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Results for 'physical exercise'

Results 1 - 10 of 16

Yoga-based exercise improves health-related quality of life and mental well-being in older people: a systematic review of randomised controlled trials

TULLOCH Alice, et al
2018

Objective: health-related quality of life (HRQOL) and mental well-being are associated with healthy ageing. Physical activity positively impacts both HRQOL and mental well-being. Yoga is a physical activity that can be modified to suits the needs of older people and is growing in popularity. A systematic review was conducted with meta-analysis to determine the impact of yoga-based exercise on HRQOL and mental well-being in people aged 60+. Methods: searches were conducted for relevant trials in the following electronic databases; MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, Allied and Complementary Medicine Database, PsycINFO and the Physiotherapy Evidence Database (PEDro) from inception to January 2017. Trials that evaluated the effect of physical yoga on HRQOL and/or on mental well-being in people aged 60+ years were included. Data on HRQOL and mental well-being were extracted. Standardised mean differences and 95% confidence intervals (CI) were calculated using random effects models. Methodological quality of trials was assessed using the PEDro scale. Results: twelve trials of high methodological quality (mean PEDro score 6.1), totalling 752 participants, were identified and provided data for the meta-analysis. Yoga produced a medium effect on HRQOL (Hedges’ g = 0.51, 95% CI 0.25–0.76, 12 trials) and a small effect on mental well-being (Hedges’ g = 0.38, 95% CI 0.15–0.62, 12 trials). Conclusion: yoga interventions resulted in small to moderate improvements in both HRQOL and mental well-being in people aged 60+ years. Further, research is needed to determine the optimal dose of yoga to maximise health impact.

Reducing falls in older adults recently discharged from hospital: a systematic review and meta-analysis

NASERI Chiara, et al
2018

Background: older adults are known to have increased falls rates and functional decline following hospital discharge, with substantial economic healthcare costs. This systematic review aimed to synthesise the evidence for effective falls prevention interventions in older adults recently discharged from hospital. Methods: literature searches of six databases of quantitative studies conducted from 1990 to June 2017, reporting falls outcomes of falls prevention interventions for community-dwelling older adults discharged from hospital were included. Study quality was assessed using a standardised JBI critical appraisal tool (MAStARI) and data pooled using Rev-Man Review Manager® Results: sixteen studies (total sample size N = 3,290, from eight countries, mean age 77) comprising 12 interventions met inclusion criteria. Findings: home hazard modification interventions delivered to those with a previous falls history (1 study), was effective in reducing the number of falls (RR 0.63, 95%CI 0.43, 0.93, Low GRADE evidence). Home exercise interventions (3 studies) significantly increased the proportion of fallers (OR 1.74, 95%CI 1.17, 2.60, Moderate GRADE evidence), and did not significantly reduce falls rate (RR 1.27, 95%CI 0.99, 1.62, Very Low GRADE evidence) or falls injury rate (RR 1.16, 95%CI, 0.83,1.63, Low GRADE evidence). Nutritional supplementation for malnourished older adults (1 study) significantly reduced the proportion of fallers (HR 0.41, 95% CI 0.19, 0.86, Low GRADE evidence). Conclusion: the recommended falls prevention interventions for older adults recently discharged from hospital are to provide home hazard minimisation particularly if they have a recent previous falls history and consider nutritional supplementation if they are malnourished.

The association between physical activity and social isolation in community-dwelling older adults

