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To enable people to live in old age in their own homes often requires specialised home care services. Despite the high importance of these services, the finance of home nursing care (HNC) is still under-investigated in many countries. The aim of this paper was to describe the finance of HNC in the Czech Republic. Balancing of revenues and costs was done using structured questionnaires from the closed accounting year 2018 as a monthly average. Nonparametric Kruskal-Wallis and Wilcoxon signed ranks tests were used to test hypotheses. Data from 62 providers were analysed. The data included information from a total of 2297 patients and 995 employees. The average of total costs were € 17,591.7 (95% CI 14,175.3 - 21,008.1) and average of total revenues were € 17,276.5 (95% CI 13,923.5 - 20,629.5). The average cost per a patient was € 516.0 (95% CI 465.9–566.1) and the average revenues were € 500.1 (95% CI 457.0–543.3). The overall financial balance of HNC providers seems to be balanced in the Czech Republic. Nevertheless, insurance, although it should, did not cover all the costs. Micro- providers tended to be cheaper regarding the hours worked by nurses.
Petr Fiala; Iva Holmerova; Tomas Ruda; Michal Steffl. Financial balance of home nursing care providers in the Czech Republic. Health Economics Review 2021, 11, 1 .
AMA StylePetr Fiala, Iva Holmerova, Tomas Ruda, Michal Steffl. Financial balance of home nursing care providers in the Czech Republic. Health Economics Review. 2021; 11 ():1.
Chicago/Turabian StylePetr Fiala; Iva Holmerova; Tomas Ruda; Michal Steffl. 2021. "Financial balance of home nursing care providers in the Czech Republic." Health Economics Review 11, no. : 1.
Background. The main aim of this study was to estimate the effect of physical activities (PA) on cognitive functions (CF) in cognitively impaired older adults divided according to the impairment severity. Methods. We searched Web of Science, Scopus, and PubMed for randomized controlled trials (RCT). We focused on the effect of exercise on CF in intervention groups and control groups separately in people with cognitive impairment across three levels - borderline intact, mild, and moderate cognitive impairment separately. Results. Data from 40 studies involving 1,780 participants from intervention groups and 1,508 participants from control groups were analyzed. 37.0% of intervention groups presented a statistically significant beneficial effect of PA on CF, while 5% presented a statistically significant harmful effect of PA on CF. 40.0% of the control groups showed a significant decrease in CF. 54.3% interventions had a statistically significant beneficial effect (Hedges’ g > 0). However, there was a great variability between the studies in terms of exercise program description and cognitive impairment of the subjects. Conclusions. Physical exercise was associated with cognitive function improvement in older people with cognitive impairment. The positive effect is stronger in people with a mild level of cognitive impairment.
Lenka Sontáková; Alžběta Bártová; Klára Daďová; Iva Holmerová; Michal Šteffl. Effects of physical exercise on cognitively impaired older adults: a systematic review. AUC KINANTHROPOLOGICA 2021, 57, 51 -78.
AMA StyleLenka Sontáková, Alžběta Bártová, Klára Daďová, Iva Holmerová, Michal Šteffl. Effects of physical exercise on cognitively impaired older adults: a systematic review. AUC KINANTHROPOLOGICA. 2021; 57 (1):51-78.
Chicago/Turabian StyleLenka Sontáková; Alžběta Bártová; Klára Daďová; Iva Holmerová; Michal Šteffl. 2021. "Effects of physical exercise on cognitively impaired older adults: a systematic review." AUC KINANTHROPOLOGICA 57, no. 1: 51-78.
Sarcopenia and frailty are age-related syndromes with negative effects on the quality of life of older people and on public health costs. Although extensive research has been carried out on the effects of physical exercise and physical syndromes, there is a knowledge gap when it comes to the effect of resistance training on muscular strength, physical performance, and body composition at early (prevention) and late (treatment) stages in both syndromes combined. We conducted this systematic review and meta-analysis (CRD42019138253) to gather the evidence of randomized controlled trials examining the effects of resistance training programs lasting ≥8 weeks on strength, physical function, and body composition of adults ≥65 years old diagnosed with pre-sarcopenia, sarcopenia, pre-frailty, or frailty. A search from the earliest record up to and including December 2020 was carried out using the PubMed, Scopus, Web of Science, and Cochrane Library databases. A total of 25 studies (n = 2267 participants) were included. Meta-analysis showed significant changes in favour of resistance training for handgrip (ES = 0.51, p = 0.001) and lower-limb strength (ES = 0.93, p < 0.001), agility (ES = 0.78, p = 0.003), gait speed (ES = 0.75, p < 0.001), postural stability (ES = 0.68, p = 0.007), functional performance (ES = 0.76, p < 0.001), fat mass (ES = 0.41, p = 0.001), and muscle mass (ES = 0.29, p = 0.002). Resistance training during early stages had positive effects in all variables during early stages (ES > 0.12), being particularly effective in improving gait speed (ES = 0.63, p = 0.016) and functional strength (ES = 0.53, p = 0.011). Based on these results, resistance training should be considered as a highly effective preventive strategy to delay and attenuate the negative effects of sarcopenia and frailty in both early and late stages.
