Sex-Related Differences in Functional Fitness Outcomes in Older Adults.

Sex-related differences in changes in functional fitness over time were longitudinally assessed in older adults participating in a group-based multimodal exercise program. From a database, functional fitness scores were obtained for 89 older adults (71.6 ± 6.5 years old) who had completed two assessments, 5-8 years apart. Lower body strength, upper body strength, aerobic endurance, flexibility, and change of direction performances were compared over time and with normative values. Females (p = .02), but not males, had an improvement in upper body strength over time. Females were also more flexible than males at both assessments (p ≤ .02). Of those who had five consecutive assessments, females were more flexible than males (p ≤ .05) and had a faster change of direction ability (p < .001). When compared with normative values, our results indicate that typical time-related functional fitness loss can be attenuated with group exercise. Our results further support the need to tailor exercise prescription according to the individual.

Risk factors for falling among community-dwelling veterans and their caregivers.

PURPOSE: To assess the prevalence and strength of association of risk factors for falling in Canadian veterans of World War II and Korea and their caregivers. METHODS: Questionnaires were sent to addresses of 3,000 Canadian veterans (response rate(1/4)70%). Risk factors for falls and the frequency of falls and injurious falls in the past 12 months were collected. RESULTS: Veterans had more risk factors than did caregivers, and more had fallen in the past year (39.8% vs. 29.7%). Risk factors in the logistic model for veterans included lower extremity disability (odds ratio 1.98, 95% confidence interval 1.5-2.6); lower extremity weakness (OR 1.75, 95% CI 1.3-2.3); worse memory than peers (OR 1.67, 95% CI 1.1-2.5); one or more visits to the family doctor in the past month (OR 1.53, 95% CI 1.2-2.0); and worse memory than 5 years ago (OR 1.36, 95% CI 1.0-1.8). CONCLUSIONS: Veterans appear more frail and prone to falling than their caregivers.