Efecto del Programa de Ejercicios de Otago en la fragilidad de personas entre 65 y 80 años

  1. M. Ángeles Cidoncha-Moreno 1
  2. M. del Mar Sancho-Sena 2
  3. Iratxe Baraiaetxaburu-Zarandona 2
  4. M. Teresa Busto-Santos 3
  5. Isabel Ibáñez-Ruiz de Arcaute 3
  6. Ana Covadonga González-Pisano 4
  1. 1 ISS Bioaraba, Subdirección de Enfermería, Dirección General de Osakidetza, Vitoria-Gasteiz, Álava, España
  2. 2 OSI Barrualde-Galdakao, Galdakao, Bizkaia, España
  3. 3 OSI Araba, Vitoria-Gasteiz, Álava, España
  4. 4 Servicio de Salud del Principado de Asturias (SESPA), Oviedo, Asturias, España
Journal:
Enfermería clínica

ISSN: 1130-8621

Year of publication: 2022

Volume: 32

Issue: 4

Pages: 225-233

Type: Article

DOI: 10.1016/J.ENFCLI.2021.11.001 DIALNET GOOGLE SCHOLAR

More publications in: Enfermería clínica

Sustainable development goals

Abstract

Aim To evaluate the effect of the Otago Exercise Programme on the frailty of non-institutionalized people between 65 and 80 years of age and study factors associated with frailty. Method Pre-post test study (baseline and after 12 months) without control group in people aged 65-80 years (living in the community and with independent ambulation) after being trained in the Otago Exercise Programme in 5 sessions: weeks 1, 2, 4 and 8, and a reinforcement session at 6 months. Patients were recruited from 3 health areas (n=200). Frailty was assessed with the FRAIL scale. Results There were 198 people who started the study and 161 completed the 12-month follow-up. The average age of the sample was 72.28 years; predominance of female sex: 64.65%; low educational level 76.50%; people living alone 24.50%; overweight in 42%, and grade i obesity in 32.32%. Significant differences were observed with a P=.023 in the level of frailty between baseline and 12 months. The exploratory analysis identified significant differences before and after the intervention by sex (being a woman) (P=.018) and condition of living alone (P=.0468). Conclusions The Otago Exercise Programme shows positive results in frailty in people 65 to 80 years of age and can help maintain function and prevent deterioration.

