Numerous researchers have explored the benefit of creative activities for the aging population diagnosed with dementia. However, there is a lack of data available to community administrators and organizers of senior residences about how successful aging may be enhanced, in the relatively healthy older adults, through their participation in creative art-making. Activities that provide mental stimulation, facilitate expression of emotions, and that are related to overall psychological well-being can provide a foundation for healthy aging. Accordingly, the purpose of this study was to explore older adults' subjective experience of engaging in creative artwork. The conceptual framework that guided this phenomenological study was based on Lazarus's cognitive-emotional-relational theory of emotions. The focus of the research questions was on the subjective experience of 10 older adults who participated in 7 weekly art sessions offered at a senior residence. Audiotaped interviews that were held after the last art-making session, together with participants' artwork and field notes, were analyzed, coded, and then categorized into themes. Results indicated the participants learned they can be creative, and that their images became a visual inroad to meaningful expression of emotions, insight, and motivation. The results point to evident social change when community organizers and administrators of senior residences increase activities for residents, especially meaningful activities designed to facilitate expression of emotions and insight during later life. Creative image-making activities can lead to continued learning, heightened social interactions, increased mental fitness, reduced depression, and enhanced healthy aging.

Background: Older adults walk more slowly than healthy young adults at fast and normal walking speeds. These age-associated changes in mobility impact upon daily function. A slower gait, for example, may reduce the older adult’s ability to safely cross at traffic intersections due to the time restriction. Recent research has demonstrated whole body vibration (WBV) can improve the strength and power (Roelants, Delecluse & Verschueren, 2004; Russo et al., 2003; Verschueren, Roelants, Delecluse, Swinnen, Vanderschueren & Boonen, 2004) of community dwelling elderly females, and the mobility of nursing home residents (Bautmans, Van Hees, Lemper & Mets, 2005; Bruyere et al., 2005). To date, no published research has examined the impact WBV has on the gait parameters of community dwelling elderly females. The research was conducted in three phases. Phase One – Development of a WBV Platform: This phase outlines the development of a WBV platform (ACUWBV) that was designed and built for this research. A unique aspect of the ACUWBV was the method of adjusting WBV amplitude and therefore intensity. Current WBV technology, using tilting oscillations, requires the individual to increase their stance width. The ACUWBV allowed for the adjustment of WBV amplitude while maintaining the same stance width. The reliability and accuracy of the ACUWBV eccentric cam was measured during this phase of the research. Although an intraclass correlation coefficient of 0.4 was calculated and is considered an indication of low reliability, calculations of typical error (TE -95% error range) for each amplitude indicated the error to be small in the overall precision of the instrument. Specifically, at a frequency of 20 Hz, the expected WBV acceleration ranges for amplitudes of 0.5 mm and 1.0 mm were 7.58 m.s-2 to 8.85 m.s-2 (TE = 0.02 mm) and 16.90 m.s-2 to 17.53 m.s.-2 (TE = 0.01 mm), respectively. Phase Two – Pilot Study: This phase established the response of elderly community-dwelling female fast gait to WBV. Seven elderly female participants attended three WBV sessions per week for three weeks. Participants performed fast walks over an electronic walkway (GAITRite) at the end of each WBV session. A time-series graph displayed a linear increase in stride velocity over the three week intervention period. Conversely, stride time, stance time and double support time exhibited linear decreases. However, stride time (p=0.04) and stance time (p=0.04) were the only variables that exhibited a significant difference. It was concluded that the linear changes in stride velocity, stride time, stance time and double support time warranted further investigation with a larger sample size within a longer intervention period. Phase Three – Major Study: Phase three was an extension of phase two. This WBV intervention study was performed over a twelve week period. Twenty-two elderly female participants were placed in one of two groups. Group one (placebo/WBV; Group; n=12) was exposed to a placebo intervention for the first six weeks followed by a six week WBV intervention. Group two (Group WBV/placebo; n=10) was exposed to WBV for the first six weeks and a placebo intervention for the following six weeks. Group placebo/WBV exhibited no change in stride velocity during the placebo period, but a seven per cent increase during the six week WBV period (p=0.005). The changes in stride velocity coincided with increases in stride length (p=0.017), and reductions in stride time (p=0.007), stance time (p=0.001) and double support time (p=0.001). Group WBV/Placebo demonstrated stride velocity to increase by five per cent during the WBV period. Although the time-series graphs demonstrated improvements in stride velocity to be associated with decreases in stride time, stance time, and double support time, the changes failed to reach significance. Single support time and stride length showed no change over the WBV period. The improvements shown by group WBV/placebo from the first six weeks of WBV were maintained during the six week placebo (detraining) period. In summary, WBV was an effective intervention for enhancing the walking speed of community dwelling elderly female gait. This form of exercise may have positive outcomes on the daily function of elderly females, which in turn may improve their quality of life.