Karolina Talar; Alejandro Hernández-Belmonte; Tomas Vetrovsky; Michal Steffl; Ewa Kałamacka; Javier Courel-Ibáñez. Benefits of Resistance Training in Early and Late Stages of Frailty and Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies. Journal of Clinical Medicine 2021, 10, 1630 .
AMA StyleKarolina Talar, Alejandro Hernández-Belmonte, Tomas Vetrovsky, Michal Steffl, Ewa Kałamacka, Javier Courel-Ibáñez. Benefits of Resistance Training in Early and Late Stages of Frailty and Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies. Journal of Clinical Medicine. 2021; 10 (8):1630.
Chicago/Turabian StyleKarolina Talar; Alejandro Hernández-Belmonte; Tomas Vetrovsky; Michal Steffl; Ewa Kałamacka; Javier Courel-Ibáñez. 2021. "Benefits of Resistance Training in Early and Late Stages of Frailty and Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies." Journal of Clinical Medicine 10, no. 8: 1630.
The aim of this study was to determine the effect of changes in cardiopulmonary fitness on the mental health of patients with severe obesity who underwent gastric bypass surgery (prior to and 1, 3, and 6 months after surgery). Study participants were recruited from among patients of a regional hospital in Czechia who underwent gastric bypass surgery between April 2018 and October 2019. They were eligible if they (a) were between 18 and 65 years old, (b) provided written informed consent, and (c) were able to walk independently. Twenty-six patients (age 45.4 ± 9.0 years, body mass index 45.1 ± 7.4 kg·m−2, body fat 43.8 ± 4.8%) were included in the analysis. The key finding revealed that the greater the increase in cardiopulmonary fitness (i.e., longer distance walked in the six-minute walk test, 6MWT), the better the improvement in depression score among patients who underwent bariatric surgery. In particular, increments of 10 m in the 6MWT lead to the improvement of 0.5 points on the depression subscale of the Hospital Anxiety and Depression Scale (HADS) questionnaire. As the main implication, these results suggest that patients should participate in exercise training programs to increase their fitness status for optimal physical and mental outcomes of bariatric surgery.
Tomas Vetrovsky; Tereza Fortova; Elena Conesa-Ros; Michal Steffl; Jana Heczkova; Jan Belohlavek; Javier Courel-Ibáñez. Increased Cardiopulmonary Fitness Is Associated with a Greater Reduction in Depression among People Who Underwent Bariatric Surgery. International Journal of Environmental Research and Public Health 2021, 18, 2508 .
AMA StyleTomas Vetrovsky, Tereza Fortova, Elena Conesa-Ros, Michal Steffl, Jana Heczkova, Jan Belohlavek, Javier Courel-Ibáñez. Increased Cardiopulmonary Fitness Is Associated with a Greater Reduction in Depression among People Who Underwent Bariatric Surgery. International Journal of Environmental Research and Public Health. 2021; 18 (5):2508.
Chicago/Turabian StyleTomas Vetrovsky; Tereza Fortova; Elena Conesa-Ros; Michal Steffl; Jana Heczkova; Jan Belohlavek; Javier Courel-Ibáñez. 2021. "Increased Cardiopulmonary Fitness Is Associated with a Greater Reduction in Depression among People Who Underwent Bariatric Surgery." International Journal of Environmental Research and Public Health 18, no. 5: 2508.
Loss of muscle mass of the lower limbs and of the spine extensors markedly impairs locomotor ability and spine stability in old age. In this study, we investigated whether 8 w of neuromuscular electrical stimulation (NMES) improves size and architecture of the lumbar multifidus (LM) and vastus lateralis (VL) along with locomotor ability in healthy older individuals. Eight volunteers (aged 65 ≥ years) performed NMES 3 times/week. Eight sex- and age-matched individuals served as controls. Functional tests (Timed Up and Go test (TUG) and Five Times Sit-to-Stand Test (FTSST)), VL muscle architecture (muscle thickness (MT), pennation angle (PA), and fiber length (FL)), along with VL cross-sectional area (CSA) and both sides of LM were measured before and after by ultrasound. By the end of the training period, MT and CSA of VL increased by 8.6% and 11.4%, respectively. No significant increases were observed in FL and PA. LM CSA increased by 5.6% (left) and 7.1% (right). Interestingly, all VL architectural parameters significantly decreased in the control group. The combined NMES had a large significant effect on TUG (r = 0.50, p = 0.046). These results extend previous findings on the hypertrophic effects of NMES training, suggesting to be a useful mean for combating age-related sarcopenia.
Tereza Jandova; Marco V. Narici; Michal Steffl; Danilo Bondi; Moreno D’Amico; Dagmar Pavlu; Vittore Verratti; Stefania Fulle; Tiziana Pietrangelo. Muscle Hypertrophy and Architectural Changes in Response to Eight-Week Neuromuscular Electrical Stimulation Training in Healthy Older People. Life 2020, 10, 184 .
AMA StyleTereza Jandova, Marco V. Narici, Michal Steffl, Danilo Bondi, Moreno D’Amico, Dagmar Pavlu, Vittore Verratti, Stefania Fulle, Tiziana Pietrangelo. Muscle Hypertrophy and Architectural Changes in Response to Eight-Week Neuromuscular Electrical Stimulation Training in Healthy Older People. Life. 2020; 10 (9):184.
