A physical exercise program using music-supported video-based training in older adults in nursing homes suffering from dementia: a feasibility study

Abstract BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.

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Effect of a home based, low intensity, physical exercise program in older adults dialysis patients: a secondary analysis of the EXCITE trial

BMC Geriatrics ◽

10.1186/s12877-018-0938-5 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 13

Author(s):

Rossella Baggetta ◽

◽

Graziella D’Arrigo ◽

Claudia Torino ◽

Samar Abd ElHafeez ◽

...

Keyword(s):

Older Adults ◽

Physical Exercise ◽

Secondary Analysis ◽

Exercise Program ◽

Dialysis Patients ◽

Low Intensity ◽

Home Based

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Physical exercise interventions have no effect on serum BDNF concentration in older adults living in long-term nursing homes

Experimental Gerontology ◽

10.1016/j.exger.2020.111024 ◽

2020 ◽

Vol 139 ◽

pp. 111024

Author(s):

Chloe Rezola-Pardo ◽

Gotzone Hervás ◽

Haritz Arrieta ◽

Alejandra Hernández-de Diego ◽

Fatima Ruiz-Litago ◽

...

Keyword(s):

Older Adults ◽

Nursing Homes ◽

Physical Exercise ◽

Exercise Interventions ◽

Serum Bdnf

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Determinants of participation in a post-hospitalization physical exercise program for older adults

10.21203/rs.3.rs-27243/v3 ◽

2020 ◽

Author(s):

Miriam Urquiza ◽

Iñaki Echeverria ◽

Ariadna Besga ◽

Maria Amasene ◽

Idoia Labayen ◽

...

Keyword(s):

Older Adults ◽

Physical Exercise ◽

Nutritional Status ◽

Physical Function ◽

Multivariate Regression ◽

Older Patients ◽

Exercise Program ◽

Cognitive Status ◽

Exercise Interventions ◽

Poor Nutritional Status

Abstract BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.

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Promoting active ageing through a physical exercise program aimed at reducing frailty and risk of falling among older adults

International Journal of Integrated Care ◽

10.5334/ijic.3535 ◽

2017 ◽

Vol 17 (5) ◽

pp. 225 ◽

Cited By ~ 2

Author(s):

Tamara Alhambra-Borrás ◽

Elisa Valia-Cotanda ◽

Estrella Dura-Ferrandis ◽

Jordi Garcés-Ferrer ◽

Belén Quel-Tejón

Keyword(s):

Older Adults ◽

Physical Exercise ◽

Exercise Program ◽

Active Ageing ◽

Risk Of Falling

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Efectos de un programa de ejercicio físico multicomponente sobre la condición física, la autoestima, la ansiedad y la depresión de personas adultas-mayores (Effects of a multicomponent physical exercise program on fitness, self-esteem, anxiety and depres

Retos ◽

10.47197/retos.v0i39.83282 ◽

2020 ◽

pp. 1024-1028

Author(s):

Miguel Ángel Araque-Martínez ◽

Pedro Jesús Ruiz-Montero ◽

Eva María Artés-Rodríguez

Keyword(s):

Older Adults ◽

Physical Exercise ◽

Depression Scale ◽

Exercise Program ◽

Self Esteem ◽

Ageing Process ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Fitness Test ◽

Post Test

El envejecimiento es un proceso natural asociado a un deterioro fisiológico y donde las emociones se ven también afectadas por el mismo. El ejercicio físico ha demostrado ser una herramienta útil en personas adultas mayores para ayudar a combatir los cambios asociados al proceso de envejecimiento. El presente trabajo analiza los efectos de un programa de ejercicio físico multicomponente sobre la condición física, autoestima, ansiedad y depresión de personas adultas mayores (n=70) de la provincia de Almería, y donde se han llevado a cabo tareas diseñadas basadas en la teoría de las Inteligencias Múltiples y en el manual Inteligencia XXI con el objetivo de desarrollar aspectos físicos, cognitivos y/o emocionales. Se trata de una investigación con un diseño cuantitativo en la que se comparan las medidas pre-test y post-test de un grupo experimental. La duración del programa de intervención fue de ocho meses. Los instrumentos empleados para la evaluación fueron el Senior Fitness Test (SFT) para la condición física, el test de Rosenberg para la autoestima y el Hospital Anxiety and Depression Scale (HAD) para la ansiedad y depresión. Los resultados reflejan mejoras significativas en la agilidad o equilibrio dinámico, autoestima, ansiedad y depresión (p<.05), así como en la capacidad cardiorrespiratoria (p<.01). En conclusión, este trabajo indica que un programa de ejercicio físico multicomponente mejora parámetros de la condición física, así como la autoestima, ansiedad y depresión de personas adultas mayores de la provincia de Almería. Abstract. Ageing is a natural process associated to physiological deterioration. Moreover, the feelings are also affected by ageing process. Physical exercise has showed to be an useful tool to fight against changes of ageing process. Both Multiple Intelligence Theory and Intelligence XXI manual were used to develop physical, cognitive and emotional factors. The present study analyzes the effects of a multicomponent physical exercise program on fitness, self-esteem, anxiety and depression on older adults (n=70) from Almería province. This investigation follows a quantitative design where the measurements from an experimental group are compared before (pre-test) and after (post-test). The length of the intervention’ program was eight months. Physical fitness, self-esteem, anxiety and depression were evaluated by Senior Fitness Test (SFT), Rosenberg’s Self-Esteem Scale and The Hospital Anxiety and Depression Scale (HAD), respectively. Results reflect significant improvements on agility or dynamic balance, self-esteem, anxiety and depression (p<.05), as well as on cardiorespiratory capacity (p<.01). In conclusion, this study indicates that a multicomponent physical exercise program improves some fitness parameters, self-esteem, anxiety and depression in older adults from Almeria province.

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