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Healthcare
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Health Promotion in Older Adults—Physical Activity/Exercise/Wearable Device
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Health Promotion in Older Adults—Physical Activity/Exercise/Wearable Device

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Community Care".

Deadline for manuscript submissions: closed (31 March 2024) | Viewed by 14445

Special Issue Editor

Dr. Miao-Ju Hsu

E-Mail Website
Guest Editor
Department of Physical Therapy, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
Interests: cardiopulmonary physical therapy; exercise physiology; health promotion; physical agents

Special Issue Information

Dear Colleagues,

Health promotion is one of the keys to successful aging, both in healthy and disabled individuals. Screening for, and the early detection of, chronic diseases or risk factors in older adults can aid health professionals in intervening using appropriate strategies as early as possible. Physical activity/exercise is suggested to reduce the risk of diseases and attenuate the aging effect on physical or cognitive deterioration. In order to provide safe and effective health promotion interventions for older adults, it is important for practitioners who are involved in the long-term care of patients, especially experts in rehabilitation, nursing, and exercise sciences, to develop adequate assessment tools or expand the application of the available assessments, and to establish evidence-based exercise protocols.

Meanwhile, with the growth in technology, wearable devices provide opportunities to conveniently monitor physiological responses and provide feedback to older adults during exercise, and, thus, may enhance the motivation to participate, exercise safety, and exercise effectiveness. Health professionals should be aware of the available devices and take advantages of them.

This Special Issue will mainly focus on research related to exploring physical assessment methods and establishing effective exercise programs for older adults with or without chronic diseases. This Special Issue is seeking original articles, systematic reviews and meta-analyses.

The suggested topic areas include, among others, the following:

  • Innovations in physical or cognitive assessment;
  • New applications of available physical or cognitive assessments;
  • Effective exercise programs;
  • Wearable devices for monitoring exercise responses;
  • Wearable devices for facilitating physical activity/exercise.

Dr. Miao-Ju Hsu
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • health promotion
  • exercise
  • physical activity
  • older adults
  • physical assessment
  • cognitive assessment
  • wearable device

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Published Papers (5 papers)

