Volume : 5, Issue : 9, SEP 2019




INTRODUCTION: Geriatrics from the chronological viewpoint starts from the age of 65 years. It is associated with increased risk of cardiac diseases, metabolic syndrome. Due to prolong life expectancy, age related diseases have increased in recent decades.1 The literature review indicates lifestyle factors which have impact on the people aging. Three lifestyle factors play a significant role in slowing the rate of cognitive decline and preventing dementia, they are socially integrated network, cognitive leisure activity and regular physical activity.2

Chair exercises can help the geriatrics to enhance the physical activities especially individuals with muscle strength and trunk balance. Apart from chair exercises individual based physical activity can be adopted. Effectiveness of the structured chair aerobic exercises can be measured using physical activity score, cognitive functions with MMSE, social network with oxford happiness questionnaire and quality of life using SF36 questionnaire in geriatric population.

AIM: To find out the influence of chair exercises on physical activity, cognitive functions, social network and quality of life in geriatric individuals.


  • To find out the effect of chair aerobic exercises on physical activity in geriatrics using international physical activity questionnaire.
  • To find out the effect of chair aerobic exercises on cognitive functions in geriatrics using mini mental state examination.
  • To find out the effect of chair aerobic exercises on social network in geriatrics using oxford happiness questionnaire.
  • To find out the effect of chair aerobic exercises on quality of life in geriatrics using sf36 questionnaire.

METHOD: 60 patients with age > 60 years old individuals (both genders) were taken in tertiary care centers in Tirupati, Andhra Pradesh for the study. Pre and Post comparison design was adopted. Inclusion criteria include Age 60 years above, Both genders (male and female), Mild and Moderate disability. Major neurological problems (stroke, Parkinson disease), History of cardiovascular disease (Coronary artery disease, Heart attack, Abnormal heart rhythms, Heart failure, Peri cardiac disease, vascular disease), Severe musculoskeletal disorders were excluded from the study.

Participants received 30-45 min of chair aerobic exercises, were implemented to the subjects every week as per the individual tolerance and the protocol is completed with relaxation positions. The protocol is implemented 4 days per week for 8 weeks. Four outcome measurements were measured initially before the intervention and after the intervention.  Physical activity questionnaire, mini mental state examination, oxford happiness questionnaire. Sf36 questionnaire.

RESULTS: There is a statistically significant (p<0.00) improvement from baseline to 8th week in geriatric population.

CONCLUSION: Chair aerobic exercises proved to be effective in improving the cognitive function, physical activity, social network, and quality of life in geriatric population.



