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The risk for falls in older people in the context of objective functional studies

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Ignasiak Z., Skrzek A., Kozieł S., Sławińska T., Posłuszny P., Rożek K.
Anthropological Review
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2015
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vol. 78
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issue 3
337-346
EN
Falls may occur in each ontogenesis phase, but they become more frequent in the elderly and lead to serious health consequences. Dynamic changes in senior citizens’ environment and lifestyle makes studies of risk for falls necessary. To determine the relationship between the risk for falls and the objective functional and structural examination in the elderly living in Poland. The research consisted of 196 females and 61 males aged 60-88 recruited from health clinics, senior citizen centers and Universities of the Third Age between 2009-2012. Following parameters were collected: functional physical tests “30 second Chair Stand Test” and Timed Up and Go Test”, the flexor muscles and knee extensors force, the bone mineral density was measured in distal radius of the forearm with the EXA - 3000, the total risk for fall assessed by 5 tests by abbreviated version of Fallscreen test. Multiple linear regression and linear correlation were used for assessment of relationship with total estimated risk for fall and other parameters. The subjects displayed significant dimorphic differences within the range of the functional parameters and bone mineral density to the advantage of males. Only in women results revealed a significant link between the risk for falls and the dynamic balance, as well as the maximum quadricep muscle force equal. Strength of the lower limb muscles seems to be critical for decreasing the risk for fall. Special programs for strengthening this part of the body for older people should be elaborate.
2

Evaluation of somatic and functional parameters of cardiovascular and respiratory systems in rural women in Poland

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Ignasiak T., Ignasiak Z., Ziółkowska-Łajp E., Rożek K., Sławińska T., Skrzek A.
Anthropological Review
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2012
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vol. 75
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issue 2
107-116
EN
The aim of this study was the diagnosis of selected somatic parameters and functional parameters of cardiovascular and respiratory systems of rural women in Poland. The study involved a group of 95 rural women aged 35-60 years, staying in 3-week rehabilitation camps. The two groups of women were selected: younger (x=43 years), which did not exceed 50 years of age (n=48) and older (x=53 years) aged 50 years and older (n=47). The present study examines the measurement of the body height and weight, Body Mass Index (BMI) and functional parameters of cardiovascular and respiratory systems. For the evaluation of cardiovascular parameters, a 6 minute walk test was selected. Before the commencement of the test and in the first minute after it, the pulse and the blood pressure were measured. To assess the functional parameters of the respiratory system, the pattern of flow - volume curve was used. The test was performed with a Jaeger Flowscreen spirometer. The following parameters were determined: forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF) and Tiffeneau index (FEV1 in% VC). Examined rural women were likely to be similar to their urban counterparts. BMI of women was significantly higher than peers. Older rural women are particularly at risk of obesity. Heart rate and blood pressure, when at resting and after exercise, were normal and alike in both in young and older women. As expected, younger women had significantly higher levels of respiratory parameters. PEF values in younger women were slightly below the normal limit, and in their older peers, this value was significantly below the normal limit.
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