FUNCTIONING, MOBILITY AND COMORBIDITY BURDEN IN ELDERLY POPULATION

  • Milena Kostadinović Clinical Center of Serbia, Belgrade, Serbia
  • Dejan Nikolić Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Physical Medicine and Rehabilitation Department, University Children’s Hospital, Belgrade, Serbia
  • Milena Šantrić Milićević Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia

Sažetak


Aging is physiological process that includes numerous variables, among them: genetics, chronic diseases, lifestyle factors, and socioeconomic factors that interact with one another and thus affecting the person’s functional and physical dimensions. Mobility difficulties are usually among first signs of functional decline and thus affecting the quality of life in aged population. The fundamental dimension of mobility is walking as complex neuromotor activity that integrates sensory and motor functions. With regards to the individual’s needs, adopted physical activity is recommended, in order to take into consideration differences in physical abilities, meaning that such activity was adjusted and modified to the elderly with disabilities needs. Despite the fact that females have lower rates of certain chronic diseases and mortality, they have more functional limitations and are more physically disabled versus males. Most age-dependent disorders arises from disability for which long-term care costs outweigh health expenditure. Technological and medical development, health promotion and redistribution of health and social care services will be important for modifying ageing processes so that people will be living longer without severe disability. Further, on individual level, exercises, walking, cycling, and plays in free time are highly recommended for persons 60 years and older.

Reference

Beard JR, Biggs S, Bloom DE, Fried LP, Hogan P, Kalache A, et al., editors. Global population ageing: peril or promise? Geneva: World Economic Forum; 2012.

Bouaziz W, Vogel T, Schmitt E, Kaltenbach G, Geny B, Lang PO. Health benefits of aerobic training programs in adults aged 70 and over: a systematic review. Arch Gerontol Geriatr. 2017;69:110-27.

Laslett P. A fresh map of life: the emergence of the third age. London: Macmillan Press,1996.

World Health Organization. World report on Ageing and Health; Geneva: WHO; 2015.

Avlund K, Lund R, Holstein BE, Due P, Sakari-Rantala R, Heikkinen RL. The impact of structural and functional characteristics of social relations as determinants of functional decline. J Gerontol B Psychol Sci Soc Sci. 2004;59:S44–S51.

Ishikawa Y, Kondo N, Kondo K, Saito T, Hayashi H, Kawachi I, et al. Social participation and mortality: does social position in civic groups matter? BMC Public Health. 2016;16:394. doi: 10.1186/s12889-016-3082-1.

Tomioka K, Kurumatani N, Hosoi H. Age and gender differences in the association between social participation and instrumental activities of daily living among community-dwelling elderly. BMC Geriatr. 2017;17(1):99.

Ostir GV, Carlson JE, Black SA, Rudkin L, Goodwin JS, Markides KS. Disability in older adults. 1: Prevalence, causes, and consequences. Behav Med. 1999;24(4):147-56.

Scott-Warren V, Maguire S. Physiology of ageing. Anaesthesia and intensive care medicine. 2016, doi:10.1016/j.mpaic.2016.10.015

American College of Sports Medicine Position Stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 1998;30(6):992-1008.

American College of Sports Medicine, Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7):1510-30.

Ferrucci L, Bandinelli S, Benvenuti E, Di Iorio A, Macchi C, Harris TB, et al Subsystems contributing to the decline in ability to walk: bridging the gap between epidemiology and geriatric practice in the InCHIANTI study. J Am Geriatr Soc. 2000;48(12):1618-25.

Bergland A, Jørgensen L, Emaus N, Strand BH. Mobility as a predictor of all-cause mortality in older men and women: 11.8 year follow-up in the Tromsø study. BMC Health Serv Res. 2017;17(1):22.

Idland G, Rydwik E, Småstuen MC, Bergland A. Predictors of mobility in community-dwelling women aged 85 and older. Disabil Rehabil. 2013;35(11):881-7.

Tiedemann A, Sherrington C, Lord SR. Physiological and psychological predictors of walking speed in older community-dwelling people. Gerontology. 2005;51(6):390-5.

Tiedemann AC, Sherrington C, Lord SR. Physical and psychological factors associated with stair negotiation performance in older people. J Gerontol A Biol Sci Med Sci. 2007;62(11):1259-65.

Baker MK, Atlantis E, Fiatarone Singh MA. Multi-modal exercise programs for older adults. Age Ageing. 2007;36(4):375-81.