ROBINS Lauren M., et al
2018

Objectives: Social isolation is an increasing concern in older community-dwelling adults. There is growing need to determine effective interventions addressing social isolation. This study aimed to determine whether a relationship exists between physical activity (recreational and/or household-based) and social isolation. An examination was conducted for whether group- or home-based falls prevention exercise was associated with social isolation. Methods: Cross-sectional analysis of telephone survey data was used to investigate relationships between physical activity, health, age, gender, living arrangements, ethnicity and participation in group- or home-based falls prevention exercise on social isolation. Univariable and multivariable ordered logistic regression analyses were conducted. Results: Factors found to be significantly associated with reduced social isolation in multivariable analysis included living with a partner/spouse, reporting better general health, higher levels of household-based physical activity (OR = 1.03, CI = 1.01–1.05) and feeling less downhearted/depressed. Being more socially isolated was associated with symptoms of depression and a diagnosis of congestive heart failure (pseudo R2 = 0.104). Discussion: Findings suggest that household-based physical activity is related to social isolation in community-dwelling older adults. Further research is required to determine the nature of this relationship and to investigate the impact of group physical activity interventions on social isolation.

A return on investment tool for the assessment of falls prevention programmes for older people living in the community

PUBLIC HEALTH ENGLAND
2018

This report presents results of a tool developed by York Health Economics Consortium to assess the potential return on investment (ROI) of falls prevention programmes targeted at older people living in the community. The tool pulls together evidence on the effectiveness and associated costs for four programmes where there was evidence of cost-effectiveness: Otago home exercise, Falls Management Exercise group programme, Tai Chi group exercise, and home assessment and modification. Based on an example analysis, all four interventions were found to be cost-effective, thus producing a positive societal ROI. One out of four interventions was also found to have a positive financial ROI (ie cost savings outweigh the cost of implementation). An accompanying Excel sheet allows for results to be tailored to the local situation based on the knowledge of the user.

Adding extra years to life and extra life to those years: local government guide to healthy ageing

LOCAL GOVERNMENT ASSOCIATION
2018

Guide that sets out priority areas for partnership working to improve later life health. The guide focuses on taking a life course approach and developing healthy behaviours and includes practice examples. The eight case studies in the guide provide examples about what can work to reduce the impact of long-term conditions. The case examples cover tackling loneliness and isolation; preventing falls; getting older people active; using lottery funding to boost healthy ageing; an Olympic legacy for older people; extending the NHS Health Checks programme; getting people talking about their health and reshaping the strategy on health ageing.

Physical activity interventions for treatment of social isolation, loneliness or low social support in older adults: a systematic review and meta-analysis of randomised controlled trials

SHVEDKO Anastasia, et al
2018

Objectives: This article reviews the effects of physical activity (PA) interventions on social isolation, loneliness or low social support in older adults. Design: Systematic review and meta-analysis of randomised controlled trials (RCTs). Method: MEDLINE, EMBASE, PsycINFO, the Cochrane CENTRAL, CINAHL, were screened up to February 2017. RCTs comparing PA versus non-PA interventions or control (sedentary) condition were included. Risk of bias was assessed using the 12 criteria Cochrane Review Book Group risk of bias. The outcome measures were: social isolation, loneliness, social support, social networks, and social functioning. Standardised mean differences (SMDs) with associated 95% confidence intervals (CIs) were calculated for continuous outcomes. Meta-analysis was performed using a random effects model. Results: The search strategy identified 38 RCTs, with a total of 5288 participants, of which 26 had a low risk of bias and 12 had a high risk of bias. Meta-analysis was performed on 23 RCTs. A small significant positive effect favouring the experimental condition was found for social functioning with strongest effects obtained for PA interventions, diseased populations, group exercise setting, and delivery by a medical healthcare provider. No effect of PA was found for loneliness, social support, or social networks. Conclusion: This review shows, for social functioning, the specific aspects of PA interventions can successfully influence social health. PA did not appear to be effective for loneliness, social support and social networks.

