Mobility of sedentary older people: benefit from an adapted physical activity program

Year 2020, Volume: 6 Issue: 4, 134 - 141, 30.12.2020

Betty Miangindula Teddy Bofosa , Constant Nkıama , Eric Kam

https://doi.org/10.31459/turkjkin.738939

Abstract

Objective: to assess the impact of an adapted physical activity program on the ability of elderly people with reduced mobility. In total 65 elderly subjects living in institutions divided into 2 groups according to sex, including 35 women and 30 men and according to age <75 years (n = 34) and ≥ 75 years (n = 31) selected occasionally were subjected to an adapted physical activity program over a period of 3 months and we verified the effects of this program at the beginning and at the end of the program on joint flexibility of the back, static and dynamic balance, general dynamic coordination or endurance. This study showed that men and women only significantly improved their static balance; however on top of that men significantly changed their speed, distance to walk test and maximum oxygen consumption. Regarding the influence of age, subjects under the age of 75 significantly improved their flexibility, static and dynamic coordination, speed and distance in the six-minute walk test, while subjects aged 75 and over n 'have changed only their static balance. This study reveals that the practice of adapted physical activity allows the elderly to improve their mobility (back joint flexibility, static and dynamic balance, general dynamic coordination and endurance). However, these benefits depend on the age and gender of the subjects. Men improved more parameters than women; however, with regard to the influence of the program on age, we observed that subjects with an age below 75 years improved more parameters than those with age greater than or equal to 75 years.

Keywords

adapted physical activity, elderly people, mobility, sedentary

References

• Barret, S., Demouge, L., Pillard, F., Lapeyre-Mestre, M., & Rolland, Y. (2015). Exercise training for managing behavioral and psychological symptoms in people with dementia: a systematic review and meta-analysis. Ageing Res Rev, 24(6): 27-33.
• Bofosa, T., Kam, E., Miangindula, B., Njimbu, F., & Nkiama, C. (2018). Improvement of the cardiorespiratory endurance, perception of the effort and walking performance of the old people of the hospice Saint Marc of Kingasani by the practice of the adapted physical activities. European Res J, 6, 211-216.
• Bofosa, T., Kam, E., Miangindula, B., Njimbu, F., Nkiama, C., Kiana N., & Muela, D. (2019). Fall and quality of life of the elderly: effect of a physical exercise program focused on the balance training. International Journal of Aging Health and Movement, 1(1), 1-10.
• Cameron, I.D., Gillespie, L.D., Robertson, M.C., Murray, G.R., Hill, K.D., & Cumming, R.G. (2012). Interventions for preventing falls in older people in care facilities and hospitals. The Cochrane Database of Systematic Reviews, 12, 71-76.
• Clement, P. (2018). The balance evaluation systems test (BESTest) to differentiate balance deficits. Phys Ther, 89, 484-498.
• Ding, Y.Y., Kuha, J., & Murphy, M. (2017). Pathways from physical frailty to activity limitation in older people: Identifying moderators and mediators in the English longitudinal study of ageing. Exp Gerontol, 98, 169-176.
• Du, Z., Li, Y., Li, J., Zhou, C., Li, F., & Yang, X. (2018). Physical activity can improve cognition in patients with Alzheimer's disease: a systematic review and meta-analysis of randomized controlled trials. Clin Interv Aging, 13, 1593-1603.
• Faber, M.J., Bosscher, R.J., Chin, M.J., & Van Wieringen, P.C. (2006). Effects of exercise programs on falls and mobility in frail and pre-frail older adults: a multicenter randomized controlled trial. Arch Phys Med Rehabil, 87, 885-896.
• Fournier, J., Vuillemin, A., & Le Cren, F. (2012). Measuring physical fitness in the elderly. assessment of physical fitness in elderly: French adaptation of the ‘‘Senior Fitness Test’’. Science & Sports, 27(4), 254-259.
• Giaccardi, Y., & Laassel, M. (2015). Evaluation of the risk of falling in EHPAD by GAITRite walking track. 3rd Annual Meeting of FFAMCO, 19-20 May 2015. Jimenez, G.G., & Fernández, N.P. (2016). Reduction in posterior semicircular gain by age in video head impulse testing: observational study. Acta Otorrinolaringol Esp, 67, 15-22.
• Hopewell, S., Adedire, O., Copsey, B.J., Boniface, G.J., Sherrington, C., & Clemson, L. (2018). Multifactorial and multiple component interventions for preventing falls in older people living in the community. The Cochrane Database of Systematic Reviews, 7, 33-40.
• Karssemeijer, E.G.A., Aaronson, J.A., Bossers, W.J., Smits, T., Olde Rikkert, M.G.M., & Kessels, R.P.C. (2017). Positive effects of combined cognitive and physical exercise training on cognitive function in older adults with mild cognitive impairment or dementia: ameta-analysis. Ageing Res Rev, 40, 75-83.
• Hoffmann, K., Sobol, N.A., Frederiksen, K.S., Beyer, N., Vogel, A., Vestergaard, K., et al. (2016). Moderate-to-high intensity physical exercise in patients with Alzheimer’s disease: a randomized controlled trial. J Alzheimers Dis, 50(2), 443-453.
• Means, K.M., Rodell, D.E., & O’sullivan, P.S. (2015). Balance, mobility, and falls among community-dwelling elderly persons: effects of a rehabilitation exercise program. Am J PhysMed Rehabil, 84, 238-250.
• Puts, M.T.E., Toubasi, S., Andrew, M.K., Ashe, M.C., Ploeg, J., & Atkinson, E. (2017). Interventions to prevent or reduce the level of frailty in community-dwelling older adults: a scoping review of the literature and international policies. Age Ageing, 46(3), 383-392.
• Pillar, F., Li, G., Hua, S., Liu, Y., & Chen, L. (2017). Effect of exercise on cognitive function in chronic disease patients: a meta-analysis and systematic review of randomized controlled trials. Clin Interv Aging, 12, 773-783.
• Riou, J.-M. (2014). Test de marche de 6 minutes en pratique. Physical Fitness in assessment Manuel. 4thed., Baltimore, MD, USA; Lippinott Williams.
• Salma, S.S., Coelho, F.G.M., Gobbi, S., & Stella, F. (2010). Effects of physical activity on cognitive functions, balance and risk of falls in elderly patients with Alzheimer's dementia. Rev Bras Fisioter, 14, 68-74.
• Sherrington, C., Fairhall, N.J., Wallbank, G.K., Tiedemann, A., Michaleff, Z.A., & Howard, K. (2019). Exercise for preventing falls in older people living in the community. The Cochrane Database of Systematic Reviews, 1, 45-51.
• Thelot, B., Lasbeur, L., & Pedrono, G. (2017). Epidemiological surveillance of falls in the elderly. Bull Epidémiol Hebdo, 16-17, 328-335.