Balance A POSTURE in which an ideal body mass distribution is achieved. Postural balance provides the body carriage stability and conditions for normal functions in stationary position or in movement, such as sitting, standing, or walking. Postural Control,Posture Balance,Posture Control,Posture Equilibrium,Balance, Postural,Musculoskeletal Equilibrium,Postural Equilibrium,Balance, Posture,Control, Postural,Control, Posture,Equilibrium, Musculoskeletal,Equilibrium, Postural,Equilibrium, Posture,Postural Controls,Posture Balances,Posture Controls,Posture Equilibriums
D005260 Female Females
D006306 Health Surveys A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area. Abortion Surveys,Abortion Survey,Health Survey,Survey, Abortion,Survey, Health,Surveys, Abortion,Surveys, Health
D006707 Homes for the Aged Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required. Old Age Homes,Residential Aged Care Facility,Senior Housing,Home, Old Age,Homes, Old Age,Housing, Senior,Old Age Home

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