Improvements and perception following a physical-exercise intervention specific for chronic/palliative older adults

  1. Sanchis Soler, Gema 1
  2. Valencia Peris, Alexandra 2
  3. Llorens, Pere 3
  4. Blasco Lafarga, Cristina 4
  1. 1 Departamento de Didáctica General y Didácticas Específicas, Facultad de Educación, Universidad de Alicante (UA). UIRFIDE (Unidad de Investigación en Rendimiento Físico y Deportivo), Universitat de València (UV), España.
  2. 2 Departamento de Didáctica de la Expresión Musical, Plástica y Corporal. Facultad de Magisterio. Universitat de València (UV), España
  3. 3 Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, España. Hospital General Universitarios de Alicante. Departamento de Medicina Clínica, Universidad Miguel Hernández, Sant Joan d’Alacant, España
  4. 4 Departamento de Educación Física y Deportiva, Universitat de València (UV), España. UIRFIDE (Unidad de Investigación en Rendimiento Físico y Deportivo), Universitat de València (UV), España.
Revista:
Cultura, ciencia y deporte

ISSN: 1696-5043

Año de publicación: 2022

Volumen: 17

Número: 54

Páginas: 165-174

Tipo: Artículo

DOI: 10.12800/CCD.V17I54.1906 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Cultura, ciencia y deporte

Resumen

Tras analizar el impacto de un programa de entrenamiento domiciliario multicomponente, con orientación cognitiva, sobre independencia, percepción subjetiva de salud, y fuerza del miembro inferior en un grupo de adultos mayores crónicos multimórbidos y/o paliativos (MCM-Ps), se estudiaron las asociaciones entre las mejoras obtenidas y la valoración del programa de participantes y personal sanitario. 13 MCM-Ps (80.15+4.20 años) completaron cuatro meses de entrenamiento progresando en autonomía (de dos sesiones supervisadas y una autónoma semanalmente -60 min/sesión-, a dos autónomas y una supervisada). Le siguieron cuatro semanas autónomas (desentrenamiento) con recomendación de ejercicio. El volumen y la intensidad se aumentaron introduciendo más ejercicios integrales, con mayor carga neuromuscular y doble tarea, y menor tiempo de descanso entre ellos, sin repetirlos en la sesión (EFAM-UV©). Independencia (Barthel) y salud percibida (SF-36 físico, sin cambios en dominio mental) mejoraron tras el entrenamiento supervisado, con tendencia a la mejora de fuerza (sentarse y levantarse 30-s) y la salud percibida (SF-36total). El efecto permaneció tras la fase autónoma/desentrenamiento, con una percepción final muy favorable de pacientes y personal sanitario-determinada mediante cuestionarios-. La ganancia en independencia correlacionó negativamente con la valoración del usuario, pero esta exigencia aseguró su mejora. No hubo asociación entre salud percibida y valoración del programa