Chicago/Turabian StyleTereza Jandova; Marco V. Narici; Michal Steffl; Danilo Bondi; Moreno D’Amico; Dagmar Pavlu; Vittore Verratti; Stefania Fulle; Tiziana Pietrangelo. 2020. "Muscle Hypertrophy and Architectural Changes in Response to Eight-Week Neuromuscular Electrical Stimulation Training in Healthy Older People." Life 10, no. 9: 184.
We investigated changes in functional fitness after an exercise program in combination with Calanus oil supplementation, a novel source of bioactive lipids rich in wax esters with omega-3 polyunsaturated fatty acid (n-3 PUFA). Fifty-five healthy sedentary women aged 65–80 (mean age 70.9 ± 3.9 years, BMI 27.24 ± 3.9 kg m−2, VO2peak 19.46 ± 3.7 ml kg−1 min−1) were enrolled in the study. The participants were divided into two groups: exercise training plus Calanus Oil supplementation (n = 28) or exercise plus placebo (sunflower oil) supplementation (n = 27). The exercise intervention program was completed by 53 participants and contained functional circuit training (twice a week, 45 min plus 15 min of stretching and balance training) and Nordic walking (once a week, 60 min) for 16 weeks. Senior fitness test, exercise stress test on bicycle ergometer, hand-grip, and body composition were evaluated before and after the program. Our results show that functional fitness and body composition improved following the interventional exercise program, but for most of the parameters there was no synergic effect of supplementing n-3 PUFA-rich Calanus oil. In comparison to the placebo group, the group with Calanus supplementation experienced significantly higher improvement of functional strength of lower body which was evaluated by the chair stand test. Supplementation with Calanus may have a synergic effect with exercise on functional strength of the lower body in the elderly.
Klára Daďová; Miroslav Petr; Michal Šteffl; Lenka Sontáková; Martin Chlumský; Miloš Matouš; Vladimír Štich; Marek Štěpán; Michaela Šiklová. Effect of Calanus Oil Supplementation and 16 Week Exercise Program on Selected Fitness Parameters in Older Women. Nutrients 2020, 12, 481 .
AMA StyleKlára Daďová, Miroslav Petr, Michal Šteffl, Lenka Sontáková, Martin Chlumský, Miloš Matouš, Vladimír Štich, Marek Štěpán, Michaela Šiklová. Effect of Calanus Oil Supplementation and 16 Week Exercise Program on Selected Fitness Parameters in Older Women. Nutrients. 2020; 12 (2):481.
Chicago/Turabian StyleKlára Daďová; Miroslav Petr; Michal Šteffl; Lenka Sontáková; Martin Chlumský; Miloš Matouš; Vladimír Štich; Marek Štěpán; Michaela Šiklová. 2020. "Effect of Calanus Oil Supplementation and 16 Week Exercise Program on Selected Fitness Parameters in Older Women." Nutrients 12, no. 2: 481.
Objectives: To investigate associations between demographic and lifestyle factors and memory performance in European people aged ≥60 years. Methods: Data from 23,641 people with a mean age of 70.2 (95 % CI 70.1–70.3) were analyzed and drawn from the fourth wave of the Survey of Health, Ageing, and Retirement in Europe (SHARE). Generalized linear models were carried out to estimate the associations for both men and women. Memory performance was tested using two word-list learning tests with immediate and delayed recall in SHARE. Results: age, severe limitations in physical activities, and any past alcohol problem were all negatively associated with memory performance. Contrarily, education level, higher nonalcoholic fluid intake, and engagement in sports activities more than once a week and in activities requiring a moderate level of energy were all positively associated with memory performance. Smoking showed a significant negative association only in the immediate recall test for both men and women together, whilst long-term illness showed association only in the delayed recall. Alcohol consumption was positively associated with memory performance in women, but in men, it depended on the drinking frequency. Conclusions: Demographic and lifestyle factors are associated with memory performance in the older population.
Michal Steffl; Tereza Jandova; Klara Dadova; Iva Holmerova; Piergiusto Vitulli; Sante D. Pierdomenico; Tiziana Pietrangelo. Demographic and Lifestyle Factors and Memory in European Older People. International Journal of Environmental Research and Public Health 2019, 16, 4727 .
AMA StyleMichal Steffl, Tereza Jandova, Klara Dadova, Iva Holmerova, Piergiusto Vitulli, Sante D. Pierdomenico, Tiziana Pietrangelo. Demographic and Lifestyle Factors and Memory in European Older People. International Journal of Environmental Research and Public Health. 2019; 16 (23):4727.
Chicago/Turabian StyleMichal Steffl; Tereza Jandova; Klara Dadova; Iva Holmerova; Piergiusto Vitulli; Sante D. Pierdomenico; Tiziana Pietrangelo. 2019. "Demographic and Lifestyle Factors and Memory in European Older People." International Journal of Environmental Research and Public Health 16, no. 23: 4727.
