University of Haifa

About

The lab is located at the University of Haifa, Faculty of Social Welfare and Health Sciences. We study postural changes through the aging process. Our studies acknowledge the multifaceted nature of aging and exploring interactions of gait and mobility with sleep, hearing, sensory responsiveness, and environmental factors. Most recently, we examined how posture can serve as a marker of biological age, and we are looking for simple ways to acquire postural variables. Our main goal is to extend our theoretical understanding of postural changes through the aging process and to advance successful aging.

Prof. Maayan Agmon

My interdisciplinary background started with a BA in physical therapy (BPT), and continued with an MA in anthropology and a PhD in nursing. As a physical therapist, I worked with people who suffer from brain injury, and in my anthropological research I explored the altered self of people following brain injury. With the support of a Spencer Scholarship I obtained my PhD at the University of Washington in Seattle. During my PhD work, I explored the effect of Wii-Fit based intervention on the balance of community dwelling older adults, and in my dissertation, I focused on the effect of a nationwide program (Enhance®Fitness) on the dual-task abilities of older adults. Since then, I used my interdisciplinary background to understand why some people age better than others. My objective is to shed light on aging-related postural changes, to understand their underlying mechanisms, and to uncover the relations between the environment (physical and social) and the body.

Current Research

Investigating the relationships between physical capacity, sensory responsiveness and biological aging

Although physical activity is known to affect the aging process, a link between physical capacity and biological aging is yet to be established. Physical capacity is a framework of behavioral markers of daily function, comprised of physical fitness and gait quality; it represents the robustness of multiple physiological and neurological processes based on their behavioral outcome (e.g., muscular strength, balance, walking speed). Health behaviors are main contributors to physical capacity and healthy aging, but a comprehensive model exploring the link between physical capacity, biological aging, and the relative contribution of health behaviors is yet to be fully explored. In the same vein, the link between sensory responsiveness and biological age has been overlooked by research. Sensory responsiveness is the degree of an individual's sensory modulation, that is, the ability to respond appropriately in all aspects of life (behavioral, physiological, and emotional), while filtering out irrelevant stimuli. It has been widely documented that the effect of these aspects on health modulates aging and age-related diseases. Therefore, sensory responsiveness may play a significant role in shaping the aging process and could be evaluated as a hallmark of aging.
Working in collaboration with the School of Public Health at the Hebrew University of Jerusalem, we study the relationships between physical capacity, sensory responsiveness, and biological age cross-sectionally and over time. This study is an extension for the Jerusalem Prenatal study, a comprehensive cohort study focusing on health and behavioral covariates of individuals born in Western Jerusalem between 1975-1976.

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The relationships between environmental factors and biological aging among middle-aged Muslims

The aging population in Israel is growing rapidly. Despite its classification as a high-income country, Israel is also ranked high on the Gini index, reflecting high income inequality leading to health disparities, mainly between Jews and Arabs. Non-communicable diseases are more common in the Arab population than in the Jewish population although the Arab population is younger. These worrisome data have not yet led to in-depth studies examining the range of factors contributing to the health status of Muslim Arabs in Israel in particular. No previous studies have focused exclusively on Muslims.
We intend to bridge this gap and examine the effects of the environment on gait, posture, and biological aging, considering the role of health behaviors in middle-aged Muslims in Israel. We will collect environmental data (i.e., walkability score, socioeconomic status, building density, proximity to green areas, and family structure) and investigate their association with the biological age of individuals aged 40-65 in Muslim population centers in the northern Arab cities and villages in Israel.

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Participation trajectories after acute hospitalization

In older adults, acute medical illness that requires hospitalization is a sentinel event that often precipitates functional changes. Between 30% and 60% of older patients experience functional decline and changes in disability level due to hospitalization for non-disabling acute illnesses.

This study aims to investigate the effect of hospitalization due to acute illness on participation trajectories (up to three months post-discharge) in older adults and the significant unique contribution of functional cognition assessment during hospitalization to participation after acute hospitalization. We expect to find different patterns of participation trajectories between subjects with high vs. low level of in-hospital cognition. We will examine cognition, in particular functional cognition, as the main predictor of participation trajectories, and offer a comprehensive understanding of factors contributing to participation post-hospitalization.