Social support is important for health and well-being and has been associated with reduced isolation in rural communities. Support from family and friends may become increasingly important as one ages, and may enable some seniors to remain living in their communities. The purpose of this project was to understand variation in the social support resources of older adults in rural Canada. This included variation in seniors social networks, support networks, tasks and services received, and exchange patterns. Methods included secondary analysis of a national telephone survey of adults aged 65 and older residing in rural Canada. Four key findings emerged. First, there was variation in the connections seniors had to family and friends. While some seniors had social networks averaging two people, others had social networks averaging 17. Who is present in social networks sets limits on who can be recruited into the support network. Second, who gets recruited from social networks into support networks varies. On average, social networks comprised 10 people, but support networks averaged three people. Spouses, children, middle-aged and local social network members were most likely to be recruited into support networks. However, recruitment depended on who was available to provide support. Third, not everyone receives support. Findings revealed that 15 percent of seniors who had a social network reported receiving no support, while nine percent who received support had few people who provided help with tasks like housework and shopping. While some of that group may not need support and/or are providing help to others, some seniors may have only one or two people to rely on. Fourth, rural older adults are not passive receivers of support. Many provide a high number of tasks to family and friends, helping build social ties and maintain supportive relationships. These findings point to the need for rural communities to be vigilant about evolving support needs of older residents. If seniors have few people who provide them with support, or if they rely on non-kin, who will provide care if needed? Services will be needed to fill the gap, and these services are not always available in rural areas.

Older adults represent a growing part of the population of the United States. Due to decreased physical activity, dietary changes, and alterations in metabolic rate this population is susceptible to an increased rate of diseases. The generation entering older adulthood is one which welcomed fast food and meal replacement foods allowing them to adapt to a more sedentary lifestyle and to need programs of preventative health. The Nutrition and Life Satisfaction Survey was used to investigate gardening as a preventative health intervention for older adults. This instrument was used to compare older (age 50+) gardeners and nongardeners on their perceptions of personal life satisfaction, nutrition, health, and gardening habits. The instrument was posted online at the Aggie Horticulture website in spring 2005. Respondents differentiated themselves as gardeners or nongardeners by responding positively or negatively to the question “Do you garden?” Then, they completed the questionnaire about their quality of life andhealth status and, for gardeners, their gardening habits. Results indicated that gardeners had more desirable responses: Overall quality of life scores were higher for gardeners compared to nongardeners, and four individual quality of life statements yielded more positive answers by gardeners. Additionally, gardeners reported a higher consumption of total fruits and vegetables, including herbs, and of vegetables only including herbs. Personal reports of physical activity and of perceived health were higher among gardeners. Females were more likely than males to garden and spend a higher percentage of their budget on fruits and vegetables. Higher consumption of fruits and vegetables and higher levels of physical activity result in healthier lifestyles and, in turn, can increase quality of life.

This investigation, comprising two studies, examined the number of barriers to physical activity (Study 1) and barrier strength (Study 2) reported by middle-aged and older adults using a social ecological framework (McLeroy et al., 1988). Researchers were interested in assessing age group (45-54; 55-64; 65-74 yrs) by physical activity group (active, less active) effects for barrier responses using analyses of variance. In Study 1, 180 participants completed a physical activity level survey (Godin & Shephard, 1985) and answered open-ended questions about barriers. Results indicated that 45-54 yr-olds reported more barriers overall, and more intrapersonal barriers than older groups. Less active 45-54 yr-olds reported more organizational-interpersonal barriers than the other groups. Descriptive analyses of coded themes demonstrated that common intrapersonal barrier sub-themes cited by younger adults related to family commitments, while sub-themes reported by middle-aged and older adults related to having a health problem or an injury. In the organizational-interpersonal category, the most common barrier sub-theme related to the workplace. In Study 2, 116 participants completed a survey assessing weekly physical activity and barrier strength for items pertaining to ecological categories and barrier sub-factors. Results showed that less active adults reported each of intrapersonal, interpersonal, and physical environment barriers more strongly than active adults, irrespective of age; the intrapersonal category was relatively the most constraining for our participants. In terms of barrier sub-factors, results showed that significantly higher barrier strength scores are most often associated with physical activity level (i.e., less active), and only occasionally associated with age group. The overall investigation can provide valuable information for improving physical activity interventions for middle-aged and older adults.