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  1. C.Y.Wang, W.L.Haskell, S.W.Farrelletal, “Cardiorespiratory fitness levels among us adults 20–49 years of age: findings from the 1999–2004 national health and nutrition examination survey,” The American Journal of Epidemiology, vol. 171, no. 4, pp.426–435,2010.
  2. L.Fratiglioni, S.Paillard-Borg, and B.Winblad, “An active and socially integrated lifestyle in late life might protect against dementia,” The Lancet Neurology, vol. 3, no. 6, pp. 343–353, 2004.
  3. Prabha Adhikari Yenepoya Medical College, Yenepoya University, Mangalore, Karnataka, India, “Geriatric Health Care in India ‑ Unmet Needs and the Way Forward” archives of Medicine Health Sciences; volume 5; issue 1 january-june 2017.
  4. F. W. Booth, S. E. Gordon, C. J. Carlson, and M. T. Hamilton, “Waginwaron modern chronic diseases: primary prevention through exercise biology, ”Journal of Applied Physiology, vol.88, no.2, pp.774–787,2000.
  5. J.Myers, M.Prakash, V.Froelicher, D.Do,S.Partington, and J.E. Atwood, “Exercise capacity and mortality among men referred for exercise testing,’’ The New England Journal of Medicine, vol. 346,no.11,pp.793–801,2002.
  6. E.B.Larson, L.Wang, J.D.Bowenetal. “Exerciseis associated with reduced risk for incident dementia among persons65 years of age and older,” Annals of Internal Medicine, vol.144, no.2, pp. 73–81,2006.
  7. Daniel Puciato, Zbigniew BorysiukMichal, Rozpara “Quality of life and physical activity in an older working-age population’’ Published 4 October 2017 Volume 2017:12 Pages 1627-1634.
  8. Davy Vancampfort, Brendon Stubbs, Pascal Sienaert and, S. Wyckaert ‘’What are the factors that influence physical activity participation in individuals with depression? A review of physical activity correlates from 59 studies’’ psychiatria, 2015; vol. 27, no.3, pp 210-224.
  9. Abir K. Bekhet PhD, MSN, RN, Jaclene A. Zauszniewski PhD, RN‐BC, FAAN, Wagdy E. Nakhla MD ‘’Happiness: Theoretical and Empirical Considerations’’ nursing forum vol 43, no.1, january-march, 2008.
  10. Laura Musikanski, Scott Cloutier, Erica Bejarano, Davi Briggs, Julia Colbert, Gracie Strasser, Steven Russell ‘’Happiness Index Methodology’’ journal of social change 2017, vol 9,issue 1, pages 4-31.
  11. PannelMikel lopezsaez de Asteasu nicolasMartinez-Velilla Fabricozambom-Ferraresi Alvaro Casas-Herrero Mikellzquierdo “Role of physical exercise on cognitive function in healthy older adults: A systematic review of randomized clinical trials’’ Ageing Research Reviews Volume 37, August 2017, Pages 117-134.
  12. H W Donkers , D J Van der Veen, S Teerenstra, M J Vernooij-Dassen, M W G Nijhuis-vander Sanden, and M J L Graff ‘’Evaluating the social fitness Programme for older people with cognitive problems and their caregivers: lessons learned from a failed ‘’ Donkers et al. BMC Geriatrics (2018) 18:237 https://doi.org/10.1186/s12877-018-0927-8.
  13. Madushika Wishvanie Kodagoda Gamage, Chandana Hewage and Kithsiri Dedduwa Pathirana “Effect of cognitive and executive functions on perception of quality of life of cognitively normal elderly people dwelling in residential aged care facilities in Sri Lanka’’ BMC Geriatrics (2018) 18:256.
  14. Rajeski WJ, Mihalko SL. “Physical activity and quality of life in older adults’’. J Gerontol A Biol Sci Med Sci. 2001 Oct; 56 Spec No 2:23-35.
  15. N.M.de Vries, C.D.van, Ravensberg, J.S.M.Hobbelen, M.G.M.Olde Rikkert, J.B.Staa IM.W.G.Nijhuis-van der Sanden “Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: A meta-analysis’’ Ageing Research Reviews ,Volume 11, Issue 1, January 2012, Pages 136-149.
  16. Alexandrina Lobo, Joana Carvalho, and Paula Santos “Effects of Training and Detraining on Physical Fitness, Physical Activity Patterns, Cardiovascular Variables, and HR QoL after 3 Health-Promotion Interventions in Institutionalized Elders’’ Int J Family Med. 2010; 2010: 486097. Published online 2011 Feb 15. doi: 10.1155/2010/486097.
  17. Shotamatsufuji MMSc, TetsuoShojiMD, phd. Yoshihiro tsujimoto MD, phd. Hiroshimoto MD, Tsutomutabata MD, MasanoriEmoto MD, phd. “Effect of Chair Stand Exercise on Activity of Daily Living: A Randomized Controlled Trial in Hemodialysis Patients’’ Journal of Renal Nutrition Volume 25, Issue 1, January 2015, Pages 17-24.
  18. Kevin Anthony, Katie Robinson, Philippa Logan, Adam L. Gordon, rowan H.Harwood, and Tahir Masud “chair-based exercises for frail older people: asystematic review’’ biomed research international volume 2013, article ID 309506, 9 pages.
  19. Shaili Thapa, Renu B.Pattanshetty “Effect of Chair aerobics as low intensity exercise training on heart rate, blood pressure and six minute walk distance in post coronary artery bypass graft surgery patients through phase I cardiac rehabilitation’’ Nepalese Heart Journal, Vol 13, No. 1, 2016.
  20. http://physio-paedia.com/age-and-exercise.
  21. S. Hayes et al, bone marrow-transplantation. 33, 553-558(2004).
  22. Fatemeh Bahramnezhad et al, “The social network among the elderly and its relationship with QOL” Electronic physician (2017, may; vol.9, issue: 5, pages: 4306-43110.