Both regular exercise training and beta-hydroxy-beta-methylbutyrate (HMB) supplementation are shown as effective treatments to delay or reverse frailty and reduce cognitive impairment in older people. However, there is very little evidence on the true benefits of combining both strategies. The aim of this meta-analysis was to quantify the effects of exercise in addition to HMB supplementation, on physical and cognitive health in older adults. Data from 10 randomized controlled trials (RCTs) investigating the effect of HMB supplementation and physical function in adults aged 50 years or older were analyzed, involving 384 participants. Results showed that HMB supplementation in addition to physical exercise has no or fairly low impact in improving body composition, muscle strength, or physical performance in adults aged 50 to 80 years, compared to exercise alone. There is a gap of knowledge on the beneficial effects of HMB combined with exercise to preserve cognitive functions in aging and age-related neurodegenerative diseases. Future RCTs are needed to refine treatment choices combining HMB and exercises for older people in particular populations, ages, and health status. Specifically, interventions in older adults aged 80 years or older, with cognitive impairment, frailty, or limited mobility are required.
Javier Courel-Ibáñez; Tomas Vetrovsky; Klara Dadova; Jesus G. Pallares; Michal Steffl; Courel- Ibáñez. Health Benefits of β-Hydroxy-β-Methylbutyrate (HMB) Supplementation in Addition to Physical Exercise in Older Adults: A Systematic Review with Meta-Analysis. Nutrients 2019, 11, 2082 .
AMA StyleJavier Courel-Ibáñez, Tomas Vetrovsky, Klara Dadova, Jesus G. Pallares, Michal Steffl, Courel- Ibáñez. Health Benefits of β-Hydroxy-β-Methylbutyrate (HMB) Supplementation in Addition to Physical Exercise in Older Adults: A Systematic Review with Meta-Analysis. Nutrients. 2019; 11 (9):2082.
Chicago/Turabian StyleJavier Courel-Ibáñez; Tomas Vetrovsky; Klara Dadova; Jesus G. Pallares; Michal Steffl; Courel- Ibáñez. 2019. "Health Benefits of β-Hydroxy-β-Methylbutyrate (HMB) Supplementation in Addition to Physical Exercise in Older Adults: A Systematic Review with Meta-Analysis." Nutrients 11, no. 9: 2082.
The aim of this data paper is to provide the data set of a sub-analysis of the DEMDATA study data. In the DEMDATA study, epidemiological data on the prevalence and severity of dementia, as well as functioning, behavioral problems and other health related factors in residents living in Austrian and Czech nursing homes were collected. The DEMDATA project further provides information on relatives’ perception of the life Quality of residents, care team burden as well as environmental factors. Participating nursing homes were randomly drawn and stratified. Inclusion criteria for participation were that the resident was living permanently in the institution and that he/she and/or a legal representative (where relevant) had signed an informed consent. This paper provides data of cognitive, functional and behavioral assessments as well as other health related information of 1085 residents living in Austrian and Czech nursing homes. For each resident, several measurements on his or her cognitive, functional, and behavioral status are available. Also further health-related factors such as quality of life, pain, numbers of falls and hospital stays are provided.
Margit Höfler; Paulina Ratajczak; Anna Beránková; Doris Prieschl; Michal Šteffl; Iva Holmerová; Stefanie R. Auer. Data of a sub-analysis of the DEMDATA study: characteristics of Austrian and Czech nursing homes residents. BMC Research Notes 2019, 12, 1 -3.
AMA StyleMargit Höfler, Paulina Ratajczak, Anna Beránková, Doris Prieschl, Michal Šteffl, Iva Holmerová, Stefanie R. Auer. Data of a sub-analysis of the DEMDATA study: characteristics of Austrian and Czech nursing homes residents. BMC Research Notes. 2019; 12 (1):1-3.
Chicago/Turabian StyleMargit Höfler; Paulina Ratajczak; Anna Beránková; Doris Prieschl; Michal Šteffl; Iva Holmerová; Stefanie R. Auer. 2019. "Data of a sub-analysis of the DEMDATA study: characteristics of Austrian and Czech nursing homes residents." BMC Research Notes 12, no. 1: 1-3.
The nutrition of soccer players is an important topic and its knowledge may help to increase the quality of this popular game and prevent possible health problems and injuries in players. This meta-analysis aims to estimate the current dietary trends of three basic macronutrients in junior and senior soccer players during the first two decades of the 21st century. We analyzed data from 647 junior players (mean age 10.0–19.3) from 27 groups, and 277 senior (mean age 20.7–27.1) players from 8 groups from altogether 21 papers in this meta-analysis. Weighted averages were calculated for each macronutrients. Protein intake is higher than recommended in both juniors, 1.9 95% confidence interval (CI) 1.8–2.0 g/kg/day, and seniors 1.8 95% CI 1.6–2.0 g/kg/day. However, carbohydrate intake is still below the recommended values in both groups (5.7 95% CI 5.5–5.9 g/kg/day in junior and 4.7 95% CI 4.3–5.0 g/kg/day in senior players). The proportion of fat as total energy intake is in concordance with the recommendations (31.5 95% CI 32.0–35.9% in junior and 33.1 95% CI 29.9–36.2% in senior players). In particular, due to possible health complications, the small carbohydrate intake should be alarming for coaches, nutritional experts, and parents.
