Advertisement

First Steps in Improving Physical Activity in Assisted Living

  • Richard G. Stefanacci
    Correspondence
    Address correspondence to Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD, Center for Aging Research, Education & Support, University of the Sciences in Philadelphia, 600 South 43rd Street, Philadelphia, PA 19104.
    Affiliations
    Center for Aging Research, Education & Support, University of the Sciences in Philadelphia, New Courtland LIFE Medical Director, Philadelphia, PA
    Search for articles by this author
      A major difference between assisted living (AL) and nursing homes (NH) should be that whereas NHs provide care for residents ALs focus on facilitating and teaching their residents to provide for themselves. ALs as their name implies should be places that assist rather than encourage dependency on caregivers where the core philosophy is promoting autonomy. This continues to be the case although a growing number of residents are frail and have multiple chronic conditions.
      • Vance J.
      Proceedings of the AMDA Assisted Living Consensus Conferences, Washington, DC October 24, 2006.
      • Abellan van Kan G.
      • Rolland Y.M.
      • Morley J.E.
      • Vellas B.
      Frailty: toward a clinical definition.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the American Medical Directors Association
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Vance J.
        Proceedings of the AMDA Assisted Living Consensus Conferences, Washington, DC October 24, 2006.
        J Am Med Dir Assoc. 2008; 9: 378-382
        • Abellan van Kan G.
        • Rolland Y.M.
        • Morley J.E.
        • Vellas B.
        Frailty: toward a clinical definition.
        J Am Med Dir Assoc. 2008; 9: 71-72
        • Resnick B.
        Perceptions and performance of function and physical activity in AL communities.
        J Am Med Dir Assoc. 2010; 11: 402-410
      1. Babyak M, Blumenthal JA, Herman S, et al. Exercise treatment for major depression: Maintenance of therapeutic benefit at 10 months. Psychosomatic Med. 2000;62:633–638. Available at: http://robertwhitaker.org/robertwhitaker.org/Solutions_files/Exercise%20treatment%20for%20major%20depression.pdf. Accessed April 22, 2010.

        • Rolland Y.
        • Abellan van Kan G.
        • Vellas B.
        Physical activity and Alzheimer's disease: From prevention to therapeutic perspectives.
        J Am Med Dir Assoc. 2008; 9: 390-405
        • Morley J.E.
        The magic of exercise.
        J Am Med Dir Assoc. 2008; 9: 375-377
        • van Wetering C.R.
        • Hoogendoorn M.
        • Broekhuizen
        • et al.
        Efficacy and costs of nutritional rehabilitation in muscle-wasted patients with chronic obstructive pulmonary disease in a community-based setting: A prespecified subgroup analysis for the INTERCOM trial.
        J Am Med Dir Assoc. 2010; 11: 179-187
        • Topolski T.D.
        • LoGerfo J.
        • Patrick D.L.
        • et al.
        The Rapid Assessment of Physical Activity (RAPA) among older adults.
        Prev Chronic Dis. 2006; 3: A118
        • Colberg S.R.
        • Somma C.T.
        • Sechrist S.R.
        Physical activity participation may offset some of the negative impact of diabetes on cognitive function.
        J Am Med Dir Assoc. 2008; 9: 434-438
        • Colberg S.R.
        • Zarrabi L.
        • Bennington L.
        • et al.
        Postprandial walking is better for lowering the glycemic effect of dinner than pre-dinner exercise in type 2 diabetic individuals.
        J Am Med Dir Assoc. 2009; 10: 394-397
      2. Cartledge S. Getting older people walking. Sedentary seniors' health improved with exercise. Available at: http://seniors-health-medicare.suite101.com/article.cfm/getting_older_people_walking. Accessed March 6, 2008.

        • Sarkisian C.A.
        • Prohaska T.R.
        • Davis C.
        • Weiner B.
        Pilot test of an attribution retraining intervention to raise walking levels in sedentary older adults.
        J Am Geriatr Soc. 2007; 55: 1842-1846
        • Sherman S.E.
        • Hershman W.Y.
        Exercise counseling: How do general internists do?.
        J Gen Intern Med. 1993; 8: 243-248
        • Avery E.
        • Kleppinger A.
        • Feinn R.
        • Kenny A.M.
        Determinants of living situation in a population of community-dwelling and assisted living-dwelling elders.
        J Am Med Dir Assoc. 2010; 11: 140-144
        • Samus Q.M.
        • Mayer L.
        • Onyike C.U.
        • et al.
        Correlates of functional dependence among recently admitted assisted living residents with and without dementia.
        J Am Med Dir Assoc. 2009; 10: 323-329
        • Mihalko S.L.
        • Wickley K.L.
        • Sharpe B.L.
        Promoting physical activity in independent living communities.
        Med Sci Sports Exerc. 2006; 38: 112-115
      3. Centers for Disease Control and Prevention. Physical Activity and Health. A Report of the Surgeon General. Older Adults. Available at: http://www.cdc.gov/nccdphp/sgr/olderad.htm. Accessed April 9, 2010.

      4. American Society on Aging. Live Well, Live Long: Steps to Better Health Series, 2005. This module was developed by Chaya Gordon, MPH. Available at: http://www.asaging.org/CDC/module6/home.cfm. Accessed April 9, 2010.

      Linked Article