Referencias bibliográficas

  • Alonso, J. (1995). La version espanola del" SF-36 Health Survey"(Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clinicos. Medicina Clínica, 104, 771-776.
  • Annear, M., Keeling, S., Wilkinson, T., Cushman, G., Gidlow, B., & Hopkins, H. (2014). Environmental influences on healthy and active ageing: A systematic review. Ageing & Society, 34(4), 590-622. https://doi.org/10.1017/S0144686X1200116X
  • Beckwée, D., Delaere, A., Aelbrecht, S., Baert, V., Beaudart, C., Bruyere, O., de Saint-Hubert, M., & Bautmans, I. (2019). Exercise interventions for the prevention and treatment of sarcopenia. A systematic umbrella review. Journal of Nutrition, Health & Aging, 23(6), 494-502. doi:10.1007/s12603-019-1196-8
  • Blasco-Lafarga, C., Cordellat, A., Forte, A., Roldán, A., & Monteagudo, P. (2020). Short and Long-Term Trainability in Older Adults: Training and Detraining Following Two Years of Multicomponent Cognitive—Physical Exercise Training. International Journal of Environmental Research and Public Health, 17(16), 5984. doi:10.3390/ijerph17165984
  • Blasco-Lafarga, C., Martinez-Navarro, I., Cordellat, A., Roldán, A., Monteagudo, P., Sanchis-Soler, G., & Sanchis-Sanchis, R. (2016). Método de Entrenamiento Funcional Cognitivo Neuromotor. (España Patent No. 156069 2016). U. o. Valencia.
  • Blasco-Lafarga, C., Sanchis-Sanchis, R., Sanchis-Soler, G., San Inocencio-Cuenca, D., & Llorens, P. (2019). Entrenamiento Neuromotor en pacientes ancianos pluripatológicos en las Unidades de Hospitalización a Domicilio: estudio piloto. Cuadernos de Psicología del Deporte, 19(1), 95-105. https://doi.org/10.6018/cpd.333631
  • Blasco-Lafarga, C., Sanchis-Soler, G., & Llorens, P. (2021). Multicomponent Physical Exercise Training in Multimorbid and Palliative Oldest Adults. International Journal of Environmental Research and Public Health, 18(17), 8896. https://doi.org/10.3390/ijerph18178896
  • Boongird, C., Keesukphan, P., Phiphadthakusolkul, S., Rattanasiri, S., & Thakkinstian, A. (2017). Effects of a simple home‐based exercise program on fall prevention in older adults: A 12‐month primary care setting, randomized controlled trial. Geriatrics & Gerontology International, 17(11), 2157-2163. doi:10.1111/ggi.13052
  • Brandão, G. S., Oliveira, L. V. F., Brandão, G. S., Silva, A. S., Sampaio, A. A. C., Urbano, J. J., Soares, A., Faria, N. S., Pasqualotto, L. T., & Oliveira, E. F. (2018). Effect of a home-based exercise program on functional mobility and quality of life in elderly people: protocol of a single-blind, randomized controlled trial. J Trials, 19(1), 1-10. https://doi.org/0.1186/s13063-018-3061-1
  • Bray, N., Jones, G., Rush, K., Jones, C., & Jakobi, J. M. (2020). Multi-Component Exercise with High-Intensity, Free-Weight, Functional Resistance Training in Pre-Frail Females: A Quasi-Experimental, Pilot Study. Journal of Frailty & Aging, 9(2), 111-117. https://doi.org/10.14283/jfa.2020.13
  • Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J.-P., Chastin, S., & Chou, R. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451-1462. https://doi.org/10.1136/bjsports-2020-102955
  • Cadore, E. L., Moneo, A. B. B., Mensat, M. M., Muñoz, A. R., Casas-Herrero, A., Rodriguez-Mañas, L., & Izquierdo, M. (2014). Positive effects of resistance training in frail elderly patients with dementia after long-term physical restraint. Age, 36(2), 801-811. https://doi.org/10.1007/s11357-013-9599-7
  • Cid-Ruzafa, J., & Damián-Moreno, J. (1997). Valoración de la discapacidad física: el índice de Barthel. Revista Española de Salud Publica, 71, 127-137. https://doi-org/10.1590/S1135-57271997000200004
  • Clark, B. C. (2019). Neuromuscular changes with aging and sarcopenia. Journal of Frailty & Aging, 8(1), 7-9. https://doi.org/10.14283/jfa.2018.35
  • Clegg, A. P., Barber, S. E., Young, J. B., Forster, A., & Iliffe, S. J. (2012). Do home-based exercise interventions improve outcomes for frail older people? Findings from a systematic review. Reviews in Clinical Gerontology, 22(1), 68-78. https://doi-org/10.1017/S0959259811000165
  • Evensen, S., Sletvold, O., Lydersen, S., & Taraldsen, K. (2017). Physical activity among hospitalized older adults–an observational study. BMC Geriatrics, 17(1), 1-8. https://doi.org/10.1080/09593985.2018.1460429
  • Fritz, C. O., Morris, P. E., & Richler, J. J. (2012). Effect size estimates: current use, calculations, and interpretation. Journal of Experimental Psychology, 141(1), 2-18. https://doi.org/10.1037/a0024338