Michal Steffl; Ivana Kinkorová; Jakub Kokstejn; Miroslav Petr. Macronutrient Intake in Soccer Players—A Meta-Analysis. Nutrients 2019, 11, 1305 .
AMA StyleMichal Steffl, Ivana Kinkorová, Jakub Kokstejn, Miroslav Petr. Macronutrient Intake in Soccer Players—A Meta-Analysis. Nutrients. 2019; 11 (6):1305.
Chicago/Turabian StyleMichal Steffl; Ivana Kinkorová; Jakub Kokstejn; Miroslav Petr. 2019. "Macronutrient Intake in Soccer Players—A Meta-Analysis." Nutrients 11, no. 6: 1305.
Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic Iva Holmerová,1 Stefanie R Auer,2,3 Anna Beránková,1 Margit Höfler,2 Paulina Ratajczak,2 Michal Šteffl4 1Centre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic; 2Danube University Krems, 3500 Krems, Austria; 3MAS Alzheimerhilfe, 4820 Bad Ischl, Austria; 4Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic Background: The treatment of pain and treatment of anxiety are two of the most complex issues in nursing homes worldwide, mainly because of the large numbers of people with cognitive impairment who reside in this environment. Aim: The aim of this study was to investigate the administration of analgesics and anxiolytics to people living in nursing homes, taking into account cognitive status. Methods: For this cross-sectional study, we used data from 404 residents who lived in nine randomly selected nursing homes in the Czech Republic and participated in the Czech-Austrian Long-Term Care Research Project called DEMDATA. Information about medication administration was obtained from medical records. Cognitive impairment was evaluated by the Mini-Mental State Examination, and pain was measured by the Pain Assessment in Advanced Dementia. To measure anxiety, we used the Behavioral Pathology in Alzheimer’s Disease Rating Scale in residents with severe-to-moderate dementia and also the standardized questionnaire EuroQol in other residents. Results: In all, 68% (95% CI 62–74) of residents with pain did not receive any analgesic medication and 31% (95% CI 25–38) of residents were administered some analgesics and continued to report pain. The lowest reported occurrence of pain, as well as the lowest prevalence of analgesic administration, was in residents with moderate-to-severe dementia. We found that an alarming percentage of residents in the nursing homes were not treated sufficiently. Conclusion: This study indicates that treatment effects should be better monitored. Keywords: pain, anxiety, dementia, analgesics, anxiolytics
Iva Holmerova; Stefanie R. Auer; Anna Berankova; Margit Höfler; Paulina Ratajczak; Michal Steffl. Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic. Clinical Interventions in Aging 2018, ume 13, 2511 -2515.
AMA StyleIva Holmerova, Stefanie R. Auer, Anna Berankova, Margit Höfler, Paulina Ratajczak, Michal Steffl. Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic. Clinical Interventions in Aging. 2018; ume 13 ():2511-2515.
Chicago/Turabian StyleIva Holmerova; Stefanie R. Auer; Anna Berankova; Margit Höfler; Paulina Ratajczak; Michal Steffl. 2018. "Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic." Clinical Interventions in Aging ume 13, no. : 2511-2515.
The aging process is associated with a progressive decline of neuromuscular function, increased risk of falls and fractures, impaired functional performance, and loss of independence. Plyometric training may mitigate or even reverse such age-related deterioration; however, little research on the effects of plyometric exercises has been performed in older adults. The objective of this systematic review was to evaluate the safety and efficacy of plyometric training in older adults. Papers reporting on randomized trials of plyometric training in older adults (≥ 60 years) and published up to December 2017 were sought in the PubMed, SPORTDiscus, Scopus, and EMBASE databases, and their methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale. A narrative synthesis of the findings is presented in this systematic review. Of the 2236 identified papers, 18 were included in the review, reporting on 12 different studies with a mean PEDro score of 6.0 (range 4–7). Altogether, 289 subjects (176 females and 113 males) were included in 15 intervention groups with plyometric components (n = 8–36 per group); their mean age ranged from 58.4 to 79.4 years. The plyometric training lasted from 4 weeks to 12 months. Muscular strength, bone health, body composition, postural stability, and jump and physical performance were the most often reported outcomes. No study reported increased occurrence of injuries or other adverse events related to plyometric exercises. Plyometric training is a feasible and safe training option with potential for improving various performance, functional, and health-related outcomes in older persons.
Tomas Vetrovsky; Michal Steffl; Petr Stastny; James J. Tufano. The Efficacy and Safety of Lower-Limb Plyometric Training in Older Adults: A Systematic Review. Sports Medicine 2018, 49, 113 -131.
AMA StyleTomas Vetrovsky, Michal Steffl, Petr Stastny, James J. Tufano. The Efficacy and Safety of Lower-Limb Plyometric Training in Older Adults: A Systematic Review. Sports Medicine. 2018; 49 (1):113-131.
Chicago/Turabian StyleTomas Vetrovsky; Michal Steffl; Petr Stastny; James J. Tufano. 2018. "The Efficacy and Safety of Lower-Limb Plyometric Training in Older Adults: A Systematic Review." Sports Medicine 49, no. 1: 113-131.
