Relación entre caídas y sedentarismo tras la implantación del programa de ejercicios multicomponente de Otago
- Laura González-Lozano 1
- Margarita Fernández-Fernández 1
- Mª Jesús Rodríguez-Nachón 1
- Mª José Vicente-Antón 1
- Mª Angeles Cidoncha-Moreno 2
- Ana Covadonga González-Pisano 1
-
1
Servicio de Salud del Principado de Asturias (SESPA)
info
Servicio de Salud del Principado de Asturias (SESPA)
Oviedo, España
- 2 Servicio de Salud del País Vasco
ISSN: 2254-8270
Year of publication: 2022
Volume: 10
Issue: 3
Pages: 7-21
Type: Article
More publications in: RqR Enfermería Comunitaria
Abstract
Objective: To know the sedentary lifestyle among the subjects who participate in a multicompone nt exercise program and to study the relation with falls. Methodology: Multicenter prospective descriptive correlational study in non-institutionalized people between 65-80 years of age in Asturias and the Pais Vasco, between 2017 and 2019, in Primary Health Care Centers. The program OTAGO for the prevention of falls, Individually or in a group way, was applied. Response variable: number of falls. Secondary: sociodemographic, anthropometric, comorbidities and sedentary lifestyle (IPAQ questionnaire). Descriptive and correlational analysis. Results: n = 200, mean age 72.28 years, 65% women, 76.5% low educational level and 24.5% live alone. 29.5% had previously fallen. The time spent sitting before and after the intervention was 1260 minutes / week. Older people, men, with a medium-high level of education, who lived alone, with sensory and musculoskeletal diseases presented higher levels of sedentary lifestyle. After the intervention, sedentary lifestyle worsened in those> 72 years (from 1540 minutes to 1680) and those with cardiovascular diseases -CVD- (840 to 1260) and improved in those who lived with someone (1330 to 1260). Relating this improvement to the group intervention. Conclusions: A sedentary lifestyle is associated with people over 72 years of age, being a man, a higher level of studies, illnesses of the senses and a decrease in CVD and musculoskeletal. No significant differences have been observed in the level of sedentary lifestyle before and after a multicomponent physical exercise intervention for the prevention of falls applied individually, but it has improved after the intervention in a group way.
Bibliographic References
- IV Encuesta de Salud para Asturias. ESA 2017 [Internet].
- Binotto MA, Lenardt MH, Rodríguez-Martínez MDC. Physical frailty and gait speed in community elderly: a systematic review. Rev Esc Enferm U P. 13 de diciembre de 2018;52:e03392.
- Chastin SFM, Buck C, Freiberger E, Murphy M, Brug J, Cardon G, et al. Systematic literature review of determinants of sedentary behaviour in older adults: a DEDIPAC study. Int J Behav Nutr Phys Act. 6 de octubre de 2015;12(1):127.
- Cuevas-Trisan R. Balance Problems and Fall Risks in the Elderly. Phys Med Rehabil Clin N Am. noviembre de 2017;28(4):727-37.
- Díaz-Alonso J, Bueno-Pérez A, Toraño-Ladero L, Caballero FF, López-García E, Rodríguez-Artalejo F, et al. Limitación auditiva y fragilidad social en hombres y mujeres mayores. Gac Sanit [Internet]. [citado 26 de junio de 2021];
- Giné-Garriga M, Sansano-Nadal O, Tully MA, Caserotti P, Coll-Planas L, Rothenbacher D, et al. Accelerometer-Measured Sedentary and Physical Activity Time and Their Correlates in European Older Adults: The SITLESS Study. J Gerontol A Biol Sci Med Sci. 16 de septiembre de 2020;75(9):1754-62.
- Hall J, Morton S, Fitzsimons CF, Hall JF, Corepal R, English C, et al. Factors influencing sedentary behaviours after stroke: findings from qualitative observations and interviews with stroke survivors and their caregivers. BMC Public Health. 19 de junio de 2020;20(1):967.
- Harvey JA, Chastin SFM, Skelton DA. Prevalence of sedentary behavior in older adults: a systematic review. Int J Environ Res Public Health. 2 de diciembre de 2013;10(12):6645-61.
- Healy GN, Matthews CE, Dunstan DW, Winkler EAH, Owen N. Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003–06. Eur Heart J. 1 de marzo de 2011;32(5):590-7.
- Inoue S, Kawashima M, Hiratsuka Y, Nakano T, Tamura H, Ono K, et al. Assessment of physical inactivity and locomotor dysfunction in adults with visual impairment. Sci Rep. 13 de agosto de 2018;8(1):1-7.
- Mayo X. Termómetro del sedentarismo en España: 55.
- Ministerio de Sanidad, Consumo y Bienestar Social - Profesionales - ESTRATEGIA DE PROMOCION DE LA SALUD Y PREVENCION FRAGILIDAD Y CAIDAS PERSONA MAYOR [Internet].
- O’Donnell J, Smith-Byrne K, Velardo C, Conrad N, Salimi-Khorshidi G, Doherty A, et al. Self-reported and objectively measured physical activity in people with and without chronic heart failure: UK Biobank analysis. Open Heart. 19 de febrero de 2020;7(1):e001099.
- OMS | 10 datos sobre el envejecimiento y la salud [Internet]. WHO. World Health Organization; [citado 3 de abril de 2021].
- OMS | Informe Mundial sobre el envejecimiento y la salud [Internet]. WHO. World Health Organization; [citado 6 de junio de 2021].
- Sedentarismo por grupos de edad y sexo. [Internet]. INE.
- Stubbs B, Patchay S, Soundy A, Schofield P. The avoidance of activities due to fear of falling contributes to sedentary behavior among community-dwelling older adults with chronic musculoskeletal pain: a multisite observational study. Pain Med Malden Mass. Noviembre de 2014;15(11):1861-71.
- Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia. 1 de noviembre de 2012;55(11):2895-905.