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Physical Activity and Rehabilitation Interventions for Older People with Long-Term...
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Physical Activity and Rehabilitation Interventions for Older People with Long-Term Conditions

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Aging".

Deadline for manuscript submissions: closed (30 September 2023) | Viewed by 4349

Special Issue Editors

Dr. Hannah Young

E-Mail Website
Guest Editor
Lifestyle and Health Research Group, Leicester Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK
Interests: chronic kidney disease; diabetes; long-term conditions; multimorbidity; frailty
Dr. Abi Hall

E-Mail Website
Co-Guest Editor
Medical School, University of Exeter, Exeter EX1 2LU, UK
Interests: older people; rehabilitation; workforce development; qualitative; physiotherapy; primary care

Special Issue Information

Dear Colleagues,

Globally, the population aged 65 and over is growing faster than all other age groups. Globally, by 2050, one in six people will be over the age of 65 (16%), up from one in eleven in 2019 (9%), and the number of people aged 80 years or over is projected to triple. At the same time, the number of older people living with long-term health conditions, frailty, and multimorbidity (the presence of two or more long-term conditions) is increasing. Older people with frailty and/or multimorbidity are at increased risk of poor outcomes including reduced physical function, loss of independence and social participation, falls, hospitalisation, and institutionalisation. 

Rehabilitation is a multidisciplinary, transdiagnostic, interactive, collaborative, holistic, and person-centred process, which aims to enable an individual to maximise their potential to live a full, active, and independent life within their family, social networks, and wider society. With the context of long-term conditions, rehabilitation can occur across the life course with a shifting focus upon restorative, supportive, and palliative rehabilitation depending on the persons’ circumstances. More recently, the importance of prehabilitation to prepare older people for an impending health stressor has come to the fore. Within all of these, physical activity and exercise form a central part of a comprehensive rehabilitation programme, supporting older people to manage their condition(s), reduce the risk of developing secondary problems affecting either their mental or physical health, and adapt to changing functional ability and symptom burden. 

Whilst there is a robust evidence base for the benefits of physical activity and exercise-based rehabilitation across a range of long-term conditions, we welcome submissions that may advance the field. We are particularly interested in receiving submissions focusing on multimorbidity, and other emerging health issues and conditions where the evidence base is less developed, rehabilitation in underserved populations, and controversies or challenges in this area.

Dr. Hannah Young
Dr. Abi Hall
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • physical activity
  • rehabilitation
  • chronic disease
  • ageing
  • multimorbidity
  • long-term conditions
  • exercise
  • sedentary behaviour
  • multidisciplinary

Published Papers (2 papers)

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Research

11 pages, 776 KiB  
Article
The Association of Pain with Incident Falls in People with Chronic Obstructive Pulmonary Disease: Evidence from the English Longitudinal Study of Ageing
by Kirsti J. Loughran, Daniel Tough, Cormac G. Ryan, Shaun Wellburn, Denis Martin, John Dixon and Samantha L. Harrison
Int. J. Environ. Res. Public Health 2023, 20(13), 6236; https://doi.org/10.3390/ijerph20136236 - 27 Jun 2023
Viewed by 1646
Abstract
People with chronic obstructive pulmonary disease (COPD) have a higher prevalence of pain and a greater risk of falls than their healthy peers. As pain has been associated with an increased risk of falls in older adults, this study investigated the association between [...] Read more.
People with chronic obstructive pulmonary disease (COPD) have a higher prevalence of pain and a greater risk of falls than their healthy peers. As pain has been associated with an increased risk of falls in older adults, this study investigated the association between pain and falls in people with COPD compared to healthy controls. Data from the English Longitudinal Study of Ageing were used to establish an association between pain and falls when modelled with a generalised ordinal logistic regression and adjusted for sex, age, wealth, and education (complete case analysis only; n = 806 COPD, n = 3898 healthy controls). The odds were then converted to the predicted probabilities of falling. The predicted probability of falling for people with COPD was greater across all pain categories than for healthy controls; for COPD with (predicted probability % [95%CI]), no pain was 20% [17 to 25], with mild pain was 28% [18 to 38], with moderate pain was 28% [22 to 34] with severe pain was 39% [30 to 47] and for healthy controls with no pain was 17% [16 to 18], mild pain 22% [18 to 27], moderate pain 25% [20 to 29] and severe pain 27% [20 to 35]. The probability of falling increased across pain categories in individuals with COPD, with the most severe pain category at a nearly 40% probability of falling, indicating a potential interaction between COPD and pain. Full article
(This article belongs to the Special Issue Physical Activity and Rehabilitation Interventions for Older People with Long-Term Conditions)
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11 pages, 310 KiB  
Article
Key Considerations When Providing Physical Rehabilitation for People with Advanced Dementia
by Abigail J. Hall, Fay Manning and Victoria Goodwin
Int. J. Environ. Res. Public Health 2023, 20(5), 4197; https://doi.org/10.3390/ijerph20054197 - 26 Feb 2023
Cited by 2 | Viewed by 2190
Abstract
Dementia is a growing global challenge with numbers set to increase rapidly in the coming years. Evidence suggests that exercise can be effective in improving cognitive functioning, but the evidence does not yet support improvements in other key domains such as quality of [...] Read more.
Dementia is a growing global challenge with numbers set to increase rapidly in the coming years. Evidence suggests that exercise can be effective in improving cognitive functioning, but the evidence does not yet support improvements in other key domains such as quality of life or physical ability. The aim of this study was to explore the key components that needed to be considered when providing physical rehabilitation to people with advanced dementia. The study used a qualitative approach involving semi-structured focus groups with health care professionals who are experts in delivering interventions to people with advanced dementia. As a pragmatic study seeking to inform the development of interventions, a thematic coding approach was used to make sense of the data. We collected data from 20 healthcare professionals who reported that key considerations needed to be considered from both an assessment and an intervention perspective. The assessment needed to be person centred and, with the right people engaged and using outcome measures that were meaningful to the patient. The actual intervention also needed to follow the principles of person-centred care, with emphasis placed on the importance of taking time to build a rapport with the person, but also reducing any of the barriers that would prevent effective engagement, such as unsuitable environments. Our study suggests that while there are barriers and challenges to providing interventions and rehabilitation to people with advanced dementia, appropriate person-centred, tailored interventions can be effective and therefore should be offered. Full article
(This article belongs to the Special Issue Physical Activity and Rehabilitation Interventions for Older People with Long-Term Conditions)
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