Purpose: Assisted jumping can supplement resistance training and traditional plyometric training to increase vertical jump performance. However, as coaches may choose to make field-based decisions based on lab-based research, this study determined whether a field-based assisted jumping set-up results in different ground contact times (CT), take off forces (TOF), flight times (FT), and impact forces (IF) compared to a lab-based set-up. Methods: Eighteen active males (24.8 ± 3.0 yr; 178.8 ± 7.8 cm; 77.8 ± 7.8 kg) performed two sessions of assisted jumping: one with each hand holding a commercially available resistance band (1m) that was attached to a pull-up bar (FIELD), and the other with assistance from a custom-built system of ropes, pulleys, and long (3 m) elastic bands (LAB). With each set-up, subjects performed five sets of five countermovement jumps on a force plate. Each set was performed with either bodyweight (BW), 90, 80, 70, or 60% of BW, which was achieved by either grabbing higher or lower on the bands during FIELD, or by being pulled upward via a full-body harness during LAB. The order of each visit was counter-balanced, and the order of jumps within each visit was quasi-randomized. Data from the 90, 80, 70, and 60% trials for each set-up were then expressed relative to the data of BW jumps, and these relative values were then used for analysis. Results: CTFIELD was less than CTLAB at 80, 70, and 60%. FTFIELD was greater than FTLAB at 90 and 80%, but FTLAB became greater at 60%. TOF and IF remained unchanged during LAB, but TOFFIELD was consistently less than TOF during BW, with IFFIELD generally being greater than IFLAB. Conclusion: If the purpose of assisted jumping is to spend less time on the ground without decreasing force, systems with finite adjustments and longer bands like LAB should be used. However, shorter bands similar to FIELD may also be used; but due to the larger variability of assistance throughout the range of motion, such systems may alter the neuromuscular characteristics of the jump in other ways that should be investigated in future research.
James J. Tufano; Jan Malecek; Michal Steffl; Petr Stastny; Vladimír Hojka; Tomas Vetrovsky. Field-Based and Lab-Based Assisted Jumping: Unveiling the Testing and Training Implications. Frontiers in Physiology 2018, 9, 1284 .
AMA StyleJames J. Tufano, Jan Malecek, Michal Steffl, Petr Stastny, Vladimír Hojka, Tomas Vetrovsky. Field-Based and Lab-Based Assisted Jumping: Unveiling the Testing and Training Implications. Frontiers in Physiology. 2018; 9 ():1284.
Chicago/Turabian StyleJames J. Tufano; Jan Malecek; Michal Steffl; Petr Stastny; Vladimír Hojka; Tomas Vetrovsky. 2018. "Field-Based and Lab-Based Assisted Jumping: Unveiling the Testing and Training Implications." Frontiers in Physiology 9, no. : 1284.
Objective: The electronic patient record (EPR) has been introduced into nursing homes with the aim of reducing time spent on documentation, improving documentation quality and increasing transferability of information, all of which should facilitate care provision. However, previous research has shown that EPR may be creating new burdens for staff. The purpose of this literature review is to explore how EPR is facilitating or hindering care provision in nursing homes. Methods: An integrative literature review was carried out using four electronic databases to search for relevant articles. After screening, 22 articles were included for thematic synthesis. Results: Thematic synthesis resulted in six analytical themes linked to care provision: time for direct care; accountability; assessment and care planning; exchange of information; risk awareness; and person-centered care. Conclusion: For EPR to facilitate care provision in nursing homes, consideration should be given to the type of device used for documentation, as well as the types of applications, the functionality, content, and structure of EPR. Further research exploring the experiences of end users is required to identify the optimal characteristics of an EPR system specifically for use in nursing homes.
Kate Shiells; Iva Holmerova; Michal Steffl; Olga Stepankova. Electronic patient records as a tool to facilitate care provision in nursing homes: an integrative review. Informatics for Health and Social Care 2018, 44, 262 -277.
AMA StyleKate Shiells, Iva Holmerova, Michal Steffl, Olga Stepankova. Electronic patient records as a tool to facilitate care provision in nursing homes: an integrative review. Informatics for Health and Social Care. 2018; 44 (3):262-277.
Chicago/Turabian StyleKate Shiells; Iva Holmerova; Michal Steffl; Olga Stepankova. 2018. "Electronic patient records as a tool to facilitate care provision in nursing homes: an integrative review." Informatics for Health and Social Care 44, no. 3: 262-277.
