0000000000184680
AUTHOR
Marianne Schroll
Oral and Poster Papers Submitted for Presentation at the 5th Congress of the EUGMS “Geriatric Medicine in a Time of Generational Shift September 3–6, 2008 Copenhagen, Denmark
Postural balance and self-reported functional ability in 75-year-old men and women: a cross-national comparative study.
OBJECTIVE To study postural balance in relation to self-reported functional ability (mobility and ADL) and general physical activity in elderly men and women living in three different Nordic environments. PARTICIPANTS A random sample of 448 men and 556 women from among the 75-year-old residents in Glostrup, Denmark, and Goteborg, Sweden, and all the residents of relevant age (127 men and 261 women) in Jyvaskyla, Finland. MEASUREMENTS Assessment of postural balance with eyes open and closed using a piezoelectric force platform. A structured interview on self-reported functional ability and physical activity. An in-laboratory medical examination. RESULTS In spite of some differences in balanc…
Factors underlying tiredness in older adults.
Background and aims: The purpose of the present study was to examine for factors related to tiredness, cross-sectionally at the age of 75 years, and factors related to subsequent onset of tiredness, from age 75 to 80 in a non-disabled community-living population. Methods: The study is part of the prospective Nordic Research on Aging Study (NORA) on the 1914 cohort in Jyvaskyla, Finland and Glostrup, Denmark. In total, 546 non-disabled older men and women participated in the cross-sectional study at age 75, and 299 persons without tiredness and disability at baseline took part in the follow-up study, from age 75 to 80. Tiredness was measured by a validated scale based on the following items:…
Mobility-Related Fatigue, Walking Speed, and Muscle Strength in Older People
Background. Fatigue is an important early marker of functional decline among older people, but the mechanisms underlying this association are not fully understood. The purpose of the present study was to examine the association between mobility-related fatigue and walking speed and to test the degree to which muscle strength accounts for this association. Methods. The study is based on baseline (n = 523) and 5-year follow-up data (n = 292) from a cohort of 75-year-old persons. Standardized assessments include self-report measures of mobility-related fatigue (score range 0–6) and medical history, as well as performance-based assessment of walking speed and maximal isometric strength of knee …
Tiredness and Onset of Walking Limitations in Older Adults
Nordic Comparison of 75-Year-Olds - Sensory and Psychomotor Functions
Sensory and psychomotor functions were studied among 75-year-old men and women in three Nordic localities (Glostrup in Denmark, Gothenburg in Sweden, and Jyvaskyla in Finland) as part of a comparative study on functional capacity and health. Random samples were drawn from the population registers in Glostrup (n=550) and Gothenburg (n=450), whereas in Jyvaskyla all 75-year-old residents (n=388) were invited to participate in the study. Participation rates varied from 66.8% in Gothenburg to 79.1% in Jyvaskyla. Sensory functions studied included hearing (pure-tone thresholds at 125-8000 Hz), vision (visual acuity, refraction, intraocular pressure), balance (postural sway), and tactual sensitiv…
Postural balance and its sensory-motor correlates in 75-year-old men and women: a cross-national comparative study.
Background. There are no earlier cross-national comparative studies analyzing the functioning of the posture control mechanisms and its sensory-motor correlates in elderly subjects. We investigated whether there are differences in balance between elderly subjects living in different geographical areas, and analyzed the sensory-motor associates of balance in men and women separately. Method. Using a force platform method, the functioning of the posture control system under three standardized conditions (normal standing, eyes open; normal standing, eyes closed; and tandem standing, eyes open) was studied among samples of 75-year-old residents in three Nordic localities, namely Glostrup in Den…
Maximal isometric muscle strength and anthropometry in 75-year-old men and women in three Nordic localities
Isometric maximal strength of hand grip, elbow flexion, knee extension, trunk extension and trunk flexion was studied in representative samples of 75-year-old residents of 3 Nordic localities: Glostrup in Denmark, Gothenburg in Sweden and Jyvaskyla in Finland. The study forms a part of a wider comparative research project analyzing the functional capacity and health of 75-year-olds in these towns. The strength measurements were carried out using standardized techniques and identical dynamometers. The results showed that the strength values of the limb muscles were significantly lower among the 75-year-olds in Jyvaskyla, both in absolute values and in relative units (N/kg body mass). For the…
A comparative study of factors related to carrying out physical activities of daily living (PADL) among 75-year-old men and women in two nordic localities
The aim of this cross-sectional and cross-national study was to describe and compare the ability to carry out physical activities of daily living (PADL) and examine factors that might explain variation in this ability in two Nordic populations. Seven hundred and six men and women aged 75 from two populations (Glostrup, Denmark, and Jyväskylä, Finland) were interviewed and given a laboratory examination in 1989-90. The ability to carry out the PADL activities was studied by interview. Tests were given to determine depressive symptoms, cognitive capacity, and selected physical and sensory performance domains. Four different regression models (men and women in Jyväskylä and Glostrup) were used…
Tiredness in daily activities among nondisabled old people as determinant of onset of disability.
The purpose of this article was to examine whether self-reported tiredness in daily activities at age 75 is an independent determinant of onset of disability at 5-year follow-up. The investigation is based on two subgroups of nondisabled participants of 75 year olds who survived and participated in the follow-up study 5 years later (n = 510 and 429). Persons who felt tired in their daily activities had a larger risk of becoming disabled in mobility (OR = 3.2, 95% CI = 1.4-7.6) and in daily activities (OR = 2.1, 95% CI = 1.0-4.2) compared to persons without tiredness. In addition, persons with poor cognitive function, little diversity in social relations and no physical activity had an indep…
Maximal isometric muscle strength and functional ability in daily activities among 75-year-old men and women
The purpose of this study was to analyze whether functional ability in daily activities among 75-year-old men and women is predicted by physical activity, isometric muscle strength and simple function tests. In this representative sample of a general population of 405 75-year-olds, isometric muscle strength and functional ability in daily activities were closely related (odds ratio of disability 1.2–2.1), stressing the importance of strength in the truncus, proximal and distal muscle groups for daily activities. There were strong correlations between physical activity, isometric muscle strength as well as simple function tests and ability to manage daily activities. Those with even light ph…