  • Garrett, S., Elley, C. R., Rose, S. B., O'Dea, D., Lawton, B. A., & Dowell, A. C. (2011). Are physical activity interventions in primary care and the community cost-effective? A systematic review of the evidence. British Journal of General Practice , 61(584), e125-e133. https://doi.org/10.3399/bjgp11X561249
  • Gelaw, A. Y., Janakiraman, B., Gebremeskel, B. F., & Ravichandran, H. (2020). Effectiveness of Home-based rehabilitation in improving physical function of persons with Stroke and other physical disability: A systematic review of randomized controlled trials. Journal of Stroke and Cerebrovascular Diseases, 29(6), 104800. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104800
  • Hager, A.-G. M., Mathieu, N., Lenoble-Hoskovec, C., Swanenburg, J., de Bie, R., & Hilfiker, R. (2019). Effects of three home-based exercise programmes regarding falls, quality of life and exercise-adherence in older adults at risk of falling: protocol for a randomized controlled trial. BMC Geriatrics, 19(1), 1-11. https://doir.org/10.1186/s12877-018-1021-y
  • Hill, K. D., Hunter, S. W., Batchelor, F. A., Cavalheri, V., & Burton, E. (2015). Individualized home-based exercise programs for older people to reduce falls and improve physical performance: A systematic review and meta-analysis. Maturitas, 82(1), 72-84. https://doi.org/10.1016/j.maturitas.2015.04.005
  • Kidd, T., Mold, F., Jones, C., Ream, E., Grosvenor, W., Sund-Levander, M., Tingström, P., & Carey, N. (2019). What are the most effective interventions to improve physical performance in pre-frail and frail adults? A systematic review of randomised control trials. BMC Geriatrics, 19(1), 1-11. https://doi.org/10.1186/s12877-019-1196-x
  • Krůtilová, V. K., Bahnsen, L., & De Graeve, D. (2021). The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults. BMC Health Services Research, 21(1), 1-13. https://doi.org/10.1186/s12913-021-06259-w
  • Laddu, D. R., Lavie, C. J., Phillips, S. A., & Arena, R. (2021). Physical activity for immunity protection: Inoculating populations with healthy living medicine in preparation for the next pandemic. Progress in Cardiovascular Diseases, 64, 102. https://doi.org/10.1016/j.pcad.2020.04.006
  • Langlois, F., Vu, T. T. M., Chassé, K., Dupuis, G., Kergoat, M.-J., & Bherer, L. (2013). Benefits of physical exercise training on cognition and quality of life in frail older adults. The Journals of Gerontology: Series B, 68(3), 400-404. https://doi.org/10.1093/geronb/gbs069
  • Liu-Ambrose, T., Davis, J. C., Best, J. R., Dian, L., Madden, K., Cook, W., Hsu, C. L., & Khan, K. M. (2019). Effect of a home-based exercise program on subsequent falls among community-dwelling high-risk older adults after a fall: a randomized clinical trial. Jama, 321(21), 2092-2100. https://doi.org/10.1001/jama.2019.5795
  • Loh, K. P., Kleckner, I. R., Lin, P. J., Mohile, S. G., Canin, B. E., Flannery, M. A., Fung, C., Dunne, R. F., Bautista, J., & Culakova, E. (2019). Effects of a home‐based exercise program on anxiety and mood disturbances in older adults with cancer receiving chemotherapy. Journal of the American Geriatrics Society, 67(5), 1005-1011. https://doi.org/10.1111/jgs.15951
  • Martel, D., Lauzé, M., Agnoux, A., de Laclos, L. F., Daoust, R., Émond, M., Sirois, M.-J., & Aubertin-Leheudre, M. (2018). Comparing the effects of a home-based exercise program using a gerontechnology to a community-based group exercise program on functional capacities in older adults after a minor injury. Experimental Gerontology, 108, 41-47. https://doi.org/10.1016/j.exger.2018.03.016
  • Matos Duarte, M., & Berlanga, L. A. (2020). Efectos del ejercicio sobre la flexibilidad en personas mayores de 65 años. Revista Internacional de Medicina y Ciencias de la Actividad Física y el Deporte, 20(80), 611-622. https://doi.org/10.15366/rimcafd2020.80.010
  • Miller, K. J., Suárez-Iglesias, D., Varela, S., Rodríguez, D., & Ayán, C. (2020). Exercise for nonagenarians: a systematic review. Journal of the American Geriatrics Society, 43(4), 208-218. https://doi.org/10.1519/jpt.0000000000000245
  • Monteagudo, P., Roldán, A., Cordellat, A., Gómez-Cabrera, M. C., & Blasco-Lafarga, C. (2020). Continuous compared to accumulated walking-training on physical function and health-related quality of life in sedentary older persons. International Journal of Environmental Research and Public Health 17(17), 6060. https://doi.org/10.3390/ijerph17176060
