The Adapted Lifestyle-Integrated Functional Exercise Program for Preventing Functional Decline in Young Seniors: Development and Initial Evaluation

Authors: Schwenk M.a,b · Bergquist R.c · Boulton E.d,i · Van Ancum J.M.e · Nerz C.a · Weber M.b · Barz C.a · Jonkman N.H.e · Taraldsen K.c · Helbostad J.L.c · Vereijken B.c · Pijnappels M.e · Maier A.B.e,f · Zhang W.g · Becker C.a · Todd C.d,h,i · Clemson L.j · Hawley-Hague H.d,i Background: The Lifestyle-integrated Functional Exercise (LiFE) program is an intervention integrating balance and strength activities into daily life, effective at reducing falls in at-risk people ≥70 years. There is potential for LiFE to be adapted to young seniors in order to prevent age-related functional decline. Objective:Read More

Comparison of Standard Clinical and Instrumented Physical Performance Tests in Discriminating Functional Status of High-Functioning People Aged 61–70 Years Old

Authors:Alice Coni 1, Jeanine M. Van Ancum 2, Ronny Bergquist 3, A. Stefanie Mikolaizak 4, Sabato Mellone 1,5, Lorenzo Chiari 1,5, Andrea B. Maier 2,6and Mirjam Pijnappels 2, Abstract Assessment of physical performance by standard clinical tests such as the 30-s Chair Stand (30CST) and the Timed Up and Go (TUG) may allow early detection of functional decline, even in high-functioning populations, and facilitate preventive interventions. Inertial sensors are emerging to obtain instrumented measures that can provide subtle details regarding the quality of the movement while performing such tests. We compared standard clinical with instrumented measures of physical performance inRead More

Performance-based clinical tests of balance and muscle strength used in young seniors: a systematic literature review

Authors: Bergquist R, Weber M, Schwenk M, Ulseth S, Helbostad JL, Vereijken B, Taraldsen K Background Many balance and strength tests exist that have been designed for older seniors, often aged ≥70 years. To guide strategies for preventing functional decline, valid and reliable tests are needed to detect early signs of functional decline in young seniors. Currently, little is known about which tests are being used in young seniors and their methodological quality. This two-step review aims to 1) identify commonly used tests of balance and strength, and 2) evaluate their measurement properties in young seniors. Methods First, a systematic literatureRead More

Concurrent validity and reliability of the Community Balance and Mobility scale in young-older adults

  Authors, Michaela Weber, Jeanine Van Ancum, Ronny Bergquist, Kristin Taraldsen, Katharina Gordt, A. Stefanie Mikolaizak, Corinna Nerz, Mirjam Pijnappels, Nini H. Jonkman, Andrea B. Maier, Jorunn L. Helbostad, Beatrix Vereijken, Clemens Becker and Michael Schwenk Background With the growing number of young-older adults (baby-boomers), there is an increasing demand for assessment tools specific for this population, which are able to detect subtle balance and mobility deficits. Various balance and mobility tests already exist, but suffer from ceiling effects in higher functioning older adults. A reliable and valid challenging balance and mobility test is critical to determine a young-older adult’s balance and mobility performance and to timely initiate preventive interventions. The aim was to evaluate the concurrent validity, inter- and intrarater reliability, internal consistency, and ceiling effects of a challengingRead More

Complexity of Daily Physical Activity Is More Sensitive Than Conventional Metrics to Assess Functional Change in Younger Older Adults

Authors: Wei Zhang 1,* , Michael Schwenk 2,3, Sabato Mellone 4, Anisoara Paraschiv-Ionescu 1, Beatrix Vereijken 5 , Mirjam Pijnappels 6, A. Stefanie Mikolaizak 2, Elisabeth Boulton 7, Nini H. Jonkman 6 , Andrea B. Maier 6,8, Jochen Klenk 2,9, Jorunn Helbostad 5, Kristin Taraldsen 5and Kamiar Aminian 1 Abstract The emerging mHealth applications, incorporating wearable sensors, enables continuous monitoring of physical activity (PA). This study aimed at analyzing the relevance of a multivariate complexity metric in assessment of functional change in younger older adults. Thirty individuals (60–70 years old) participated in a 4-week home-based exercise intervention. The Community Balance and Mobility ScaleRead More

German version of the Community Balance and Mobility Scale : Translation and evaluation of measurement properties.