Falls among Canadian older adults is a growing problem, not only in terms of incident rates and its impacts, but most importantly, the vast scope of preventable morbidity and mortality. A decline in age-related physical function is acknowledged as a risk factor of falls. Community-based group exercise programs such as Yang style tai chi may help to reduce fall risk by improving components of physical function. To investigate, a pretest-posttest experimental design was conducted. Post-intervention assessments revealed Yang style tai chi practiced three times a week over eight weeks improved balance, muscle strength and muscle endurance. These findings suggest Yang style tai chi is moderately effective in reducing fall risk but further research is needed to determine the true effectiveness of tai chi as a fall prevention strategy. This study provides directions for future research guided by a proposed conceptual framework and offers some tentative recommendations for community health practice. / UOIT

Pre-hypertension (pre-HT) (Blood Pressure (BP) ≥120/80mmHg to ≤ 140/90mmHg) increases the risk of developing hypertension (HT). BP reductions following acute exercise are known as post exercise hypotension (PEH). BP and perhaps PEH shows a daily circadian rhythm. Purpose: To compare the magnitude of PEH after morning and evening aerobic exercise in adults with pre-HT. Hypothesis: The magnitude of PEH will be larger after evening versus morning exercise. Participants: Pre-HT men and women 50-65 years old. Study Design: Participants engaged in cycling exercise (60% VO2max) on two occasions: 1.5 and 11 hours following waking. Cardiovascular function was assessed for 30 minutes pre and one hour post exercise. Results: 1) Systolic PEH responses affected by TOD differed by gender. 2) Baseline Heart Rate Variability and its response to exercise differed gender but not TOD. The inconsistent significant gender and TOD differences of PEH and its mechanisms suggest that this group.

Pre-hypertension (pre-HT) (Blood Pressure (BP) ≥120/80mmHg to ≤ 140/90mmHg) increases the risk of developing hypertension (HT). BP reductions following acute exercise are known as post exercise hypotension (PEH). BP and perhaps PEH shows a daily circadian rhythm. Purpose: To compare the magnitude of PEH after morning and evening aerobic exercise in adults with pre-HT. Hypothesis: The magnitude of PEH will be larger after evening versus morning exercise. Participants: Pre-HT men and women 50-65 years old. Study Design: Participants engaged in cycling exercise (60% VO2max) on two occasions: 1.5 and 11 hours following waking. Cardiovascular function was assessed for 30 minutes pre and one hour post exercise. Results: 1) Systolic PEH responses affected by TOD differed by gender. 2) Baseline Heart Rate Variability and its response to exercise differed gender but not TOD. The inconsistent significant gender and TOD differences of PEH and its mechanisms suggest that this group.

Purpose: The primary purpose of this study was to evaluate the effect of a progressive exercise program on vestibular control of standing balance, in older adults referred for home care physiotherapy because of balance impairment. Methods: Ability to use vestibular inputs for postural control in standing was assessed using the Clinical Test of Sensory Interaction and Balance (CTSIB). Participants who had CTSIBTest 5 scores of < 15 seconds were accepted into the study. Participants were randomly assigned to an 8 week intervention of progressive balance exercise targeting ability to use vestibular control and high intensity progressive resistance exercise (PRE) or high intensity PRE only. Results: The difference in CTSIBTest 5 scores of the RBE Group (median 23.3 s) was greater than the difference in CTSIBTest 5 scores for the RE Group (median 0.60 s) (W = 18.0, p <0.05). Conclusions: The results of this study provide preliminary evidence that the ability to use vestibular control in older adults, referred for home care physiotherapy for balance impairment, can be modified by progressive balance training and resistance exercise but not by resistance exercise alone.

This investigation, comprising two studies, examined the number of barriers to physical activity (Study 1) and barrier strength (Study 2) reported by middle-aged and older adults using a social ecological framework (McLeroy et al., 1988). Researchers were interested in assessing age group (45-54; 55-64; 65-74 yrs) by physical activity group (active, less active) effects for barrier responses using analyses of variance. In Study 1, 180 participants completed a physical activity level survey (Godin & Shephard, 1985) and answered open-ended questions about barriers. Results indicated that 45-54 yr-olds reported more barriers overall, and more intrapersonal barriers than older groups. Less active 45-54 yr-olds reported more organizational-interpersonal barriers than the other groups. Descriptive analyses of coded themes demonstrated that common intrapersonal barrier sub-themes cited by younger adults related to family commitments, while sub-themes reported by middle-aged and older adults related to having a health problem or an injury. In the organizational-interpersonal category, the most common barrier sub-theme related to the workplace. In Study 2, 116 participants completed a survey assessing weekly physical activity and barrier strength for items pertaining to ecological categories and barrier sub-factors. Results showed that less active adults reported each of intrapersonal, interpersonal, and physical environment barriers more strongly than active adults, irrespective of age; the intrapersonal category was relatively the most constraining for our participants. In terms of barrier sub-factors, results showed that significantly higher barrier strength scores are most often associated with physical activity level (i.e., less active), and only occasionally associated with age group. The overall investigation can provide valuable information for improving physical activity interventions for middle-aged and older adults.