  • Nagai, K., Miyamato, T., Okamae, A., Tamaki, A., Fujioka, H., Wada, Y., Uchiyama, Y., Shinmura, K., & Domen, K. (2018). Physical activity combined with resistance training reduces symptoms of frailty in older adults: A randomized controlled trial. Archives of Gerontology and Geriatrics, 76, 41-47. https://doi.org/10.1016/j.archger.2018.02.005
  • Ong, A. D., Uchino, B. N., & Wethington, E. (2016). Loneliness and health in older adults: A mini-review and synthesis. Gerontology, 62(4), 443-449. https://doi.org/10.1159/000441651
  • Pardo, P. J. M., Gálvez, N. G., Cristobal, R. V., Romero, L. S., Vivancos, A. L., Díaz, D. V., García, G. M. G., González, J. G. P., Cornejo, I. E., & Pavón, D. J. (2021). Programa de Intervención Multidominio Healthy-Age: Recomendaciones para un envejecimiento saludable: por la red Healthy-Age. Cultura, ciencia y deporte, 16(48), 311-320. https://doi.org/10.12800/ccd.v16i48.1743
  • Pilotto, A., Custodero, C., Maggi, S., Polidori, M. C., Veronese, N., & Ferrucci, L. (2020). A multidimensional approach to frailty in older people. Ageing Research Reviews, 60, 101047. https://doi.org/10.1016/j.arr.2020.101047
  • Poyatos, M. C., & Orenes, D. R. (2018). Efectos de un programa de acondicionamiento físico integrado en el estado funcional de mujeres mayores. Cultura, ciencia y deporte, 13(37), 31-38. https://doi.org/10.12800/ccd.v13i37.1036
  • Rebelo-Marques, A., De Sousa Lages, A., Andrade, R., Ribeiro, C. F., Mota-Pinto, A., Carrilho, F., & Espregueira-Mendes, J. (2018). Aging hallmarks: the benefits of physical exercise. Frontiers in Endocrinology, 9, 258. https://doi.org/10.3389/fendo.2018.00258
  • Rezaei-Shahsavarloo, Z., Atashzadeh-Shoorideh, F., Gobbens, R. J., Ebadi, A., & Ghaedamini Harouni, G. (2020). The impact of interventions on management of frailty in hospitalized frail older adults: a systematic review and meta-analysis. BMC Geriatrics, 20(1), 1-17. https://doi.org/10.1186/s12877-020-01935-8
  • Rikli, R. E., & Jones, C. J. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7, 129-161. https://doi.org/10.1123/japa.7.2.129
  • Rodrigues, I., Armstrong, J., Adachi, J., & MacDermid, J. (2017). Facilitators and barriers to exercise adherence in patients with osteopenia and osteoporosis: a systematic review. Osteoporosis International, 28(3), 735-745. https://doi.org/10.1007/s00198-016-3793-2
  • Roppolo, M., Mulasso, A., Gobbens, R. J., Mosso, C. O., & Rabaglietti, E. (2015). A comparison between uni-and multidimensional frailty measures: prevalence, functional status, and relationships with disability. Clinical Interventions in Aging, 10, 1669. https://doi.org/10.2147/cia.s92328
  • Rosner, B. (2015). Fundamentals of Biostatistics. Cengage Learning.
  • Sanchis-Soler, G., San Inocencio-Cuenca, D., Llorens-Soriano, P., & Blasco-Lafarga, C. (2021). Reducción de la sobrecarga del cuidador tras entrenamiento supervisado en ancianos pluripatológicos y paliativos. Cuadernos de Psicología del Deporte, 21(1), 271-281. https://doi.org/10.6018/cpd.415581
  • Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology, 42(8), 703-709. https://doi.org/10.1016/0895-4356(89)90065-6
  • Thomas, R. J., Beatty, A. L., Beckie, T. M., Brewer, L. C., Brown, T. M., Forman, D. E., Franklin, B. A., Keteyian, S. J., Kitzman, D. W., & Regensteiner, J. G. (2019). Home-based cardiac rehabilitation: a scientific statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. Circulation, 140(1), e69-e89. https://doi.org/10.1161/cir.0000000000000663
  • Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., Santed, R., Valderas, J. M., Domingo-Salvany, A., & Alonso, J. (2005). El Cuestionario de Salud SF-36 español: una década de experiencia y nuevos desarrollos. Gaceta Sanitaria, 19, 135-150. https://doi.org/10.1157/13074369
  • Vogler, C. M., Menant, J. C., Sherrington, C., Ogle, S. J., & Lord, S. R. (2012). Evidence of detraining after 12-week home-based exercise programs designed to reduce fall-risk factors in older people recently discharged from hospital. Archives of Physical Medicine and Rehabilitation, 93(10), 1685-1691. https://doi.org/10.1016/j.apmr.2012.03.033
  • Zeggwagh, Z., Abidi, K., Kettani, M. N., Iraqi, A., Dendane, T., & Zeggwagh, A. A. (2020). Health-related quality of life evaluated by MOS SF-36 in the elderly patients 1 month before ICU admission and 3 months after ICU discharge. Indian Journal of Critical Care Medicine, 24(7), 531. https://doi.org/10.5005/jp-journals-10071-23489