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Developing Consumer Consensus on Remote Assessment and Management of Physical Function in Older Adults (RAMP): International Modified Delphi Process Background: Remote health care delivery, including the use of digital health interventions, is emerging as a tool for assessing and managing physical function, but its design and implementation often overlook the needs and preferences of older adult end users. Objective: The primary aim of this modified Delphi process was to develop consumer consensus on preferences for remote assessment and management of physical function in older adults. Methods: Research and consumer experts of the Remote Assessment and Management of Physical Function in Older Adults (RAMP) Working Group co-developed the Round 1 Delphi survey, which was advertised to consumers (adults aged ≥60 years) via international clinical and research networks and social media between August and November 2023. The online survey presented 23 Delphi statements for which respondents reported their level of agreement using an 11-point Likert scale (0-10; scores ≥7 indicated agreement). Statements were classified as having “strong agreement” and achieving consensus if ≥80% of participants indicated agreement. Statements classified as having “moderate” (70%-80% of participants indicated agreement) or “low” (

New in JMIR Aging: Developing Consumer Consensus on Remote Assessment and Management of Physical Function in Older Adults (RAMP): International Modified Delphi Process #RemoteHealth #DigitalHealth #ElderlyCare #PhysicalFunction #HealthResearch

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Daily-Life Walking Characteristics of Older Adults in Relation to Age, Sex, and Physical Function: the HUNT4 Trondheim 70+ Observational Study Background: Knowledge about how older adults walk is crucial for effective prevention and treatment of various mobility issues, as well as treatment evaluation, but is to date largely limited to lab-based measurements. Although this provides relevant information about what older adults can do under standardized conditions, it does not give insight into how they actually walk in their daily life, a gap that needs to be addressed urgently. Objective: The objective of the current study is to describe how older adults walk in daily life in relation to age, sex, and level of physical function, using wearable sensor data from a large sample of older adults with a wide range of age and function from the HUNT4 Trondheim 70+ study. Methods: The current study is based on one-week accelerometer data (Axivity AX3) from 1289 older adults (mean age 77.41 (SD 6.06) years, range 70-105 years; 54.7% women). Physical function was assessed using the Short Physical Performance Battery (SPPB). To investigate the effect of age and SPPB score on gait metrics (daily number of steps, 95th percentile speed, mode speed, 95th percentile cadence, mode cadence, and maximum WB distance) for women and men, univariate gamma regressions with log link were performed on each outcome measure, with age and SPPB score in separate models. Sex differences were investigated through Mann-Whitney U tests. Results: Older adults showed large variation in how and how much they walked in daily life across age, sex, and physical function, particularly younger participants and those with better physical function. Most gait metrics decreased at an increasing rate with higher age, with men maintaining their levels up to higher ages than women. Poorer physical function led to an exponential or close-to-linear decrease in all gait metrics apart from habitual cadence, which remained stable up to high age. Women had a lower daily number of steps, gait speed, and maximum distance, yet higher cadence, than men (all Ps

New in JMIR Aging: Daily-Life Walking Characteristics of Older Adults in Relation to Age, Sex, and Physical Function: the HUNT4 Trondheim 70+ Observational Study #Aging #OlderAdults #MobilityIssues #PhysicalFunction #WearableTechnology

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New #IJBNPA publication explores how #Walking patterns impact #PhysicalFunction in #OlderAdults! #Aging #PhysicalActivity
Check this out👇
ijbnpa.biomedcentral.com/articles/10.1186/s12966-...

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How can we best evaluate therapies that boost muscle strength and independence in aging populations? Traditional tests like gait speed have limitations, but the Stair Climb Power (SCP) test is showing more meaningful insights! #PhysicalFunction #Sarcopenia #Health

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New #IJBNPA publication investigated the spillover effects of a #NutritionIntervention on #PhyisicalActivity and #PhysicalFunction in post-surgery colorectal cancer patients!
Check this out👇
ijbnpa.biomedcentral.com/articles/10....

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Coffee does not significantly impact balance or physical function in older adults A recent study published in Experimental Gerontology investigated whether consuming coffee affects balance and physical function in older adults. Drinking a strong cup of coffee had minimal effects on...

Coffee does not significantly impact balance or physical function in older adults #Science #HealthandMedicine #PublicHealth #CoffeeResearch #OlderAdults #PhysicalFunction

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Poor physical function, not bone density, drives higher fracture risk in older women with type 2 diabetes Study indicates that older women with type 2 diabetes have a higher risk of fractures primarily due to impaired physical function rather than reduced bone density, despite stronger bone structure.

Poor physical function, not bone density, drives higher fracture risk in older women with type 2 diabetes 🦴💪🩺 www.news-medical.net/news/2024080... #Type2Diabetes #FractureRisk #WomensHealth #BoneHealth #PhysicalFunction #Diabetes #GlycemicControl #HealthRisk

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