This paper provides a first comparative exploratory analysis of our findings from DEMDATA, a collaborative project between Austria and the Czech Republic. Analysed here are data from the residents and the environment assessment protocol. In a cross sectional study design, residents from randomly drawn and stratified nursing homes were investigated using a common study protocol. From a total resident pool of 1666 persons, 1085 (571 in Austria, 514 in the Czech Republic) persons signed a consent form and participated in the data collection. More than 70% of residents assessed were female and the population was on average 85 years old. A discrepancy between the presence of a medical diagnosis in the charts of the residents and the results of cognitive testing was found. In Austria, 85.2%, in the Czech Republic 53.0% of residents had cognitive impairment. In Austria 80.0%, and in the Czech Republic 56.7% had behavioural problems. With respect to pain, 44.8% in Austria, and 51.5% in the Czech Republic had mild to severe pain. 78.4% of Austrian and 74.5% of the residents had problems with mobility and both populations were in danger of malnutrition. Most of the prevalence rates are comparable with previous studies also using direct resident assessment. Variations in prevalence rates seem to result mainly from the assessment technique (direct cognitive testing vs. medical chart review). The high prevalence rates for dementia, behavioural symptoms, pain and malnutrition indicate an immediate call for attention to further research and practice development.
Stefanie R. Auer; Margit Höfler; Elisabeth Linsmayer; Anna Beránková; Doris Prieschl; Paulina Ratajczak; Michal Šteffl; Iva Holmerová. Cross-sectional study of prevalence of dementia, behavioural symptoms, mobility, pain and other health parameters in nursing homes in Austria and the Czech Republic: results from the DEMDATA project. BMC Geriatrics 2018, 18, 1 -13.
AMA StyleStefanie R. Auer, Margit Höfler, Elisabeth Linsmayer, Anna Beránková, Doris Prieschl, Paulina Ratajczak, Michal Šteffl, Iva Holmerová. Cross-sectional study of prevalence of dementia, behavioural symptoms, mobility, pain and other health parameters in nursing homes in Austria and the Czech Republic: results from the DEMDATA project. BMC Geriatrics. 2018; 18 (1):1-13.
Chicago/Turabian StyleStefanie R. Auer; Margit Höfler; Elisabeth Linsmayer; Anna Beránková; Doris Prieschl; Paulina Ratajczak; Michal Šteffl; Iva Holmerová. 2018. "Cross-sectional study of prevalence of dementia, behavioural symptoms, mobility, pain and other health parameters in nursing homes in Austria and the Czech Republic: results from the DEMDATA project." BMC Geriatrics 18, no. 1: 1-13.
Klara Dadova; Krystof Slaby; Jiri Radvansky; Milos Matous; Jitka Varekova; Jiri Hodis; Michal Steffl; James J Tufano. Exercise prescription in cardiac patients treated with metoprolol – should the time of day for stress tests and training coincide? European Journal of Preventive Cardiology 2018, 25, 1026 -1027.
AMA StyleKlara Dadova, Krystof Slaby, Jiri Radvansky, Milos Matous, Jitka Varekova, Jiri Hodis, Michal Steffl, James J Tufano. Exercise prescription in cardiac patients treated with metoprolol – should the time of day for stress tests and training coincide? European Journal of Preventive Cardiology. 2018; 25 (10):1026-1027.
Chicago/Turabian StyleKlara Dadova; Krystof Slaby; Jiri Radvansky; Milos Matous; Jitka Varekova; Jiri Hodis; Michal Steffl; James J Tufano. 2018. "Exercise prescription in cardiac patients treated with metoprolol – should the time of day for stress tests and training coincide?" European Journal of Preventive Cardiology 25, no. 10: 1026-1027.
Background: Visual feedback may help elicit peak performance during different types of strength and power testing, but its effect during the anaerobic Wingate test is unexplored. Therefore, the purpose of this study was to determine the effect of visual feedback on power output during a hockey-specific intermittent Wingate test (AnWT6x6) consisting of 6 stages of 6 s intervals with a 1:1 work-to-rest ratio. Methods: Thirty elite college-aged hockey players performed the AnWT6x6 with either constant (n = 15) visual feedback during all 6 stages (CVF) or restricted (n = 15) visual feedback (RVF) where feedback was shown only during the 2nd through 5th stages. Results: In the first stage, there were moderate-to-large effect sizes for absolute peak power (PP) output and PP relative to body mass and PP relative to fat-free mass. However, the remaining stages (2–6) displayed small or negligible effects. Conclusions: These data indicate that visual feedback may play a role in optimizing power output in a non-fatigued state (1st stage), but likely does not play a role in the presence of extreme neuromuscular fatigue (6th stage) during Wingate testing. To achieve the highest peak power, coaches and researchers could provide visual feedback during Wingate testing, as it may positively influence performance in the early stages of testing, but does not result in residual fatigue or negatively affect performance during subsequent stages.
Petr Stastny; James Tufano; Jan Kregl; Miroslav Petr; Dusan Blazek; Michal Steffl; Robert Roczniok; Milos Fiala; Artur Golas; Piotr Zmijewski. The Role of Visual Feedback on Power Output During Intermittent Wingate Testing in Ice Hockey Players. Sports 2018, 6, 32 .
AMA StylePetr Stastny, James Tufano, Jan Kregl, Miroslav Petr, Dusan Blazek, Michal Steffl, Robert Roczniok, Milos Fiala, Artur Golas, Piotr Zmijewski. The Role of Visual Feedback on Power Output During Intermittent Wingate Testing in Ice Hockey Players. Sports. 2018; 6 (2):32.
