Saturday, December 14, 2013

Article Critique #6- Exercise in Older Adults

Critique of Exercise in Older Adults
Alyssa Felix
Brigham Young University



Critique of Exercise in Older Adults
            In the article “Exercise and Functional Disability in Older Adults”, Kenneth Mobily discusses a survey done among elderly adult that studied the relationships between recreational and physical activity levels and functional disability level. Though the study was flawed, it showed that there was a relationship between higher levels of exercise and lower levels of functional disability.
Summary
            This article discussed how increased exercise can have a good effect on the level of functional disability of an older adult. Exercise, especially in older adults, is important for combating disease and maintaining health, but also it also helps to lengthen lifespan and increase quality of life. The author specifically wants to understand how exercise can increase quality of life in regards to functional ability (Mobily, 2013). A functional disability was defined as the ability or inability to do normal, everyday tasks that are essential to living independently (Mobily, 2013).
            To gather the data for this study, a telephone survey was done that included 1,103 adults that were 60 or older (Mobily, 2013). They were asked about their exercise levels and their ability to perform everyday tasks. After the data was gathered, statistical analysis was done. Exercise levels served as the independent variable while functional ability was the dependent variable. Mobily found that there was a positive relationship between exercise level and functional ability (Mobily, 2013). However, this relationship was not in the dose-dependent or linear manner that he expected. He realized though, that this result may be because the population was far healthier than he previously realized (Mobily, 2013).
 Strengths
            This study was one of the first studies to actually look at the relationship between functional disabilities and exercise levels. Mobily was very thorough in his research in backing up his hypotheses and was very detailed in discussing his processes and results. He based the levels of exercise used in the survey off of the Center for Disease Control’s recommended levels of exercise so that his results were standardized.
Weaknesses
However, the method of gather data used in this article was very flawed. The survey was only given to a predominantly white population, about 90% (Mobily, 2013). This exclusion of minority groups would have skewed the data. By including more cultural groups in the study, it would be less biased. The article also made no mention of the geographic area that this study or the gender make-up of the population surveyed. More diverse studies on this topic should be done to get a better idea of the entire population’s exercise and functional disability levels. Also, different forms of studies and experiments should be done. With the type of study done in this article it is impossible to tell if the functional disability was decreased because of the exercise or if a higher functional ability meant the subject was able to exercise more.
Application
            This survey showed that there was a relationship between functional ability and recreational and physical activity levels. The concept aligns with previous literature, research, and findings that discusses how exercise and other physical activity is good for your body in many ways. While further research is needed in this area, the information can be useful to Recreational Therapists. By encouraging, more physical activity in clients, a change in overall health can occur, including decreases in functional disabilities.
Reaction
            I chose this article mainly because I had using articles that discussed recreation in youth settings and decided to do something new. I also was interested in this article as I have a grandmother with fibromyalgia who has functional disabilities. Many of the concepts discussed in this article apply to her and her situation and could be very beneficial to her. Even though I am not an older adult, this research is still helpful for me personally. Understanding that recreational and physical exercise has many health benefits and implementing them in my life will help me be healthier as I continue in adulthood.




References
Mobily, Kenneth B. (2013) Exercise and functional disability in older adults. Therapeutic

Recreation Journal, 47, 47-60

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