Evaluación biopsicosocial y del equilibrio en una intervención en la comunidad con ejercicio en mayores

  1. Diego Gabriel Mosteiro-Miguéns
  2. Alazne Villegas-Gómez
  3. María Jesús López-Piqueres
  4. Laura Lucena-Márquez
  5. Eva María Domínguez-Martís
  6. Silvia Novío
Revista:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Ano de publicación: 2022

Volume: 33

Número: 1

Páxinas: 12-15

Tipo: Artigo

Outras publicacións en: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Resumo

ABSTRACT Objectives: To assess the impact, in terms of static and dynamic balance and biopsychosocial factors, of a community-based physical exercise program in community-dwelling older adults. Methods: A quasi-experimental pretest-postest study in 20 community-dwelling, age 65 and older adults. Participants were evaluated using COOP/ WONCA questionnaire, unipedal stance test and Timed Up and Go test. Intervention program consisted of 16 physical exercise sessions (including strength, mobility, balance and flexibility exercises). Results: Intervention was associated with an improvement in both static and dynamic balance, expressed pain, health self-assessment, and social interaction. Conclusions: Physical exercise community-based interventions might improve balance and several biopsychosocial factors in community-dwelling older adults. This could contribute to decrease caseload in health-care centers and promote healthy aging.

Referencias bibliográficas

  • INE: Instituto Nacional de Estadística, España en cifras 2019 [Internet]. [Consultado el 23 marzo 2020]. Disponible en: https://www. ine.es/prodyser/espa_cifras/2019/13/index.html#zoom=z
  • Department of Economic and Social Affairs. Population Division World Population Ageing 2019. United Nation. New York.
  • Lee, WK,Kong, KA,Park, H. (2012). Effect of preexisting musculoskeletal diseases on the 1-year incidence of fall-related injuries. J Prev Med Public Health. 45. 283
  • Ungar, A,Rafanelli, M,Iacomelli, I,Brunetti, MA,Ceccofiglio, A,Tesi, F. (2013). Fall prevention in the elderly. Clin Cases Miner Bone Metab. 10. 91
  • Romano Durán, E,Rodríguez Camarero, GF,Martínez-Esparza, EH. (2017). Incidencia y características de las caídas en un hospital de cuidados intermedios de Barcelona. Gerokomos. 28. 78-82
  • Burns, ER,Stevens, JA,Lee, R. (2016). The direct costs of fatal and non-fatal falls among older adults United States. J Safety Res. 58. 99-103
  • (2015). Organización Mundial de la Salud. Informe Mundial sobre el envejecimiento y la salud.
  • Hefny, A,Abbas, A,Abu-Zidan, F. (2016). Geriatric fall-related injuries. Afr Health Sci. 16. 554
  • Liu, JY. (2015). Fear of falling in robust community-dwelling older people: results of a cross-sectional study. J Clin Nurs. 24. 393-405
  • Lukaszyk, C,Harvey, L,Sherrington, C,Keay, L,Tiedemann, A,Coombes, J. (2016). Risk factors, incidence, consequences and prevention strategies for falls and fall-injury within older indigenous populations: a systematic review. Aust N Z J Public Health. 40. 564
  • O'Loughlin, J,Robitaille, Y,Boivin, J,Suissa, S. (1993). Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol. 137. 342
  • Lavedán Santamaría, A,Jürschik Giménez, P,Botigué Satorra, T,Nuin Orrio, C,Viladrosa Montoy, M. (2015). Prevalencia y factores asociados a caídas en adultos mayores que viven en la comunidad. Aten Primaria. 47. 367
  • Lee, A,Lee, KW,Khang, P. (2013). Preventing falls in the geriatric population. Perm J. 17. 37
  • Sanders, K,Lim, K,Stuart, A,Macleod, A,Scott, D,Nicholson, G. (2017). Diversity in fall characteristics hampers effective prevention: the precipitants, the environment, the fall and the injury. Osteoporos Int. 28. 3005
  • Tsuda, T. (2017). Epidemiology of fragility fractures and fall prevention in the elderly. Curr Orthop Pract. 28. 580
  • Podsialo, D,Richardson, S. (1991). The Timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 39. 142
  • Organización Mundial de la Salud. Caídas [Internet]. 2018 [Consultado el 28 de marzo de 2020]. Disponible en: https://www.who.int/ es/news-room/fact-sheets/detail/falls
  • Sherrington, C,Tiedemann, A,Fairhall, N,Hopewell, S,Michaleff, Z,Howard, K. (2019). Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 1.
  • Siegrist, M,Freiberg, E,Geilhof, B,Salb, J,Hentschke, C,Landendoerfer, P. (2016). Fall Prevention in a Primary Care Setting. Dtsch Arztebl Int. 113. 365
  • Guirguis-Blake, JM,Michael, YL,Perdue, LA,Coppola, EL,Beil, TL. (2018). Interventions to Prevent Falls in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 319. 1705
  • (2014). Ministerio de Sanidad, Servicios 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. 15
  • Sherrington, C,Whitney, J,Lord, S,Herbert, R,Cumming, R,Close, J. (2008). Effective Exercise for the Prevention of Falls: A Systematic Review and Meta-Analysis. J Am Geriatr Soc. 56. 2234
  • Barry, E,Galvin, R,Keogh, C,Horgan, F,Fahey, T. (2014). Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 14.
  • Beauchet, O,Fantino, B,Allali, G,Muir, S,Montero-Odasso, M,Annweiler, C. (2011). Timed Up and Go test and risk of falls in older adults: a systematic review. J Nutr Health Aging. 15. 933
  • Terra, L,Vitorelli, K,Inácio, M,Angelica, M,Vitor da Silva, J,Mónica, P. (2014). Evaluación del riesgo de caídas en las personas mayores: ¿Cómo hacerlo?. Gerokomos. 25. 13