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Physical and psychological condition of senior people in a residential care facility. The effects of an aerobic training

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DOI: 10.4236/health.2010.27117    6,223 Downloads   10,357 Views   Citations


The present study is aimed at investigating the changes between pre-test and post-test, after having introduced an aerobic programme of physical activity (one session, each of 45’ per week for 15 weeks, over a span of roughly four months, delivered by specially trained instructor), in the psychological situation (perception of general health, feelings of geriatric depression) and physical condition (activities of daily living, physical performance in terms of balance and gait, weight, and body mass index–BMI) of a group of senior citizens slightly compromised at Mini Mental State Examination (MMSE: median 23) and living in a residential care facility in northern Italy. The 36-Item Short Form Health Survey Questionnaire (SF-36), the Geriatric Depression Scale (GDS), the Italian short version of Barthel's Index of Activities of Daily Living (BADL), the Tinetti Assessment Tool were administered to 18 old men and women (median age 85.50 years). The findings (we used non- parametric statistical techniques) showed that: 1) general health perception, feelings of depression, and activities of daily were stable; 2) general physical performance, and particularly the balance, increased between pre-test and post-test, while weight, BMI and waist circumference decreased. These results underline the importance, especially in the case of women, of participating at an aerobic training delivered by experienced instructors for the physical condition of senior citizens, also when they are slightly cognitively compromised.

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The authors declare no conflicts of interest.

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Rabaglietti, E. , Emma, L. and Silvia, C. (2010) Physical and psychological condition of senior people in a residential care facility. The effects of an aerobic training. Health, 2, 773-780. doi: 10.4236/health.2010.27117.


