Wide range evaluation of the cognitive and physical performance in the pensioners. O. Tomarevska, O. Poliakov

http://www.frailty-sarcopenia.com/program.php

Wide range evaluation of the cognitive and physical performance in the pensioners. 
O. Tomarevska, O. Poliakov //The Journal of Frailty & Aging Volume 5, Supplement 1, 2016. - P. 71-72.

Backgrounds: Increased average life expectancy of people leads to aging creates a problem of working disability and independence and frailty of older people. Investigated functional ability of the elderly shows that the age decrease of labor effectiveness of a person occurs due to a cumulative effect of aging of separate elements of human organism functional systems. Methods: It has been studied anthropometric and functional parameters of respiration, physical performance, mental and psychomotor activity, sensory skills, as ,well as the rate of functional aging 120 persons aged 60 - 89 years 99 persons aged 90 – 104 years and 43 men aged 20 - 30 years. We have also analyzed the professional history, social status, and factual nutrition of the surveyed older people. Results: It was found general involution trends, which deals to the deterioration of anthropometric and functional parameters. Cognitive function, hand grip strength and endurance, vital capacity, functional parameters of external respiration declines with age. Body mass index and the rate of functional aging worsen with the age. According to the physiological and ergometric tests and subsequent clustering, correlation and regression analysis made it possible to develop a method for determining the residual performance of the person 60 years and more. Gerontechnology optimization approaches work and daily activity of the person allowed to allocate the residual levels of human performance on the actual capabilities of mental and physical activity. The development of the scale assessment the level residual capacity also contributed to the study of employment persons in paid employment. As a results the three typical of classes has been established according to labor ,parameters i.e. severity and intensity the severity and intensity the and recommends the best professions in intensity and severity. Finally it was designed rating scale of the residual working performance for %the persons over 60 years. Indicators residual capacity for work 90 100% correspond to the potential young people. The data at the level - of 70% to 89% reflects the average level of residual disability. The level of 50% - 69% reflects level below average. An index on range ,20% - 49% means overstrains of organism and requires rehabilitation 1% - 19% of the related frailty. The remaining working capacity in the retirement people was calculated according to standard health of young healthy individuals (men and women for 30 years). Thus, it revealed the full preservation of the total disability in the age groups 60 - 74 years for men 23.6% and women at 7%. The maximum reduction to 20% of the overall health of women and men is observed in the age 60 - 74 years without severe chronic pathology. In the age group 75 - 89 years for men and women did not reveal the preservation of efficiency of over 79%, in particular, the percentage of men observed the remaining amount of less than 69%. At 4.7% of women, aged 75-89 years receive 70 - 79% of the remaining whole capacity The main sample of elderly people is the overall health level of residual 20% - 49%. Keeping the overall health of at least 19%, which corresponds to the frailty was found in 23.5% of the studied men and 39.5% of women aged 75 - 89 years and the main sample of people centenarians, is also in this group. It was found that average residual  working capacity in elderly group 60 - 74 years overstrain 64.63%,  in the group of elderly 75 - 89 years was 30.46% and in the group of centenarians was 9.45%. There have been general trends of decline in self-service on the Barthel index, percent body fat a person older than 60 years. In turn, the number of cases falls 12.93% have a significant impact on the remaining amount of the persons over 60 years. The impact factor of body mass index in the residual performance has a valid contribution to 5.44% in the group of people aged 60 - 89 years and centenarians this relationship - 10.5%. In the residual performance affect respiratory function parameters: peak flow 34.39%, inspiratory breath 40.1% and 38.21% on the exhale. The reduction of the use of information sources is a prognostic factor of 7.95%, which determines the amount of residual human performance in the retirement age. At the same time indicators of the impact of professional activity, which has been in the past or ongoing at the time the study showed a greater percentage impact than the parameters of physical activity on the remaining amount of the elderly person. Conclusion: As a result of a comprehensive study and mathematical modeling was developed a quantitative method for assessing the residual working capacity for elderly persons.



http://www.frailty-sarcopenia.com/abstracts-2016.pdf

our poster presentation in ICFSR 2016 International Conference on Frailty & Sarcopenia Reseach, April 28 - 29, 2016, Philadelphia, PA, USA

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