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Selected factors influencing physical fitness in the elderly

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Agnieszka Wybraniec A., Miłosz Boguszewski M., Norbert Nizio N., Justyna Wyszyńska J., Justyna Drzał-Grabiec J.
European Journal of Clinical and Experimental Medicine
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2019
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issue 1
45-50
EN
Introduction. In effect of the ageing process, there are involutional changes in older adults both in the mental and in the physical spheres. Some factors may slow down the ageing process. Physical activity is one of these factors. Physical ability is one of the most important indicators of quality of life of older adults, and it can be shaped by physical activity. Aim. The aim of the study was to assess chosen factors that influence physical ability of adults older than 65 years. Material and methods. The study involved 63 older adults. The criterion for inclusion in the study was the age - older than 65 years. There were 37 women and 26 men in the study population. All the subjects were able to walk without assistance, and they had no contraindications to do functional tests. We used a questionnaire of our own design, three SPPB trials, Up&Go test; we calculated the BMI indices and assessed depression scale. Results. We found that older adults rarely engage in physical activity. The low level of physical activity of the older adults was reflected in equally low physical ability level, as assessed by functional tests. We found a directly proportional dependence between body mass and the level of functional limitations and risk of falls. Conclusion. In our functional tests, we found a statistically significant correlation with regard to age and BMI index.
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Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity

86%
Sadowska-Krępa E., Kłapcińska B., Gerasimuk D., Rzetecki A., Waśkiewicz Z., Gąsior Z., Żebrowska A., Rosemann T., Nikolaidis P. T., Knechtle B.
International Journal of Occupational Medicine and Environmental Health
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2020
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vol. 33
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issue 4
523-534
EN
Ultra-marathon running has enjoyed increasing popularity, with the number of master ultra-marathon runners growing annually. This study presents a case of a 51-year-old highly experienced long-distance runner (body mass: 65.1 kg, body height: 168 cm), who took part in a 48-h ultra-marathon race held in 2010, but dropped out of the competition due to acute cardiac problems manifested after 16 h of running and having completed a distance of 129 km. Two weeks following the race, intense cardiac examination was performed to explain the drop-out due to chest pain. A 12‑lead electrocardiogram, a 2D transthoracic echocardiography in 3 apical projections of the left ventricle, a computed tomography of the chest, an invasive coronary angiography and a maximal oxygen uptake (VO2max) test were performed. The 12-lead ECG revealed a negative T wave in III and aVF without morphological abnormalities. The echocardiographic examinations presented a normal size and function of the heart chambers, and a normal valvar structure and function (only trivial mitral and tricuspid regurgitation was observed). The invasive coronary arteriography – due to an increased calcium score in the CT scan – showed only a non-significant systolic dynamic narrowing in the eighth segment of the left anterior descending artery due to a muscle bridge. The physical performance characteristics of the athlete and a follow-up history of his athletic activity showed that the cardiac problems he had experienced during the ultra-marathon race did not prevent him from being active in sport.
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