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The link between sleep and gait

I am conducting a line of studies aimed at exploring the link between sleep quality and gait performance in middle-aged and older adults. Currently, at my lab, we are exploring the mechanisms underlie this link. Prof. Shochat and myself are studying the association between sleep architecture and gait in middle-aged adults, and comparing the effect of dual-task intervention and cognitive behavioral therapy (CBT) on sleep and gait of middle-aged adults with insomnia.

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Recent Publications

  1. Orly Gatenio-Hefling, Roy Tzemah-Shahar, Kfir Asraf, Omer Dilian, Efrat Gil, Maayan Agmon (GeroScience, 2024). Revisiting the “Timed Up and Go” test: a 12-s cut-off can predict Hospitalization Associated Functional Decline in older adults.
  2. Khalil Iktilat, Michal Isacson, Roy Tzemah-Shahar, Maayan Agmon (Frontiers in Public Health, 2024). The link between exposure to violence and psychological distress among middle-aged Muslims in Israel: the role of gender.
  3. Roy Tzemah-Shahar, Sondra Turjeman, Efrat Sharon, Gila Gamliel, Hagit Hochner, Omry Koren, Maayan Agmon (GeroScience, 2024). Signs of aging in midlife: physical function and sex differences in microbiota.
  4. Noha Shekh Ahmed-Yousef, Omer Dilian, Khalil Iktilat, Maayan Agmon (Scientific Reports, 2023). CRP, but not fibrinogen, is associated with gait speed as early as middle age, in females but not males.
  5. Maya Arieli, Rachel Kizony, Efrat Gil, Maayan Agmon (Journal of Clinical Nursing, 2023). Participation in daily activities after acute illness hospitalization among high‐functioning older adults: a qualitative study.
For the full list click here

PhD and Post-doctoral students

Nuha Diab

Abortions among Muslims in Israel. In collaboration with Prof. Daphna Carmeli.

Khalil IKhtichlal

The relationships between environment and biological aging among middle-aged Muslims in Israel: Considering the role of health behaviors. In collaboration with Dr. Michal Isaacson.

Merav Asher

The link between sensory responsiveness and biological aging among middle-aged adults

Baha Raful

The association between cochlear transplantation and gait. In collaboration with Dr. Hanin Karawani.

Liron Eliasov

Exploring the experience of elite athletes' injury, by examining how the spoken and experienced narratives of their injury and recovery relate to each other and how this may help to illuminate and bridge the inter-disciplinary mind-body discourse. in collaboration with Prof. Amalia Saar.

Shiri Embon – Magal

The effect of combined motor – cognitive training on physical capacity and cognition during middle age.

Samar Adadi Khalil (Post-doc)

Factors associated with mobility in older adults. In collaboration with Prof. Rachel Kizony.

Roy Tzemah- Shahar (Graduated 2024)

Physical capacity as a marker for biological aging among middle aged adults.

Google scholar profile

 

Bilha Cohen (Graduated 2024)

The link between cognitive statues and participation patterns of older adults during COVID – 19. In collaboration with Dr. Rachel Kizony.

Irit Davidson (Graduated 2023)

Electronic Health Records and Effective Teamwork as a Means for Improving Quality of Care. In collaboration with Prof. Anat Drach-Zahavy.

Tali Lang (Graduated 2022)

Implementing health information technology and integrated care for multimorbid patients. In collaboration with Prof. Efrat Shadmi.

Maya Tuchner Arieli (Graduated 2022)

Participation trajectories after acute hospitalization among older adults and the role of functional cognition. In collaboration with Dr. Rachel Kizony.

Google scholar profile

Hedva Levin PhD (Graduated 2020)

Modified Theory of Planned Behavior applicability to the mobility of hospitalized older adults. In collaboration with Prof. Anna Zisberg and Dr. Nurit Gur Yaish.

Received Grants

Contact Us

Prof. Maayan Agmon
magmon@univ.haifa.ac.il

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