Bibliographic References

  • Instituto Nacional de Estadística [Internet]. Proyecciones de población 2018.
  • M.P. Molés, A. Levedán, P. Jürschik, C. Nuin, T. Botigué, L. Marciá Estudio de fragilidad en adultos mayores. Diseño metodológico Gerokomos [Internet]., 27 (2016), pp. 8-12
  • Ministerio de Sanidad, Servicio Sociales e igualdad. Documento de consenso sobre prevención de fragilidad y caídas en la persona mayor. Estrategia de Promoción de la Salud y Prevención en el SNS [Internet]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2014
  • L. Romero Rizos, P. Abizanda Soler Fragilidad como predictor de episodios adversos en estudios epidemiológicos: revisión de la literatura Rev Esp Geriatr Gerontol., 48 (2013), pp. 285-289
  • A. Rodríguez-Laso, M.Á. Caballero Mora, I. García Sánchez, C. Alonso Bouzón, L. Rodríguez Mañas, R. Bernabei, et al. Updated state of the art report on the prevention and management of frailty. Comisión Europea. Advantage Joint Action (2019)
  • R.M. Collard, H. Boter, R.A. Schoevers, R.C. Oude Voshaar Prevalence of frailty in community-dwelling older persons: A systematic review J Am Geriatr Soc., 60 (2012), pp. 1487-1492
  • M. De Hoyos Alonso, A. Gorroñogoitia Iturbe, I. Martin Lesende, J.M. Baena Díez, J. López-Torres Hidalgo, P. Magán Tapia, et al. Actividades preventivas en los mayores. Actualización PAPPS 2018 Aten Primaria., 50 (Supl 1) (2018), pp. 109-124
  • S. Cederbom, M. Arkkukangas Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: A short- and long-term follow-up study Clin Interv Aging., 14 (2019), pp. 721-726
  • M. Kocic, Z. Stojanovic, D. Nikolic, M. Lazovic, R. Grbic, L. Dimitrijevic, et al. The effectiveness of group Otago exercise program on physical function in nursing home residents older than 65 years: A randomized controlled trial Arch Gerontol Geriatr., 75 (2018), pp. 112-118
  • T. Alhambra-Borrás, E. Durá-Ferrandis, M. Ferrando-García Effectiveness and estimation of cost-effectiveness of a group-based multicomponent physical exercise programme on risk of falling and frailty in community-dwelling older adults Int J Environ Res Public Health., 16 (2019), p. 2086
  • H. Feng, Z. Zou, Q. Zhang, L. Wang, Y.Q. Ouyang, Z. Chen, et al. The effect of the group-based Otago exercise program on frailty among nursing home older adults with cognitive impairment Geriatr Nurs., 42 (2021), pp. 479-483
  • L. Albornos-Muñoz, M.T. Moreno-Casbas, C. Sánchez-Pablo, A. Bays-Moneo, J.C. Fernández-Domínguez, M. Rich-Ruiz, et al., Otago Project Working Group Efficacy of the Otago Exercise Programme to reduce falls in community-dwelling adults aged 65-80 years old when delivered as group or individual training J Adv Nurs., 74 (2018), pp. 1700-1711
  • A.J. Campbell, M.C. Robertson Otago Exercise Programme to prevent falls in older adults. A home-based, individually tailored strength and balance retraining programme Otago Medical School, University of Otago, Otago, New Zealand (2003)
  • ProFouND. Prevention of Falls Network for Dissemination. Manchester: ProFouND; 2015
  • T. Tello-Rodríguez, L. Varela-Pinedo Fragilidad en el adulto mayor: detección, intervención en la comunidad y toma de decisiones en el manejo de enfermedades crónicas Rev Peru Med Exp Salud Publica [Internet]., 33 (2016), pp. 328-334
  • World Health Organization. Body mass index. Copenhagen: WHO; 2021
  • J. Cid-Ruzafa, J. Damián-Moreno Valoración de la discapacidad física: el índice de Barthel Rev Esp Salud Publica., 71 (1997), pp. 127-137
  • A. Puig-Ribera, C. Martín-Cantera, E. Puigdomenech, J. Real, M. Romaguera, J.F. Magdalena-Belio, et al. Screening physical activity in family practice: Validity of the Spanish version of a brief physical activity questionnaire PLoS One., 10 (2015), p. e0136870
  • Osakidetza. Plan de atención a las personas mayores. Vitoria-Gasteiz: Osakidetza; 2018
  • G. Windle, D. Hughes, P. Linck, I. Russell, B. Woods Is exercise effective in promoting mental well-being in older age? A systematic review Aging Ment Health [Internet]., 14 (2010), pp. 652-669
  • E.L. Cadore, L. Rodríguez-Mañas, A. Sinclair, M. Izquierdo Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: A systematic review Rejuvenation Res., 16 (2013), pp. 105-114
  • M. Pahor, J.M. Guralnik, W.T. Ambrosius, S. Blair, D.E. Bonds, T.S. Church, et al. Effect of structured physical activity on prevention of major mobility disability in older adults: The LIFE Study Randomized Clinical Trial JAMA., 311 (2014), pp. 2387-2396
  • Á. Casas-Herrero, E.L. Cadore, N. Martínez-Velilla, M. Izquierdo-Redin El ejercicio físico en el anciano frágil: una actualización Rev Esp Geriatr Gerontol [Internet]., 50 (2015), pp. 74-81
  • M. Izquierdo, L. Rodriguez-Mañas, A.J. Sinclair Editorial: What is new in exercise regimes for frail older people - How does the Erasmus Vivifrail Project take us forward? J Nutr Health Aging [Internet]., 20 (2016), pp. 736-737
  • C. De Labra, C. Guimaraes-Pinheiro, A. Maseda, T. Lorenzo, J.C. Millán-Calenti Effects of physical exercise interventions in frail older adults: A systematic review of randomized controlled trials BMC Geriatr [Internet]., 15 (2015), p. 154
  • S.H. Lee, H.S. Kim Exercise interventions for preventing falls among older people in care facilities: A meta-analysis Worldviews Evid Based Nurs [Internet]., 14 (2017), pp. 74-80
  • C.L. Himes, S.L. Reynolds Effect of obesity on falls injury, and disability J Am Geriatr Soc., 60 (2012), pp. 124-129
  • R.J. Mitchell, S.R. Lord, L.A. Harvey, J.C. Close Associations between obesity and overweight and fall risk, health status and quality of life in older people Aust N Z J Public Health., 38 (2014), pp. 13-18
  • B. Gabrovec, E. Antoniadou, D. Soleymani, T. Targowski, E. Kadalska, L. López-Samaniego, et al. European guide for management of frailty at individual level including recommendations and roadmap Comisión Europea. Advantage Joint Action (2020)