Carers Leeds Health and Wellbeing programme evaluation

BUNYAN Ann-Marie, WOODALL James, RAINE Gary
2017

Highlights outcomes and learning from a programme to support carers to look after their own physical health and emotional wellbeing, delivered by the charity Carers Leeds. The programme provides one-to-one support to encourage carers to eat more healthily, be more physically active, cut down on alcohol and smoking, manage stress and anxiety and be more socially connected. Health and Wellbeing Support Workers work with carers to help them set and prioritise their health goals, providing carers with the tools and guidance to be able to make changes. The evaluation aimed to establish the impact of the Programme on the health and wellbeing of carers, examine the experiences of carers engaged in the Programme, and provide training and support to the Carers Leeds staff to build capacity for future self-evaluation. It a workshop to develop an understanding of the programme’s Theory of Change; analysis of monitoring data, including carers evaluation forms; telephone interviews with service users, and analysis of Support Worker' reflections on delivering the programme. The evaluation found evidence that the Programme provides meaningful support to carers, which has a positive impact on their health and wellbeing. Positive benefits for carers included reduced social isolation, increased confidence, improved mental wellbeing, improved diet and physical activity levels. Individuals who were previously unable to distinguish themselves as a carer were also able to recognise how vital it is to take of care of their own health. The report also highlights learning for future projects.

Introduction to the research on: the impact and effectiveness of meaningful activity for people with mental health problems

HARFLETT Naomi, JENNINGS Yasmin, LINSKY Kate
2017

This short scoping review identifies research on the impact and effectiveness of meaningful activity for people with mental health problems. Due to the lack of consensus on what is meant by the terms ‘meaningful activity’ or ‘meaning activity’, the review focused on different activities, such as unpaid work and volunteering, horticulture, woodwork, arts and music, physical exercise and leisure. Searches were on a range of databases, including Social Care Online, and organisational websites for UK based research published from 2000. The review provides an overview of the quantity and quality of the research and a table summarising the 33 studies reviewed and their key findings. It also provides a summary of areas identified for future research. The review found that in the vast majority of the studies found people experience positive outcomes from participating in meaningful activity or occupation. These included: a sense of purpose or meaning to life, a structure or routine to the day, acquisition of skills, a sense of identity, social interaction and increased social networks, improved wellbeing, access to employment or education, improved confidence and improved self-esteem. However it notes that due to the high proportion of small-scale qualitative research studies, positive outcomes may be overstated. It also found no conclusive evidence to show that volunteering resulted in positive outcomes for people with mental health problems.

Social prescribing: a review of community referral schemes

THOMSON Linda J., CAMIC Paul M., CHATTERJEE Helen J.
2015

Sets the scene for the conditions under which social prescribing has arisen and considers the efficacy of different referral options. Social prescribing is a non-medical intervention linking patients with social, emotional or practical needs to a range of local, non-clinical services. The review provides definitions, models and notable examples of social prescribing schemes and assesses the means by which and the extent to which these schemes have been evaluated. Models outlined in this review include: Arts on Prescription, Books on Prescription, Education on Prescription, Exercise on Prescription, Green Gyms, Healthy Living Initiatives, Information Prescriptions, Museums on Prescription, Social Enterprise Schemes, Supported Referral, and Time Banks. The report makes recommendations for practice, policy and future research, focusing on best practice guidance for sector workers, frameworks for setting up social prescribing schemes, and methods for evaluating social prescribing schemes.

Social prescribing: a review of the evidence

KINSELLA Sarah
2016

A brief review of the literature on social prescribing. Social prescribing is a way of linking primary care patients with psycho-social issues, with sources of appropriate, non-medical support in the community. Suitable referrals to social prescribing initiatives are vulnerable and at risk groups such as: people with mild to moderate depression and anxiety; low income single parents; recently bereaved older people; people with long term conditions and frequent attendees in primary and secondary care. The review highlights that prescribed activities have typically included arts and creative activities, physical activity, learning and volunteering opportunities and courses, self-care and support with practical issues such as benefits, housing, debt and employment. The evidence on the impact of social prescribing is currently limited and inconsistent. While some initiatives have shown improved outcomes for patients and potential for cost-savings (in the longer term), few have been subject to economic analysis or the kind of rigorous evaluation which would inform commissioners. The report recommends that any new, local social prescribing initiatives should aim to add to the current evidence base and conduct transparent and thorough.

Results 1 - 10 of 16

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