Raymond MJ, Bramley-Tzerefos RE, Jeffs KJ, Winter A, Holland AE. Systematic review of high-intensity progressive resistance strength training of the lower limb compared with other intensities of strength training in older adults. Arch Phys Med Rehabil. 2013;94(8):1458-72.

Latham NK, Bennett DA, Stretton CM, Anderson CS. Systematic review of progressive resistance strength training in older adults. J Gerontol A Biol Sci Med Sci. 2004;59(1):48-61.

Liu CJ, Latham N. Can progressive resistance strength training reduce physical disability in older adults? A meta-analysis study. Disabil Rehabil. 2011;33(2):87-97.

Lacroix A, Hortobágyi T, Beurskens R, Granacher U. Effects of Supervised vs. Unsupervised Training Programs on Balance and Muscle Strength in Older Adults: A Systematic Review and Meta-Analysis. Sports Med. 2017;47(11):2341-61.

Olanrewaju O, Kelly S, Cowan A, Brayne C, Lafortune L. Physical Activity in Community Dwelling Older People: A Systematic Review of Reviews of Interventions and Context. PLoS One. 2016;11(12):e0168614.

Kovács E, Prókai L, Mészáros L, Gondos T. Adapted physical activity is beneficial on balance, functional mobility, quality of life and fall risk in community-dwelling older women: a randomized single-blinded controlled trial. Eur J Phys Rehabil Med. 2013;49(3):301-10.

Martin JT, Wolf A, Moore JL, Rolenz E, DiNinno A, Reneker JC. The effectiveness of physical therapist-administered group-based exercise on fall prevention: a systematic review of randomized controlled trials. J Geriatr Phys Ther. 2013;36(4):182-93.

Howard B, Winkler EA, Sethi P, Carson V, Ridgers ND, Salmon JO, et al. Associations of Low- and High-Intensity Light Activity with Cardiometabolic Biomarkers. Med Sci Sports Exerc. 2015;47(10):2093-101.

Buman MP, Hekler EB, Haskell WL, Pruitt L, Conway TL, Cain KL, et al. Objective light-intensity physical activity associations with rated health in older adults. Am J Epidemiol. 2010;172(10):1155-65.

Murtagh KN, Hubert HB. Gender Differences in Physical Disability Among an Elderly Cohort. American Journal of Public Health. 2004;94(8):1406-11.

Leveille SG, Resnick HE, Balfour J. Gender differences in disability: evidence and underlying reasons. Aging (Milano). 2000;12(2):106-12.

Guerra RO, Alvarado BE, Zunzunegui MV. Life course, gender and ethnic inequalities in functional disability in a Brazilian urban elderly population. Aging Clin Exp Res. 2008;20(1):53-61.

Corrao S, Santalucia P, Argano C, Djade CD, Barone E, Tettamanti M, et al. Gender-differences in disease distribution and outcome in hospitalized elderly: data from the REPOSI study. Eur J Intern Med. 2014;25(7):617-23.

Carmel S, Baron-Epel O, Shemy G. The will-to-live and survival at old age: gender differences. Soc Sci Med. 2007;65(3):518-23.

Gregg EW, Mangione CM, Cauley JA, Thompson TJ, Schwartz AV, Ensrud KE, et al. Diabetes and incidence of functional disability in older women. Diabetes Care. 2002;25(1):61-7.

Lu FP, Lin KP, Kuo HK. Diabetes and the risk of multi-system aging phenotypes: a systematic review and meta-analysis. PLoS One. 2009;4(1):e4144.

Abbatecola AM, Paolisso G. Diabetes care targets in older persons. Diabetes Res Clin Pract. 2009;86 Suppl 1:S35-40.

Jackson CF, Wenger NK. Cardiovascular disease in the elderly. Rev Esp Cardiol. 2011;64(8):697-712.

Cheng SJ, Yu HK, Chen YC, Chen CY, Lien WC. Yang PY, et al. Physical activity and risk of cardiovascular disease among older adults. Int J Gerontol. 2013;7(3):133-136.

Okazaki K, Iwasaki K, Prasad A, Palmer MD, Martini ER, Fu Q, et al. Dose–response relationship of endurance training for autonomic circulatory control in healthy seniors. J Appl Physiol. 2005;99(3):1041–9.

