ABSTRACT
@#Negative attitudes towards ageing are reported to be associated with greater functional impairment in older adults.There is limited information regarding attitudes towards ageing and physical performance in regard to adults aged 55 to 64 years. The objective of our study was to examine the association of attitude towards ageing on physical performance which includes mobility, agility and falls risk. This cross sectional study was conducted at five senior citizen clubs around Klang Valley in Malaysia. A total of 154 community dwelling adults aged 55 and above (mean:65.8+6.82) participated in this study. Attitude towards ageing was measured using Kogan’s Attitude towards Older People Questionnaire (KAOP). Mobility and agility were measured using gait speed test and ten step test respectively. Risk of falls was assessed using physiological profile aproach (PPA). Approximately 75% of the participants had positive attitude towards ageing with high to very high risk of falls. A significant (p<0.05) correlation was demonstrated between attitude towards ageing, falls risk and gait speed.Regression analysis showed that attitudes toward ageing had a relationship with falls risk, explaining 6% of the variance, F (1, 152) =10.26, p<0.01.The results of this study suggest that there is some relationship between attitude towards ageing and falls risk measured using a combination of physical performance test. Positive attitude towards ageing should be promoted among adults in an earlier age for overall physical health among older adults.
Subject(s)
Walking SpeedABSTRACT
Negative attitudes towards ageing are reported to be associated with greater functional impairment in older adults. There is limited information regarding attitudes towards ageing and physical performance in regard to adults aged 55 to 64 years. The objective of our study was to examine the association of attitude towards ageing on physical performance which includes mobility, agility and falls risk. This cross sectional study was conducted at five senior citizen clubs around Klang Valley in Malaysia. A total of 154 community dwelling adults aged 55 and above (mean:65.8+6.82) participated in this study. Attitude towards ageing was measured using Kogan’s Attitude towards Older People Questionnaire (KAOP). Mobility and agility were measured using gait speed test and ten step test respectively. Risk of falls was assessed using physiological profile aproach (PPA). Approximately 75% of the participants had positive attitude towards ageing with high to very high risk of falls. A significant (p<0.05) correlation was demonstrated between attitude towards ageing, falls risk and gait speed.Regression analysis showed that attitudes toward ageing had a relationship with falls risk, explaining 6% of the variance, F (1, 152) =10.26, p<0.01.The results of this study suggest that there is some relationship between attitude towards ageing and falls risk measured using a combination of physical performance test. Positive attitude towards ageing should be promoted among adults in an earlier age for overall physical health among older adults.
ABSTRACT
Older adults who walk in their neighbourhood with greater street connectivity are reported to have lower limb physicalperformance decline. There is limited information regarding the association between built environment characteristicsand physical performance in older adults. The aim of this study was to examine the association between built environmentcharacteristics, physical performance, falls risk and functional mobility among older adults. Sixty four (27 men and 37women) community dwelling older adults aged 60 years and above (mean 67.4 ± 7.1 years) from senior citizen clubs inKuala Lumpur, Malaysia participated in this cross-sectional study. Built environment characteristics were assessed usingan adapted Neighbourhood Environment Walkability Scale (NEWS). Physical performance and falls risk was measuredusing Short Physical Performance Battery (SPPB) and Profile Physiological Profile Assessment (PPA) respectively. TimedUp and Go (TUG) and gait speed tests were used to assess functional mobility. There was a significant correlation betweenbuilt environment and physical performance (r = 0.43, p < 0.001) and functional mobility measured using gait speedtest (r = 0.27, p < 0.05) among older adults. Built environment was identified as a significant determinant of physicalperformance (R2 = 0.19, p < 0.001). Built environment characteristics is an important external factor in preservingphysical performance in older adults. Programmes and policies for a more favourable built environment characteristicsin the neighbourhoods should be encouraged to promote and maintain physical performance among older adults
ABSTRACT
Falls is one of the main problems in older adults, which indirectly contributes to deterioration of quality of life, morbidityand mortality. The purpose of this study was to examine the difference in values between Timed Up and Go (TUG) andgait speed tests among community dwelling older adults with high and low risk of falls classified using PPA (PhysiologicalProfile Assessment). This cross-sectional study involved 278 older adults aged between 60 to 88 years, recruited fromsenior citizen club around Klang Valley. 40.6% older adults had high risk of falls and mostly were women (75%). Theresults of the study showed that there was a significant (p < 0.05) difference in TUG and Gait speed tests performancebetween older adults with high and low risk of falls. Declined mobility (longer time of TUG test) and increased age wereidentified as significant (p < 0.05) risk factors for falls in this study. The TUG test reference values obtained in this studymay be useful for early identification, prevention and management of falls among community dwelling older adults.