Authors: Gordt K1, Mikolaizak AS2, Nerz C2, Barz C2, Gerhardy T1, Weber M1, Becker C2, Schwenk M3,4,5. Abstract BACKGROUND: Tools to detect subtle balance deficits in high-functioning community-dwelling older adults are lacking. The Community Balance and Mobility Scale (CBM) is a valuable tool to measure balance deficits in this group; however, it is not yet available in the German language. OBJECTIVE: The aim was 1) to translate and cross-culturally adapt the CBM into the German language and 2) to investigate the measurement properties of the German CBM (G-CBM). MATERIAL AND METHODS: The original CBM was translated into the German language according to establishedRead More

Interview with Andrea Maier in ICT&Health (in Dutch) ‘Gezonder ouder worden met een app’

“We worden steeds ouder maar ziektes die voorheen vooral op hoge leeftijd voorkwamen, zien we nu op steeds jongere leeftijd optreden. Gemiddeld hebben vrouwen al op hun 41ste en mannen op hun 45ste een chronische ziekte”, zegt verouderingsonderzoeker en hoogleraar interne geneeskunde Andrea Maier. In haar onderzoek naar de invloed van leefstijl op de zelfredzaamheid van ouderen ontdekte ze goede mogelijkheden om ook op jongere leeftijd actief bezig te zijn met gezonder ouder worden. De smartphone speelt daarbij een belangrijke rol. “Als je via een app ziet welke gezondheidsrisico’s je loopt, kun je daar je gedrag op aanpassen.” “De smartphoneRead More

Evidence and theory-based interventions to support healthy ageing

Dr Lis Boulton moved into behaviour change research following a successful career in management in the    health and social care sector, working for local government and various charities as both a service provider and commissioner. Her PhD considered the involvement of older adults in designing and implementing interventions to promote physical activity. Lis currently works on the EC PreventIT project, designing and evaluating an App- based behavioural intervention. Lis has a particular interest in the translation of evidence into practice. She is Chair of the Board of a large local charity, Age UK Calderdale & Kirklees, and is aRead More

Concern about Falling and Complexity of Free-Living Physical Activity Patterns in Well-Functioning Older Adults.

Abstract BACKGROUND: Fall-related psychological concerns are common among older adults, potentially contributing to functional decline as well as to restriction of activities and social participation. To effectively prevent such negative consequences, it is important to understand how even very low concern about falling could affect physical activity behavior in everyday life. We hypothesized that concern about falling is associated with a reduction in diversity, dynamics, and performance of daily activities, and that these features can be comprehensively quantified in terms of complexity of physical activity patterns. METHODS: A sample of 40 community-dwelling older adults were assessed for concern about fallingRead More

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

 Full paper : LiFE – Review As published in Gerontology September 15, 2017. This systematic review provides a comprehensive overview of the available evidence concerning integrated functional exercise training in older adults. Some studies reported advantages of this training concept compared to structured exercise training, including higher adherence, increased effectiveness for improving selected motor per- formances, and simultaneously increasing PA andReducing falls. However, the number of RCTs was low, and studies used different training concepts hampering their comparability. NRS provided some evidence about the effectiveness of the behavioural change concept and the feasibility of integrated training in impaired target popu- lations. MoreRead More

Mobile Health Applications to Promote Active and Healthy Ageing

Full paper: sensors-17-00622-v2 Abstract: The European population is ageing, and there is a need for health solutions that keep older adults independent longer. With increasing access to mobile technology, such as smartphones and smartwatches, the development and use of mobile health applications is rapidly growing. To meet the societal challenge of changing demography, mobile health solutions are warranted that support older adults to stay healthy and active and that can prevent or delay functional decline. This paper reviews the literature on mobile technology, in particular wearable technology, such as smartphones, smartwatches, and wristbands, presenting new ideas on how this technology canRead More

White Paper of the Project Results in PreventIT (Deliverable 8.2)

Full paper: D8.2.White paper of project results first release.v1.0 This deliverable reports on the results that have been obtained so far, half-way through the PreventIT project, in the form of a white paper that covers the development of i) the content and behavioural change strategy of the lifestyle-integrated intervention, ii) tools for risk screening and profiling, iii) the back-end and front-end technology of the mHealth system under development in PreventIT, the so-called iPAS, and iv) intervention outcomes regarding functional performance and behavioural complexity. It also reports on two pilot studies that tested the two intervention arms on a sample from theRead More