Slater M, Perruccio AV, Badley EM. Musculoskeletal comorbidities in cardiovascular disease, diabetes and respiratory disease: the impact on activity limitations; a representative population-based study. BMC Public Health. 2011;11:77.

Lemmer JT, Hurlbut DE, Martel GF, Tracy BL, Ivey FM, Metter EJ, et al. Age and gender responses to strength training and detraining. Med Sci Sports Exerc. 2000;32(8):1505–12.

Macaluso A, De Vito G, Felici F, Nimmo MA. Electromyogram changes during sustained contraction after resistance training in women in their 3rd and 8th decades. Eur J Appl Physiol. 2000; 82(5-6):418–24.

Hakkinen K, Kraemer WJ, Kallinen M, Linnamo V, Pastinen UM, Newton RU. Bilateral and unilateral neuromuscular function and muscle cross-sectional area in middle-aged and elderly men and women. J Gerontol A Biol Sci Med Sci. 1996;51A:B21–9.

Izquierdo M, Ibanez J, Gorostiaga E, Garrues M, Zúñiga A, Antón A, et al. Maximal strength and power characteristics in isometric and dynamic actions of the upper and lower extremities in middle-aged and older men. Acta Physiol Scand. 1999;167(1):57–68.

Metter EJ, Conwit R, Tobin J, Fozard JL. Age-associated loss of power and strength in the upper extremities in women and men. J Gerontol A Biol Sci Med Sci. 1997;52A:B267–76.

Verbrugge LM, Juarez L. Arthritis disability and heart disease disability. Arthritis Rheum. 2008;59(10):1445-57.

Verbrugge LM, Juarez L. Profile of arthritis disability: II. Arthritis Rheum. 2006;55(1):102-13.

Ilic Stojanovic O, Vuceljic M, Lazovic M, Gajic M, Radosavljevic N, Nikolic D, et al. Bone mineral density at different sites and vertebral fractures in Serbian postmenopausal women. Climacteric. 2017;20(1):37-43.

Moreira LD, Oliveira ML, Lirani-Galvão AP, Marin-Mio RV, Santos RN, Lazaretti-Castro M. Physical exercise and osteoporosis: effects of different types of exercises on bone and physical function of postmenopausal women. Arq Bras Endocrinol Metabol. 2014;58(5):514-22.

Kohrt WM, Bloomfield SA, Little KD, Nelson ME, Yingling VR. American College of Sports Medicine. Position Stand. Physical activity and bone health. Med Sci Sports Exerc. 2004; 36(11):1985–96.

Shumway-Cook A, Patla A, Stewart A, Ferrucci L, Ciol MA, Guralnik JM. Environmental components of mobility disability in community-living older persons. J Am Geriatr Soc. 2003;51(3):393-8.

Rosso AL, Studenski SA, Chen WG, Aizenstein HJ, Alexander NB, Bennett DA, et al. Aging, the central nervous system, and mobility. J Gerontol A Biol Sci Med Sci. 2013;68(11):1379-86.

Steffener J, Stern Y. Exploring the neural basis of cognitive reserve in aging. Biochim Biophys Acta. 2012;1822:467–3.

Pinto JM, Kern DW, Wroblewski KE, Chen RC, Schumm LP, McClintock MK. Sensory function: insights from Wave 2 of the National Social Life, Health, and Aging Project. J Gerontol B Psychol Sci Soc Sci. 2014;69 Suppl 2:S144-53.

Verdú E, Ceballos D, Vilches JJ, Navarro X. Influence of aging on peripheral nerve function and regeneration. J Peripher Nerv Syst. 2000;5(4):191-208.

Prince MJ, Wu F, Guo Y, Gutierrez Robledo LM, O’Donnell M, Sullivan R, et al. The burden of disease in older people and implications for health policy and practice. Lancet. 2015;385(9967):549–62.

Christensen K, Doblhammer G, Rau R, Vaupel JW. Ageing populations: the challenges ahead. Lancet. 2009 Oct 3;374(9696):1196–208.

Chatterji S, Byles J, Cutler D, Seeman T, Verdes E. Health, functioning, and disability in older adults–present status and future implications. Lancet. 2015;385(9967):563–75.

WHO (2010). Global Reccomendations on Physical Activity for Health; Geneva: World Health Organization.

The 69th World Health Assembly (2016). Multisectoral action for a life course approach to healthy ageing: global strategy and plan of action on ageing and health” (Document A69/17) and a related resolution (A69.3). Geneva: WHO.

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