[1] Kramer, A.F., Colcombe, S.J., McAuley, E., Eriksen, K.I., Scalf, P., Jerome, G.J., Marquez, D.X., Elavsky, S. and Webb, A.G. (2003) Enhancing brain and cognitive function of older adults through fitness training. Journal of Molecular Neuroscience, 20(3), 213-221.
[2] Spirduso, W.W., Francis, K.L. and MacRae, P.G. (2005) Physical dimensions of aging. Human Kinetics, Champaign.
[3] Stephens, T. (1988) Physical activity and mental health in the United States and Canada: Evidence form four populations surveys. Preventive Medicine, 17(1), 35-47.
[4] Malbut-Shennan, K. and Young, A. (1999) The physiology of physical performance and training in old age. Coronary Artery Diseases, 10(1), 37-42.
[5] Lavile d’Epinay, C. and Spini, D. (2007) Le grand age. Un domaine de recherché récent. Gérontologie et société, 123, 31-54.
[6] Harada, N., Chiu, V., Fowler, E., Lee, M. and Reuben, D.B. (1995) Physical therapy to improve functioning of older people in residential care facilities. Physical Therapy, 75(9), 830-838.
[7] Folstein, M., Folstein, S. and McHugh, P.R. (1975) Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.
[8] Netz, Y., Wu, M.-J., Becker, B.J. and Tenenbaum, G. (2005) Physical activity and psychological well-being in advanced age: A meta-analysis of intervention studies. Psychology and Aging, 20(2), 272-284.
[9] Wang, L., Larson, E.B., Bowen, J.D. and van Belle, G. (2006) Performance-based physical function and future dementia in older people. Archives of Internal Medicine, 166(10), 1115-1120.
[10] Apiovan, C., Frey, C., Wood, G.C., Rogers, J.Z., Still, C.D. and Lensen, G.L. (2002) Body mass index and physical function in older women. Obesity Research, 10(8), 740-747.
[11] Bohannon, R.W., Brennan, P.J., Pescatello, L.S., Marschke, L., Hasson, S. and Murphy, M. (2005) Adiposity of elderly women and its relationship with self-reported and observed physical performance. Journal of Physical Therapy, 28(1), 10-13.
[12] McAuley, E. and Rudolph, D. (1995) Physical activity, ageing, and psychological well being. Journal of Aging and Physical Activity, 3(1), 67-98.
[13] Lavile d’Epinay, C., Pin, S. and Spini, D. (2001) Présen- tation de Swilso-o, une étude longitudinale suisse sur la grand age. L’exemple de la dynamique de la santé fonctionnelle. L’Année Gérontologique, 15, 78-96.
[14] van der Bij, A.K., Laurant, M.G.H. and Wensing, M. (2002) Effectiveness of physical activity interventions for older adults. American Journal of Preventive Medicine, 22(2), 120-133.
[15] Segulin, N. and Deponte, A. (2007) The evaluation of depression in the elderly: A modification of the geriatric depression scale (GDS). Archives of Gerontology and Geriatrics, 44(2), 105-112.
[16] Biderman, A., Cwikel, J., Freid, A.V. and Galinsky, D.J. (2002) Depression and falls among community dwelling elder people. A search for common risk factors. Journal of Epidemiological Community Health, 56(8), 631-636.
[17] Ketcham, C.J. and Stelmanch, G.E. (2001) Motor learning in older adults: Foundation and perspective. Meyer & Meyer, Aachen, Germany.
[18] Scheffer, A.C., Schuurmans, M.J., van Dijk, N., van der Hooft, T. and de Rooj, S.E. (2008) Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37(1), 19-24.
[19] Costa, G., Migliardi, A. and Gnavi, R. (2006) Verso un profilo di salute (towards a profile of health). Servizio Centrale Comunicazione, Città di Torino, Turin, Italy.
[20] Zhang, J.G., Ishikawa-Takata, K., Yamazaki, H. and Ohta, T. (2004) Is a type A behavior pattern associated with falling among the community-dwelling elderly? Archives of Gerontology and Geriatrics, 38(2), 145-152.
[21] Berg, W.P., Alessio, H.M., Mills, E.M. and Tong, C. (1997) Circumstances and consequences of falls in independent community-dwelling older adults. Age and Ageing, 26(4), 261-268.
[22] McAuley, E. (1994) Physical activity and psychosocial outcomes. In: Bouchard, C., Shepard, R.J. and Stephens, C. Eds., Physical Activity, Fitness and Health, Human Kinetics, Champaign, pp. 551-568.
[23] Inzitari, M., Di Carlo, A., Baldereschi, M., Pracucci, G., Maggi, S., Gandolfo, C., Bonaiuto, S., Farchi, G., Scafato, E., Carbonin, P. and Inzitari, D. (2006) Risk and predictors of motor-performance decline in a normally functioning population-based sample of elderly subjects: The Italian longitudinal study on aging. Journal of the American Geriatrics Society, 54(2), 318-324.
[24] American College of Sports Medicine (2000) ACSM’s guidelines for exercise testing and prescription. 6th Edition, Lippincott, Williams & Wilking, Baltimore.
[25] Baker, M.K., Atlantis, E. and Fiatarone Singh, M.A. (2007) Multi-modal exercise programs for older adults. Age and Ageing, 36(4), 375-381.
[26] World Health Organisation (2002) Active ageing: A policy framework. Ageing and Life Course Team, Noncommunicable Disease Prevention and Health Promotion Department, World Health Organisation, Geneva.
[27] Ciairano, S., Musella, G., Gemelli, F., Liubicich, M.E., Rabaglietti, E. and Roggero, A. (2006a) Un intervento di promozione dell’attività motoria e la salute fisica e psicologica degli anziani all’interno di una residenza: valutazione di processo e di risultato (An intervention of promotion of the motor activity and the physical and psychological health of the elderly inside a residential care facility: Trial and result assessment). Giornale Italiano di Psicologia dello Sport, 1, 3-11.
[28] Ciairano, S., Musella, G., Gemelli, F., Liubicich, M.E., Rabaglietti, E. and Roggero, A. (2006b) Interventi di promozione dell’attività motoria per gli anziani e formazione degli istruttori: Punti di forza e criticità (Interventions of promotion of the motor activity for the elderly ones and training of the instructors: Strength and waik points). Giornale Italiano di Psicologia dello Sport, 1, 13-21.
[29] Ciairano, S., Liubicich, M.E. and Rabaglietti, E. (2010) The effects of a physical activity programme on the psychological wellbeing of older people in a residential care facility: An experimental study. Ageing & Society, 30(4), 609-626.
[30] Bandura, A. (1997) Self-efficacy: The exercise of control. Freedman and Company, New York.
[31] Associazione Italiana di Psicologia (1997) Codice Etico della ricerca psicologica (Ethical code for psychological research). AIP, Roma, IT.
[32] ISTAT (National Institute of Statistics) (2006) Annuario statistico italiano 2006 (Statistical Italian Yearbook―2006). ISTAT, Roma.
[33] Ware, J.E. and Jr. Sherbourne, C.D. (1992) The MOS 36-item short form health survey (SF-36). Conceptual framework and item selection. Medical Care, 30(6), 473-481.
[34] Apolone, G. and Moscone, P. (1998) The Italian SF-36 health survey translation, validation and norming. Journal of Clinical Epidemiology, 51(11), 1025-1036.
[35] Yesavage, J.A., Rose, T.L., Lum, O., Huang, V., Adey, M. and Leirer, V.O. (1983) Development and validation of geriatric depression screening: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49.
[36] Katz, S., Ford, A.B., Moskowitz, R.W., Jackson, B.A. and Jaffe, M.W. (1963) Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185(12), 914-919.
[37] Tinetti, M.E. (1986) Performance-oriented assessment of mobility problems in elderly patients. Journal of the American Geriatrics Society, 34(2), 119-126.
[38] Valentine, J.C. and Cooper, H. (2003) Effect size substantive interpretation guidelines: Issues in the interpretation of effect sizes. What Works Clearinghouse, Washington, DC.
[39] McMurdo, M.E.T. and Rennie, L. (1993) A controlled trial of exercise by residents of old people’s house. Age and Ageing, 22(1), 11-15.
[40] Evans, W.J. (1999) Exercise training guidelines for the elderly. Medicine & Science in Sports & Exercise, 31(1), 12-17.
[41] Fried, L.P. and Walston, J. (1998) Frailty and failure to thrive. In: Hazzard, W.R., Blass, J.P., Ettinger, W.H.Jr., Halter, J.B. and Ouslander, J. Eds., Principles of Geriatric Medicine and Gerontology, 4th Edition, McGraw Hill, New York, pp. 1387-1402.
[42] Fried, L.P., Tangen, C.M., Walston, J., Newman, A.B., Hirsch, C., Gottidiener, J., Seeman, T., Tracy, R., Kop, W.J., Burke, G. and McBurnie, M.A. (2001) Frailty in older adults: Evidence for phenotype. Journal of Gerontology A Biological Sciences Medical Sciences, 56(3), M146-156.
[43] Walston, J. and Fried, L.P. (1999) Frailty and the older man. Medical Clinics of North America, 83(5), 1173-1194.

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