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Research

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11 pages, 587 KiB  
Article
Correlation between Physical Performance and Tensiomyographic and Myotonometric Parameters in Older Adults
by Noé Labata-Lezaun, Vanessa González-Rueda, Luis Llurda-Almuzara, Carlos López-de-Celis, Jacobo Rodríguez-Sanz, Aida Cadellans-Arróniz, Joan Bosch and Albert Pérez-Bellmunt
Healthcare 2023, 11(15), 2169; https://doi.org/10.3390/healthcare11152169 - 31 Jul 2023
Cited by 2 | Viewed by 1863
Abstract
Background: To examine the correlation between physical performance and muscle strength and the variables obtained from tensiomyography and myotonometry. Methods: Fifty-two older adults able to complete functional tests participated in this observational study. Variables of maximal radial muscle displacement (Dm) and contraction time [...] Read more.
Background: To examine the correlation between physical performance and muscle strength and the variables obtained from tensiomyography and myotonometry. Methods: Fifty-two older adults able to complete functional tests participated in this observational study. Variables of maximal radial muscle displacement (Dm) and contraction time (Tc) (using tensiomyography) and muscle stiffness (using myotonometry) of the rectus femoris and vastus lateralis muscles were assessed. Physical performance (Short Physical Performance Battery, Timed Up and Go, Five Times Sit to Stand, and walking speed), isometric knee extension strength, and grip strength were assessed. A correlation analysis was performed between all the variables. Results: A significant correlation between the Short Physical Performance Battery and the rectus femoris (rho = 0.491) and vastus lateralis Dm (rho = 0.329) was found. Significant correlations between the Five Times Sit to Stand Test and the Dm values of the rectus femoris (rho = −0.340) and Dm (rho = −0.304), and stiffness (rho = −0.345) in the vastus lateralis, were also found. No significant correlations were found between tensiomyography and myotonometry, the Timed Up and Go, and walking speed, nor between tensiomyography and myotonometry and grip strength or isometric knee extension strength. Conclusions: Functional tests should be prioritized in the assessment of older adults, but further research into muscle quality using technology is advisable. Full article
(This article belongs to the Special Issue Health Promotion in Older Adults—Physical Activity/Exercise/Wearable Device)
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12 pages, 2171 KiB  
Article
Effect of Chair Yoga Therapy on Functional Fitness and Daily Life Activities among Older Female Adults with Knee Osteoarthritis in Taiwan: A Quasi-Experimental Study
by Ching-Teng Yao, Bih-O Lee, Hong Hong and Yi-Ching Su
Healthcare 2023, 11(7), 1024; https://doi.org/10.3390/healthcare11071024 - 3 Apr 2023
Cited by 3 | Viewed by 4887
Abstract
This study aims to examine the effectiveness of chair yoga therapy on improving functional status and daily life activity scores in older female adults with knee osteoarthritis living in the community. A quasi-experimental design was adopted. In total, 85 female participants with knee [...] Read more.
This study aims to examine the effectiveness of chair yoga therapy on improving functional status and daily life activity scores in older female adults with knee osteoarthritis living in the community. A quasi-experimental design was adopted. In total, 85 female participants with knee osteoarthritis were assigned to the chair yoga therapy intervention group (n = 43) or the comparison (n = 42) group. A 12-week chair yoga exercise program was provided to the intervention group two times per week from January to April 2020. The primary outcomes, which include changes in physical functional ability, body mass index, and biophysiological indicators, were evaluated for all participants in the pre- and post-measures time periods. The analysis shows that the participants had a significantly higher level of functional fitness and daily life activity scores after the chair yoga intervention. This finding indicates that the chair yoga program was effective in improving the functional fitness and daily life activity scores of community-dwelling elderly females with knee osteoarthritis. Full article
(This article belongs to the Special Issue Health Promotion in Older Adults—Physical Activity/Exercise/Wearable Device)
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15 pages, 3161 KiB  
Article
The Executive-Function-Related Cognitive–Motor Dual Task Walking Performance and Task Prioritizing Effect on People with Parkinson’s Disease
by Yen-Po Lin, I-I Lin, Wei-Da Chiou, Hsiu-Chen Chang, Rou-Shayn Chen, Chin-Song Lu and Ya-Ju Chang
Healthcare 2023, 11(4), 567; https://doi.org/10.3390/healthcare11040567 - 14 Feb 2023
Cited by 6 | Viewed by 2634
Abstract
To safely walk in a community environment requires dual cognitive–walking ambulation ability for people with Parkinson’s disease (PD). A past study showed inconsistent results on cognitive–walking performance for PD patients, possibly due to the various cognitive tasks used and task priority assignment. This [...] Read more.
To safely walk in a community environment requires dual cognitive–walking ambulation ability for people with Parkinson’s disease (PD). A past study showed inconsistent results on cognitive–walking performance for PD patients, possibly due to the various cognitive tasks used and task priority assignment. This study designed cognitive–walking tests that used executive-related cognitive tasks to evaluate patients with early-stage Parkinson’s disease who did not have obvious cognitive deficits. The effect of assigning task prioritization was also evaluated. Sixteen individuals with PD (PD group) and 16 individuals without PD (control group) underwent single cognitive tests, single walking tests, dual walking tests, and prioritizing task tests. Three types of cognitive, spatial memory, Stroops, and calculation tasks were employed. The cognitive performance was evaluated by response time, accuracy, and speed–accuracy trade off composite score. The walking performance was evaluated by the temporal spatial gait characteristics and variation in gait. The results showed that the walking performance of the PD group was significantly worse than the control group in both single and dual walking conditions. The group difference in cognitive performance was shown in composite score under the dual calculation walking task but not under the single task. While assigning priority to walking, no group difference in walking was observed but the response accuracy rate of PD groups declined. This study concluded that the dual task walking test could sharpen the cognitive deficits for early-stage PD patients. The task priority assignment might not be recommended while testing gait deficits since it decreased the ability to discriminate group differences. Full article
(This article belongs to the Special Issue Health Promotion in Older Adults—Physical Activity/Exercise/Wearable Device)
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14 pages, 286 KiB  
Article
Print Materials to Promote Physical Activities in Japan: Content Analysis from a Goal Theory
by Tomomi Nagasawa, Tsuyoshi Okuhara, Marina Terada, Hiroko Okada, Eiko Goto and Takahiro Kiuchi
Healthcare 2023, 11(2), 239; https://doi.org/10.3390/healthcare11020239 - 12 Jan 2023
Cited by 1 | Viewed by 2345
Abstract
Physical activity has significant health benefits for the heart, body, and mind. However, the percentage of people engaging in exercise routines is low in Japan. Goals are important components of motivation. Scholars suggest that appropriately setting both subordinate goals of what to do [...] Read more.
Physical activity has significant health benefits for the heart, body, and mind. However, the percentage of people engaging in exercise routines is low in Japan. Goals are important components of motivation. Scholars suggest that appropriately setting both subordinate goals of what to do and superordinate goals of why to do it may motivate the audience and promote behavior. However, it is not known what goals are presented in print materials that promote physical activity. Therefore, this study aimed to understand the presented goals by performing content analysis of those materials in Japan. We collected print materials such as leaflets, brochures, and posters via website search. The presence of subordinate and superordinate goals and topics for each goal was analyzed. A total of 224 print materials were systematically collected and analyzed. The results showed that 14.3% of the print materials did not present any superordinate goals, whereas 100% of them presented subordinate goals. For superordinate goals, healthy aging was frequently presented. For subordinate goals, 67.4% presented only exercise. There is a difference in presenting goals between the private and government sectors. Since goals affect motivation and behavior change, it may be beneficial to incorporate the findings of the goal theory in future print materials. Full article
(This article belongs to the Special Issue Health Promotion in Older Adults—Physical Activity/Exercise/Wearable Device)