Chicago/Turabian StylePetr Stastny; James Tufano; Jan Kregl; Miroslav Petr; Dusan Blazek; Michal Steffl; Robert Roczniok; Milos Fiala; Artur Golas; Piotr Zmijewski. 2018. "The Role of Visual Feedback on Power Output During Intermittent Wingate Testing in Ice Hockey Players." Sports 6, no. 2: 32.
The prone bridge test is a valid and reliable measure for evaluating abdominal performance in both younger and older adults.
Richard W. Bohannon; Michal Steffl; Susan S. Glenney; Michelle Green; Leah Cashwell; Kveta Prajerova; Jennifer Bunn. The prone bridge test: Performance, validity, and reliability among older and younger adults. Journal of Bodywork and Movement Therapies 2018, 22, 385 -389.
AMA StyleRichard W. Bohannon, Michal Steffl, Susan S. Glenney, Michelle Green, Leah Cashwell, Kveta Prajerova, Jennifer Bunn. The prone bridge test: Performance, validity, and reliability among older and younger adults. Journal of Bodywork and Movement Therapies. 2018; 22 (2):385-389.
Chicago/Turabian StyleRichard W. Bohannon; Michal Steffl; Susan S. Glenney; Michelle Green; Leah Cashwell; Kveta Prajerova; Jennifer Bunn. 2018. "The prone bridge test: Performance, validity, and reliability among older and younger adults." Journal of Bodywork and Movement Therapies 22, no. 2: 385-389.
The increase in health care costs associated with muscle weakness in older people without long-term illnesses in the Czech Republic: results from the Survey of Health, Ageing and Retirement in Europe (SHARE) Michal Steffl,1 Jan Sima,2 Kate Shiells,3 Iva Holmerova3 1Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic; 2Department of Sport Management, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic; 3Centre of Expertise in Longevity and Long-term Care, Faculty of Humanities, Charles University, Prague, Czech Republic Muscle weakness and associated diseases are likely to place a considerable economic burden on government health care expenditure. Therefore, our aim for this study was to estimate the direct and indirect costs associated with muscle weakness in the Czech Republic. We applied a cost-of-illness approach using data from the Survey of Health, Ageing and Retirement in Europe (SHARE). Six hundred and eighty-nine participants aged 70 years and over and without any long-term illnesses were included in our study. A generalized linear model with gamma distribution was used, and odds ratio (OR) was calculated in order to explore the effect of muscle weakness on direct and indirect costs. For both genders, muscle weakness had a statistically significant impact on direct costs (OR =2.11), but did not have a statistically significant impact on indirect costs (OR =1.08) or on total cost (OR =1.51). Muscle weakness had the greatest statistically significant impact on direct costs in females (OR =2.75). In conclusion, our study has shown that muscle weakness may lead to increased direct costs, and consequently place a burden on health care expenditure. Therefore, the results of this study could lead to greater interest in the prevention of muscle weakness among older people in the Czech Republic. Keywords: direct cost, indirect cost, economic burden, sarcopenia, frailty
Michal Steffl; Jan Šíma; Kate Shiells; Iva Holmerova. The increase in health care costs associated with muscle weakness in older people without long-term illnesses in the Czech Republic: results from the Survey of Health, Ageing and Retirement in Europe (SHARE). Clinical Interventions in Aging 2017, ume 12, 2003 -2007.
AMA StyleMichal Steffl, Jan Šíma, Kate Shiells, Iva Holmerova. The increase in health care costs associated with muscle weakness in older people without long-term illnesses in the Czech Republic: results from the Survey of Health, Ageing and Retirement in Europe (SHARE). Clinical Interventions in Aging. 2017; ume 12 ():2003-2007.
Chicago/Turabian StyleMichal Steffl; Jan Šíma; Kate Shiells; Iva Holmerova. 2017. "The increase in health care costs associated with muscle weakness in older people without long-term illnesses in the Czech Republic: results from the Survey of Health, Ageing and Retirement in Europe (SHARE)." Clinical Interventions in Aging ume 12, no. : 2003-2007.
Identifying children at risk of developing childhood sarcopenic obesity often requires specialized equipment and costly testing procedures, so cheaper and quicker methods would be advantageous, especially in field-based settings. The purpose of this study was to determine the relationships between the muscle-to-fat ratio (MFR) and relative handgrip strength, and to determine the ability of handgrip strength relative to body mass index (grip-to-BMI) to identify children who are at risk of developing sarcopenic obesity. Grip-to-BMI was measured in 730 Czech children (4 to 14 yrs). Bioelectrical impedance was used to estimate body fat mass and skeletal muscle mass, from which the MFR was calculated.
Michal Šteffl; Jan Chrudimský; James J. Tufano. Using relative handgrip strength to identify children at risk of sarcopenic obesity. PLOS ONE 2017, 12, e0177006 .
AMA StyleMichal Šteffl, Jan Chrudimský, James J. Tufano. Using relative handgrip strength to identify children at risk of sarcopenic obesity. PLOS ONE. 2017; 12 (5):e0177006.
Chicago/Turabian StyleMichal Šteffl; Jan Chrudimský; James J. Tufano. 2017. "Using relative handgrip strength to identify children at risk of sarcopenic obesity." PLOS ONE 12, no. 5: e0177006.