Physical Activity as Prediction of Functional Ability among Elderly

L. Bilajac, Dorotea Šulavjak, Kristijan Zulle, V. Vasiljev, D. Juraga, M. Marinović Glavić, T. Rukavina
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Abstract

Aim: Falling can have serious consequences for older persons, but fear of falling is also a current problem. The aim of the study is to assess the incidence of falls and fear of falling among older adults, as well as to study the connection of falls and fear of falling with functional ability, body mass index (BMI) and age.Methods: The participants of this study are older persons ( > 60 years) who live in the city of Rijeka, are mobile and have no symptoms of dementia. The relationship between falls, fear of falling, body mass index (BMI) and functional ability was measured using various indicators. Assessment of physical functioning and pain relief was made using the COOP/WONCA questionnaire. Falls and fear of falling were assessed using questions with different response options.Results: The results of the study showed that participants who reported experiencing fear of falling (FoF) had a higher BMI (p = 0.018) and did not feel physically healthy (70%). Participants who lived with a partner reported experiencing FoF at a lower rate (36.4%). The most frequently reported functional problems were visual problems (46.2%) and walking difficulties (40.0%).Conclusions: A large percentage of older persons struggle with the effects of aging, which include various health problems that can increase the risk of falling and FoF. Prescription of physical activity and engaging in it could improve functional ability and have an important effect on healthy aging. This could be the starting point from which key stakeholders can plan different types of public health interventions, prescribing physical activity to maintain functional ability that enables well-being in old age.
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体育活动对老年人功能能力的预测作用
目的:跌倒会给老年人带来严重的后果,但对跌倒的恐惧也是一个当前的问题。该研究的目的是评估老年人跌倒和害怕跌倒的发生率,以及研究跌倒和害怕跌倒与功能能力、身体质量指数(BMI)和年龄之间的关系。方法:本研究的参与者是居住在里耶卡市的老年人(> 60岁),活动能力强,无痴呆症状。使用各种指标测量跌倒、害怕跌倒、身体质量指数(BMI)和功能能力之间的关系。使用COOP/WONCA问卷对身体功能和疼痛缓解进行评估。研究人员使用带有不同回答选项的问题来评估跌倒和对跌倒的恐惧。结果:研究结果表明,报告有跌倒恐惧(FoF)的参与者有更高的BMI (p = 0.018),并且感觉身体不健康(70%)。与伴侣一起生活的参与者报告的FoF发生率较低(36.4%)。最常见的功能问题是视力问题(46.2%)和行走困难(40.0%)。结论:很大比例的老年人与衰老的影响作斗争,其中包括各种可能增加跌倒和FoF风险的健康问题。体育活动的处方和参与可以提高身体机能,对健康老龄化有重要作用。这可能是关键利益攸关方规划不同类型的公共卫生干预措施的起点,规定身体活动以维持使老年人幸福的功能能力。
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