Review

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14 pages, 1099 KiB  
Review
Effects of Multi-Task Mode on Cognition and Lower Limb Function in Frail Older Adults: A Systematic Search and Review
by Cenyi Wang, Bingqing Wang, Jiling Liang, Ziru Niu and Aming Lu
Healthcare 2023, 11(23), 3012; https://doi.org/10.3390/healthcare11233012 - 21 Nov 2023
Cited by 3 | Viewed by 1502
Abstract
The application of multi-tasking (MT), especially dual-tasking (DT), in frail older adults is currently gaining attention. The aim was to review the application of the MT mode on cognition and lower limb function in frail older adults, including the MT test and MT [...] Read more.
The application of multi-tasking (MT), especially dual-tasking (DT), in frail older adults is currently gaining attention. The aim was to review the application of the MT mode on cognition and lower limb function in frail older adults, including the MT test and MT training. By searching five electronic databases, Scopus, PubMed, PEDro, Web of Science and the Chinese electronic database, a total of 18 studies were finally included in this study, with 7 articles on MT testing and 11 articles on MT training. The results of the study showed that the current testing and training of MT is mainly based on the DT mode, with a wide variety of test types and protocols, as well as a variety of outcomes. The included studies suggested that DT can be used as a test to assess cognitive and lower limb function in the frail population and that an MT (DT) training program with an intervention period of ≥3 months or a duration of ≥60 min per session could improve cognitive and lower limb function in the frail population, thereby reducing the risk of falls. Further research is required to explore the effects of different types of MT and task prioritization in frail older adults. Full article
(This article belongs to the Special Issue Health Promotion in Older Adults—Physical Activity/Exercise/Wearable Device)
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